scholarly journals Genealogies of affect among a young veterinarian's public letter : an exploratory study of hidden curricula in a college of veterinary medicine

2018 ◽  
Author(s):  
◽  
Tamara S. Hancock
Keyword(s):  
Medical Education ◽  
Veterinary Medicine ◽  
Professional Practice ◽  
Professional Socialization ◽  
Depression And Anxiety ◽  
Veterinary Students ◽  
Social Entity ◽  
History Of ◽  
As Effects ◽  
Hidden Curricula

Contemporary research in veterinary medical education indicates alarming rates of depression and anxiety among veterinary students. Yet, the focus of this scholarship is primarily on mental illness as effects of a social and relational process, rather than interrogating the affectual nature of the process. Medical education has a long history of interrogating various facets of socialization as largely embedded in the hidden curricula--the tacit culture of a social entity, and repository for values and norms of conduct. Unfortunately, scant scholarship explores the hidden curricula of veterinary medicine. Recently, an anonymous letter signed Young Veterinarian was published on a public website, and opened an electronic dialogue regarding the nature of affects imbedded in professional socialization. Many themes of the letter referred to issues imbedded in the literature. This study followed this online dialogue, and initiated one in a College of Veterinary Medicine. Centering this letter, object-focused interviews were conducted to explore how members of this community are affected by the anonymous letter. Analytical insights suggest three broad areas of affects related to the hidden curricula: Onto-epistemic tensions; affective neutrality; and freedom, debt, and hopelessness. Implications for research and professional practice/curricula are discussed and deliberated.

Why paleomedicine is useful for medical education

2020 ◽  
pp. postgradmedj-2020-137804
Author(s):  
Philippe Charlier ◽  
Simon Donnell ◽  
Donatella Lippi ◽  
Andreas Nerlich ◽  
Victor Asensi ◽  
...  
Keyword(s):  
Medical Education ◽  
History Of Medicine ◽  
Professional Practice ◽  
Continuing Medical Education ◽  
The Past ◽  
Disciplinary Field ◽  
History Of ◽  
Biomedical Publications

What is the place of medico-historical cases in the professional practice of the disciplinary field of medicine and biology? How can these patients from the past be used for teaching and continuing medical education? How to justify their place in biomedical publications? In this article, we explain all the legitimacy of paleomedicine, and the need to intensify such research in the form of a well-individualised branch of paleopathology and the history of medicine.

O Estudo da Morte e dos Cuidados Paliativos: Ausências no Currículo de Medicina./ The Study of Death and Palliative Care: Curriculum in the Absence of Medicine.

1970 ◽  
Vol 3 (3) ◽  
pp. 74-86
Author(s):  
Maria das Graças Mota Cruz de Assis Figueiredo ◽  
Rita de Cassia M. T. Stano
Keyword(s):  
Palliative Care ◽  
Medical Education ◽  
Professional Practice ◽  
Medical Schools ◽  
The Body ◽  
The Family ◽  
Current Scenario ◽  
History Of ◽  
Education In Brazil ◽  
De Medicina

O presente artigo acompanha a história da formação médica no Brasil e levanta algumas das origens do cenário atual da prática da medicina no país, considerada como bastante resolutiva na busca da cura do corpo, mas despreparada para a abordagem do sofrimento global que acompanha o processo de adoecimento e da morte. As autoras enfatizam a necessidade de reavaliação crítica dos currículos das escolas de formação médica, buscando-se aliar à excelência técnica da prática profissional, valores como o cuidado integral ao doente por detrás da doença, e a atenção às necessidades deste e da família quando se avizinha a morte. Com base na sua experiência no ensino da Disciplina de Tanatologia e Cuidados Paliativos em duas Faculdades de Medicina, o artigo aponta como um dos caminhos para a construção de uma nova base curricular, mais responsivo à necessidade de profissionais e doentes, o ensino desta Disciplina nas diversas escolas médicas do país.  Palavras-chave: Tanatologia, Cuidados Paliativos, Currículo.       ABSTRACT This article outlines the history of medical education in Brazil and raises some of the origins of the current scenario of medical practice in the country, considered as quite resolute in the pursuit of healing the body, but unprepared for addressing global suffering that accompanies the process of illness and death. The author emphasizes the need for critical reappraisal of curricula of medical education, seeking to combine technical excellence in professional practice, values ​​as comprehensive care for the patient behind the disease, and attention to the needs of the family and when approaching death. Based on his experience in teaching discipline Thanatology and Palliative Care in two medical schools, the article points out how one of the ways to build a new base curriculum more responsive to the needs of professionals and patients, the teaching of this discipline in several medical schools in the country.  Keywords: Thanatology, Palliative Care, Curriculum.   

Part II: Reformers in Medical Education and Practice

2001 ◽  
Vol 9 (2) ◽  
pp. 59-68 ◽  
Author(s):  
Martin A Entin
Keyword(s):  
Medical Education ◽  
Professional Practice ◽  
Medical Practice ◽  
Care Society ◽  
Analytical Quality ◽  
Financial Gain ◽  
John Hunter ◽  
History Of ◽  
Definition Of ◽  
Historical Article

Background Part I was published in Can J Plast Surg 2000;8(1):25–29. It established that standards of professional practice shift constantly. When a standard falls short of professional expectation or when a physician becomes more concerned with financial gain rather than patient care, society needs the action of a reformer. Part II continues the study and begins with the contribution of reformer John Hunter (1728–1793), and follows with the contributions of seven other reformers, concluding with Wilder Penfield (1891–1976). Study Design The reformers were physicians and scientists who were selected throughout the history of medicine: they conformed to our definition of reformers, namely, a person whose action changed the structure or ideology of medical practice. Results The present historical article shows that reforms are produced by people possessing critical judgement and analytical quality who influenced the direction of medical practice. Conclusion Reforms have been achieved through intuitive leaps, alterations of conventional practice, painstaking research or administrative restructuring.

scholarly journals Females in Veterinary Medical Education: Why the Choice?

2018 ◽  
Vol 3 (5) ◽  
Keyword(s):  
Medical Education ◽  
Veterinary Medicine ◽  
Life Experiences ◽  
Female Students ◽  
Theory Approach ◽  
Veterinary Students ◽  
Academic Barriers ◽  
History Approach ◽  
Predominantly Female ◽  
Personal Accounts

Veterinary Medicine as a profession has undergone a change from a male-oriented one, to being predominantly female. The increase in female students is a reflection of the increasing interest in veterinary medicine by females. This study focused on reasons for the specific choice of veterinary medical education among female veterinary students. A life history approach was applied in order to explore the lives of six female veterinary students from St. George’s University, School of Veterinary Medicine in Grenada. This methodology involved using interviews to collect personal accounts of students’ life experiences that provided data about the reasons for the choice of female students to pursue veterinary medical education. The study revealed that life experiences as well as socio-cultural realities surrounding the lives of the students were crucial in understanding the influences and reasons for their choice of veterinary medicine. A Life Stages Theory emerged from the use of grounded theory approach to data analysis which identified personal, financial and academic needs as primary to create interest in veterinary medicine. The choice of veterinary medicine by females was found to be based on their personal interests, their ability to overcome financial and academic barriers and receive opportunities of alternative academic pathways.

Reformers in Medical Education and Practice

2000 ◽  
Vol 8 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Martin A Entin
Keyword(s):  
Medical Education ◽  
Patient Care ◽  
Professional Practice ◽  
Medical Practice ◽  
18Th Century ◽  
Care Society ◽  
Analytical Quality ◽  
Financial Gain ◽  
History Of ◽  
Definition Of

Background The standards of professional practice are constantly shifting to keep pace with acquired knowledge. When the standards fell short of professional expectations, when the practising physician became more concerned with financial gain than effective patient care, society needed a reformer to evaluate the process and to improve it. Study Design Individual physicians and scientists were selected from throughout the history of medicine until the end of the 18th century, who conformed to our definition of reformers, namely, a person who changed the structure or ideology of medical practice. Results This survey demonstrates that reforms are produced by persons whose minds possess analytical quality and critical judgment. Reformers have influenced the directions of medical practice and teaching. Conclusion The improvement in medical practice has been achieved through intuitive leaps, rejection of conventional practice, painstaking research or administrative restructuring.

scholarly journals Medical Education From a Theory–Practice–Philosophy Perspective

2021 ◽  
Vol 8 ◽  
pp. 237428952110102
Author(s):  
Susan A. Kirch ◽  
Moshe J. Sadofsky
Keyword(s):  
United States ◽  
Medical Education ◽  
Curriculum Design ◽  
Historical Perspective ◽  
Curriculum And Instruction ◽  
Medical Curriculum ◽  
Educational Theory ◽  
The United States ◽  
History Of ◽  
How People Learn

Medical schooling, at least as structured in the United States and Canada, is commonly assembled intuitively or empirically to meet concrete goals. Despite a long history of scholarship in educational theory to address how people learn, this is rarely examined during medical curriculum design. We provide a historical perspective on educational theory–practice–philosophy and a tool to aid faculty in learning how to identify and use theory–practice–philosophy for the design of curriculum and instruction.

scholarly journals Association between self-care agency and depression and anxiety in patients with diabetic retinopathy

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bo Zhang ◽  
Qin Wang ◽  
Xuancan Zhang ◽  
Li Jiang ◽  
Lezhi Li ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Rural Areas ◽  
Self Care ◽  
Depression Scale ◽  
Anxiety Symptoms ◽  
Depression And Anxiety ◽  
Clinical Factors ◽  
Cross Sectional ◽  
History Of ◽  
Care Agency

Abstract Background This study aimed at investigating: 1) the relationship between self-care agency and depression and anxiety; 2) the sociodemographic and clinical factors associated with depression and anxiety in patients with diabetic retinopathy (DR) in China. Methods A cross-sectional study was conducted. One-hundred and five patients with DR were recruited. Self-care agency was assessed by the exercise of self-care agency (ESCA) scale. Depression and anxiety were assessed by the hospital anxiety and depression scale (HADS-D and HADS-A). Pearson or Spearman correlations were performed to assess the association between self-care agency and depression and anxiety. Stepwise multivariate linear regression analyses were conducted to assess the contribution of the sociodemographic and clinical factors to depression and anxiety. Results Thirty-six (34.3%) and 43 (41.1%) patients exhibited depressive and anxiety symptoms, respectively. Only 24 (22.9%) patients showed a high self-care agency. The ESCA total and subscale scores were negatively correlated depressive symptoms (P < 0.05). Self-care skills were negatively correlated with anxiety symptoms (P < 0.05). ESCA total score, rural residence, history of hypertension and visual acuity were associated with depression; self-care skills and diastolic blood pressure were associated with anxiety. Conclusions Self-care agency negatively correlates with depression and anxiety in patients with DR. Special attention should be paid to patients living in rural areas and/or those having a history of hypertension when assessing depression and anxiety in patients with DR. Future studies are needed to clarify the causal relationship between self-care agency and depression and anxiety.

Episodic versus Chronic Dizziness: An Analysis of Predictive Factors

2021 ◽  
pp. 000348942110254
Author(s):  
Eric J. Formeister ◽  
Ricky Chae ◽  
Emily Wong ◽  
Whitney Chiao ◽  
Lauren Pasquesi ◽  
...  
Keyword(s):  
Multivariate Regression ◽  
Treatment Options ◽  
Depression And Anxiety ◽  
Imaging Studies ◽  
Comorbid Depression ◽  
Cross Sectional ◽  
Tertiary Center ◽  
Chronic Dizziness ◽  
Associated Symptoms ◽  
History Of

Objectives: To elucidate differences in demographic and clinical characteristics between patients with episodic and chronic dizziness. Methods: A cross-sectional, observational study of 217 adults referred for dizziness at 1 tertiary center was undertaken. Subjects were split into a chronic dizziness group (>15 dizzy days per month) and an episodic dizziness group (<15 dizzy days per month). Results: 217 adults (average age, 53.7 years; 56.7% female) participated. One-third (n = 74) met criteria for chronic dizziness. Dizziness handicap inventory (DHI) scores were significantly higher in those with chronic dizziness compared to those with episodic dizziness (53.9 vs 40.7; P < .001). Comorbid depression and anxiety were more prevalent in those with chronic dizziness (44.6% and 47.3% vs 37.8% and 35.7%, respectively; P > .05). Abnormal vestibular testing and abnormal imaging studies did not differ significantly between the 2 groups. Ménière’s disease and BPPV were significantly more common among those with episodic dizziness, while the prevalence of vestibular migraine did not differ according to chronicity of symptoms. A multivariate regression that included age, sex, DHI, history of anxiety and/or depression, associated symptoms, and dizziness triggers was able to account for 15% of the variance in the chronicity of dizziness (pseudo- R2 = 0.15; P < .001). Conclusions: Those who suffer from chronic dizziness have significantly higher DHI and high comorbid rates of depression and anxiety than those with episodic dizziness. Our findings show that factors other than diagnosis alone are important in the chronification of dizziness, an observation that could help improve on multimodal treatment options for this group of patients.

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