STRESS ASSESSMENT IN MBBS FIRST YEAR STUDENTS BEFORE AND AFTER STRESS MANAGEMENT TRAINING DURING COVID-19 LOCKDOWN: A NORTH INDIAN STUDY.

Introduction: Stress is a well known contributor of many diseases. Corona virus infection pandemic has added stress in everyone’s life. Medical students have been reported to feel more depressed, anxious and stressed due to numerous factors in previous research. There has been lot of stress due to shutdown of colleges and modification of teaching pattern. Material and method: This study was planned to estimate the stress in First year MBBS students of SHKM GMC Nalhar, Nuh, Mewat, Haryana, India to explore the stress prevalence and factors causing stress in the students. Then a stress management training was given to the students. After one month the analysis was repeated to assess the feedback, which fell into the lockdown period observed during COVID-19 pandemic. Medical Student Stressor Questionnaire (MSSQ) was used to assess stress. Results and observation: The stress was found to be mild in 43 (35 %), moderate in 66 (55%), high in 11 (9%) among students.(Figure 1 A) After one month, the stress reported was mild in 67 (55.83%), moderate in 41 (34.17%), high in 12 (10%).(Figure 1 B) Stress was reported by 64.35% male students on first instance while 47.52% on second. Female students also displayed a fall in stress from 63.15% to 26.31%. Conclusion: Stress was detected in more than fifty percent First professional medical students in SHKM GMC Mewat, Haryana, which was reduced after stress management training. It is proposed that stress management training should be given in MBBS first professional and during pandemic like Coronavirus infection.

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Deterioration in hygiene behavior among fifth-year medical students during the placement of intravenous catheters: a prospective cohort comparison of practical skills

BMC Medical Education ◽

10.1186/s12909-021-02868-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Annika Meyer ◽

Jakob Schreiber ◽

Julian Brinkmann ◽

Andreas R. Klatt ◽

Christoph Stosch ◽

...

Keyword(s):

Medical Students ◽

Bloodstream Infections ◽

Management Training ◽

Practical Skills ◽

Stress Management Training ◽

Hygiene Behavior ◽

Before And After ◽

Hygiene Compliance ◽

The University ◽

Intravenous Catheters

Abstract Background The American Association of Medical Colleges has defined peripheral intravenous cannulation as one of the eight practical skills that a medical student should possess upon graduation. Since following a standard hygiene protocol can reduce the rate of complications such as bloodstream infections, the medical student’s compliance to hygienic standards is highly relevant. Methods This unicentric longitudinal cohort study included 177 medical students undergoing OSCE 1 in the winter semesters 2016/2017 and 2017/2018 as well as OSCE 2 during the winter semesters 2018/2019 and 2019/2020 at the University of Cologne. Their performance in peripheral intravenous cannulation was rated by trained student supervisors using a scaled 13-item questionnaire and compared between OSCE 1 and OSCE 2. Results Overall, a decline in the correct placement of peripheral intravenous catheters was observed among advanced medical students during OSCE 2 (mean total score: 6.27 ± 1.84) in comparison to their results in OSCE 1 (mean total score: 7.67 ± 1.7). During OSCE 2, the students were more negligent in regard to hygienic behavior, such as disinfection of the puncture site as well as hand disinfection before and after venipuncture. Their patients were also less likely to be informed about the procedure as compared to OSCE 1. Conclusions An unsatisfying performance in regard to peripheral intravenous cannulation was observed in medical students with hygiene compliance deteriorating between the third and fifth year of their study. Thus, we promote an extension of practical hygiene and stress management training in medical school to reduce complications associated with intravenous catheters, such as bloodstream infections.

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Development and Evaluation of an Objective Tympanic Membrane Visualization Assessment Technique

Annals of Otology Rhinology & Laryngology ◽

10.1177/0003489420912438 ◽

2020 ◽

Vol 129 (8) ◽

pp. 767-771 ◽

Cited By ~ 1

Author(s):

Amir A. Hakimi ◽

Simon P. Lalehzarian ◽

Aaron S. Lalehzarian ◽

Ariel M. Azhdam ◽

Benjamin D. Boodaie ◽

...

Keyword(s):

Medical Students ◽

Tympanic Membrane ◽

Low Cost ◽

Training Session ◽

Standardized Patients ◽

First Year ◽

First Year Students ◽

Before And After ◽

Cohort Groups ◽

Tympanic Membranes

Objectives: To introduce an inexpensive method for objectively evaluating otoscopic visualization of the tympanic membrane wherein learners match what they visualize in standardized patients to tympanic membrane photographs. Methods: Two standardized patients had photographs taken of their tympanic membranes using a commercially-available digital otoscope. First- and third-year medical students were asked to perform an otoscopic examination on each patient using a conventional handheld otoscope and to match what they saw with the correct tympanic membrane image among distractor photographs belonging to other patients. The ability of students to match the standardized patients’ tympanic membrane to the correct photographs was assessed before and after a didactic training session. These measurements were compared between the two cohort groups for construct validity. Results: Fifty-one first-year medical students (with no previous otoscopy experience) and 44 third-year medical students (with otoscopy experience from completing pediatric and family medicine clinical clerkships) were recruited to voluntarily participate in this study. At baseline, a larger percentage of third-year students correctly matched both tympanic membranes compared to first-year students (27% vs 8%, P < .01). After otoscopy training, correct matching of both tympanic membranes significantly improved among both first-year students (8-31%, P < .01) and third-year students (27-54%, P < .01). Conclusion: The use of tympanic membrane photographs from standardized patients provides a novel technique for objectively assessing proficiency in otoscopic visualization of the middle ear. The concept is low cost, uses live patients, and can be easily implemented in pre-clinical instruction and beyond.

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Effect of Stress Management Training on Stigma and Social Phobia in HIV-Positive Women

Journal of the International Association of Providers of AIDS Care (JIAPAC) ◽

10.1177/2325958220918953 ◽

2020 ◽

Vol 19 ◽

pp. 232595822091895

Author(s):

Farshid Shamsaei ◽

Neda Tahour ◽

Efat Sadeghian

Keyword(s):

Social Phobia ◽

Stress Management ◽

Management Training ◽

Hiv Positive ◽

Stress Management Training ◽

Hiv Positive Women ◽

Significant Difference ◽

Before And After ◽

Quasi Experimental ◽

The Mean

The purpose of this study was to investigate the effect of stress management training on stigma and social phobia among HIV-positive women. This quasi-experimental pre- and posttest study was performed on a single group of 55 HIV-positive females Hamadan city, Iran, in 2018. The samples were taken through a convenience sampling method and the data collection tool were Berger HIV Stigma and Connor Social Phobia Scale. The mean scores of the stigma were 119.98 ± 21.15 and 94.78 ± 16.34 and social phobia were 24 ± 17.4 and 11.2 ± 9.68 before and after the intervention, respectively. The results of the paired sample t test indicated a significant difference in the stigma and social phobia mean scores before and after the intervention in HIV-positive women ( P < .05). The results of the study revealed that stigma and social phobia are big challenges for HIV-positive women since these people are always judged by others and are subjected to labeling and rejection.

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The Effect of Stress Management Training on Stigma and Social Phobia in HIV‐positive women

10.21203/rs.2.10270/v1 ◽

2019 ◽

Author(s):

Farshid shamsaei ◽

Neda Tahour ◽

Efat Sadeghian

Keyword(s):

Social Phobia ◽

Stress Management ◽

Management Training ◽

Hiv Positive ◽

Stress Management Training ◽

Hiv Positive Women ◽

Significant Difference ◽

Before And After ◽

Comprehensive Health ◽

The Mean

Abstract Objectives: This study was to investigate the effect of stress management training on the stigma and social phobia of HIV‐positive women. Methods: This semi-experimental was conducted on 55 HIV‐positive using census sampling. The participants referred to Shohada Comprehensive Health Center in Hamadan, west of Iran, in 2017. Stress management training was conducted in 5 sessions for a group of 8-10 participants. The data collection tools were Berger HIV Stigma and Connor Social Phobia Scale. The questionnaires were filled before and 2 weeks after the intervention. Results: The mean age of participants was 38.5 and the duration of HIV infection was 6.5 years. 55% of patients were married and 80% were infected by sexual intercourse. The findings showed that there was a significant difference between the mean scores of stigma and social phobia before and after the intervention (P<0.05). Conclusions: Stress management training has been effective in the decrease of stigma and social phobia among HIV positive women.

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Development of laparoscopic skills in Medical students naive to surgical training

Einstein (São Paulo) ◽

10.1590/s1679-45082014ao3237 ◽

2014 ◽

Vol 12 (4) ◽

pp. 467-472 ◽

Cited By ~ 6

Author(s):

Worens Luiz Pereira Cavalini ◽

Christiano Marlo Paggi Claus ◽

Daniellson Dimbarre ◽

Antonio Moris Cury Filho ◽

Eduardo Aimoré Bonin ◽

...

Keyword(s):

Medical Students ◽

Skill Acquisition ◽

Surgical Techniques ◽

First Year ◽

Laparoscopic Skills ◽

First Year Students ◽

Score Improvement ◽

Before And After ◽

Second Year ◽

Improved Performance

Objective To assess the acquisition of basic laparoscopic skills of Medical students trained on a surgical simulator.Methods First- and second-year Medical students participated on a laparoscopic training program on simulators. None of the students had previous classes of surgical technique, exposure to surgical practice nor training prior to the enrollment in to the study. Students´ time were collected before and after the 150-minute training. Skill acquisition was measured comparing time and scores of students and senior instructors of laparoscopic surgeryResults Sixty-eight students participated of the study, with a mean age of 20.4 years, with a predominance of first-year students (62%). All students improved performance in score and time, after training (p<0,001). Score improvement in the exercises ranged from 294.1 to 823%. Univariate and multivariate analyses identified that second-year Medical students have achieved higher performance after training.Conclusions Medical students who had never been exposed to surgical techniques can acquire basic laparoscopic skills after training in simulators. Second-year undergraduates had better performance than first-year students.

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