The view of recent medical graduates on ethical consideration of prescription writings in Bangladesh

Prescription writing reflects the competency as well as the quality of medical education of the physician. This study was done to evaluate opinion of recent medical graduates towards ethical aspects of prescription writing. This descriptive study was conducted on recent medical graduates of 7 medical colleges in Bangladesh from January’18-June’19. Data were collected by a pretested self administered semi-structured questionnaire. Only descriptive statistics were computed by collected data. The study included 308 recent medical graduates having average age at commencement of internship was 24.2 years with male predominant (53.2%). Majority of the respondents thought that prescription should be written in block letter or be printed (70.1%) and there was possibility for selling wrong medicine due to bad handwriting (77.6%). Majority of the recent medical graduates thought that generic names were not difficult to remember (82.8%), there was every possibility of selling poor quality drugs of the same generic names by the pharmacists (87.7%) and physicians should not use generic name in prescriptions (56.5%). Furthermore, most of them (92%) felt a need for a mandatory educational qualification for the pharmacists. Most participants opined that pharmacists should have a minimum educational qualification to prevent the errors in dispensing. The findings of this study might be helpful to reinforcement the law to avoid the errors related to medical professionalism and ethical aspects of prescription writing in the medical education. Bangladesh Journal of Medical Education Vol.12(1) 2021: 16-21

Download Full-text

Students’ Perspectives of a Community-Based Medical Education Programme in a Rural District Hospital

Journal of Medical Education and Curricular Development ◽

10.1177/2382120519886849 ◽

2019 ◽

Vol 6 ◽

pp. 238212051988684

Author(s):

Anthonio Adefuye ◽

Matthew Benedict ◽

Johan Bezuidenhout ◽

Jamiu O Busari

Keyword(s):

Medical Education ◽

Learning Environment ◽

Medical Curriculum ◽

District Hospital ◽

Clinical Skills ◽

Ethnographic Study ◽

Hard Copy ◽

Community Based ◽

Structured Questionnaire

Background: The adoption of community-based medical education (CoBME) into the undergraduate medical curriculum is in line with the SPICE model for medical curriculum proposed by Harden and colleagues. Students are the consumers of medical education and are, thus, the ideal evaluators of the efficacy of their own course and learning environment. To evaluate the quality of the CoBME programme in Botshabelo District Hospital (BDH), this study investigated student’s perceptions of their experience during their CoBME training at BDH. In addition, suggestions on how to enrich students’ experience during the CoBME posting were obtained from the participants. Methods: This research was designed as a qualitative (ethnographic) study that used a structured questionnaire, to obtain written statements from 120 fourth-year undergraduate medical students describing their experience during their CoBME training at BDH. The structured questionnaire in the form of an evaluation form was self-administered, consisted of only open-ended questions grouped into 4 main sections and was distributed manually (hard copy) to the participants. Results: Of the 120 questionnaires distributed, 84 were returned, giving a response rate of 70.0%. When asked to indicate what they liked or disliked about their CoBME training, ‘Good educators/staff’ and the ‘Poor attitude of some doctors’ were the themes that scored highly (25.1% and 19.4%) in the ‘likes’ and ‘dislikes’ category, respectively. Some of the major challenges faced during the CoBME training at BDH included: exposure to new learning environment (14.2%), clinical practice context (12.6%), and language barrier (7.2%). Participants stated that they gained knowledge of how to perform certain clinical procedures and acquired core clinical skills in the areas of formulating management and managing some medical emergencies during their training at BDH. Increasing the duration of training (25.6% coverage) was suggested as a major way to enrich students’ experience during the training at BDH. Conclusion: Findings by this study reveal that CoBME is a valuable pedagogical tool to enhance learning in undergraduate medical education and that more work is required to improve the quality of CoBME training in BDH. We believe that the findings by this study will inform future planning of CoBME training programmes in BDH.

Download Full-text

Evaluation of Pharmacology Written Question Papers of MBBS Professional Examinations

Bangladesh Journal of Medical Education ◽

10.3329/bjme.v8i2.33331 ◽

2017 ◽

Vol 8 (2) ◽

pp. 12-17 ◽

Cited By ~ 1

Author(s):

Dipak Kumer Paul Chowdhury ◽

Debashish Saha ◽

Md Humayun Kabir Talukder ◽

Md Ahsan Habib ◽

AFM Saiful Islam ◽

...

Keyword(s):

Medical Education ◽

Problem Solving ◽

Descriptive Study ◽

Cross Sectional ◽

Significant Difference ◽

Different Types ◽

Content Coverage

This cross sectional descriptive study was conducted to observe the quality of Pharmacology professional written question papers of Bangladesh University of Professionals (BUP), University of Chittagong (CU), University of Dhaka (DU), Rajshahi University (RU) and Shahjalal University of Science & Technology (SUST). For this purpose total 82 SAQ papers of five universities dated from January 2007 to July 2015 were reviewed. Question papers were reviewed to find out the coverage of recall, understanding and problem solving type questions, content coverage and presence of marking scheme in SAQ papers. Mean percentage of recall, understanding and problem questions were 54.3%, 44% and 01.7% respectively in SAQ papers. Mean of the recall questions of SUST statistically significantly differed from curriculum standard 60%. Other universities had no significant differences with the standard. Mean of the understanding questions of all the universities statistically significantly differed from curriculum standard 30% except BUP. There was statistically significant difference between mean of the problem solving questions of all the universities and curriculum standard 10% . Most of the SAQ papers (62%) were without problem based questions. No question paper was found having different types question as per curriculum standard. Total 15(18.3%) SAQ papers contained 100 % topics (all the 11 groups). Thirty nine (47.6) contained 10 groups and 22% contained 9 groups out of 11. Twelve percent SAQ papers contained less 80% topics Total 29 (35.4%) SAQ papers of all the universities showed marking scheme on the questions papers, rest 64.6% were devoid of it. Maximum 87.5% SAQ papers of RU had marking scheme. Findings of this study may be used to redefine the distribution of different types question in SAQ papers and to improve the quality of question papers by ensuring their coverage.Bangladesh Journal of Medical Education Vol.8(2) 2017: 12-17

Download Full-text

Completeness and Legibility of Handwritten Prescriptions in Sana’a, Yemen

Medical Principles and Practice ◽

10.1159/000487307 ◽

2018 ◽

Vol 27 (3) ◽

pp. 290-292 ◽

Cited By ~ 14

Author(s):

Yaser Mohammed Al-Worafi ◽

Rahul P. Patel ◽

Syed Tabish Razi Zaidi ◽

Wafa Mohammed Alseragi ◽

Masaad Saeed Almutairi ◽

...

Keyword(s):

Cross Sectional Study ◽

Poor Quality ◽

Essential Elements ◽

Capital City ◽

Community Pharmacies ◽

Development Programs ◽

Cross Sectional ◽

The Impact ◽

Prescription Writing

Objective: The aim of this study was to investigate the completeness and legibility of prescriptions dispensed in community pharmacies located in Sana’a, Yemen. Materials and Methods: A cross-sectional study was conducted at 23 randomly selected community pharmacies throughout the capital city of Sana’a, Yemen, from May 2015 to January 2016. A total of 2,178 prescriptions were analyzed for the essential elements of a complete prescription using a validated checklist. Results: Of the 2,178 prescriptions, 19 (0.87%) were considered to be of good quality. The remaining 2,159 (99.12%) were considered as being of very poor quality. Writing errors relating to patients and prescribed medications were the most common errors. Conclusion: In this study, the quality of prescription writing was found to be very poor. Hence, continuous professional development programs are recommended to improve the quality of prescription writing among physicians. Future studies in other cities and investigation of the impact of continuous educational programs on the quality of prescription writing are strongly recommended.

Download Full-text

Identificação dos conflitos mais comuns experienciados por médicos não paliativistas no atendimento de pacientes em fim de vida. Bruno Budicin, Mariana G. P. Aroeira-Neves, Josimário Silva

EIDON ◽

10.13184/eidon.53.2020.4-21 ◽

2020 ◽

pp. 4-21

Keyword(s):

Palliative Care ◽

Healthcare Professionals ◽

Moral Dilemmas ◽

Poor Quality ◽

Great Distance ◽

Specific Training ◽

The Poor ◽

Quality Of Death ◽

Structured Questionnaire

In Brazil, the theoretical knowledge in Palliative Care and Bioethics has been increasing in recent years, however, there is still a great distance between theory and its effective application in medical practice. This is reflected in the poor quality of death of end-of-life patients and great distress for the professionals attending this type of patient. A better understanding of the difficulties experienced by physicians who lack specific training in Palliative Care and of how they act in solving the moral dilemmas they face is a step towards creating strategies for training these healthcare professionals. This paper aims to better identify and understand these difficulties through a semi-structured questionnaire and reflective analysis of these moral dilemmas.

Download Full-text

Training less than full-time in surgery

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363508x294053 ◽

2008 ◽

Vol 90 (4) ◽

pp. 122-124

Author(s):

Janet Walls

Keyword(s):

Annual Report ◽

Poor Quality ◽

Career Progression ◽

Work Life ◽

Full Time ◽

Medical Workforce ◽

Life Balance ◽

Medical Graduates ◽

Individual Rate

To quote the chapter on 'Women in Medicine' in the chief medical officer's annual report, 'Today the problem is not access to medical school but rather how we ensure that the female medical workforce is able to fulfil its potential once in employment.' I would go further than this and extend the premise to all medical graduates entering a career in surgery. One of the main obstacles to career progression in surgery is the perceived poor quality of life while training. More latterly and more worryingly, this has extended to the belief that life as a consultant surgeon in the future will afford horizons no further than the theatre walls within which we work. One of the possible ways to try and improve work–life balance is to extend the period of time taken for training, such that surgical competency is achieved at an individual rate.

Download Full-text

An Assessment of Chicken Excreta Management in Poultry Farms in Oyo State, Nigeria

Asian Food Science Journal ◽

10.9734/afsj/2019/v11i330064 ◽

2019 ◽

pp. 1-7

Author(s):

A. Adejare. Awesome ◽

Isaac. O. Oyewo

Keyword(s):

Local Government ◽

Waste Disposal ◽

Formal Education ◽

Sampling Procedure ◽

Descriptive Statistics ◽

Poultry Waste ◽

High Concentration ◽

Chicken Waste ◽

Structured Questionnaire

The rapid growth in the poultry industry in Nigeria especially in Oyo State, has led to increased generation of chicken excreta. Unfortunately, there has not been a commensurate increase in the quality of chicken excreta management.There is therefore the need to assess existing methods of chicken excreta management in Oyo State with a view to achieving environmentally-friendly and economically-viable waste management methods. A three-stage sampling procedure was used. Oyo State was purposively selected due to its high concentration of chicken farms. For the same reason, two local government areas were also purposively selected:Afijio and I do. Lastly, based on the number of farms in each local government areas (LGAs) 50 and 70 chicken farms were randomly selected from Afijio and Ido LGAs making a total of 120 farms. Out of the 120 copies of the structured questionnaire administered, 101(84.2%) were retrieved. Data were collected on socio-economic characteristics, types of poultry waste generated and poultry waste disposal methods. Data were analysed using descriptive statistics, and inferential statistics. Most poultry farmers were male (85.1%) and married (86.4%) with a mean age of 41.0+ 10.8 years while household size was 5.0±1.58.Years of formal education and farming experience were 8±2 years and 8.09±5.87 years respectively .Based on the responses the following chicken waste disposal methods were evaluated:dumping on vacant lands (47%), using as manure (50.7%) and selling (29%). The management methods evaluated in the study area had adverse environmental effects.

Download Full-text

Investigating the Readiness of Red Crescent Society Staff Against Risks in Khorasan Razavi Province

Journal of Disaster and Emergency Research ◽

10.18502/jder.v2i1.571 ◽

2019 ◽

Author(s):

Maryam Yosofi Sigari ◽

Mohammad Sadegh Tavakoli Sani ◽

Sayed Mojtaba Ahmadi

Keyword(s):

Medical Education ◽

Natural Disaster ◽

Descriptive Study ◽

The State ◽

Descriptive Statistics ◽

Effective Parameter ◽

Ministry Of Health ◽

Cross Sectional ◽

Staff Performance ◽

Study Population

Introduction: Recent experiences with disasters have shown that given that Iran is a natural disaster-waiting country, warnings must be taken seriously and people in different groups should have necessary preparations to deal with the hazards. The readiness of the relief agencies as one of the first responding organizations involved in crises as well as the readiness of their families as an effective parameter in the response of the relief agencies should be given special attention. The purpose of this study was to determine the state of readiness for hazard among staff of the Red Crescent Society of Khorasan Razavi Methods: This cross-sectional, descriptive study was conducted in 2018. The study population consist of all personnel of the Red Crescent Society of Khorasan Razavi province (n: 146). Sampling was done by census. The level of preparedness was assessed and evaluated by the indicators determined by the Ministry of Health and Medical Education for assessment of the level of household readiness (HDPI) using descriptive statistics. Results: The results showed that the lowest readiness index (2.75) was observed among the staff of the Relief and Rescue Deputy. The most qualified staff of the Society can be found in the Education Deputy who attained the highest score (5.25) on the index. Conclusion: Although relief staff are expected to be present at crises immediately and conveniently, the low score in this index, that is, the lack of readiness of staff’s families, was very effective on staff performance and could even reduce their attending the department at crisis.Therefore, special attention should be paid to promoting their readiness Keywords: Readiness, Red Crescent Society, Dangers.

Download Full-text

"Pengaruh PO (Penilaian Objektif) Pembimbing Dan PO (Penilaian Objektif) Penguji Terhadap Kualitas Kelulusan Mahasiswa Pada Perguruan Tinggi Raharja"

CICES ◽

10.33050/cices.v1i1.128 ◽

2015 ◽

Vol 1 (1) ◽

pp. 61-69

Author(s):

Ageng Setiani Rafika ◽

Ki Ahmad Saputro ◽

Riyan Nova Saputra

Keyword(s):

Graduate Students ◽

Objective Assessment ◽

Poor Quality ◽

Descriptive Statistics ◽

Survey Method ◽

Student Discipline ◽

Quality Level ◽

Sample Collection ◽

The World

Currently, many graduate students who can’t be absorbed by the world of work or labor market because of poor quality. It is caused by several factors such as students as learners, lecturer as a teacher, and the campus as a connector between the institution or any of its faculty and students to students and faculty facilities. The purpose of this study was to determine the effect of student discipline in implementing the guidance of the thesis as well as to determine the influence of PO coach and PO testers on the level of quality of graduation. This study uses a quantitative approach with descriptive correlational survey method. The sample collection technique is based on the calculation formula Slovin as many as 61 people. Data was collected using questionnaires and documentation. Analyzed using descriptive statistics and statistical analysis iferensial. Data processing using SPSS. Results of the study showed that the better the level of completion of Objective Assessment Supervisor, the better the quality level graduation because the value received will better the automatic IPK and also rose. However, the better the level of completion of Objective Assessment Examiners, will not affect the level of quality of the graduation.

Download Full-text

Factors Militating Against Effective Planning of Secondary School Education in Taraba State

Middle European Scientific Bulletin ◽

10.47494/mesb.2021.11.485 ◽

2021 ◽

Vol 11 ◽

Author(s):

Iroegbu Abigail Ifeoma ◽

Revd Iroegbu Samuel Enyioma Ezechimere ◽

Abashi Lydia Ebio

Keyword(s):

Secondary School ◽

Poor Quality ◽

School Education ◽

Academic Excellence ◽

Data Generation ◽

Secondary School Education ◽

Periodic Evaluation ◽

Structured Questionnaire ◽

Effective Planning

Secondary school education is facing many problems such as shortage of professional teachers,inadequate instructional material, and funding, overcrowding and poor quality of educationalperformance. The problems have been linked to lack of effective planning of Secondary education as apanacea for academic excellence in the Northeast of Taraba. A survey research design was adopted forthis study, using a structured questionnaire as data collecting instrument with one hundred and sixtyrespondents. Data collected were analysed using mean score. The study revealed that inadequatefunding, inadequate data, shortage of professional planners, poor capacity development programme ofplanners,lack of planning materials, coupled with instability in the education policy and politicalupheavalsare the problem facing planning of secondary school in Taraba state. The study recommendthat government should employ expertise in the educational sector, man-power periodic training andretraining for maximum planning and implementation of educational policies, regular data generation,analysis, prompt implementation, periodic evaluation reports, and priority to funding of educationalplanning

Download Full-text

A Research Brief: The Current State of Quality Clinical Placement in Nursing Practicums

International Journal of Studies in Nursing ◽

10.20849/ijsn.v1i1.100 ◽

2016 ◽

Vol 1 (1) ◽

pp. 56

Author(s):

Esther O. Park ◽

Gloria Y. Nam

Keyword(s):

Nursing Students ◽

Clinical Experience ◽

Descriptive Study ◽

Descriptive Statistics ◽

Clinical Placement ◽

Future Research ◽

Asian Countries ◽

Cross Sectional ◽

Current State

Purpose: The study was conducted to investigate students’ perceptions on their clinical experience and the quality clinical placement. Methods: This was a cross-sectional descriptive study. One hundred and thirteen junior or senior nursing students participated in this study. Descriptive statistics were used to analyze the data. Results: Majority nursing students expressed un-satisfaction (57.52%) with the required hours of practicums. They experienced different quality of clinical placement between the cities. Direct nursing skills they practice were limited to doing chores (67.1%), charting (14.47%), providing education to patients and families (10.53%), giving medication (7.89%). 49.56% of the students did not satisfy with what they have received shift schedule which was given from hospitals. Conclusion: Simulation and scenario-centered education should be considered in Asian countries as one of replacement of clinical hours on-site. Future research warrants testing and clarifying the most appropriate clinical hours to the nursing undergraduates for their quality clinical placement.

Download Full-text