scholarly journals An innovative, integrated, and community based MBBS Curriculum: a humanistic and holistic approach for Karnali Academy of Health Sciences

2018 ◽  
Vol 1 (3) ◽  
pp. 52-60
Author(s):  
Kapil Amgain ◽  
S. Budhathoki
Keyword(s):  
Medical Education ◽  
Health Professionals ◽  
General Medicine ◽  
Health Sciences ◽  
Community Based ◽  
Individual Subject ◽  
Cross Sectional ◽  
Student Centered ◽  
Recent Innovation ◽  
Teacher Centered

Background: With the mission of providing easy and accessible health services/facilities for the people of backward areas by producing qualified and skillful health professionals, Karnali Academy of Health Sciences (KAHS) has been established in 2011, by an Act of parliament of Nepal. In the way of fulfilling its mission, PCL nursing program (2014), PCL in General Medicine (2015), Bachelor in Public Health (2018) and Bachelor in Midwifery Sciences (2018) programs have already started successfully; and next goal of our Academy is to start MDGP and MBBS in near future. In this context of its academic progress, KAHS is developing an ideal MBBS curriculum by introducing the recent innovation in the field of medical education.   Method: This was the cross-sectional study conducting among 100 public, 50 medical students and 20 professors and faculties of TU, KU, PAHS and BPKIHS from June, 2018 to November, 2018. The data were collected with the help of three different set of semi-structured questionnaires. Moreover, we had gone through the MBBS curriculum of 10 Universities/Academy, and the data regarding the type of curricular strategies, credit hours and course contents of individual subject, academic calendar, schedule of community posting, and evaluation pattern were collect in the performa. The collected data were analyzed and presented in the tables. Result: Present study found that out of 100 participants, almost all of the participants felt the need of one medical college and a well facilitated hospital in Karnali Province, especially in Jumla, with the qualified, skillful, patient-friendly medical doctors as well as other health professionals. After interviewed with the professors and faculties of various universities, we found that the integrated, community based and student centered curriculum had better level of understanding than the discipline based, teacher-centered MBBS curriculum. Out of the four prevailing MBBS curricula (TU, KU, PAHS and BPKIHS) in Nepal, all curricula incorporated the horizontal integration approach in basic sciences with early pre-clinical exposure and community posting. In addition to this, integrated MBBS curriculum of PAHS was fully problem-based, and community based. Conclusion: Integrated, student-centered, community based, problem based as well as problem oriented innovative teaching-learning method outweigh the contemporary teacher-centered hospital-based learning in medical education. So, we would like to recommend the development of integrated MBBS curriculum based on the organ system for the proper implementation recent innovation of medical education.

scholarly journals Difference in the general medicine in-training examination score between community-based hospitals and university hospitals: a cross-sectional study based on 15,188 Japanese resident physicians

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuji Nishizaki ◽  
Keigo Nozawa ◽  
Tomohiro Shinozaki ◽  
Taro Shimizu ◽  
Tomoya Okubo ◽  
...  
Keyword(s):  
Physical Examination ◽  
General Medicine ◽  
Cross Sectional Study ◽  
Medical Interview ◽  
Sectional Study ◽  
University Hospitals ◽  
Community Based ◽  
Cross Sectional ◽  
Clinical Competencies ◽  
Clinical Procedures

Abstract Background The general medicine in-training examination (GM-ITE) is designed to objectively evaluate the postgraduate clinical competencies (PGY) 1 and 2 residents in Japan. Although the total GM-ITE scores tended to be lower in PGY-1 and PGY-2 residents in university hospitals than those in community-based hospitals, the most divergent areas of essential clinical competencies have not yet been revealed. Methods We conducted a nationwide, multicenter, cross-sectional study in Japan, using the GM-ITE to compare university and community-based hospitals in the four areas of basic clinical knowledge“. Specifically, “medical interview and professionalism,” “symptomatology and clinical reasoning,” “physical examination and clinical procedures,” and “disease knowledge” were assessed. Results We found no significant difference in “medical interview and professionalism” scores between the community-based and university hospital residents. However, significant differences were found in the remaining three areas. A 1.28-point difference (95% confidence interval: 0.96–1.59) in “physical examination and clinical procedures” in PGY-1 residents was found; this area alone accounts for approximately half of the difference in total score. Conclusions The standardization of junior residency programs and the general clinical education programs in Japan should be promoted and will improve the overall training that our residents receive. This is especially needed in categories where university hospitals have low scores, such as “physical examination and clinical procedures.”

scholarly journals Health Status, Behaviors, and Beliefs of Health Sciences Students and Staff at Kuwait University: Toward Maximizing the Health of Future Health Professionals and Their Patients

2020 ◽  
Vol 17 (23) ◽  
pp. 8776
Author(s):  
Nowall Al-Sayegh ◽  
Khazna Al-Enezi ◽  
Mohammed Nadar ◽  
Elizabeth Dean
Keyword(s):  
Health Status ◽  
Health Professionals ◽  
Role Models ◽  
Healthy Lifestyle ◽  
High Stress ◽  
Health Sciences ◽  
P Value ◽  
Future Health ◽  
Cross Sectional ◽  
Kuwait University

Health professionals who engage in healthy lifestyle behaviors are more likely to promote their patients’ health. We evaluated health status, behaviors, and beliefs of students (future health professionals) and staff in four health sciences faculties, Kuwait University. In total, 600 students and 231 staff participated in this descriptive cross-sectional study. Questionnaire surveys were used to evaluate lifestyle-related practices and participants’ beliefs about these practices, in addition to health-related objective measures, e.g., heart rate, blood pressure, and body mass index. Overweight/obesity was prevalent among the participants (staff, 68.7%, students, 48.1%; p < 0.001); 57% of staff had suboptimal resting blood pressures. About half of the participants reported being moderately physically active (staff, 44.8%, students, 52.6%; p < 0.05), and most reported moderate/high stress (staff, 88.8%, students, 90.9%; p > 0.05). Only 25.1% of staff and 27.9% of students reported at least 8 h sleep nightly (p > 0.05). Staff reported healthier dietary practices than students (p-value range < 0.001–0.02). Overall, the participants had sub-optimal health indices. A marked gap existed between participants’ beliefs about healthy lifestyle practices and their actual health status. Healthy lifestyle programs are needed on campus with respect to diet, exercise, and stress management. As emerging health professionals, students in health sciences faculties, Kuwait University, need exposure to a health-promoting environment including healthy staff as role models.

scholarly journals Migration, Retention and Return Migration of Health Professionals Comment on "Doctor Retention: A Cross-sectional Study of How Ireland Has Been Losing the Battle"

2020 ◽  
Author(s):  
Latha S. Davda ◽  
David R. Radford ◽  
Jennifer E. Gallagher
Keyword(s):  
Medical Education ◽  
Health Professional ◽  
Health Professionals ◽  
Well Being ◽  
Cross Sectional Study ◽  
Continuous Training ◽  
Cross Sectional ◽  
The United Kingdom ◽  
Medical Education And Training ◽  
Shortage Of Doctors

Medical education and training of health professionals are linked with their recruitment and retention. Practising as a competent health professional requires life-long continuous training and therefore training structures in health systems appear to influence doctors job satisfaction, their well-being and their intentions to remain in that health system. The commentary critiques aspects of the paper on doctors retention in Ireland, while drawing some parallels with the United Kingdom. There appears to be an emerging type of health professional migrants ‘education tourists’ who travel to other countries to obtain medical education creating new routes of migration and this presents new challenges to source and destination countries. The global shortage of doctors and other health professionals further exacerbates health inequalities as seen in the present pandemic and therefore the increased need for research into health professionals’ migration and their integration.

scholarly journals Students’ perceptions of general medicine following community‐based medical education in rural Japan

2019 ◽  
Vol 20 (6) ◽  
pp. 236-243 ◽  
Author(s):  
Ryuichi Ohta ◽  
Yoshinori Ryu ◽  
Takuji Katsube ◽  
Yoshihiro Moriwaki ◽  
Jun Otani
Keyword(s):  
Medical Education ◽  
General Medicine ◽  
Community Based

scholarly journals Intention to Receive COVID-19 Vaccine by U.S. Health Sciences University Employees

2021 ◽  
Vol 12 ◽  
pp. 215013272110366
Author(s):  
Travis S. Dowdle ◽  
Jeff Dennis ◽  
Kenneth M. Nugent ◽  
Theresa Byrd
Keyword(s):  
United States ◽  
Health Professionals ◽  
Herd Immunity ◽  
Total Sample ◽  
The United States ◽  
Cross Sectional Study ◽  
Health Sciences ◽  
Vaccine Hesitancy ◽  
Cross Sectional ◽  
To Receive

Objectives: Understanding vaccine intentions and attitudes of health professionals is critical as the Pfizer-BioNTech and the Moderna COVID19 vaccines are being administered throughout the United States. This study estimates the level of vaccine hesitancy at a health sciences center in West Texas prior to the distribution of the vaccines. Methods: An analytical cross-sectional study was performed via anonymous Qualtrics survey administered to approximately 4500 faculty, staff, postdoctoral research associates/medical residents, and employees at a multi-campus health sciences university in the United States. Respondents were asked demographic questions and intention to receive the vaccine. Factors associated with the intention to receive a vaccine were determined using logistic regression analysis. Results: A total sample of 2258 subjects were evaluated (50.0% response rate). Among all respondents, 64.6% reported that they would probably or definitely receive the COVID-19 vaccine. Men had higher levels of intention to receive the vaccine (OR = 2.11, 95% CI 1.64-2.71); respondents who indicated yearly influenza vaccines are necessary were also more likely to receive the vaccine (OR = 6.04, 95% CI 4.70-7.75). Eighty-three percent of faculty and 56% of the staff reported intention to receive the vaccine. Respondents who had previously tested positive for COVID-19 reported more interest in receiving the vaccine (58.5% yes vs 41.5% no). Conclusion: In this study, the intention to receive the COVID-19 vaccination at a United States health sciences center falls below the necessary herd immunity estimates. Public health initiatives must be developed to decrease vaccine hesitancy, especially among health professionals.

scholarly journals The Use Of Analogies As A Methodology In The School Of Medicine

2012 ◽  
Vol 5 (5) ◽  
pp. 373
Author(s):  
Jose Luis Jimenez Corona ◽  
Sabel Ma Ferrandiz Vindel
Keyword(s):  
Medical Education ◽  
Teaching And Learning ◽  
Basic Sciences ◽  
Student Centered ◽  
Curriculum Changes ◽  
New Methods ◽  
School Of Medicine ◽  
Second Year ◽  
Teacher Centered

In recent years, the School of Medicine of the National Autonomous University of Mexico has been largely engaged in the global medical education trend, through the implementation of curriculum changes which include new methods of teaching and learning. These "new" methods seek to change from the use of teacher-centered strategies or traditional ones, to the student-centered strategies or innovating ones.The fulfillment of this study is due to the need to find educative strategies which help improve our students learning in a clinical subject which is taught in the basic sciences cycle (this cycle comprises the first and second year of the degree), allowing the interrelation between basic sciences and clinical sciences subjects.

scholarly journals A multicentric study on stigma towards people with mental illness in health sciences students

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ana Masedo ◽  
Pamela Grandón ◽  
Sandra Saldivia ◽  
Alexis Vielma-Aguilera ◽  
Elvis S. Castro-Alzate ◽  
...  
Keyword(s):  
Mental Illness ◽  
Nursing Students ◽  
Occupational Therapy ◽  
Health Professionals ◽  
Health Sciences ◽  
Cross Sectional ◽  
Negative Attitudes ◽  
Holistic View ◽  
Multicentric Study ◽  
People With Mental Illness

Abstract Background There is evidence of negative attitudes among health professionals towards people with mental illness but there is also a knowledge gap on what training must be given to these health professionals during their education. The purpose of this study is to compare the attitudes of students of health sciences: nursing, medical, occupational therapy, and psychology. Methods A comparative and cross-sectional study in which 927 final-year students from health sciences university programmes were evaluated using the Mental Illness: Clinicians’ Attitudes (both MICA-2 and MICA-4) scale. The sample was taken in six universities from Chile and Spain. Results We found consistent results indicating that stigma varies across university programmes. Medical and nursing students showed more negative attitudes than psychology and occupational therapy students in several stigma-related themes: recovery, dangerousness, uncomfortability, disclosure, and discriminatory behaviour. Conclusions Our study presents a relevant description of the attitudes of each university programme for education against stigma in the formative years. Results show that the biomedical understanding of mental disorders can have negative effects on attitudes, and that education based on the psychosocial model allows a more holistic view of the person over the diagnosis.

scholarly journals Is a decentralized continuing medical education program feasible for Chinese rural health professionals?

2016 ◽  
Vol 13 ◽  
pp. 18 ◽  
Author(s):  
Guijie Hu ◽  
Yanhua Yi
Keyword(s):  
Medical Education ◽  
Rural Health ◽  
Health Professionals ◽  
Continuing Medical Education ◽  
Health Workers ◽  
Bachelor's Degree ◽  
Clinical Competency ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical Education Program

Purpose: Rural health professionals in township health centers (THCs) tend to have less advanced educational degrees. This study aimed to ascertain the perceived feasibility of a decentralized continuing medical education (CME) program to upgrade their educational levels. Methods: A cross-sectional survey of THC health professionals was conducted using a self-administered, structured questionnaire in Guangxi Zhuang Autonomous Region, China. Results: The health professionals in the THCs were overwhelmingly young with low education levels. They had a strong desire to upgrade their educational degrees. The decentralized CME program was perceived as feasible by health workers with positive attitudes about the benefit for license examination, and by those who intended to improve their clinical diagnosis and treatment skills. The target groups of such a program were those who expected to undertake a bachelor’s degree and who rated themselves as “partially capable” in clinical competency. They reported that 160-400 USD annually would be an affordable fee for the program. Conclusion: A decentralized CME program was perceived feasible to upgrade rural health workers’ education level to a bachelor’s degree and improve their clinical competency.

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