scholarly journals Academic Health System in West Java in Strengthening Primary Health Care

2021 ◽  
Vol 5 (1) ◽  
pp. 71
Author(s):  
Yoni Fuadah Syukriani
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Medical Students ◽  
Health System ◽  
Primary Healthcare ◽  
Policy Development ◽  
Provincial Government ◽  
Teaching Hospitals ◽  
West Java ◽  
Academic Health

Academic Health System (AHS) has been developed in many countries to strengthen the relationship between medical education and health professions with the health care system, which is essential to improve health outcome. Indonesia has chosen to establish AHS in several provinces, each with the autonomy to develop the system in accord with regional needs. Health cluster faculties in Universitas Padjadjaran, with its two main teaching hospitals, the West Java provincial government strived to develop AHS to overcome health services problem and medical education in the province that has enormous geographical and demographic challenges. The strategy used focuses on two things: distributed medical education (DME) and the development of a more effective referral system. The goals are dividing the province into seven regionals, upscaling one local hospital in each to become a regional referral hospital, expanding learning opportunities for medical students, and endorsing research to strengthen the primary healthcare services. Activities were carried out through the distribution of medical students and residents to local hospitals and primary healthcare facilities along with the education of local medical professionals as supervisors. Grants were provided for research that focus on quality primary healthcare, construction of data portal for patient management referral systems, telemedicine, and tele-education. The challenges faced are mainly related to the different mindset between institutions that have different work cultures and the wide variance of situations between regions. It is therefore recommended to build a more straightforward AHS system with addition of sub-networks, besides continue to maintain close communication and policy development.

scholarly journals Self-Assessment of Problem Solving Disposition in Medical Students

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Silvia Lizett Olivares-Olivares ◽  
Mildred Vanessa López-Cabrera
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Medical Students ◽  
Problem Solving ◽  
Medical Schools ◽  
Self Assessment ◽  
Competency Based Education ◽  
Competency Based ◽  
Future Demands ◽  
Disposition Model

Medical schools are committed to both students and society to develop capabilities required to succeed in health care environments. Present diagnosis and treatment methods become obsolete faster, demanding that medical schools incorporate competency-based education to keep pace with future demands. This study was conducted to assess the problem solving disposition of medical students. A three-subcategory model of the skill is proposed. The instrument was validated on content by a group of 17 experts in medical education and applied to 135 registered students on the sixth year of the M.D. Physician Surgeon program at a private medical school. Cronbach’s alpha indicated an internal consistency of 0.751. The findings suggest that selected items have both homogeneity and validity. The factor analysis resulted in components that were associated with three problem-solving subcategories. The students’ perceptions are higher in the pattern recognition and application of general strategies for problem solving subcategories of the Problem solving disposition model.

Videoconferencing for Continuing Medical Education: From Pilot Project to Sustained Programme

2002 ◽  
Vol 8 (3) ◽  
pp. 131-137 ◽  
Author(s):  
Michael Allen ◽  
Joan Sargeant ◽  
Eileen MacDougall ◽  
Michelle Proctor-Simms
Keyword(s):  
Health Care ◽  
Distance Education ◽  
Medical Education ◽  
Medical Students ◽  
Continuing Medical Education ◽  
Health Care Professionals ◽  
Pilot Project ◽  
Technical Support ◽  
Faculty Support

Videoconferencing has been used to provide distance education for medical students, physicians and other health-care professionals, such as nurses, physiotherapists and pharmacists. The Dalhousie University Office of Continuing Medical Education (CME) has used videoconferencing for CME since a pilot project with four sites in 1995–6. Since that pilot project, videoconferencing activity has steadily increased; in the year 1999–2000, a total of 64 videoconferences were provided for 1059 learners in 37 sites. Videoconferencing has been well accepted by faculty staff and by learners, as it enables them to provide and receive CME without travelling long distances. The key components of the development of the videoconferencing programme include planning, scheduling, faculty support, technical support and evaluation. Evaluation enables the effect of videoconferencing on other CME activities, and costs, to be measured.

Preparing Future Physicians to Adapt to the Changing Health Care System

2017 ◽  
pp. 106-125
Author(s):  
Joanna Lauren Drowos ◽  
Sarah K Wood
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Medical Students ◽  
Health Care System ◽  
Clinical Settings ◽  
Patient Relationship ◽  
Learning Models ◽  
Clinical Clerkships ◽  
Over Time ◽  
Care System

One vital goal of medical education is to promote the development of desirable professional qualities among future physicians, such as compassion, empathy, and humanism. Future physicians must finish their training prepared to meet the changing health needs of society, yet in reality many students graduate from medical school more cynical and less empathetic than when they began. During clinical clerkships, many students experience an “ethical erosion” as they transition in to real world clinical settings. Through innovative longitudinal integrated curricular designs focusing on continuity, medical students participate in the comprehensive care of patients over time and have continuous ongoing learning relationships with the responsible clinicians. As patients place increasing importance on the doctor-patient relationship, learning models that foster stronger connections between medical students and their patients, as well as with their teachers and communities, are needed in order to better prepare the next generation of physicians to serve a changing health care system.

scholarly journals Elizabethkingia anophelis: Clinical Experience of an Academic Health System in Southeastern Wisconsin

2017 ◽  
Vol 4 (4) ◽  
Author(s):  
Carlos E Figueroa Castro ◽  
Carrie Johnson ◽  
Mary Williams ◽  
April VanDerSlik ◽  
Mary Beth Graham ◽  
...  
Keyword(s):  
Health Care ◽  
Mortality Rate ◽  
Health System ◽  
Clinical Experience ◽  
Chart Review ◽  
Blood Cultures ◽  
Attributable Mortality ◽  
Academic Health

Abstract In late 2015 and early 2016, 11 patients were identified with cultures positive for Elizabethkingia anophelis in our health system. All patients had positive blood cultures upon admission. Chart review showed that all had major comorbidities and recent health care exposure. The attributable mortality rate was 18.2%.

scholarly journals Medical Students’ Knowledge and Attitudes Toward Female Sex Workers and Their Occupational Risk Factors

2014 ◽  
Vol 2 (3) ◽  
pp. 104-108 ◽  
Author(s):  
Jenna T. Nakagawa ◽  
Muge Akpinar-Elci.
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Medical Students ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Medical Training ◽  
Physician Attitudes ◽  
Care Providers ◽  
Occupational Risk Factors ◽  
Female Sex

Background: The tendency for female sex workers to seek health care is highly influenced by physician attitudes and behavior. By identifying medical students' attitudes toward female sex workers and assessing their knowledge of barriers to seeking care, we can focus medical training and advocacy efforts to increase access to care and improve public health outcomes. Methods: In this cross-sectional study, medical students from various countries were invited to participate in an online survey with close-ended questions and Likert scale statements. Responses were quantified and knowledge and attitude scores were assigned based on knowledge of barriers to seeking care and agreement with positive and negative attitude statements. Results: A total of 292 medical students from 56 countries completed the survey, of whom 98.3% agreed that it will be their job to provide treatment to patients regardless of occupation. Self-identified religious students conveyed more negative attitudes toward female sex workers compared to those who did not identify themselves as religious (p<0.001). Students intending to practice in countries where prostitution is legal conveyed more positive attitudes compared to those intending to practice in countries where prostitution is illegal (p<0.001). Conclusion: Medical students largely agreed on the importance of providing care to female sex workers as a vulnerable group. In addition to addressing knowledge gaps in medical education, more localized studies are needed to understand the religious and legal influences on attitudes toward female sex workers. Such information can help focus the efforts in both medical education and communication training to achieve the desired behavioral impacts, reconciling the future generations of health care providers with the needs of female sex workers.

scholarly journals Bringing everyone on board: what role can medical students play in the COVID-19 pandemic?

2020 ◽  
Vol 99 (3) ◽  
pp. i-iv ◽  
Author(s):  
Izabel Cristina Rios ◽  
Marina Alves Martins Siqueira ◽  
Matheus Belloni Torsani ◽  
Rosemeire K. Hangai ◽  
Solange R. G. Fusco ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Health Systems ◽  
Negative Impact ◽  
Human Life ◽  
Contemporary Society ◽  
Healthcare Outcomes ◽  
Emergency Plans ◽  
Academic Health ◽  
Viral Dissemination

The fast spread of the COVID-19 epidemic has imposed unprecedented challenges to contemporary society, impacting several aspects of human life globally. Strict social distancing protocols had to be implemented in affected countries to contribute to reduce viral dissemination, and consequently, limit acquisition of new infections. Health systems were compelled to put emergency plans in place to cope with the overburden of potentially severe cases needing hospitalization, with the ultimate aim to preserve as many lives as possible. Academic health systems worldwide were required to propose novel strategies to maximize healthcare outcomes while mitigating negative impact on medical education.[...]

scholarly journals The Concept of Gynecologic Oncology Services in Jakarta Related to Academic Health System

2017 ◽  
Author(s):  
Sigit Purbadi
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Primary Health Care ◽  
Health System ◽  
Gynecologic Oncology ◽  
Academic Health ◽  
Primary Health ◽  
Education Training ◽  
Precancer Lesion ◽  
Training Service

An Academic Health System (AHS) is a system in partnership among universities and health care providers that focuses on education, training, service, and research. The final outcome of this partnership is to improve health status. Numerous countries have been using this system, since this system is proven to lead to better sustainable outcome.The vision of Faculty of Medicine, University of Indonesia (FMUI) is "to create infinite experience for all through Academic Health System". The third mission of FMUI is to integrate the AHS to Dr. CiptoMangunkusumo Hospital and its other affiliated hospitals.The division of Oncology Department of Obstetrics and Gynecology is a part of Academic Health System that is responsible to create the Gynecologic Oncology services in this system. We create the gynecologiconcology services in preventive approach from primary to tertiary prevention.The sister hospitals of FMUI’s including Dr. Cipto Manungunkusumo, Persahabatan, Fatmawati, Karawang, and Tangerang General Hospital. Ideally, we should have health provider partners from primary, DistrictHospital (Rumah Sakit Umum Kecamatan/RSUK and Rumah Sakit Umum Daerah/RSUD). Another partner in collaborative project of AHS is Organization of Health Care Professions, such as Indonesian Medical Association, Indonesian Obstetrics and Gynecology Society, and Indonesian Gynecologic Oncology Society, and nongovernmental organization such as Female Cancer Program, Indonesian Cancer Foundation and others are part of partnership in AHS. When talking about public health status, it is also necessary to talk about the role of government as the policy maker and The Social Warranty Institution (Badan Penyelenggara Jaminan Sosial Kesehatan, BPJS) as the public health care insurance regulator. Primary health care should be included in the AHS’s partnership members because primary prevention strategy should be conducted in primary health care.The example of this project is Cervical Cancer Surveilance as a pilot project. We would prepare the project in collaborative meeting with all partners to make proposal in gynecologic oncology services in primary,secondary, and tertiary health care, and finally Dr. Cipto Mangunkusumo Hospital as the national referral Hospital. The proposal should talk about concepts of education, training, service, and research. Primary health care can promote cervical prevention and early detection via visual inspection using acetic acid and Pap test.Cervical precancer lesion can be treated using cryotherapy in primary health care. In secondary health care setting, cervical precancer lesion until microinvasive cervical cancer (stage 1A1) can be treated. Invasive cervical cancer should be managed in tertiary health care. We are preparing concepts where all services should follow the Clinical Practice Guideline. All medical patient database should be recorded digitally as long term cohort data. By applying this system, we’ll have a large number of patients’ data from primary to tertiary health care.This is crucial, considering that the process of education, training, and research of medical students, residents, and fellows is the backbone of AHS in improving health care status.

scholarly journals Doctors, Dioceses, and Decisions: Examining the Impact of the Catholic Hospital System and Federal Conscience Clauses on Medical Education

2012 ◽  
Vol 6 (2) ◽  
Author(s):  
Stephanie M. Wurdock
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Medical Students ◽  
Human Life ◽  
Hospital System ◽  
Medical Education And Training ◽  
Practice Of Medicine ◽  
History Of ◽  
Catholic Hospital ◽  
The Impact

In a time when health care reform and the limits on First Amendment freedom of religion are persistent subjects of debate, Catholic restrictions on health care have made it to the forefront of public concern. Catholic providers prohibit a variety of medical procedures traditionally viewed by the Church as contrary to the tenet of respect for human life and dignity. Many Americans view this as an unconstitutional restriction on care. As a result, the growing presence of Catholic providers, namely hospitals, has become a major point of contention in many communities. The potential barrier to medical services raises concern not only for potential patients, but also for medical students whose chosen specialty may include a prohibited service. This article identifies some difficulties that may emerge for current and prospective medical students and advocates that both groups should be required to contemplate (1) their personal beliefs as they pertain to religiously-restricted care, and (2) the effects those beliefs will have on their medical education and training. This article also gives a comprehensive background of the history of the Catholic hospital system in America and analyzes the federal "conscience clauses" and their implications for the instruction and practice of medicine. Finally, this article concludes that a mandatory bioethics curriculum is absolutely crucial to ensure adequate ethics training for medical students.

scholarly journals Critical Reflection on Own Beliefs for Cultural Competence in Medical Education: an Analysis of Tutors’ Reflective Narratives

2020 ◽  
Vol 9 (3) ◽  
pp. 273
Author(s):  
Costas S Constantinou ◽  
Panayiota Andreou ◽  
Alexia Papageorgiou ◽  
Peter McCrorie
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Medical Students ◽  
Cultural Competence ◽  
Quality Of Health Care ◽  
Critical Reflection ◽  
Cultural Beliefs ◽  
Training Model ◽  
Clinical Communication

Critical reflection on own beliefs, within the context of cultural competence, has been acknowledged as an important skill doctors and medical students should have in order to enhance the quality of health care regardless of patients’ social and cultural background. Yet the guidelines for teaching students critical reflection on their own cultural beliefs are lacking. Based on the method of investigating short reflective narratives and Gibbs’ reflective cycle for development, this paper explores the experience of clinical communication tutors’ in examining cultural competence in OSCEs, how they felt, analyzed and concluded, and examines their account on how to construct a training model for dealing with such challenge in medical education.

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