scholarly journals A primer in resilience status for German medical graduates - a necessary step in building an emotionally equipped healthcare workforce

2020 ◽  
Author(s):  
Jan Kiesewetter ◽  
Johanna Huber
Keyword(s):  
Work Performance ◽  
Work Force ◽  
Medical Schools ◽  
Medical Graduates ◽  
Graduate Survey ◽  
Resilience Scale ◽  
Healthcare Work ◽  
Unpleasant Feeling ◽  
One Year ◽  
The Moment

Abstract BackgroundResilience is a widely-used catchword in the last couple of years to describe the resistance to psychological strains of life, especially for the healthcare work force. The promises of resilience to burnout sound great and what we all would want: less health impairment despite stress, higher work satisfaction and last but not least higher work performance. However, little is known scientifically regarding the resilience status of the upcoming work-force. With our study we would like to investigate the resilience status of medical graduates from five medical schools within their first year after graduation. MethodsFor the identification of the resilience status we included the 5-point Likert 10-Item Connor-Davidson Resilience Scale, German Version in a graduate survey posted to 5 medical schools and over 1610 eligible participants of whom 610 (60% female) filled out at least parts of the survey. ResultsThe resilience status showed a mean resilience score of M = 37.1 (SD = 6.30). The score ranges from 3.22 (I am not easily discouraged by failure) to 4.26 (I am able to adapt to change). The item “I am able to handle unpleasant feeling” is interesting as one third of the participants did choose not to answer. Relationships to other constructs are presented in the article. ConclusionsThe study shows that the overall resilience status of medical graduates one year after their graduation is rather high, but subjectively they do not feel equivalently resilient for the different aspects they face in their job. Further research needs to see how trainings can provide medical students and professionals with the emotional coping skills that they lack in the moment.

scholarly journals A Primer in Resilience Status for German Medical Graduates - A Necessary Step in Building an Emotionally Equipped Healthcare Workforce

2020 ◽  
Author(s):  
Jan Kiesewetter ◽  
Johanna HUber
Keyword(s):  
Work Performance ◽  
Work Force ◽  
Medical Schools ◽  
Medical Graduates ◽  
Graduate Survey ◽  
Resilience Scale ◽  
Healthcare Work ◽  
Unpleasant Feeling ◽  
One Year ◽  
The Moment

Abstract BackgroundResilience is a widely-used catchword in the last couple of years to describe the resistance to psychological strains of life, especially for the healthcare work force. The promises of resilience to burnout sound great and what we all would want: less health impairment despite stress, higher work satisfaction and last but not least higher work performance. However, little is known scientifically regarding the resilience status of the upcoming work-force. With our study we would like to investigate the resilience status of medical graduates from five medical schools within their first year after graduation. MethodsFor the identification of the resilience status we included the 5-point Likert 10-Item Connor-Davidson Resilience Scale, German Version in a graduate survey posted to 5 medical schools and over 1610 eligible participants of whom 610 (60% female) filled out at least parts of the survey. ResultsThe resilience status showed a mean resilience score of M = 37.1 (SD = 6.30). The score ranges from 3.22 (I am not easily discouraged by failure) to 4.26 (I am able to adapt to change). The item “I am able to handle unpleasant feeling” is interesting as one third of the participants did choose not to answer. Relationships to other constructs are presented in the article. ConclusionsThe study shows that the overall resilience status of medical graduates one year after their graduation is rather high, but subjectively they do not feel equivalently resilient for the different aspects they face in their job. Further research needs to see how trainings can provide medical students and professionals with the emotional coping skills that they lack in the moment.

scholarly journals A primer of an in-depth resilience status for German medical graduates: results of a cross-sectional survey on the status quo of resilience among graduates of human medicine in Bavaria, Germany - a necessary step in building an emotionally equipped healthcare work-force

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
J. Kiesewetter ◽  
J. Huber
Keyword(s):  
Work Performance ◽  
Work Force ◽  
Medical Schools ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical Graduates ◽  
Graduate Survey ◽  
Resilience Scale ◽  
The Status ◽  
Healthcare Work

Abstract Background Resilience is a widely-used catchword in the last couple of years to describe the resistance to psychological strains of life, especially for the healthcare work-force. The promises of resilience to burnout sound great and what we all would want: less health impairment despite stress, higher work satisfaction and last but not least higher work performance. There is research that shows that students and physicians have high emotional distress and low resilience, yet comparably little is known which aspects of resilience are exactly impaired in the upcoming work-force. With our study we investigated the in-depth resilience status of medical graduates from five medical schools within their first year after graduation. In this, additionally to assessing the resilience status as a whole we investigate the answers on the singular items and the relationship of the resilience status with neighboring constructs. Methods In 2018, 1610 human medical graduates from five Bavarian medical schools were asked to take part at cross-sectional Bavarian graduate survey (Bayerische Absolventenstudie Medizin, MediBAS). The response rate was 38,07, 60% of the participants were female. For the identification of the in-depth resilience status we included the 5-point Likert 10-Item Connor-Davidson Resilience Scale, German Version in a graduate survey posted to 5 medical schools and over 1610 eligible participants of whom 610 (60% female) filled out at least parts of the survey. To identify relationships to other aspects we posed further questionnaires. Results The resilience status showed a mean resilience score of M = 37.1 (SD = 6.30). The score ranges from 3.22 (I am not easily discouraged by failure) to 4.26 (I am able to adapt to change). One third of the participants chose not to answer the item “I am able to handle unpleasant feeling”. Relationships to job satisfaction, scientific competence and stress are presented in the article. Conclusions The study shows that the overall resilience status of medical graduates one year after their graduation is rather high, but subjectively they do not feel equivalently resilient for the different aspects they face in their job. Especially, how to handle their emotions seems to be challenging for some of the young physicians. In the article we sketch ideas how to handle the specific training needs the study has identified.

Reforming Medical Curriculum in India in Recent Years

2012 ◽  
Vol 2 (1) ◽  
pp. 1-13 ◽  
Author(s):  
Rita Sood ◽  
N. Ananthakrishnan
Keyword(s):  
Curriculum Reform ◽  
Medical Curriculum ◽  
National Level ◽  
Medical Schools ◽  
Reform Initiatives ◽  
Medical Curricula ◽  
Medical Graduates ◽  
Societal Needs ◽  
Medical Education System ◽  
One Year

India has the largest medical education system in the world with 335 medical schools producing about 40,000 medical graduates every year. Most medical schools follow the traditional discipline based medical curricula with division of course into pre-clinical, para-clinical, and clinical phases spread over four and a half years followed by one year of internship. The relevance of training to the societal needs has often been questioned. Attempts have been made repeatedly at reforming the undergraduate curricula and, less frequently, the post graduate medical curricula. Though curricular innovations have been initiated and institutionalized in few medical schools in India over the past two decades, repeated attempts to bring about change at a national level have not met with success. In this paper, the authors share the various conflicts that were often observed during such curriculum reform initiatives and strategies to resolve these conflicts.

L’absence chez Michel Butor. L’Emploi du temps et Degrés

2012 ◽  
pp. 66-80
Author(s):  
Michał Mrozowicki
Keyword(s):  
Human Memory ◽  
Point Of View ◽  
Narrative Discourse ◽  
The Novel ◽  
Michel Butor ◽  
Starting Point ◽  
One Year ◽  
The Moment ◽  
Narrative Mode ◽  
The City

Michel Butor, born in 1926, one of the leaders of the French New Novel movement, has written only four novels between 1954 and 1960. The most famous of them is La Modification (Second thoughts), published in 1957. The author of the paper analyzes two other Butor’s novels: L’Emploi du temps (Passing time) – 1956, and Degrés (Degrees) – 1960. The theme of absence is crucial in both of them. In the former, the novel, presented as the diary of Jacques Revel, a young Frenchman spending a year in Bleston (a fictitious English city vaguely similar to Manchester), describes the narrator’s struggle to survive in a double – spatial and temporal – labyrinth. The first of them, formed by Bleston’s streets, squares and parks, is symbolized by the City plan. During his one year sojourn in the city, using its plan, Revel learns patiently how to move in its different districts, and in its strange labyrinth – strange because devoid any centre – that at the end stops annoying him. The other, the temporal one, symbolized by the diary itself, the labyrinth of the human memory, discovered by the narrator rather lately, somewhere in the middle of the year passed in Bleston, becomes, by contrast, more and more dense and complex, which is reflected by an increasinly complex narration used to describe the past. However, at the moment Revel is leaving the city, he is still unable to recall and to describe the events of the 29th of February 1952. This gap, this absence, symbolizes his defeat as the narrator, and, in the same time, the human memory’s limits. In Degrees temporal and spatial structures are also very important. This time round, however, the problems of the narration itself, become predominant. Considered from this point of view, the novel announces Gerard Genette’s work Narrative Discourse and his theoretical discussion of two narratological categories: narrative voice and narrative mode. Having transgressed his narrative competences, Pierre Vernier, the narrator of the first and the second parts of the novel, who, taking as a starting point, a complete account of one hour at school, tries to describe the whole world and various aspects of the human civilization for the benefit of his nephew, Pierre Eller, must fail and disappear, as the narrator, from the third part, which is narrated by another narrator, less audacious and more credible.

The Situation of Catholic Instruction in Transylvania during the Communist Takeover

2020 ◽  
Vol 65 (2) ◽  
pp. 33-52
Author(s):  
László Holló
Keyword(s):  
Religious Education ◽  
Catholic Church ◽  
Virgin Mary ◽  
Educational Institutions ◽  
God's Will ◽  
School Network ◽  
One Year ◽  
The Moment ◽  
First Time ◽  
The Catholic Church

"In less than one year, the Catholic Church, just like the other denominations, lost its school network built along the centuries. This was the moment when the bishop wrote: “No one can resent if we shed tears over the loss of our schools and educational institutions”. Moreover, he stated that he would do everything to re-store the injustice since they could not resent if we used all the legal possibilities and instruments to retrieve our schools that we were illegally dispossessed of. Furthermore, he evaluated the situation realistically and warned the families to be more responsible. He emphasized the parents’ responsibility. First and foremost, the mother was the child’s first teacher of religion. She taught him the first prayers; he heard about God, Jesus, the Virgin Mary, and the angels from his mother for the first time. He asked for the mothers’ and the parents’ support also in mastering the teachings of the faith. Earlier, he already instructed the priests to organize extramu-ral biblical classes for the children and youth. At this point, he asked the families to cooperate effectively, especially to lead an ardent, exemplary religious life, so that the children would grow up in a religious and moral life according to God’s will, learn-ing from the parents’ examples. And just as on many other occasions throughout history, the Catholic Church started building again. It did not build spectacular-looking churches and schools but rather modest catechism halls to bring communities together. These were the places where the priests of the dioceses led by the bishop’s example and assuming all the persecutions, incessantly educated the school children to the love of God and of their brethren, and the children even more zealously attended the catechism classes, ignoring their teachers’ prohibitions. Keywords: Márton Áron, Diocese of Transylvania, confessional religious education, communism, nationalization of catholic schools, Catholic Church in Romania in 1948."

PROGRESSIVE ATHEROSCLEROTIC CORONARY ARTERIES IN PATIENTS WITH SEVERAL ISCHEMIC EVENTS IN ANAMNESIS

2021 ◽  
pp. 113-119
Author(s):  
Parkhomenko O.M. ◽  
Lozhkina N.G.
Keyword(s):  
Myocardial Infarction ◽  
Coronary Arteries ◽  
Clinical Signs ◽  
Risk Groups ◽  
Adverse Outcomes ◽  
Syntax Score ◽  
One Year ◽  
The Moment ◽  
Microsoft Office ◽  
Ischemic Events

Вackground. Progressive atherosclerosis is accompanied by unfavorable clinical outcomes; study and understanding of this process is necessary to identify the appropriate risk groups. Purpose of the study to study the dynamics of atherosclerotic lesions of the coronary arteries in patients with several ischemic events in history. Patient Characterization and Research Methods. The present subanalysis included 51 patients with recurrent nonfatal myocardial infarction (MI) out of the initially included 100 patients with index MI. All 100 patients had a history of two or more ischemic coronary or cerebral events, which corresponds to the clinical signs of progressive atherosclerosis. The dynamics of the degree of coronary stenosis from the moment of index MI to repeated MI was assessed according to the data of selective coronary angiography. The statistical program Microsoft Office Excel 2019 was used. Results. All patients with recurrent myocardial infarction (51 people) had signs of progression of coronary artery stenosis: "mild" progression - 82.3%, "moderate" and "severe" - 15.6% and 2.1%, respectively. SYNTAX Score> 22.5 points was a predictor of one-year adverse outcomes: OR 6.349, CI (2.548-15.823). The results obtained make it possible to distinguish a group of patients with accelerated atherosclerosis syndrome in order to stratify the risk and optimally manage this complex category of patients.

The Impact of a Novel Outdoor Orientation Program on Incoming Medical Students

2021 ◽  
pp. 105382592110486
Author(s):  
Jacquelyn B. Kercheval ◽  
Alec Bernard ◽  
Hanna Berlin ◽  
Nicole Byl ◽  
Boone Marois ◽  
...  
Keyword(s):  
Medical Students ◽  
Medical School ◽  
Personal Development ◽  
Medical Schools ◽  
Orientation Program ◽  
Outdoor Orientation Programs ◽  
One Year ◽  
The Impact ◽  
Outdoor Orientation ◽  
Outdoor Orientation Program

Background: Undergraduate outdoor orientation programs facilitate students’ transition into college. Research has yet to be conducted on the few programs at medical schools, which may have unique benefits given the specific challenges of transitioning to medical school and high rates of burnout among medical students. Purpose: This mixed methods study examines the impact of one medical school's outdoor orientation program on its participants. Methodology/Approach: A survey was administered immediately following the 2018 trip ( N = 56 responses). Follow-up focus groups were conducted with a sample of the same participants ( N = 18) in 2019. Responses were analyzed using descriptive statistics and thematic analysis. Findings/Conclusions: Participants felt that the program helped ease their transition into medical school, establish a support system, and hone personal development and wellness skills. Many of these effects persisted up to one year later. Implications: These findings are of particular interest to the medical and experiential education communities because many outcomes persisted for at least one year after the original trip and aligned with factors believed to protect against medical student burnout. There is opportunity for additional research as well as expansion of similar programs to other medical schools.

scholarly journals Pengaruh Motivasi Finansial terhadap Prestasi Kerja Pegawai pada Dinas Kependudukan dan Pencatatan Sipil Kabupaten Lampung Selatan

2021 ◽  
Vol 1 (1) ◽  
pp. 60-75
Author(s):  
Suradi Suradi ◽  
Keyword(s):  
Work Performance ◽  
Good Governance ◽  
Employee Performance ◽  
Positive Influence ◽  
Community Satisfaction ◽  
The South ◽  
Qualitative And Quantitative ◽  
Civil Registration ◽  
Excellent Service ◽  
The Moment

The Population and Civil Registration Office of South Lampung Regency is one of the South Lampung Regency Government Agencies that directly provides public services, as stated in the Decree of the South Lampung Regent Number 11 of 2003 concerning the Job Description of the Office of Population and Civil Registration of South Lampung Regency. In connection with the foregoing, the Department of Population and Civil Registration of South Lampung Regency has the responsibility to carry out the said public service which is also based on the goal of excellent service in order to create good governance. Community satisfaction in receiving service from the service is measured by understanding the dimensions of service quality that are closely related to community satisfaction, namely tangiables (physical evidence), relianility (reliability), responsiveness (responsiveness), assurance (guarantee) and empathy. The purpose of this study was to determine the forms of financial motivation implemented at the Department of Population and Civil Registration of South Lampung Regency, therefore the hypothesis proposed in this study was "There is a positive influence between financial motivation on employee performance". Meanwhile, the data collection method used is the method of observation, interviews, documentation and questionnaires. While the analysis used is qualitative and quantitative. From the calculation of the data analysis, it is obtained that r count 0.899 when consulted with the r value of the moment product label for N 49 both at a significant level of 5% = 0.325 and a significant level of 1% = 0.418 turns out that r count is greater than r table or r 0.899 > 0.325 and 0.899 > 0.418. Thus, it can be shown that there is a positive relationship between financial motivation and employee performance at the Department of Population and Civil Registration of South Lampung Regency. In other words, the better the financial motivation by the leadership to subordinates or employees, the better the employee's work performance will be. Keywords: financial motivation, employee achievement, population and civil registration services

YOUR DOCTOR IS NOT IN, BY JANE M. ORIENT

PEDIATRICS ◽  
1994 ◽  
Vol 94 (3) ◽  
pp. 317-317
Author(s):  
J. F. L.
Keyword(s):  
Abdominal Pain ◽  
Medical Practice ◽  
Practice Guidelines ◽  
Clinton Administration ◽  
Medical Schools ◽  
Improve Quality ◽  
Ear Infection ◽  
Medical Graduates ◽  
The Government

The government has signed a contract to pay $850,000 for development of "practice guidelines" and "protocols" to tell doctors how to treat an ear infection, a $20 problem. If the Clinton administration has its way, there will be protocols for the treatment of virtually every ailment. Yet there is no evidence that protocols save money or improve quality. Nurses, for instance, outperform protocols in deciding how to treat abdominal pain. So why aren't doctors raising a cry of alarm? Many have been browbeaten into submission, or have discovered that it's easier to play the game than to buck the system. But also, a different type of person is entering medical practice these days. Although the evidence is largely anecdotal, Dr. Orient says that the best students are avoiding medical schools and the schools are lowering their standards. (In 1990, 16% of medical graduates flunked the national boards, compared with 9% in 1984.)

Changes in Drinking Behaviour, Employment Status and other Life Areas for Employed Alcoholics Three, Six and Twelve Months after Treatment

1979 ◽  
Vol 9 (4) ◽  
pp. 523-534 ◽  
Author(s):  
Edmund J. Freedberg ◽  
William E. Johnston
Keyword(s):  
Job Performance ◽  
Treatment Program ◽  
Psychosocial Functioning ◽  
Employment Status ◽  
Marked Improvement ◽  
Work Performance ◽  
Drinking Behaviour ◽  
Treatment Results ◽  
One Year ◽  
The One

The study examined the treatment results with 365 clients who had participated in a multi-modal, behaviourally oriented treatment program. The program involved an intensive three week residential phase and a one year out-patient phase. Seventy-nine percent of the clients sought treatment after confrontation by their employers over inadequate job performance. At the end of the one year out-patient period, 79% had retained their jobs, only 13% had been fired, and 62% showed significant improvement in their drinking behaviour. Some improvement was shown on tests measuring various aspects of psychosocial functioning by virtually all clients, and most of the clients' supervisors reported marked improvement in work performance.

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