scholarly journals Development of medical education in Nepal

1970 ◽  
Vol 7 (1) ◽  
pp. 8-10 ◽  
Author(s):  
H Dixit

The first institution for training health workers started 75 years ago. Further development of teaching / learning institutions, mainly governmental started from the middle of the 20th Century. It was however with the setting up of the Institute of Medicine (IoM) under TU that training programmes for different grades of health manpower were started. The last two decades has seen an explosion of institutions involved in the training of health personnel. This is possibly because of the huge demand of human resources of health (HRH) not only in Nepal, but worldwide. Various grades of HRH are going out of the country and seeking their livelihood elsewhere. Key words: IoM, BPKIHS, PAHS, HRH doi: 10.3126/kumj.v7i1.1757       Kathmandu University Medical Journal (2009), Vol. 7, No. 1, Issue 25, 8-10  

2019 ◽  
Author(s):  
Qin Liu ◽  
Huai-mei BI ◽  
Li-xiong BI ◽  
Shuo-wei ZHANG ◽  
Ying-ping FU ◽  
...  

Abstract Background: Statistics show that as of the end of December 2017, there were 11.749 million health workers and 898.82 million health technicians in China. In recent years, with the rapid development of the economy, the rapid expansion of the health manpower, which requires more scientific and rational health manpower forecasting, health manpower planning.It is important to strengthen and study the forecast of the future demand of the health workforce. Methods: On the basis of analyzing the current situation, changing trend and problems of China's human resources allocation and higher medical education, this study uses ARIMA model to forecast the demand of health workers in China from 2018 to 2024, and compares the difference smaller supply and demand of China's total health manpower.To determine the future development trend of China's health manpower, and finally explore the scientific and reasonable forecasting method of human resources for health. Results: China's total health manpower is relatively adequate, the proportion of medical care is unreasonable, medical staff is inadequate. The ARIMA model predicts an improvement in the inversion of health care in China and a continued increase in the demand for health care.By 2024, China's demand for health personnel will reach 17.4563 million, but the health manpower supply is still not keeping pace with the growth rate of demand, and the quantitative gap is still gradually widening in the short term, the gap between supply and demand in 2024 reached 1.4859 million people, medical and health institutions and medical education institutions are under greater pressure. Conclusion: In view of the forecast results of China's health human resources in this study, policy makers and health managers should pay more attention to and support the forecastplanning of health human resources, strengthen the government's macro-control, and actively solve the shortage of health manpower. Actively explore scientific models or methods for forecasting the demand of health workers, guide the planning practice of health manpower, guide the training of health personnel in colleges and universities, moderately expand the scale of medical education and training, and vigorously improve the quality of medical education.


1971 ◽  
Vol 1 (1) ◽  
pp. 37-59 ◽  
Author(s):  
J. C. García

Preliminary results of a study on medical education in Latin America carried out by the Department of Human Resources Development of the Pan American Health Organization are given in this article. Each of the Latin American schools of medicine existing at the end of 1967 and at the beginning of 1968 was visited by a researcher for approximately seven days. During this period specially prepared questionnaires were completed. An analysis of the data reveals the presence of three types of imbalances: (1) imbalance between the system of secondary education and that of medical education, (2) internal imbalance between the system of higher education and medical education, and (3) imbalance between the system of health services and that of medical education. The study of the data compiled may serve as a basis for the proposal of activities leading to harmonious development of the health manpower sector.


2020 ◽  
pp. 40-47
Author(s):  
Maria Murygina ◽  
Olga Abaeva

The article is devoted to changing the legal framework that regulates the admission of doctors and nurses to perform official duties related to a complex epidemiological situation. The authors review the regulatory documents aimed at optimizing the use of health personnel resources in such a difficult period, and note a number of problems in the work of human resources services in connection with the adoption of new regulations.


1998 ◽  
Vol 4 (1) ◽  
pp. 86-93
Author(s):  
Abdel Naser A. Abou Zeid

This study evaluates the health-related educational programmes conducted by the Continuous Medical Education and Community Services Centre, Buraidah, Saudi Arabia. All the proformas containing data on evaluation and monitoring of several programmes were retrieved and analysed. The medical education training programmes satisfactorily met the aims and objectives of the courses and the expectations of the trainees and trainers. Feedback from targeted groups was important for rectifying any weaknesses revealed during evaluation. The training programmes were effective and produced favourable changes in the knowledge of both trainees and trainers and should help in updating courses for future training


2003 ◽  
Vol 42 (146) ◽  
pp. 74-78
Author(s):  
Madhu Dixit Devkota ◽  
R K Adhikari ◽  
B Shrestha ◽  
A K Thakur

ABSTRACTSince its establishment, Institute of Medicine (IOM) has been pursuing Community Oriented MedicalEducation (COME) in training medical graduates in the country. The community orientation of the MBBSprogram of IOM is achieved through community based learning divided into different experiences like fieldbased community diagnosis, concurrent field with families with sick members, district hospital managementthrough posting in the district hospitals. The aim of this article is to review the organization of the COMEat IOM, identify the strengths and weaknesses of this approach and suggest measures for improvement. Areview of the educational activities related to community based learning experiences was done, and focusgroup discussions were carried out among the current and the past students. Besides these two activities,literature was searched and concerned authorities were informally interviewed to find out if there has beenany consensus regarding the effectiveness and desirability of this approach. The review revealed that theprogram at IOM has partially incorporated the concepts of COME in its teaching learning activities. Studentsand graduates of the program tend to like the program and value its contribution in their education.International bodies and educational experts in the country view this approach with great favour. There arecertain areas, particularly in orientation of the students, supervision and logistic support that needimprovement. In conclusion, COME though not formally evaluated so far, seems to have made a stronginfluence on the education of physicians in Nepal. It needs continuous support and strengthening in order toproduce doctors with social relevance in future as well.Key Words: Medical Education, Community Oriented, Evaluation, Nepal.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marleen W. Ottenhoff- de Jonge ◽  
Iris van der Hoeven ◽  
Neil Gesundheit ◽  
Roeland M. van der Rijst ◽  
Anneke W. M. Kramer

Abstract Background The educational beliefs of medical educators influence their teaching practices. Insight into these beliefs is important for medical schools to improve the quality of education they provide students and to guide faculty development. Several studies in the field of higher education have explored the educational beliefs of educators, resulting in classifications that provide a structural basis for diverse beliefs. However, few classification studies have been conducted in the field of medical education. We propose a framework that describes faculty beliefs about teaching, learning, and knowledge which is specifically adapted to the medical education context. The proposed framework describes a matrix in which educational beliefs are organised two dimensionally into belief orientations and belief dimensions. The belief orientations range from teaching-centred to learning-centred; the belief dimensions represent qualitatively distinct aspects of beliefs, such as ‘desired learning outcomes’ and ‘students’ motivation’. Methods We conducted in-depth semi-structured interviews with 26 faculty members, all of whom were deeply involved in teaching, from two prominent medical schools. We used the original framework of Samuelowicz and Bain as a starting point for context-specific adaptation. The qualitative analysis consisted of relating relevant interview fragments to the Samuelowicz and Bain framework, while remaining open to potentially new beliefs identified during the interviews. A range of strategies were employed to ensure the quality of the results. Results We identified a new belief dimension and adapted or refined other dimensions to apply in the context of medical education. The belief orientations that have counterparts in the original Samuelowicz and Bain framework are described more precisely in the new framework. The new framework sharpens the boundary between teaching-centred and learning-centred belief orientations. Conclusions Our findings confirm the relevance of the structure of the original Samuelowicz and Bain beliefs framework. However, multiple adaptations and refinements were necessary to align the framework to the context of medical education. The refined belief dimensions and belief orientations enable a comprehensive description of the educational beliefs of medical educators. With these adaptations, the new framework provides a contemporary instrument to improve medical education and potentially assist in faculty development of medical educators.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Benjamin Kligler ◽  
Genevieve Pinto Zipp ◽  
Carmela Rocchetti ◽  
Michelle Secic ◽  
Erin Speiser Ihde

Abstract Background Inclusion of environmental health (EH) in medical education serves as a catalyst for preparing future physicians to address issues as complex as climate change and health, water pollution and lead contamination. However, previous research has found EH education to be largely lacking in U.S. medical education, putting future physicians at risk of not having the expertise to address patients’ environmental illnesses, nor speak to prevention. Methods Environmental health (EH) knowledge and skills were incorporated into the first-year medical school curriculum at Hackensack Meridian School of Medicine (Nutley, New Jersey), via a two-hour interactive large group learning module with follow up activities. Students completed the Environmental Health in Med School (EHMS) survey before and after the year 1 EH module. This survey evaluates medical students’ attitudes, awareness and professionalism regarding environmental health. In year 2, students completed the Environmental Health Survey II, which measured students’ perceptions of preparedness to discuss EH with future patients. The research team created both surveys based upon learning objectives that broadly aligned with the Institute of Medicine six competency-based environmental health learning objectives. Results 36 year 1 students completed both the pre and post EHMS surveys. McNemar’s test was used for paired comparisons. Results identified no statistically significant changes from pre to post surveys, identifying a dramatic ceiling. When comparing year 2, EHS II pre-survey (n = 84) and post-survey (n = 79) responses, a statistically significant positive change in students’ self-reported sense of preparedness to discuss environmental health with their patients following the curriculum intervention was noted. Conclusions Our conclusion for the EHMS in Year 1 was that the current generation of medical students at this school is already extremely aware of and concerned about the impact of environmental issues on health. Through the EHS II in Year 2, we found that the six-week environmental health module combining didactic and experiential elements significantly increased medical students’ self-reported sense of preparedness to discuss environmental health issues, including climate change, with their patients.


2021 ◽  
Vol 8 (1) ◽  
pp. 90-107
Author(s):  
Harshavardhan Reddy Kummitha ◽  
Naveen Kolloju ◽  
Prakash Chittoor ◽  
Venkatesh Madepalli

In response to the coronavirus disease 2019 (COVID-19) pandemic, most of the higher education institutions (HEIs) across the globe have replaced conventional teaching with online teaching. However, the technological preparedness of countries of varied nature differs significantly. In this context, the purpose of the study is to answer the following research question: how are the HEIs mitigating the difficulties that have resulted from the COVID-19 pandemic to facilitate online teaching–learning process? The study is carried out based on a cross-sectional study from 281 academic professionals who are employed in HEIs in India and Ethiopia. The findings from this comparative study highlight that digital divide and lack of institutional preparedness are found to be major problems that constrained the effective implementation of online teaching/learning. Besides, this study also found that training programmes for the faculty members to utilize web resources and facilitate online teaching were found to be limited in both the countries. The article concludes by offering suggestions and policy advice to minimize the digital divide and for successful implementation of online teaching in HEIs.


Vestnik ◽  
2021 ◽  
pp. 343-345
Author(s):  
М.А. Тян ◽  
М.А. Камалиев

Раскрыта сущность волонтерства в современных условиях. Рассмотрены формы организации волонтерского движения в сфере высшего медицинского образования. Обобщен опыт мобилизации человеческих ресурсов для волонтерских программ в условиях пандемии коронавирусной инфекции. The essence of volunteerism in modern conditions is revealed. The forms of organization of the volunteer movement in the field of higher medical education are considered. The article summarizes the experience of mobilizing human resources for volunteer programs in the context of the coronavirus pandemic.


2021 ◽  
Vol 12 (1) ◽  
pp. 22-31
Author(s):  
Fatiha Tasmin Jeenia ◽  
Afroza Hoque ◽  
Mehrunnissa Khanom ◽  
Selim Md Jahangir ◽  
Rozina Hoque ◽  
...  

Background: Bangladesh, A country with scintillating beauty of nature burdened with a dense population. Along with infectious diseases, tropical diseases are also prevalent here with a higher trend of non- communicable diseases as a result of industrialization. Practicing and prescribing as a doctor is a quite challenging profession here particularly when to deal with vast rural populations in a low resource facility. Medical education system is well developed in Bangladesh which follows traditional curriculum of teaching learning. Students are not accustomed with problem-based learning as it does not exist in curriculum. In order to confront with diverse disease pattern and overloaded population in this arduous backdrop of Bangladesh, problem- based learning can be a very effective tool for preparing medical students as an efficient, self- directed and insightful prescriber. This study was a primary step to introduce problem- based learning (PBL) to medical students of Bangladesh to evaluate the effectiveness of PBL in context of Bangladesh. Methods: Around 117 students of 4th year from 6 different medical colleges were randomly assigned for this study. Among them, half of the students attended PBL session for three days on a topic of Pharmacology and other students participated traditional lecture class. Following classes, odds ratio of performance was determined. MCQ, SAQ and total scores of assessment were compared. Comparison of scores was also done between male and female students of PBL group. Results: PBL students performed better than the LBL students. Odds ratio of their assessment performance was 252.08; with 95% confidence interval and lower range 53.89 and upper range 1179.28. The odds ratio showed strong association between PBL and student performance in Bangladesh context. Mean of total score was 30.7 ± 4.3 in PBL group and 17.2 ± 4.8 in LBL group. Total score was significantly higher (p= 0.000) in PBL group. Mean SAQ score in PBL and LBL group was 17.2 ± 2.2 and 5.3 ± 1.9 respectively which was extremely significant (p= 0.000). MCQ score mean was 13.4 ± 3.4 in PBL group versus 11.8 ± 3.7 in LBL group which was significantly higher in PBL group (p= 0.02). Among PBL group, total score and SAQ score was significantly higher in female students over male students. Conclusion: Significant findings of this study revealed PBL as an effective tool in Bangladesh context. Thereby, it is recommended from this study to take approaches for further study and initiative to incorporate PBL in curriculum as well. Bangladesh Journal of Medical Education Vol.12(1) 2021: 22-31


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