scholarly journals Teleneurology Teaching Service at a Rural Regional Campus

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Anne-Taylor Beck ◽  
Leeandra B. Cleaver ◽  
Joshua D. Fuqua ◽  
Katlyn B. Clark ◽  
Rohit S. Nair ◽  
...  
Keyword(s):  
Medical School ◽  
Student Satisfaction ◽  
Conflicts Of Interest ◽  
Clinical Care ◽  
Direct Interaction ◽  
Rural Medicine ◽  
Clinical Exposure ◽  
Regional Campuses ◽  
Challenges And Opportunities ◽  
Regional Campus

Regional rural medical school campuses offer many opportunities for medical students to gain more hands-on experience, have more direct interaction with attending physicians, and cultivate a deeper understanding of challenges and opportunities specific to rural medicine. Some specialty services such as neurology are not available at these small regional campuses, and telemedicine technology can be a valuable tool to address this need. We report the implementation of teleneurology stroke consultation services as part of the third-year neurology clerkship at a regional medical school campus. We analyzed daily clinical notes and student satisfaction surveys. Students saw many common and important presentations of cerebrovascular events. Students worked as part of a multi-disciplinary care team while following these patients through their hospital course with effective instruction provided by remote stroke neurologists. All students strongly agreed that telemedicine was a positive component of the clerkship. We  conclude that teleneurology is an effective way to provide inpatient neurology clinical exposure, especially when remote attendings have a strong screen presence and are enthusiastic about teaching. We believe these findings could be useful to other campuses considering similar teaching methods, as innovations in telemedicine continue to address challenges  in  medical education and clinical care. The authors have no conflicts of interest to report and the Baptist Health Madisonville Institutional Review Board found this study to be exempt.

scholarly journals Influence of distributed medical education on pre-clerkship elective use and utility

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Joshua Yu ◽  
Andrew P. Costa ◽  
Aaron Jones
Keyword(s):  
Conflicts Of Interest ◽  
Study Data ◽  
Sensitivity Analyses ◽  
Preparation Methods ◽  
Regional Campuses ◽  
Significant Difference ◽  
Regional Medical ◽  
Regional Campus ◽  
Ease Of Access ◽  
Mcmaster University

Purpose To explore differences in pre-clerkship elective (PCE) use and utility between main and regional campuses at McMaster University’s Michael G. DeGroote School of Medicine, in four main areas: ease of access to PCEs, volume and breadth of PCEs, helpfulness in choosing future specialties, and utility for clerkship preparation. Methods An anonymous and voluntary survey was distributed in early 2020 to McMaster University Michael G. DeGroote School of Medicine’s medical students across all three years of study. Data were analyzed for any significant differences between main and regional campuses, and post-hoc sensitivity analyses were used to account for non-response and self-selection bias. Results Regional campus students felt significantly less frustration around PCE availability (2.88 vs 4.16, p<0.001, scale 1(least) – 5(most)) and significantly greater ease of PCE scheduling than students at the main campus (3.50 vs 2.24, p<0.001, scale 1(least) – 5(most)). Regional campus students explored significantly fewer specialties (5.19 vs 6.19, p = 0.049) and there was no significant difference in the total number of PCE hours undertaken, nor hours spent with a single specialty. Overall, students in both campuses endorsed pressure to take PCEs and mixed benefits of PCEs for clerkship preparation. Students also found PCEs to be an important part of choosing a specialty independent of campus. Conclusion Regional medical campuses at McMaster University offer generally equal opportunities for PCE volume and breadth as main campuses, but with significantly lower barriers and frustrations around scheduling and availabilities. Conflicts of interest There are no conflicts of interest to report.

Death, taxes and uncertainty: Economic motivations in end-of-life decision making

2021 ◽  
pp. 147775092110114
Author(s):  
George Slade Mellgard ◽  
Jacob M Appel
Keyword(s):  
End Of Life ◽  
Ethical Issues ◽  
Conflicts Of Interest ◽  
Clinical Care ◽  
Third Party ◽  
Ethical Conflicts ◽  
Financial Interests ◽  
End Of Life Decision ◽  
Death Taxes

Economic motivations are key drivers of human behavior. Unfortunately, they are largely overlooked in literature related to medical decisionmaking, particularly with regard to end-of-life care. It is widely understood that the directions of a proxy acting in bad faith can be overridden. But what of cases in which the proxy or surrogate appears to be acting in good faith to effectuate the patient’s values, yet doing so directly serves the decision-maker’s financial interests? Such situations are not uncommon. Many patients care as deeply about economic wellbeing of their families as they do for their own lives and health. This brief work examines three scenarios that raise ethical issues regarding the role of pecuniary motives in making critical medical decisions. Each scenario presents a potential financial conflict of interest between an incapacitated patient and a third-party decision-maker and offers a framework for integrating ethical and legal concerns into clinical care. It is our hope that this work prepares physicians for unexpected ethical conflicts of interest and enables them to further the interests of his or her patients.

scholarly journals Medical Student Selection

2019 ◽  
Author(s):  
Leila E Harrison ◽  
Radha Nandagopal
Keyword(s):  
Conflicts Of Interest ◽  
Human Subjects ◽  
Medical Schools ◽  
Candidate Selection ◽  
Student Selection ◽  
Community Members ◽  
Medical Student Selection ◽  
Holistic Review ◽  
Regional Campus ◽  
Admissions Process

This is included in the attached word document   Many medical schools rely solely on their Admissions Committee members or core faculty for all aspects of the admissions process. In a distributed campus model, involving stakeholders from different contexts and campuses, can help medical schools diversify the participants in each step of the admissions process, from recruitment, to screening, to interviewing, to selection. Using the regional campus structure poses an advantage to embed multiple constituents, including faculty, staff, and community members, into the entire process supporting collective input in training future physicians for those communities and provides the opportunity for more people to become aware of institutional missions and to become invested in the holistic review framework used for candidate selection. The authors declare no conflicts of interest. This work does require human subjects review.

scholarly journals Deficiencies in Concussion Education in Canadian Medical Schools

2012 ◽  
Vol 39 (6) ◽  
pp. 763-766 ◽  
Author(s):  
Matthew J. Burke ◽  
Josie Chundamala ◽  
Charles H. Tator
Keyword(s):  
Head Injury ◽  
Medical School ◽  
Medical Schools ◽  
Education Curriculum ◽  
Clinical Exposure ◽  
Future Studies ◽  
Physician Knowledge ◽  
Specific Teaching ◽  
Specific Education ◽  
Concussion Education

Background:Recent reports raise concern that physician knowledge of the identification and management of concussion may be deficient. There is little information known about the adequacy of concussion education provided to physicians or medical students. The present study assesses the concussion curriculum offered at medical schools in Canada.Methods:We asked all 17 Canadian medical schools to complete a questionnaire on their concussion curriculum, including the following: year of medical school offered; format/setting; and estimated teaching hours. The responses were organized into three categories: (1) concussion-specific education; (2) head injury education incorporating a concussion component; and (3) no concussion education.Results:Replies were received from 14 (82%) of the 17 medical schools in Canada. Of the 14 responding schools, four (29%) provided concussion-specific education, six (43%) offered head injury education that incorporated a concussion component, and four (29%) reported no concussion teaching in their curriculum.Conclusion:We found deficiencies in the concussion education curriculum provided in the majority of Canadian medical schools. To address this issue, we recommend that all medical schools should, at a minimum, include a one-hour formal concussion-specific teaching session in an early year of their curriculum to be followed by clinical exposure to concussed patients in the later years of medical school. Future studies will be necessary to evaluate if these recommended curricular enhancements are effective in remedying the reported gaps in physicians' concussion knowledge and whether the improved curriculum translates into better care for patients suffering concussion.

scholarly journals Medical student exposure to cardiothoracic surgery in the United Kingdom

2019 ◽  
Vol 29 (2) ◽  
pp. 173-178 ◽  
Author(s):  
Marisa Gasparini ◽  
Shruti Jayakumar ◽  
Sarah Ayton ◽  
Marco N Nardini ◽  
Joel D Dunning
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Medical School ◽  
Cardiothoracic Surgery ◽  
Clinical Exposure ◽  
Medical Graduates ◽  
The United Kingdom ◽  
Area Of Interest ◽  
Before And After ◽  
School Curricula

Abstract OBJECTIVES There has been declining interest in cardiothoracic surgery amongst medical graduates. This survey examines the exposure of British medical students to cardiothoracic surgery in various settings and its relationship with students’ interest in the speciality. METHODS A questionnaire composed of 14 quantitative and qualitative items was distributed amongst 162 medical students. The survey included questions on demographics, interest in cardiothoracic surgery, mechanisms of exposure to the speciality and desire to pursue a career in cardiothoracic surgery before and after exposure. RESULTS Amongst the surveyed students, 71.0% reported exposure to cardiothoracic surgery as part of their medical school curricula and 24.7% reported extracurricular exposure. Of the students, 46.7% reported clinical exposure. Overall, 27.1% of students reported interest in a career in cardiothoracic surgery, which was higher amongst students who had curricular (29.6%), clinical (35.5%) or extracurricular exposure (50.0%). Amongst interested students, 43.2% engaged in extracurricular cardiothoracic activities compared with 16.1% of students not interested in pursuing the speciality. Confidence in career choice after exposure increased more in interested students (20.4%) than not interested students (1.6%). Students rated exposure and mentorship as the most important factor in promoting a career in cardiothoracic surgery. CONCLUSIONS Medical students with an interest in cardiothoracic surgery are more likely to organize independent attachments in the speciality and attend extracurricular events; however, many students might fail to identify cardiothoracic surgery as an area of interest because of the lack of exposure at medical school.

Teaching Technology with Technology: Computer Assisted Lessons in the Medical School - The First Italian Experience in Nephrology and Dialysis

2002 ◽  
Vol 25 (9) ◽  
pp. 860-866 ◽  
Author(s):  
G.B. Piccoli ◽  
M. Burdese ◽  
D. Bergamo ◽  
E. Mezza ◽  
G. Soragna ◽  
...  
Keyword(s):  
Medical Students ◽  
Medical School ◽  
Student Satisfaction ◽  
Real Time ◽  
Computer Assisted ◽  
Academic Teaching ◽  
Italian Experience ◽  
Open Questions ◽  
Interactive Lessons ◽  
The University

Background Dialysis is often neglected in academic teaching. At the University of Torino, Italy, teaching Nephrology (4th year of Medical School) consists of 21 hours of formal lessons, 10 hours/student of interactive lessons (4/10 dedicated to dialysis) and 10 optional lessons (3 regarding dialysis). Interactive and optional lessons widely employ computer assisted teaching. Aim of the study was to evaluate student satisfaction on this approach. Methods Student satisfaction was assessed on 4 sample lessons (166 students), by two short dedicated questionnaires (0–10 scale, open questions). Results High scores were given to the dialysis lessons (median 8/10). Computer assisted interface (median 8/10, range 6–10) was of help in check of knowledge in real time (86%), enhancing participation (61%); 62% suggest extending this experience to selected courses, 38% to all. Conclusions Medical students consider dialysis an important part of the academic teaching of Nephrology; new interfaces may help to enhance student satisfaction.

scholarly journals Establishing Regional Medical Campuses to Ensure Comparable Experiences: Recommendations From a Narrative Review

2020 ◽  
Vol 7 ◽  
pp. 238212052093661
Author(s):  
Julie S Byerley ◽  
Johanna H Foster ◽  
Gary L Beck Dallaghan
Keyword(s):  
Medical Schools ◽  
Narrative Review ◽  
Building Relationships ◽  
Regional Campuses ◽  
Branch Campuses ◽  
Relevant Evidence ◽  
Regional Medical ◽  
Regional Campus ◽  
Full Text Review ◽  
Medical Librarian

Background: Given increasing class sizes and desires to keep costs down, many medical schools are developing regional clinical campuses. We found our regional campus system to be very successful in allowing class size expansion, inspiring a workforce for the state, and concurrently allowing our students to individualize their experience. We desire to articulate our experience, with a review of the relevant evidence, with the goal of assisting other medical schools in their efforts to develop regional medical campuses. Methods: We conducted a narrative literature review to identify considerations for developing regional campuses, taking into consideration our experiences in the process. A medical librarian undertook a literature search for the purposes of this narrative review. Results: Of the 61 articles identified, 14 were included for full-text review. Five facets on branch campus development were identified: relationships, infrastructure, curriculum, recruitment, and accreditation. Within each of these facets we provide further details based on findings from the literature complemented by our experience. Conclusions: Launching a regional campus requires building relationships with clinical partners, ensuring an infrastructure that supports student need and accreditation, comparable curriculum with the same objectives and assessment measures, and aspects of the experience that inspire a student desire to learn in that setting. We share our experience in building successful branch campuses, which have added significantly to our large public school of medicine and its service to our state.

Medical students’ perceptions of nutrition education in Canadian universities

2010 ◽  
Vol 35 (3) ◽  
pp. 336-343 ◽  
Author(s):  
Leah M. Gramlich ◽  
Dana Lee Olstad ◽  
Roseanne Nasser ◽  
Laki Goonewardene ◽  
Maitreyi Raman ◽  
...  
Keyword(s):  
Medical Students ◽  
Medical School ◽  
Student Satisfaction ◽  
Nutrition Education ◽  
Nutrient Requirements ◽  
Undergraduate Medical Students ◽  
Canadian Universities ◽  
Survey Response Rate ◽  
Nutrition Instruction

Patients routinely seek physicians’ guidance about diet and the relation between nutrition and the prevention and treatment of disease. However, the adequacy of nutrition instruction in undergraduate medical education is questionable. The purpose of this study was to investigate Canadian medical students’ perceptions of and satisfaction with their education in nutrition. At 9 universities across Canada, a 23-item survey questionnaire was distributed in English and French to undergraduate medical students after at least 8 months of medical school. Overall, 9 of 17 universities participated in the survey, and 933 of the 3267 medical students approached completed the survey (response rate, 28.6%). Mean satisfaction with nutrition instruction received during medical school was 4.7 (±0.06) on a scale of 1–10, where 1 is very dissatisfied and 10 is very satisfied, and there were significant differences among schools (p < 0.0001). Students were comfortable in their ability to counsel patients regarding basic nutrition concepts and the role of nutrition in prevention of disease, but were much less comfortable discussing the role of nutrition in the treatment of disease and nutrient requirements across the lifecycle, and in identifying credible sources of nutrition information. Of the 933 respondents, 87.2% believe that their undergraduate program should dedicate more time to nutrition education. The amount of nutrition instruction correlated with student satisfaction (p < 0.0001), but varied among schools. A significant number of students are dissatisfied with the nutrition education they receive and their ability to provide relevant and appropriate nutrition counselling. This study paves the way for further discussions and development of strategies to improve nutrition education in medical schools in Canada.

scholarly journals Challenges and Opportunities from Targeting Inflammatory Responses to SARS-CoV-2 Infection: A Narrative Review

2020 ◽  
Vol 9 (12) ◽  
pp. 4021
Author(s):  
Vincenzo Lariccia ◽  
Simona Magi ◽  
Tiziano Serfilippi ◽  
Marwa Toujani ◽  
Santo Gratteri ◽  
...  
Keyword(s):  
Inflammatory Responses ◽  
Early Stage ◽  
Clinical Care ◽  
Current Evidence ◽  
Global Pandemic ◽  
Challenges And Opportunities ◽  
Inflammatory Processes ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Novel Coronavirus

The novel coronavirus disease 2019 (COVID-19) is a global pandemic that continues to sweep across the world, posing an urgent need for effective therapies and prevention of the spread of the severe acute respiratory syndrome related to coronavirus-2 (SARS-CoV-2). A major hypothesis that is currently guiding research and clinical care posits that an excessive and uncontrolled surge of pro-inflammatory cytokines (the so-called “cytokine storm”) drives morbidity and mortality in the most severe cases. In the overall efforts made to develop effective and safe therapies (including vaccines) for COVID-19, clinicians are thus repurposing ready-to-use drugs with direct or indirect anti-inflammatory and immunomodulatory activities. Speculatively, there are many opportunities and challenges in targeting immune/inflammatory processes in the evolving settings of COVID-19 disease because of the need to safely balance the fight against virus and aggressive inflammation versus the suppression of host immune defenses and the risk of additional harms in already compromised patients. To this end, many studies are globally underway to weigh the pros and cons of tailoring drugs used for inflammatory-driven conditions to COVID-19 patient care, and the next step will be to summarize the growing clinical trial experience into clean clinical practice. Based on the current evidence, anti-inflammatory drugs should be considered as complementary approaches to anti-viral drugs that need to be timely introduced in the management of COVID-19 according to disease severity. While drugs that target SARS-CoV-2 entry or replication are expected to confer the greatest benefits at the early stage of the infection, anti-inflammatory drugs would be more effective in limiting the inflammatory processes that drive the worsening of the disease.

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