scholarly journals Quality of Teaching-learning in Undergraduate Medical Education in Bangladesh - Views of Stakeholders

2020 ◽  
Vol 11 (2) ◽  
pp. 34-42
Author(s):  
Md Nizam Uddin ◽  
AKM Asaduzzaman ◽  
Md Humayun Kabir Talukder ◽  
Susane Giti

This descriptive type of cross-sectional study was carried out in 4 government and 4 non-government medical colleges of Bangladesh to assess the quality of undergraduate medical education. The study was conducted during the period of July 2018 to June 2019. The total sample size was 576, out of which there were 440 fifth year medical students, 114 clinical teachers and 22 Key informants. Convenience sampling technique was adopted. Two self - administered semi- structured questionnaires and one in-depth-interview schedule were utilized for the study. The study revealed that there was shortage of teaching staffs and infrastructure facilities. However numbers of hospital beds, indoor and outdoor patients were found to be sufficient. Study revealed that most of the students learned to take history, examine the patients; but had difficulties to make a provisional diagnosis. The clinical teaching in evening session was found to be neglected. Teachers could not ensure students’ learning of optimum skills and attitude. The study recommended reviewing the curriculum. Course burden should be reduced by removing redundant contents. The subjects namely Pathology, Microbiology and Pharmacology need to be rearranged to shift those to second phase. Emphasis is required to be given on behavioural science, communication skills and medical ethics. Bangladesh Journal of Medical Education Vol.11(2) 2020: 34-42

2014 ◽  
Vol 3 (1) ◽  
pp. 12-17
Author(s):  
Md Abdus Sabur Miah ◽  
Md Humayun Kabir Talukder

Introduction: An important aspect in higher education consists in improving the quality of students outcomes. Infact, different factors influence these outcomes. Among these factors are the quality of teaching, material used and at the students' expectation of the institution. Part of this perception is reflected in what students expect from their teachers. It is fact that students' performance depends on teachers' exigencies, teachers' perception of students' expectations and how the teachers fit with these expectations. Methodology: It was a cross sectional type of descriptive study. Conducted in 3 medical colleges for one year (July 2012 to June 2013) with the aim to find out the expectations of students from their teachers in undergraduate medical education in Bangladesh. The total respondents were 353 students selected by convenience sampling from preclinical, para clinical and clinical departments of those medical colleges. Pre-tested, self administered, structured anonymous using English & Bengal, Questionnaire, with Likert scale was used for data Collection. Comparison of expectation level between male & Female students, among the medical colleges were done by applying unpaired test. Results: 353 medical students of three selected medical colleges participated in this study. Among them 52% were female & 48% were male and 94% were Muslim and 6% were Hindu. There were 30 statement on students' expectations. Respondent expressed their views as expected and highly expected in all the statements. Regarding teaching, Teacher will be sincere, knowledgeable, will conduct class with adequate preparation. Punctual, teaching time will be used properly and will give explanation & example for better understandings' 92-97% students expressed their view as expected and highly expected. In interpersonal relation & in using modern instructional materials by the teachers 92-98% students expressed expected and highly expected. It is revealed that expectation on this 30 statement, students expectations are very high. So it is significant to address these issues by the teachers and administrator. Conclusion: It is revealed in the study that expectation of students from the selected three Medical Colleges were similar and no significant variations were found, students started their journey in Medical education with some expectation but all expectations which might not be perfect. But the students' expectation which they had in the study was the reflection of all the students of under graduate medical education in Bangladesh. DOI: http://dx.doi.org/10.3329/bjme.v3i1.18590 Bangladesh Journal of Medical Education Vol.3(1) 2012: 12-17


2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Almira Rosyidika Sriwati

Abstrak Dismenore primer merupakan keluhan ginekologis yang sering terjadi pada remaja di dunia. Dismenore primer akan berdampak pada kualitas hidup, dapat menurunkan konsentrasi belajar seseorang karena nyeri yang dirasakan. Salah satu faktor risiko dismenore primer adalah stres. Penelitian ini dilakukan untuk mengetahui hubungan antara tingkat stres dengan dismenore primer pada mahasiswi tahun pertama program studi kedokteran angkatan 2018 Fakultas Kedokteran Universitas Andalas. Desain penelitian yang digunakan adalah cross sectional dengan teknik total sampling dengan jumlah sampel 146 orang. Data responden diperoleh dari kuisioner. Data dianalisis menggunakan uji Fhiser. Hasil penelitian menunjukan lebih dari separuh responden tidak stres (65,1 %) dan tidak dismenore primer (93, 8%). Hasil analisis bivariat menunjukan tidak terdapat hubungan antara tingkat stres dengan dismenore primer dengan p=0,720 (p> 0,05). Kesimpulan penelitian ini adalah sebagian besar mahasiswi tahun pertama tidak mengalami dismenore primer dan tidak stres. Tidak terdapat hubungan antara tingkat stres dengan dismenore primer. kunci : stres, dismenore primer, mahasiswi tahun pertama.   Abstract       Primary dysmenorrhea is a gynecological complaint that often occurs in adolescents in the world. Primary dysmenorrhea will have an impact on quality of life, can reduce the concentration of learning because of the pain. One of the risk factor for primary dysmenorrhea is stress. This study was conducted to determine the relationship between stress levels and primary dysmenorrhea in the first year female medical students of the 2018 registered year at Medical Faculty of Andalas University.Cross-sectional study design with total sampling technique was used with 146 people of  total sample. Respondents's data were obtained from questionnaires. Data were analyzed by using the Fhiser test. The results showed that more than half of the respondents were not stressed (65.1 %) and neither have primary dysmenorrhea (93.8%). The results of bivariate analysis showed that there was no correlation between stress levels and primary dysmenorrhea with p = 0.720 (p> 0.05). The conclusion of this study is most of the first year female medical did not experience primary dysmenorrhea and were not stressed. There are no relationship between stress levels with primary dysmenorrhea. Keywords : stress, primary dysmenorrhea, first year female students


Author(s):  
Nur Melizza ◽  
Yoyok Bekti Prasetyo ◽  
Nur Lailatul Masruroh ◽  
Anggraini Dwi Kurnia

The incidence of hypertension is still very high in various ages and genders. Hypertension itself is caused by several factors, namely stress and consumption of foods that contain excessive salt. While the risk factors include family history, lifestyle, poor diet, smoking, racial sex, and age. Another factor that is often overlooked is sleep patterns. This study aims to determine what factors can affect the quality of sleep in patients with hypertension. The research design used a cross-sectional study approach with a total sample of 57 hypertension patients under the work area of ??Puskesmas Ciptomulyo Malang City and the sampling technique used was accidental sampling. The questionnaires used included the Pittsburgh Sleep Quality Index (PSQI) and DASS 42. The results showed that the demographic data of respondents with the category of the late elderly 56-65 years were 22 respondents (38.6%), female gender was 35 respondents (61, 4%), SD education level was 32 respondents (40.4%), and worked as many as 35 respondents (61.4%). The results of the correlation test showed that the characteristics of respondents that affected the quality of sleep in patients with hypertension were age (p = 0.014) and gender (p = 0.005). Meanwhile, the factors that affect the sleep quality of hypertensive patients are psychosocial stress with a p-value = 0.001. So it can be concluded that the factors that affect the quality of sleep in patients with hypertension are age, gender, and psychosocial stress.  


2021 ◽  
Vol 15 (6) ◽  
pp. 1874-1875
Author(s):  
Amjad Ali ◽  
Asim Shafi ◽  
Arif Siddiq ◽  
Muhammed Salman Siddiq ◽  
Rab Nawaz Malik ◽  
...  

For the last many years, there have been speedy and far-reaching changes in health teaching. [1] Numerous innovative approaches of teaching professionalism have been established and executed since 1950’s and engrossed on medical expertise. In this paper, we will observe teaching professionalism in health teaching, detailing the usages and tasks associated with diverse methods. The developments in bio medical technologies and skills have been primed to advance of teaching professionalism tools that expand the assessment of expertise. Objective: To observe the Teaching Professionalism in undergraduate medical education in BADMC Multan Methodology: A cross sectional survey was conducted at BAMDC Multan from January 2020 to June 2020 after obtaining ethical approval from ECB. The data was collected through convenience sampling technique from 50 health educators teaching anatomy, medicine, Surgery and Gyane & Obs. to undergraduate students by using unidentified questionnaire. Consent was taken from all participants before data collection. Data was entered and analyzed by using SPSS 21. Results: Of the 50 health educators, 46 (92%) reacted to the main phase of the overview, 48 (96%) of medical educators have sound mentalities about their jobs and responsibilities, 42 (84 %) having disintegration of clinical polished methodology, 44 (80 %) have clinical instructors ethicists- subjecting one's personal responsibility to the interest of patients, 50 (100 %) sticking to high moral and good guidelines, 40 (80 %)responding to cultural necessities, 48 (96%) displaying center humanistic qualities (e.g., compassion, uprightness, benevolence, dependability), 50 (100%) can design demonstrable, 46 (92 %) have duplicates of educational plan materials utilized in courses identified with polished skill, 48 (96 %) use Simulations ,22 (44 %) can use Computer-based simulation, 40 (80 %) can create case generation techniques. Conclusion & Recommendations: From this study, it is concluded that only 22 health educators (44 %) can use Computer-based simulation, 40 (80 %) can create case generation techniques, 40 (80 %) responding to cultural necessities, 42 (84 %) having disintegration of clinical polished methodology that is very low bench mark in teaching professionalism. Extra exploration is needed, mainly if the teaching professionalism is used to make high stick verdicts (e.g., elevation and authorization). Key Words: Health Educators, Ethical Committee Board, Bakhtawar Amin Medical & Dental College, Multan


2019 ◽  
Vol 9 (1) ◽  
pp. 19-21
Author(s):  
Saima Abid ◽  
Baber Awan ◽  
Tauseef Ismail ◽  
Naveeda Sarwar ◽  
Ghulam Sarwar ◽  
...  

Background: Artificial intelligence (AI) is an advanced computer technology used in the medical field to elude the errors and enhance effectiveness and efficiency, especially in clinical work. Developing countries can utilize the same models to improve their health care system as the industrialized world. Globally medicine is evolving to the era of "Artificial intelligence", medical education must include these modern technologies and competencies to reform. We intended to determine the attitude of the medical students towards the introduction of AI in Undergraduate Medical Education in District Peshawar. Methods: This cross-sectional descriptive study was carried out among 384 students of two medical colleges in Peshawar, utilizing a convenient sampling technique for data collection. A self-administered questionnaire, with 5 points Likert scale was used to collect data. Data was analyzed through SPSS version (22.2). Results: Majority of the students 61.7% had no previous knowledge of AI. Mean scores for AIs perceived usefulness in Radiology, replacement with human Radiologist, anticipated dominance in clinical practice, willingness for introduction in medical education, excitement to adopt, perceived as a burden, practicability were 1.89, 2.83, 2.76, 2.35, 2.13, 3.18, 2.39 respectively. Conclusion: The positive attitude was seen among medical students regarding the inclusion of Artificial intelligence in undergraduate medical education.


Author(s):  
I Made Dwie Pradnya Susila

Chronic renal failure is a condition of decreased kidney function gradually or overall and requires kidney replacement therapy to maintain life. Hemodialysis is a therapy for patients with chronic renal failure. Compliance with hemodialysis therapy is one of the important things to note, if the patient is not compliant it can cause a buildup of harmful substances in the body that will have an impact on the quality of life of the patient. This study aimed to analyze the correlation between compliance undergoing hemodialysis therapy and life quality of patients with chronic renal failure in the hemodialysis ward of Tabanan Regional Hospital. This study was quantitative by using a descriptive correlational design method with cross sectional approach. The population in this study was chronic renal failure patients who underwent hemodialysis in the hemodialysis ward of Tabanan Regional Hospital. as many as 260 respondents. The sampling technique was by using non-probability sampling technique with purposive sampling technique with a total sample of 72 respondents. Data collection used questionnaire sheets. Lambda test results obtained p-value = 0.005 (p <0.05) then H0 was rejected, which means that there was a correlation between compliance undergoing hemodialysis therapy and life quality of patients with chronic renal failure in the hemodialysis ward of Tabanan Regional Hospital. The closeness of the correlation between variables can be seen from r-value = 0.238 which had a weak correlation.


2021 ◽  
Vol 7 (1) ◽  
pp. 140-145
Author(s):  
Putria Carolina ◽  
Hermanto Hermanto ◽  
Karmita Sari Yanra Katimenta

Patients diagnosed with cancer spend a lot of energy dealing with diagnosis, therapy, and feelings of instability due to possible relapses, death, complications, and financial problems. They often reach the point where they feel that they are very uncertain, very uncertain position, hopeless. Cancer causes loss of hope, affects physical and mental, and results in various disorders such as loneliness, depression, and failure to adapt—the importance of fulfilling the spiritual needs of cancer patients to improve the optimal quality of life. Fulfilling spiritual needs is finding meaning, purpose, the need for hope, belief in life, oneself, and God. Individuals are said to have good spirituality if the individual has full expectations, are optimistic, and think positively. The research design used a cross-sectional approach, the sampling technique was purposive sampling, and the data analysis was tested using the Spearman Rank with a total sample size of 35 respondents. The results obtained by sig. (2-tailed) with a p-value of 0.000 with a degree of significance p ≤ 0.05, which means H1 is accepted. This study shows a relationship between spiritual fulfillment and quality of life for cancer patients. The study results can be used as an intervention in nursing care to improve the quality of nursing services, especially for cancer patients. The better the spiritual needs of cancer patients can be met, the better the quality of life will be about complex matters such as physical health, psychological conditions, level of independence, social relationships, and the individual's relationship with their environment.


2021 ◽  
Vol 12 (2) ◽  
pp. 18-22
Author(s):  
M Kumrul Hasan ◽  
Muqbula Tasrin Aktar ◽  
Ara SA ◽  
Fuad Reajwan Kabir ◽  
Md Rafiqul Islam

This descriptive type of cross-sectional study was carried out at different Upazilla levels hospitals of Dhaka, Chattogram, Khulna, Sylhet, Rajshahi, Barisal & Rangpur divisions. It was conducted to find out the views of the doctors serving at primary health care level about the status of teaching & learning of Psychiatry at undergraduate medical education level in Bangladesh. The contents, teaching-learning hours, teaching-learning methods & assessment needed for Psychiatry of undergraduate medical curriculum 2002 & 2012 of Bangladesh were also reviewed & compared by the researcher. The study period was July 2019 to June 2020. A self-administered semi-structured questionnaire with five-point Likert scale was used. Convenience sampling technique was adopted & total 307 doctors participated in this study with their valuable opinions. After reviewing and comparing of undergraduate curriculum 2002 & 2012, it was found that content coverage & 20 hours lecture in psychiatry was same in both curricula. But block posting was reduced from 5 days to 3 days & ward placements was reduced from 4 weeks to 3 weeks in the curriculum of 2012 from curriculum of 2002. In curriculum 2002, there were 17.5 marks in written and 01 OSCE station in practical for Psychiatry and one examiner from either Psychiatry or Dermatology in paper II of Medicine in final professional MBBS examination. But there is no such provision for psychiatry in curriculum 2012. Among 307 doctors, 287 (86.9%) agreed that behavioral science should be taught by Psychiatrist instead of Community Medicine Specialist. Only 36 (11.8%) respondents agreed that their learning & training in psychiatry were sufficient during MBBS. Although, 227 (73.9%) doctors agreed that in their practice, a major portion of the patients were suffering from psychiatric problem, only 84 (27.4%) of them were confident enough to manage common Psychiatric cases. Among respondents, 238 (77.6%) agreed that placement of MBBS students in psychiatry should be from 3rd year and 260 (84.7%) agreed that Psychiatry should be given more weightage in MBBS curriculum. Around 180 (58.4%) doctors agreed that Psychiatry should be a separate subject as per standard set by WFME. Regarding examinership, 69% (212) respondents agreed that there should be one examiner from psychiatry in MBBS final Professional examination and 86.9% (267) of the respondents agreed that the Psychiatric part of MBBS curriculum should be updated immediately. The study recommended to update the psychiatric portion of MBBS Curriculum considering psychiatry as a separate subject as per the directive of WFME & like many countries of the world. Bangladesh Journal of Medical Education Vol.12(2) July 2021: 18-22


2021 ◽  
Vol 2 (2) ◽  
pp. 170-178
Author(s):  
Dr Fatima Khurram Bukhari ◽  
Dr Samar Fahd ◽  
Sabiha Iqbal ◽  
Waqas Channar

This study was conducted to check the impact of quality of online education during a worldwide pandemic on satisfaction level of students. The total sample size of this study was 212. Through the use of purposive sampling technique, the participants were chosen from different departments of The Islamia University of Bahawalpur. Cross-sectional survey research design is included in the present study. Students’ Perceptions of E-learning Questionnaire and Student Satisfaction with Online Learning were the two questionnaires used for collecting data. Using descriptive statistics, t-test, ANOVA, Bivariate Correlation, and Regression Analysis, the results were examined. Online education was significantly negatively associated with student satisfaction, indicated the findings of this analysis. The sample of the study was restricted to students only. Further, in order to broad the scope of the study it is suggested to expand the present research on other universities students from all over Punjab.


2020 ◽  
Vol 4 (1) ◽  
pp. 7
Author(s):  
Edriyani Yonlafado Simanjuntak ◽  
Amila Amila ◽  
Vivi Anggraini

Chronic Kidney Failure (CRF) is a condition of chronic kidney function decline that is progressive and irreversible. One of the effective actions in handling this condition is hemodialysis. CRF patients undergoing hemodialysis therapy mostly experience anxiety and decreased quality of life. This study aims to determine the relationship of anxiety with quality of life in CRF patients undergoing hemodialysis at Rasyida Kidney Hospital Medan. The research method used correlation analytic with cross sectional approach. The study population was all patients undergoing hemodialysis with a sampling technique that was purposive sampling with a total sample of 76 people. The research instrument used the Zung Self Rating Anxiety Scale (ZSAS) and WHOQOL-BREF questionnaire. The results of the study were analyzed using the Spearmen Rank test. The results of this study indicated the anxiety of the majority of respondents with a moderate category of 49 respondents (64.5%) and the quality of life of patients undergoing majority hemodialysis with a bad category of 42 respondents (55.3%). Spearmen rank test analysis showed that there was a relationship between anxiety and the quality of life of CRF patients undergoing hemodialysis with value of p = 0.006 p


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