An Experiential Aged Care Module for First-Year Undergraduate Medical Students

A rapid demographic transition to aging populations is imminent over the next decade, especially in Southeast Asian countries. An aging population presents a host of medical challenges, such as multimorbidity; chronic illnesses; and geriatric syndromes, such as frailty, falls, dementia, and incontinence. In order to tackle such issues efficiently, there is an urgent need to train future doctors in geriatric medicine. Aged care is a specialty in medicine that was not traditionally part of the undergraduate medical curriculum. With the changing demographic, aged care content needs to be integrated into the existing curriculum for undergraduate medical students. In this paper, we present an introductory novice level geriatric module that was developed for first-year medical undergraduate students in Monash University, Malaysia. The module consisted of collaborative active learning sessions on healthy aging, interaction with older adults from the community, and a simulated experiential activity. Feedback was collected from students on module completion. The immediate impact of the module was positive from the student responses. The findings from this study will be useful to inform the development and implementation of future educational interventions for aged care, as well as to support the establishment of a vertically integrated aged care curriculum, in order to prepare future doctors to provide healthcare for the ageing Asian population.

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Knowledge and attitude regarding organ donation and transplantation among undergraduate medical students in North coastal Andhra Pradesh

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20180762 ◽

2018 ◽

Vol 5 (3) ◽

pp. 1064 ◽

Cited By ~ 3

Author(s):

Srinivas Rao Ganta ◽

Kiran Pamarthi ◽

Lakshmi Prasad K. K.

Keyword(s):

Medical Students ◽

Organ Donation ◽

Medical Curriculum ◽

Organ Procurement ◽

Cross Sectional Study ◽

Modern Medicine ◽

First Year ◽

Undergraduate Medical Students ◽

Cross Sectional ◽

The Usa

Background: Organ transplantation is one of the greatest scientific advances and remains one of the most challenging and complex field of modern medicine. In the USA and UK, the organ donation rate is 26 and 14 per million, whereas in India, it is only 0.34 per million population. Healthcare professionals act as the critical link in the organ procurement process because they are the first individuals to establish relationship with the potential donors' family.Methods: An institution based descriptive cross-sectional study was conducted among first year undergraduate medical students during November 2017. Convenient sampling method was used to obtain the sample size. Out of 150 students in first year, 136 students fulfilling the inclusion and exclusion criteria were studied.Results: Out of 136 students who participated in the study, 58 (42.6%) were boys and 78 (57.4%) were girls. All the 136 (100%) students had heard about organ donation, but only 24 (17.6%) of them were aware of organ donation associations. Very few students (5, 3.6%) know about any law related to organ donation in India. Mass media like TV, Internet and Newspapers have played a major role in imparting awareness regarding organ donation among students besides relatives and friends. Majority of the students i.e. 104 (76.4%) were ready to donate their organs if need comes and two third of them accepted that they would allow organ donation from a member of their family after Brainstem death.Conclusions: There is a positive attitude of medical students towards organ donation but there is lack of sufficient knowledge on the topic. Improving their knowledge by including organ donation topic in medical curriculum can help to reduce this gap.

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Antibiotic Use: Knowledge and Practice of Medical Undergraduate Students in Kolkata

Bengal Journal of Otolaryngology and Head Neck Surgery ◽

10.47210/bjohns.2020.v28i1.19 ◽

2020 ◽

Vol 28 (1) ◽

pp. 1-9

Author(s):

Maumita De ◽

Diptanshu Mukherjee

Keyword(s):

Medical Students ◽

Bacterial Infections ◽

Bacterial Resistance ◽

Knowledge Score ◽

Antibiotic Use ◽

First Year ◽

Undergraduate Medical Students ◽

Cross Sectional ◽

Medical Undergraduate ◽

Significant Difference

Introduction Excessive use and misuse of antibiotics worldwide, both in human medicine and in agriculture has led to increased occurrence of bacterial resistance. Medical students should be aware of the judicious use of antibiotics, so that they can help the general population in future. Present study assesses knowledge of antibiotic use among first year undergraduate medical students and their practice in own life. Materials and Methods An observational, cross sectional study was conducted during a three-month period among first year undergraduate medical students of a teaching hospital in Kolkata. A validated self- administered questionnaire was used to collect the data. The data were analyzed by using simple descriptive statistics. Wherever it was relevant, the Chi-square test was carried out to determine any significant difference. Results About 85% of the participants were aware of the indication of antibiotic for treating bacterial infections only. Around 44% of the students had an average knowledge score compared to 28% having good knowledge score. Majority (76%) of the medical students obtained last antibiotics by a doctor’s prescription, but 54% completed the course as advised by doctor and purpose of taking antibiotic was fever mainly (41%). Statistically significant (P< 0.05) difference on pattern of their antibiotic use was found according to their socioeconomic status and knowledge score. Conclusion Changing the prescribing behaviour and knowledge of the healthcare professionals can help a lot to achieve rational use of antibiotic. It is also suggested that giving a comprehensive training of antibiotic use to the medical students and creating their awareness about frequent antimicrobial resistance could be a successful and encouraging approach.

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First-year medical undergraduate students opinion about the use of radiology in gross anatomy course

Journal of Morphological Sciences ◽

10.4322/jms.081614 ◽

2016 ◽

Vol 33 (02) ◽

pp. 055-061 ◽

Cited By ~ 1

Author(s):

V. Silva ◽

D. Vilela ◽

F. Gonçalves ◽

R. Regacini

Keyword(s):

Undergraduate Students ◽

Human Body ◽

Medical Curriculum ◽

Knowledge Retention ◽

Human Anatomy ◽

Clinical Aspects ◽

First Year ◽

Undergraduate Medical Students ◽

Practice Performance ◽

Medical Undergraduate

Abstract Introduction: Although the importance of anatomy teaching in the undergraduate medical curriculum is incontestable, the lack of knowledge retention and clinical application are the greatest challenges for anatomy teachers. New teaching methodologies are replacing cadaver' dissection in many schools around the world and the usage of radiologic images can become a valuable resource for student's learning the human body structures. The aim of this article was to analyze the perception of first-year undergraduate medical students in the usage of radiology in gross human anatomy course. Materials and methods: One hundred students answered a 30 questions survey using a 5-point Likert scale about the usage of radiologic images in the human anatomy classes. Results: Most subjects have shown desire and the availability to learn human anatomy using images. After the usage of radiologic images there has been an increase on the subjective aspects of the human body such as admiration and respect, an improvement in the correlation of human anatomy with clinical aspects and in the three dimensional perception of the human body anatomic structures. Conclusions: Most of the research participants evaluated the usage of radiologic images as positive and beneicial for the teaching and learning human anatomy as it increases the interest for anatomy and it can favor learning and clinical practice performance. Results shows that according to students' opinion the usage of radiology can be an excellent complement in human anatomy learning and can induce us to think it can prepare and train more competent doctors in diagnostic imaging.

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Non-medical use of methylphenidate among medical students of the University of the Free State

South African Journal of Psychiatry ◽

10.4102/sajpsychiatry.v23i0.1006 ◽

2017 ◽

Vol 23 ◽

Cited By ~ 1

Author(s):

Roshini Jain ◽

Ch Chiech Chang ◽

Mpho Koto ◽

Alden Geldenhuys ◽

Richard Nichol ◽

...

Keyword(s):

Medical Students ◽

Medical Curriculum ◽

Cross Sectional Study ◽

First Year ◽

Specific Information ◽

Undergraduate Medical Students ◽

Questionnaire Response ◽

Cross Sectional ◽

Training Programmes ◽

The University

Background: Faced with demanding training programmes, medical students may be more prone to use methylphenidate for non-medical purposes in order to improve concentration, alertness and academic performance.Aim: The study aimed to investigate the prevalence of the non-medical use of methylphenidate and knowledge of this drug among undergraduate medical students of the University of the Free State.Methods: This was a cross-sectional study. A self-administered, anonymous questionnaire was distributed during lectures to all students in the five year groups of the undergraduate medical programme.Results: Of the 643 undergraduate medical students, 541 completed the questionnaire (response rate: 84.1%). Approximately 11.0% of surveyed students were using methylphenidate at the time of the study, of which the majority (67.9%) used it for academic purposes and 70.6% received it from a medical health professional. Less than a third of users had been diagnosed with Attention-Deficit/Hyperactivity Disorder. Methylphenidate users’ median knowledge was greater than non-users, and methylphenidate knowledge increased from first-year and second-year students to third-year to fifth-year students. Median knowledge scores per year group ranged from 52.0% to 60.0%.Conclusion: Methylphenidate is mainly used for non-medical purposes by medical students. Students generally have a low level of knowledge on methylphenidate. Specific information on methylphenidate should be included in lectures on stress management and study methods during the course of the medical curriculum.

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PERCEIVED STRESS IN UNDERGRADUATE MEDICAL AND NON-MEDICAL STUDENTS OF ANDAMAN & NICOBAR ISLANDS – A COMPARATIVE STUD

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i5.1150 ◽

2020 ◽

Vol 4 (4) ◽

Author(s):

Deepa Devadas ◽

Urmila Sinha ◽

Sanjay Kumar

Keyword(s):

Medical Students ◽

Perceived Stress ◽

Medical Training ◽

Medical Curriculum ◽

Management Strategies ◽

First Year ◽

Undergraduate Medical Students ◽

Chi Square ◽

Nicobar Islands ◽

First Year Medical Students

Background: First year of medical training is a challenging period in the life of medical students. Adjusting to a demanding medical curriculum along with sudden transition to a medical college environment makes first year medical students vulnerable to stress. No studies have been reported so far on stress in medical students from the Andaman& Nicobar Islands. Aim: To evaluate the levels of perceived stress and explore its causes in first year medical students of Andaman Islands and compare it with non medical age matched students. Materials & Methods: A comparative study was done on a total of 182 first year students (89 medical and 93 non-medicals) of Andaman & Nicobar Islands. After obtaining informed consent, an anonymous self-administered questionnaire was distributed to the study participants. The questionnaire included their sociodemographic details & Perceived Stress Scale (PSS-10) and stressors. The data was analyzed using SPSS software version 21. Results: The mean PSS score as measured by PSS-10 was 23.9+/- 6.15 SD in medical and 18.82 +/- 5.58 SD in non medical students. Independent sample t test demonstrated higher levels of perceived stress in medical students as compared to non medical students. Chi square test revealed association of higher PSS scores with the medical course of study. The most common stressors described by first year medical students belonged to the academic domain. Conclusion: Higher levels of perceived stress occurs in medical students which highlights need for implementation of appropriate stress management strategies to help students adjust to the demanding curriculum. Keywords: Stress, medical education, undergraduate, medical students, PSS-10

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Usability testing of an e-learning resource designed to improve medical students’ physical activity prescription skills: a qualitative think-aloud study

BMJ Open ◽

10.1136/bmjopen-2020-042983 ◽

2021 ◽

Vol 11 (7) ◽

pp. e042983

Author(s):

Helen Carter-Roberts ◽

Richard Antbring ◽

Manuela Angioi ◽

Gemma Pugh

Keyword(s):

Physical Activity ◽

Medical Students ◽

Medical Curriculum ◽

Think Aloud ◽

Undergraduate Medical Students ◽

Learning Resource ◽

Physical Activity Counselling ◽

Exercise Medicine ◽

Activity Promotion ◽

E Learning

ObjectiveAn e-learning resource (MEdic GAming, MEGA) was developed based on the contents of the Faculty of Sports and Exercise Medicine exercise prescription booklet. This study aimed to (i) explore medical students’ perspectives of physical activity promotion and e-learning and (ii) investigate medical students’ response to the design, content and usability of the MEGA e-learning resource.DesignQualitative think-aloud interview study.SettingA London medical school.Participants19 undergraduate medical students were interviewed using the think-aloud method while using the e-learning resource concurrently.ResultsIn general, medical students felt current education on physical activity is inadequate and held a strong desire for more teaching on exercise medicine. Students believed the MEGA e-learning resource addressed a gap in their knowledge on physical activity but noted e-learning should not replace face-to-face teaching and suggested physical activity education would be best delivered through a blended learning approach. Students felt such an approach would allow better opportunity to practice physical activity counselling skills with patients while on clinical placement. Students’ motivation to engage with the MEGA e-learning resource was positively impacted by aesthetically appealing design and interactive gamification elements such as self-assessment quizzes and visual progress tracking.ConclusionMedical students value the role of physical activity in health but are disappointed by the lack of teaching within the current medical curriculum. E-learning resources, such as MEGA, which contain interactive features are a viable means to integrate physical activity into the undergraduate curriculum but should be supplemented by the opportunity to practice physical activity counselling in-person.

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Searching for the erosion of empathy in medical undergraduate students: a longitudinal study

BMJ Open ◽

10.1136/bmjopen-2020-041810 ◽

2020 ◽

Vol 10 (12) ◽

pp. e041810

Author(s):

José Manuel Blanco ◽

Fernando Caballero ◽

Santiago Álvarez ◽

Mercedes Plans ◽

Diana Monge

Keyword(s):

Medical Students ◽

Undergraduate Students ◽

Cognitive Empathy ◽

Primary Outcome Measure ◽

Undergraduate Medical Students ◽

School Settings ◽

School Year ◽

School Of Medicine ◽

Medical Undergraduate ◽

Sociocultural Differences

ObjectiveTo analyse the trajectory of empathy throughout the degree programme of medicine in a Spanish school of medicine.DesignLongitudinal, prospective 5-year study, between October 2014 and June 2019.SettingStudents from a Spanish university of medicine.ParticipantsTwo voluntary cohorts of undergraduate medical students from two different school years were invited to participate (n=135 (cohort 1, C1) and 106 (cohort 2, C2) per school year). Finally, a total number of 174 students (102 (C1, 71.6% women) and 72 (C2, 70.8% women) students, respectively) were monitored for 5 years. Each cohort was divided in two subcohorts of paired and unpaired students that were analysed to check possible social desirability bias.Primary outcome measureThe Jefferson Scale of Empathy (JSE).ResultsThe cohort of 102 students (C1) monitored between their first and fifth years of study (71.6% women) showed an improvement among paired women of 2.15 points in total JSE score (p=0.01) and 2.39 points in cognitive empathy (p=0.01); in the unpaired female cohort the increase was of 2.32 points (cognitive empathy) (p=0.02). The cohort of 72 students (C2) monitored between their second and sixth years of study (70.8% women) displayed a cognitive empathy increase of 2.32 points (p=0.04) in the paired group of women. There were no significant differences between paired and unpaired results for either cohort. Empathy scores among men did not decrease.ConclusionsThe empathy of medical students at our school did not decline along grade years. In fact, it improved slightly, particularly cognitive empathy, among women. This paper contributes to enlarge data from Europe, where longitudinal studies are scarce. It supports the idea that there may be global geo-sociocultural differences; however, more studies comparing different school settings are needed.

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High frequency of otolaryngology/ENT encounters in Canadian primary care despite low medical undergraduate

Canadian Medical Education Journal ◽

10.36834/cmej.72328 ◽

2021 ◽

Author(s):

Brendan Sorichetti ◽

Julie Pauwels ◽

Thomas Jacobs ◽

Neil Chadha ◽

Emelie Kozak ◽

...

Keyword(s):

Primary Care ◽

Medical Students ◽

Primary Care Physicians ◽

Pediatric Population ◽

Adult Population ◽

Care Facility ◽

Symptom Presentation ◽

Undergraduate Medical Students ◽

Related Symptom ◽

Medical Undergraduate

Otolaryngology involves the treatment of patients with diseases and disorders of the ear, nose, throat (ENT), and related structures of the head and neck. Many medical students in Canada have limited experiences in ENT and a vast majority of these students go on to pursue a career as primary care physicians. Physicians at a primary care facility classified patient’s visits as either being “ENT” related or not, to assess the amount of ENT related concerns they typically encounter. The data was collected separately in the summer and winter months to assess any seasonal variability. One in eight patient encounters presented with an ENT related concern. The percentage of ENT related symptom presentation visits in the pediatric population for both data collection periods (29%) was more than three times that of the adult population (9%). The rate of ENT symptom presentation in both adult and pediatric populations was not affected by seasonality. Primary care physicians will encounter new patients presenting with ENT related concerns quite frequently. This is especially true in the pediatric patient population. Increased ENT medical education is both necessary and essential for undergraduate medical students, residents, and primary care physicians.

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Replicating Anatomical Teaching Specimens using 3D Modelling Embedded within a Multimodal E-Learning Course: A Pre/Post Study Exploring the Impact on Medical Education during COVID-19 (Preprint)

10.2196/preprints.30533 ◽

2021 ◽

Author(s):

Chelsea Stunden ◽

Sima Zakani ◽

Avery Martin ◽

Shreya Moodley ◽

John Jacob

Keyword(s):

Medical Students ◽

Learning Outcomes ◽

Test Scores ◽

Student Attitudes ◽

Congenital Heart ◽

Secondary Outcome ◽

First Year ◽

Undergraduate Medical Students ◽

E Learning ◽

The Impact

BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has had significant effects on anatomy education. During the pandemic, students have had no access to cadavers, which has been the principal way of learning anatomy. We created and tested a customized congenital heart disease e-learning course for medical students that contained interactive 3D models of anonymized pediatric congenital heart defects. OBJECTIVE To assess if a multimodal e-learning course contributed to learning outcomes in a cohort of first year undergraduate medical students study congenital heart diseases. Secondarily, we assess student attitudes and experiences associated with multimodal e-learning. METHODS The pre/post study design involved 290 first year undergraduate medical students. Recruitment was conducted through the course instructors. Data were collected before using the course and after using the course. The primary outcome was knowledge acquisition (test scores). The secondary outcome included attitudes and experiences, as well as time to complete the modules, and browser metadata. RESULTS A total of 141 students were included in the final analysis (N=141). Students’ knowledge significantly improved by an average of 44.6% when using the course (SD 1.73, Z = -10.287, p < 0.001). 88.26% of students were highly motivated to learn with the course and 93.5% of students reported positive experiences with the course. There was a strong correlation between attitudes and experiences, which was statistically significant (rs = 0.687, p<0.001, N = 122). There were no relationships found between change test scores and attitudes or experiences (p>0.05). Students most frequently completed the e-learning course with Chrome (77.3%), and on Apple MacOS (61.0%) or Windows 10 (36.9%). Most students had devices with high-definition screens (83.0%). Most students (58.9%) completed the course in under 3 hours. CONCLUSIONS Multi-modal e-learning could be a viable solution to improving learning outcomes and experiences for undergraduate medical students, who do not have access to cadavers. Future research should focus on validating long-term learning outcomes. CLINICALTRIAL n/a

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Assessment of Pattern, Determinants and Treatment Practices of Menstrual Disorders among Medical Undergraduate Students

Current Women s Health Reviews ◽

10.2174/1573404817666211027094722 ◽

2021 ◽

Vol 17 ◽

Author(s):

Nitin Joseph ◽

Ayisha Alfiya ◽

Megha Khurana ◽

Maheshwari Divya ◽

Kritika Gupta ◽

...

Keyword(s):

Medical Students ◽

Multivariable Analysis ◽

Menstrual Disorders ◽

Undergraduate Medical Students ◽

Or Education ◽

Self Medication ◽

Cross Sectional ◽

Treatment Practices ◽

Medical Undergraduate ◽

Excessive Consumption

Background: Menstruation-related symptoms (MRSs) have been observed to result in absenteeism from either work or education, more commonly among women below 21 years than women of any other age group. Despite its high prevalence and associated ill effects, it is generally ignored even by medical students. Objectives: This study was conducted to assess the pattern, determinants, and treatment practices of menstrual disorders among undergraduate medical students. Methods: This was a cross-sectional study conducted among 215 female medical students from first to final year. Data were collected by using a self-administered questionnaire. The height and weight of participants were measured using standard procedures. Results: The most common menstrual disorders reported by participants over the past six months were dysmenorrhoea [191(88.8%)] followed by irregular cycles [43(20.0%)]. In multivariable analysis, the presence of polycystic ovarian syndrome (PCOS) and excessive consumption of coffee was associated with irregular menstrual cycles; the presence of anaemia was associated with menorrhagia, the presence of fibroids and age of participants ≤18 years were associated with polymenorrhoea, excessive chocolate consumption was related to intermenstrual bleeding, excessive chocolate consumption, presence of anaemia, and low body mass index (BMI) were associated with premenstrual syndrome. Self-medication was reported by 15 (42.9%) out of the 35 participants on treatment. Conclusion: Dysmenorrhea, menstrual irregularities, and premenstrual symptoms were common among participants. They need to limit potential risk factors like excessive consumption of coffee and chocolates. Additionally, screening for anaemia, PCOS, fibroids and low BMI needs to be done. Self-medication practices need to be also dissuaded in the setting.

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