scholarly journals Medical Students’ Readiness for Virtual Clerkships During the COVID-19 Pandemic.

Author(s):  
Ayad Al-Moslih ◽  
Rula Shami ◽  
Ghadir Fakhri Al-Jayyousi ◽  
Xiangyun Du ◽  
Alla Al-Awaisi ◽  
...  

Abstract BackgroundThis study aims to qualitatively examine the readiness of medical students to change to virtual clerkship during the pandemic, from both the faculty preceptors and students’ perspectives’. MethodsA qualitative study was conducted based on the framework of readiness to change. Focus group discussions with students, and semi-structured interviews with clinical faculty members were done using appropriate online platforms. Transcripts were then analyzed using a qualitative phenomenological approach.Results Twelve themes emerged which are 1) Perceptions about the university decision and its communication to students, 2) A Perceived Lack of clinical experience, 3) Student safety , 4) Students’ role as members of the medical team facing the pandemic, 5) Quality and design of VI and the skills it offered, 6) Belief in own ability to succeed in the VC, 7) Confidence that VC would reach its goals, 8) New enhanced learning approaches, 9) Acquired skills, 10) Preparing students for new types of practice in the future, 11) Academic support and communication with faculty and college, 12) Psychological support. Medical students showed limited readiness to undertake a virtual clerkship and not play their role as healthcare professionals during the pandemic. They perceived a huge gap in gaining clinical skills virtually and asked for quick return to training sites.ConclusionsMedical students were not ready for virtual clerkships. There will be a need to integrate novel learning modalities such as patient simulations and case-based learning in order to meet future demands of the medical profession and enhance the efficiency of virtual clerkships.

2021 ◽  
Vol 5 ◽  
Author(s):  
Kathryn McEwan

As trends of social and economic change allow precarity to inch into the lives of those who may have been more accustomed to security (Standing, 2011, 2014), this paper addresses the response of some young people who are caught “betwixt and between” in potentially liminal states (Turner, 1967). Those whose families have undertaken intra- or intergenerational social mobility and who have made a home in a place, Ingleby Barwick in Teesside, that seems to be of them and for them—an in-between place that is seen as “not quite” middle or working class. This paper draws data from a research project that adopted a qualitative phenomenological approach to uncover the meaning of experiences for participants. Methods included focus groups and semi-structured interviews through which 70 local people contributed their thoughts, hopes, concerns, and stories about their lives now and what they aspire to for the future. Places, such as the large private housing estate in the Northeast of England on which this research was carried out, make up significant sections of the UK population, yet tend to be understudied populations, often missed by a sociological gaze attracted to extremes. It was anticipated that in Ingleby Barwick, where social mobility allows access to this relatively exclusive estate, notions of individualism and deservingness that underlie meritocratic ideology (Mendick et al., 2015; Littler, 2018) would be significant, a supposition borne out in the findings. “Making it” to Ingleby was, and continues to be, indicative to many of meritocratic success, making it “a moral place for moral people” (McEwan, 2019). Consequently, the threat then posed by economic precarity, of restricting access to the transitions and lifestyles that create the “distinction” (Bourdieu, 1984) required to denote fit to this place, is noted to be very real in a place ironically marked by many outside it as fundamentally unreal.


CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S115-S116
Author(s):  
I. Abelev ◽  
D. Lewis ◽  
J. Fraser ◽  
P. Atkinson

Introduction: Electronic medical records (EMR) have placed increasing demand on emergency physicians and may contribute to physician burnout and stress. The use of scribes to reduce workload and increase productivity in emergency departments (ED) has been reported. This objective of this study was to evaluate the educational and experiential value of scribing among medical and undergraduate students. We asked: “Will undergraduates be willing to scribe in exchange for clinical exposure and experience?”; and, “Should scribing be integrated into the medical school curriculum?” Methods: A mixed-methods model was employed. The study population included 5 undergraduate, and 5 medical students. Scribes received technical training on how to take physician notes. Undergraduate students were provided with optional resources to familiarize themselves with common medical terminology. Scribes were assigned to physicians based on availability. An exit interview and semi-structured interviews were conducted at the conclusion of the study. Interviews were transcribed and coded into thematic coding trees. A constructivist grounded theory approach was used to analyze the results. Themes were reviewed and verified by two members of the research team. Results: Undergraduate students preferred volunteering in the ED over other volunteer experiences (5/5); citing direct access to the medical field (5/5), demystification of the medical profession (4/5), resume building (5/5), and perceived value added to the health care team (5/5) as main motivators to continue scribing. Medical students felt scribing should be integrated into their curriculum (4/5) because it complemented their shadowing experience by providing unique value that shadowing did not. Based on survey results, five undergraduate students would be required to cover 40 volunteer hours per week. Conclusion: A student volunteer model of scribing is worthwhile to students and may be feasible; however, scribe availability, potentially high scribe turnover, and limited time to develop a rapport with their physician may impact any efficiency benefit scribes might provide. Importantly, scribing may be an invaluable experience for directing career goals and ensuring that students intrinsically interested in medicine pursue the profession. Medical students suggested that scribing could be added to the year one curriculum to help them develop a framework for how to take histories and manage patients.


2020 ◽  
Vol 29 (16) ◽  
pp. 954-959
Author(s):  
Rafael-Jesús Fernández-Castillo ◽  
Eugenia Gil-García ◽  
María-Soledad Vázquez-Santiago ◽  
Sergio Barrientos-Trigo

Background: Chronic non-cancer pain (CNCP) is one of the major causes of disability globally, and patients who suffer from it are a complex population, which makes it difficult to provide effective care. Specialist pain clinics and nursing professionals in them are the main care providers, but there is little research conducted in this field. Aim: To explore the attitudes and knowledge of nurses working in specialist pain clinics regarding care of CNCP patients. Methods: Qualitative phenomenological approach. Sixteen semi-structured interviews were conducted in 2017 with nurses who worked in specialist pain clinics in six hospitals in southern Spain. Results: Data analysis led to the formation of two categories, ‘being trained and improving knowledge in CNCP’ and ‘the challenge of caring for patients with CNCP’, and five subcategories. Conclusion: The need for care in CNCP is not covered by nurses in all the areas it requires. Lack of time, staffing issues, and specific training in this area makes it difficult to provide care. However, some areas for improvement are proposed, such as psychological interventions, group workshops, continuous training, and multidisciplinary teams.


2006 ◽  
Vol 5 (2) ◽  
pp. 97-107 ◽  
Author(s):  
M. McLean ◽  
D. Hodgson

Recently, radiotherapy breast gowns have been introduced into some Radiotherapy Departments across the country. The idea of using the breast gowns came from issues highlighted regarding privacy and dignity from patient satisfaction surveys. The introduction of the breast gowns was not evidence based, however they have become popular as they were considered a good aid for patients' comfort. This study aimed to investigate patients' perceptions of the breast gowns using a qualitative, phenomenological approach. The methodology was designed to explore patient's feelings about their experiences throughout their cancer journey. The data was collected through semi-structured interviews, which were transcribed and analysed, via content analysis. The key themes that emerged from the study were related to: patients' emotions; dignity and privacy issues; exposure; patient choice and an unexpected result were their views relating to the notion of “possession”. The results of this study cannot be generalised due to the methodology chosen, however the findings can aid the development of a multi-centred study to investigate this topic further. In addition, this study has highlighted an important recommendation for radiotherapy practice: the development of a “modesty gown” for most treatment sites.


Author(s):  
Hsing-Chen Yang

Improving the education of medical students and physicians can address the disparities in LGBT+ (lesbian, gay, bisexual, transgender, and others) health care. This study explored how teachers used case-based teaching to teach medical students about gender and LGBT+ health care and discussed the implementation and effectiveness of case-based teaching from the perspective of the teachers and students. This study employed the case study method and collected data through semi-structured interviews. This study used two gender courses in clinical psychiatric education as case studies. Two teachers and 19 medical students were recruited as participants. The findings of this study were as follows: (1) effective cases links theory to clinical practice and competency learning; (2) experience sharing by LGBT+ is highly effective; (3) discussions promote the effectiveness of case-based teaching; and (4) the challenges of case-based teaching included time limitations, the multiplexity of the cases, and multilevel learning. This study also found that using narrative cases is a form of narrative pedagogy, which can help students to integrate medicine, gender, and LGBT+ competency education. A successful narrative case–based teaching strategy involves teachers integrating knowledge related to gender, guiding students through the cases to understand the importance of these cases, and reflecting on the medical profession to make improvements. However, teachers face challenges in this approach, such as changes in the school’s teaching culture and a lack of institutional support.


2019 ◽  
Vol 3 (1) ◽  
pp. 37-51
Author(s):  
Muhammad Arifin Ritonga ◽  
Muhammad Anggung Manumanoso Prasetyo

This study aims to determine how the types of leadership, reward, and punishment become supporting factors for the increase in teacher performance. Teachers who are competent and diligent and put themselves become a teacher should be rewarded so that he continues to be motivated to maintain these achievements. Conversely, teachers who are lazy to work, teach carelessly, and do not realize the nature of themselves as a teacher should be subject to sanctions (punishment) so that they can provide lessons for him to improve themselves and improve their performance. This research uses a qualitative - phenomenological approach. The use of this method is to find primary and essential phenomena, reality, and the impact of giving rewards and punishment. Data collection techniques used in this study were participatory observation - active, semi-structured interviews with leaders of the pesantren, educators. The results of an increase in teacher performance in the form of increased loyalty to the leadership expanding the discipline of time during teaching, as well as routine meetings, some teachers also actively involved in various kinds of extracurricular activities even without honorariums. Already the most significant supporting factor for the successful implementation of the program is because of the values ​​of life in the pesantren rooted for teachers. This value is the value of sincerity and obedience to the leaders as their superiors in the Pesantren.


2021 ◽  
Vol 9 (S1) ◽  
pp. S1-S8
Author(s):  
Ayşen Koşan ◽  

Medical education is a complex process for training physicians. Although being a medical student is highly prestigious and seems advantageous in many respects, the students have a variety of perceptions towards medical education and their future profession. This study explores medical students’ perceptions about being a student in the faculty of medicine in Turkey. A qualitative phenomenological approach was used. Semi-structured interview method was conducted with thirty medical students to collect data. The audio recordings were analyzed using the phenomenological coding technique in which transcriptions were taken into an open coding process. The students' perceptions revealed some commonalities about how they define themselves and their concerns about their future profession. Findings revealed that although they are mostly satisfied with the status of their future profession, they have several concerns and regrets. Students who aim to study at a medical school in the future need to be aware of the fact that medical education is not an easy training process as it requires developing certain professional competencies, values and attitudes, and the well-being of medical students should also be considered by the educators at medical schools.


2013 ◽  
Vol 4 (1) ◽  
pp. 56
Author(s):  
Siti Zuliya Ningsih ◽  
Satiningsih Satiningsih

This study was aimed to understand a young girl experience as a victim of human trafficking. Data from the women and child protection center of Surabaya (Pusat Pelayanan Terpadu Perlindungan Perempuan dan Anak or PPT-P2A) had shown an increase in the number of trafficking victims from year to year. In 2010, there were 28 cases of adult victims and 21 cases of children victims. On April 2012 the cases of adult victims increased up to 45 cases, while children decreased to 13 cases. This study used a qualitative phenomenological approach. The participant was a victim of trafficking and was under the supervision of PPT- P2A Surabaya. Data was collected using a semi-structured interviews and analyzed using narrative analysis. The result of this study can be described into three categories, which were the life before becoming a victim, undesired job, and the life after becoming a victim. Since the mother passed away, she felt like there is no one cares about her anymore. The second was undesired job, which related to the participant’s experience as a trafficking victim. The last theme was the participant’s life after being a victim. In general, it could be concluded that participant experienced some psychological dynamics, such as negative self concept, low self esteem, and learned helplessness.Abstrak: Penelitian ini bertujuan untuk mengetahui pengalaman seorang remaja putri yang menjadi korban trafficking. Data Pusat Pelayanan Terpadu Perlindungan Perempuan dan Anak (PPT-P2A) Surabaya menunjukkan peningkatan jumlah korban trafficking dari tahun ke tahun. Tahun 2010 korban dewasa mencapai angka 28 orang, sedangkan anak-anak 21 orang. Tahun 2011 korban dewasa menjadi 34 dan anak-anak meningkat menjadi 36, data terbaru tahun 2012 bulan April korban dewasa meningkat menjadi 45 korban dan anak-anak menjadi 13 korban kejahatan trafficking. Penelitian ini menggunakan pendekatan kualitatif fenomenologis. Proses pengambilan data menggunakan teknik wawancara semi terstruktur. Data penelitian ini kemudian dianalisis menggunakan analisis naratif. Hasil dari penelitian berhasil mengidentifikasi beberapa sub-sub judul atau tema. Subjudul pertama yakni semenjak Ibu tiada yaitu kisah hidup partisipan sebelum menjadi korban trafficking, semenjak Ibunya meninggal, partisipan merasa tidak ada lagi yang peduli padanya. Tema atau sub judul kedua yakni pekerjaan yang tidak sesuai keinginan yaitu pengalaman partisipan selama menjadi korban trafficking. Tema ketiga, kehidupan setelah menjadi korban, yaitu pengalaman hidup partisipan setelah menjadi korban trafficking. Secara umum, kesimpulan dari penelitian ini adalah pertisipan mengalami beberapa fenomena psikologis yaitu konsep diri negatif,  harga diri rendah, dan learned helplessness.


2021 ◽  
Vol 7 (3) ◽  
pp. 227-234
Author(s):  
Mahathir Mahathir ◽  
Wiwin Wiarsih ◽  
Henny Permatasari

Background: The progress of the fight against HIV is highlighted by significant change. HIV of the past is different from HIV of the present. Healthcare services have played an essential role in achieving the optimal goals needed to end the HIV epidemic. However, people living with HIV and those at risk of catching it (PLWH) often misunderstand the rapid growth of HIV healthcare service options.Objective: This study aimed to explore the experiences of PLWH in the healthcare services featured in this study.Methods: A qualitative phenomenological approach was used. Semi-structured interviews were conducted in 2017 with 12 PLWH who engaged with healthcare services in Jakarta, Indonesia, by using a purposive sampling technique. Semi-structured questions were asked which related to their experiences of using the services. Stevick Colaizzi Keen method was used to extract the thematic analysis of the study.Results: The study developed four essential themes of PLWH healthcare use. They were accessibility, availability at all healthcare levels, comprehensiveness of service, and affordability.Conclusion: Providing accessible healthcare services is considered essential by PLWH. It is also pivotal to helping people feel positive about the community-related healthcare services on offer. Nurse-led HIV services must maintain this progress by continuously evaluating the quality-of-service outcomes and promoting the accessibility of the services to the broader population.


Author(s):  
Yolanda Raquel Lapeña-Moñux ◽  
Luis Cibanal-Juan ◽  
Mª Isabel Orts-Cortés ◽  
Mª Loreto Maciá-Soler ◽  
Domingo Palacios-Ceña

Abstract Objective: this paper explores the experiences of registered nurses working with Spanish nursing students within the hospital. Methods: a qualitative phenomenological approach was followed. Purposeful sampling was employed. Twenty-one registered nurses, from a public hospital located in Spain, were included in the study. Data were collected by means of unstructured and semi-structured interviews and were analysed using Giorgi's proposal. The Consolidated Criteria for Reporting Qualitative Research were followed. Results: three main themes described the experience of registered nurses: "The nurse's relationship with nursing students"; most nurses emphasized the importance of the first contact with students and they considered students' attitude to be key. "Defining the role of the student in clinical practice"; it is necessary to unify the nurse's role and interventions to avoid misleading students and establish priorities in clinical practice. "Building bridges between clinical settings and the University"; the need to establish a common ground and connection between the university and hospital clinical settings was emphasized. Nurses felt that the training program should also be designed by the clinical settings themselves. Conclusions: understanding the meaning of nursing students with registered nurses might gain a deeper insight into their expectations.


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