scholarly journals Medical Students’ Experiences of Teaching with Emotional Intelligence in Clinical Settings: A Qualitative Study

2021 ◽  
Author(s):  
Nahid Toufan ◽  
Athar Omid ◽  
Fariba Haghani
Keyword(s):  
Emotional Intelligence ◽  
Medical Students ◽  
Qualitative Study ◽  
Clinical Education ◽  
Clinical Teaching ◽  
Clinical Settings ◽  
Clinical Environment ◽  
Medical Sciences ◽  
Individual Interviews ◽  
Purposeful Sampling

Abstract Background Effective teaching in clinical environment is one of the challenges faced by clinical faculty members due to the complexities of the variables involved in the training. Using appropriate teaching methods by professors in this environment can promise efficient graduates in the field. The present study, as a follow up of Omid research, which designed a clinical teaching model based on emotional intelligence, was carried out to evaluate the results of implementing this model in a clinical setting. Methods A qualitative study was conducted using inductive content analysis in one of the educational hospitals affiliated with Esfahan University of Medical Sciences. A total of 20 volunteer medical students from different levels of education were selected using purposeful sampling and were asked to express their experiences of attending the round with its clinical teaching based on emotional intelligence. Participants included 4 stagers, 11 interns, and 5 residents. Data were collected using semi-structured individual interviews; each interview lasted for 40–60 minutes and began with the question: what do you think are the important features of this professor's clinical education? The following questions were asked based on the issues raised in the interview. Data collected were analyzed immediately after the interviews Results Two main categories emerged from data analysis: Health outcome and Learning outcome. Conclusion The use of teaching based on emotional intelligence in the clinical environment can be effective in promoting their learning while ensuring the health of the learners.

scholarly journals Marginalization of Professionalism in Clinical Settings; A qualitative study at Tehran University of Medical Sciences

2020 ◽  
Author(s):  
Fateme Alipour ◽  
Zahra Shahvari
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Faculty Members ◽  
Professional Behavior ◽  
Clinical Settings ◽  
Medical Sciences ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Management Level ◽  
Management Issues

Background: Management-level challenges are among the factors that undermine the individuals' adherence to professional behavior in clinical settings. This study investigated glitches of the management system in clinical settings from the perspective of staff, faculty members, and medical students/residents in hospitals affiliated to Tehran University of Medical Sciences. Methods: This qualitative study was conducted in 2 parts by exploring the viewpoints of personnel and physicians. In this regard, 8 focus group discussions were performed with 85 faculty members, clinical residents, and interns. Furthermore, 15 focus group discussions were held with 165 staffs. Available sampling method was applied to collect the participants and the data were analyzed using the content analysis method. Results: A total of 22 focus-group discussions were conducted with 250 participants; Participants' age ranged from 24 to 65 years. Participants' education levels varied from diploma to postgraduate for the staff and from medical student to sub-specialist for the physicians. Finally, management-level barriers, which undermine the staffs' ability to adhere to professional behavior in clinical settings were explained with 315 codes, 12 subcategories, and 2 main categories of "macro management issues " and "hospital management issues". Conclusion: Managers are required to consider providing a proper context for enforcing the professional behavior law, selecting middle managers based on their empowerment in performing the professional behaviors, prioritizing the professional behavior in policy making, and promoting the professional behavior in an administrative system consistent with the health system. In selecting the hospital managers, authorities are recommended to consider the managers' professional behavior and power in implementing the professionalism leadership. Moreover, the possibility of conducting professional behavior should be considered in making the policies.

scholarly journals Evaluation of the geriatric curriculum implemented at Shiraz University of Medical Sciences, Iran, since 2017: A qualitative study

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 417 ◽  
Author(s):  
Faezeh Jaafari ◽  
Somayeh Delavari ◽  
Leila Bazrafkan
Keyword(s):  
Medical Students ◽  
Clinical Education ◽  
Group Discussion ◽  
Geriatric Medicine ◽  
General Medicine ◽  
Ambulatory Setting ◽  
Field Observations ◽  
Medical Sciences ◽  
Structured Interviews ◽  
The University

Background: Recently, there has been an increase in life expectancy due to improvements in nutrition, health, and sanitation. The aim of this study was to evaluate the geriatric curriculum in the field of general medicine at Shiraz University of Medical Sciences (SUMS), Iran to improve the quality of services provided to this population in the community. Methods: This was a qualitative study­­. Six educational hospitals and ambulatory centers of Shiraz University of Medical Sciences participated in this study. Within these centers, 15 medical education faculty members and educational experts, 6 medical students, 6 elderly patients and 6 nurses working in the university related to the geriatric field were selected using purposive sampling. Data were gathered through semi-structured interviews, focus group discussion and field observations in the teaching hospital and ambulatory setting of SUMS from June 2017 to May 2018.  Based on the qualitative research, the data underwent conventional content analysis and the main themes were developed from this. Results: Three main themes were extracted from the data: effective clinical education, geriatrics curriculum challenges and promotion strategies for geriatric medicine. Subcategories that emerged were a competent curriculum teacher, a challenging program, management of resources, promotion of the program, and the revision required in the curriculum, which were related to other concepts and described in the real-world situation of the geriatric curriculum in the university, as observed in field observations. Conclusions: This study identified three concepts as main themes that can be used to explain how to implement a geriatric curriculum in a medical university. The main contributing factor to different views of the participants was identified as the revision required to the curriculum for integrative care in a geriatric patient. This should be taken into consideration while planning any programs and decisions aimed at education of medical students on this topic.

scholarly journals Clinical teachers’ motivations for feedback provision in busy emergency departments: a multicentre qualitative study

2020 ◽  
pp. emermed-2019-208908
Author(s):  
Chung-Hsien Chaou ◽  
Shiuan-Ruey Yu ◽  
Roy Yi Ling Ngerng ◽  
Lynn Valerie Monrouxe ◽  
Li-Chun Chang ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Emergency Departments ◽  
Teaching And Learning ◽  
Clinical Teaching ◽  
Structured Interview ◽  
Clinical Settings ◽  
Clinical Teachers ◽  
Protected Time ◽  
Assessment Feedback ◽  
Clinical Feedback

BackgroundFeedback is an effective pedagogical tool in clinical teaching and learning, but the actual perception by learners of clinical feedback is often described as unsatisfactory. Unlike assessment feedback or teaching sessions, which often happen within protected time and space, clinical feedback is influenced by numerous clinical factors. Little is known about clinical teachers’ motivations to provide feedback in busy clinical settings. We aimed to investigate the motivations behind feedback being given in emergency departments (EDs).MethodsA qualitative analysis of semi-structured interview data was conducted between August 2015 and June 2016. Eighteen attending physicians were purposively sampled from three teaching hospital EDs in Taiwan. Data were thematically analysed, both inductively (from the data) and deductively (using self-determination theory (SDT)). Themes were mapped to the different motivation types identified by the SDT.Results and discussionDespite working in busy clinical settings, Taiwanese ED clinical teachers reported being motivated to provide feedback when they felt responsible for their learners, when they understood the importance of feedback (patient safety and partner building), or simply because they were committed to following a tradition of passing on their clinical knowledge to their juniors. Suggestions to facilitate the internalisation of external motivations are proposed.ConclusionsIn this qualitative study, motivations for clinical feedback were identified. Although the motivations are mostly extrinsic, the elicitation of internal motivation is possible once true satisfaction is fostered during the feedback-giving process. This understanding can be used to develop interventions to enable clinical feedback to be provided in a sustained manner.

scholarly journals Exploring the Features of Mobile Application of Anatomy in Basic Medical Sciences: a qualitative study

2020 ◽  
Author(s):  
Mahmoud Mansouri ◽  
Shoaleh Bigdeli ◽  
Afsaneh Dehnad ◽  
Zohreh Sohrabi ◽  
Somayeh Alizadeh ◽  
...  
Keyword(s):  
Medical Students ◽  
Qualitative Study ◽  
Mobile Applications ◽  
Mobile Application ◽  
Health Professions ◽  
Health Professions Education ◽  
Medical Sciences ◽  
Structured Interviews ◽  
User Friendliness ◽  
Basic Medical

Abstract Background The importance of mobile phones has become one of the new research topics in health professions education due to the ease of access and flexibility. Although novel approaches to health professions education recommend the use of educational technologies such as mobile applications, a limited number of studies have been conducted with regard to teaching anatomy through mobile applications. Considering the increasing needs of medical students for mobile technology to meet their educational needs, wants and desires, we decided to explore the features of an anatomy mobile application. Methods This qualitative study was conducted in two stages of holding focus groups and an expert panel session. Students of basic Medical sciences, and faculty members of anatomy at Iran University of Medical Sciences formed the research participants. Semi-structured interviews and note-taking were used to collect the data. Brown and Clark methods were used for thematic analysis and feature extraction. Finally, four criteria presented by Lincoln and Guba for qualitative studies were used to ensure the credibility, confirmability, trustworthiness and transferability of the data. Results Based on the data analysis, 37 codes that could be used to design anatomy mobile content for medical students were extracted. These features were categorized into the main themes of “visual richness”, “scientific comprehensiveness”, “audio richness”, “affordability”, “user-friendliness”, “self-assessment”, “interactive content” and “user support”. Conclusion This study explored the features of an anatomy application that can be used by educational app developers. Anatomy departments of universities of medical sciences, policymakers, and planners in the field of medical education can also adopt the findings of the present study.

scholarly journals If you can’t make it, you're not tough enough to do medicine’: A qualitative study of Sydney-based medical students’ experiences of bullying and harassment in clinical settings

2019 ◽  
Author(s):  
Laura Colenbrander ◽  
Louise Causer ◽  
Bridget Haire
Keyword(s):  
Medical Students ◽  
Clinical Teaching ◽  
Medical Profession ◽  
Verbal Abuse ◽  
Clinical Settings ◽  
Negative Consequences ◽  
Academic Literature ◽  
Quality Patient Care ◽  
Depth Interviews ◽  
Bullying And Harassment

Abstract Background: Media exposés and academic literature reveal high rates of bullying and harassment of medical students, most commonly by consultant physicians and/or surgeons. Recent reports reveal the medical profession to be characterised by hierarchy, with verbal abuse a ‘rite of passage’, as well as sexist and racist behaviours. Methods : Semi-structured in-depth interviews were conducted with ten current or recently graduated medical students from Sydney-based medical schools. Interviews were audio-recorded, transcribed verbatim, and thematically analysed. Results : Hierarchy, and a culture of self-sacrifice, resilience and deference, were identified as problematic elements of the medical profession. In the minds of participants, these factors created barriers to reporting mistreatment, as participants felt reporting led to being labelled a ‘troublemaker’, affecting career progression. Additionally, participants stated that avenues of recourse were unclear and did not guarantee confidentiality or desired outcomes. Conclusions : Mistreatment is continuing in clinical teaching and has negative consequences on medical students’ mental health and learning. Structural change is needed to combat institutionalised mistreatment to ensure the wellbeing of future doctors and high quality patient care.

scholarly journals Explaining Resident Medical Students’ Experiences of Performance During COVID-19: A Qualitative Study

2022 ◽  
Vol 20 (4) ◽  
Author(s):  
Sara Esmaelzadeh ◽  
Fatemeh Aghamahdi ◽  
Roghayeh Mirmajidi ◽  
Soraya Parvari ◽  
Keshvad Hedayatian ◽  
...  
Keyword(s):  
Medical Students ◽  
Qualitative Study ◽  
Negative Impact ◽  
Medical Sciences ◽  
Community Members ◽  
Resident Students ◽  
Planning Methods ◽  
Need For Support ◽  
Conventional Content Analysis ◽  
Fear And Anxiety

Background: The COVID-19 crisis has created many problems, including a negative impact on student education. Objectives: The study aimed to understand the resident medical students' performance experiences during the COVID-19 pandemic, which is essential for future planning. Methods: The present qualitative study was performed on 15 resident medical students in Alborz University of Medical Sciences, Iran, from September to November 2020. Data were analyzed using conventional content analysis. Results: Analysis of the meaning units of interviews showed four categories describing the resident students' experiences of performance during COVID-19 as follows: Fear and anxiety, the need for support, the sense of responsibility, and the lack of educational facilities. Conclusions: The present study showed that the COVID-19 pandemic had posed incredible new challenges for resident students. Assessing the mental health of residents, providing adequate protective equipment, and support from authorities and community members can create empathy, reduce the feeling of fear, and increase their accompaniment with pandemic managing programs. Due to the problems created in the training of residents during the pandemic, it seems necessary to propose rehabilitation courses to improve the training program for residents in various fields.

scholarly journals Student and new graduate perception of hospital versus institutional clinic for clinical educational experience

2019 ◽  
Vol 33 (2) ◽  
pp. 125-132
Author(s):  
Navine G. Haworth ◽  
Linda K. Jones
Keyword(s):  
Clinical Education ◽  
Private Practice ◽  
Clinical Teaching ◽  
Clinical Skills ◽  
Learning Experience ◽  
Hospital Setting ◽  
Educational Experience ◽  
Clinical Environment ◽  
New Graduates ◽  
Advantages And Disadvantages

Objective: To explore final-year students and new graduates from 2 North American chiropractic colleges regarding perceptions of the clinical educational experience in a hospital vs the institutional clinical setting. Methods: A qualitative exploratory descriptive design was used for this research. Students and new graduates were invited to participate from a United States and Canadian chiropractic college. Semistructured interviews were conducted with 49 students and 14 new graduates lasting 60 minutes. Content analysis of the transcribed interviews was undertaken. Results: The data identified that there were advantages and disadvantages to having clinical education in both settings. For instance, the hospital setting had a more varied patient case mix (making it more complex and challenging for their clinical skills development), the pace was faster, and there was more evidence-based practice. This compared to the college clinics, which tended to be slower paced and had less variation, students were required to build a patient base, and patient demographics resembled that expected in private practice. Each environment was considered a unique clinical learning experience. Conclusion: Access and opportunity in both clinical environments is considered optimal in regards to providing a broad and varied student clinical experience. Exclusivity to one may not provide the best preparation for the professional context. As most graduate opportunities are private practice, the institutional clinical environment will provide a sufficient clinical teaching and learning environment to support the professional needs. A combination of these environments is considered ideal for the graduate.

scholarly journals Attitudes of teaching faculty towards clinical teaching of medical students in an emergency department of a teaching institution in Singapore during the COVID-19 pandemic

2021 ◽  
Vol 6 (3) ◽  
pp. 67-74
Author(s):  
Tess Lin Teo ◽  
Jia Hao Lim ◽  
Choon Peng Jeremy Wee ◽  
Evelyn Wong
Keyword(s):  
Medical Students ◽  
Clinical Education ◽  
Clinical Training ◽  
Clinical Teaching ◽  
Faculty Attitudes ◽  
Clinical Teachers ◽  
Risk Environments ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital ◽  
Teaching Faculty

Introduction: Singapore experienced the COVID-19 outbreak from January 2020 and Emergency Departments (ED) were at the forefront of healthcare activity during this time. Medical students who were attached to the EDs had their clinical training affected. Methods: We surveyed teaching faculty in a tertiary teaching hospital in Singapore to assess if they would consider delivering clinical teaching to medical students during the outbreak and conducted a thematic analysis of their responses. Results: 53.6% felt that medical students should not undergo clinical teaching in the ED and 60.7% did not wish to teach medical students during the outbreak. Three themes arose during the analysis of the data - Cognitive Overload of Clinical Teachers, Prioritisation of Clinical Staff Welfare versus Medical Students, and Risk of Viral Exposure versus Clinical Education. Conclusion(s): During a pandemic, a balance needs to be sought between clinical service and education, and faculty attitudes towards teaching in high-risk environments can shift their priorities in favour of providing the former over the latter.

scholarly journals Evaluating clinical teaching in a pediatric hospital in Iran: View points of academic members and medical students

2020 ◽  
Vol 9 (1) ◽  
pp. 4-4
Author(s):  
Maryam Baradaran Binazir ◽  
Mohammad Barzegar ◽  
Fariba Heidari
Keyword(s):  
Medical Students ◽  
Outpatient Clinic ◽  
Clinical Teaching ◽  
Journal Club ◽  
Pediatric Hospital ◽  
Morning Report ◽  
Evaluation Tool ◽  
Medical Sciences ◽  
Ministry Of Health ◽  
Cross Sectional

Background: Evaluating the state of clinical teaching is a very essential aspect of useful teaching.It helps in determining areas of strength and areas for improvement. Accordingly, the aim of this study was to evaluate clinical teaching activities in a pediatric hospital at the Tabriz University of Medical Sciences, based on standards provided by the Ministry of Health in Iran. Methods: A cross-sectional study was conducted from October to December 2018 in the setting of a pediatric hospital of the Tabriz University of medical sciences. Participants were selected from this hospital: academic members and medical students who were present in the pediatric hospital during this investigation. The evaluation tool was a checklist of standards relating to clinical teaching settings. The outcome measures included four domains, assessed using mean standard scores: teaching round, morning report, journal club, and outpatient clinic. Analysis of variance (ANOVA) was used to compare scores on the checklist among academic members and medical students. Results: A total of 126 participants completed the checklist. Among the participants, 50 (39.6%) were 5th-year medical students, 51 (40.4%) were final-year medical students and 25(19.8%)were academic members. The highest and lowest mean standard scores were 85.3 and 34.5,the morning report and the teaching round by final-year medical students, respectively. No statistically significant differences were found among academic members and medical students’mean standard scores for teaching round (P = 0.983), morning report (P = 0.696), journal club (P= 0.952), and outpatient clinic (P = 0.060). Conclusion: Considering both academic members and medical students, clinical teaching standards were not widely regarded as important in the pediatric wards of the Tabriz University of Medical Sciences. Some interventions are indicated to improve adherence to the Ministry of Health standards.

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