scholarly journals The Perception of Rural Medical Students Regarding the Future of General Medicine: A Thematic Analysis

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1256
Author(s):  
Kasumi Nishikawa ◽  
Ryuichi Ohta ◽  
Chiaki Sano
Keyword(s):  
Medical Students ◽  
Thematic Analysis ◽  
General Medicine ◽  
Present Situation ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Factors Influencing ◽  
Positive Impression ◽  
Further Development ◽  
Medicine Education

Although the demand for general physicians has increased in Japan because of its aging population, medical universities primarily provide organ-based education; thus, medical students do not receive sufficient general medical education. The number of residents focusing on general medicine remains low; therefore, to understand the present situation regarding general medicine education, we attempted to clarify the views of medical students and the factors influencing them. In this qualitative study, semi-structured interviews were conducted in 12 medical students at Shimane University, and the results were analyzed through thematic analysis. The results indicated the emergence of three themes and 14 concepts. The three overarching themes were as follows: hopes for the field of general medicine, gaps between ideal and reality of general medicine, and factors affecting students’ motivation for specialization in general medicine. Medical students had a positive impression of general medicine and believed that it has potential for further development; however, they felt a gap between their ideals and reality (i.e., unclear expertise). Factors creating this gap included poorly developed education and medical policies. We need to restructure general medicine education based on the participants’ perceptions by establishing collaborative curricula between universities and community hospitals and by increasing students’ exposure to general medicine.

Structured Long Interview and Clinical Examination (SLICE) as Formative Assessment Tool in Clinical Clerkship: Medical Students Perspective

2021 ◽  
pp. 1-16
Author(s):  
Wajiha Shadab ◽  
Amna Ahmed Noor ◽  
Saira Waqqar ◽  
Gul Muhammad Shaikh
Keyword(s):  
Medical Students ◽  
Formative Assessment ◽  
Thematic Analysis ◽  
Assessment Tool ◽  
Clinical Skills ◽  
General Medicine ◽  
Sampling Technique ◽  
Clinical Clerkship ◽  
Primary Investigator ◽  
Skills Learning

Abstract Objective: This study aimed to assess the medical students’ opinions and views on undertaking SLICE as a formative assessment. Methods: This was a qualitative, exploratory study. Purposive sampling technique was used to select final year medical students who have undertaken a formative assessment through SLICE in their clerkship rotation. Total 32 students participated in this study .Four sets of focus group discussions (FGD) were conducted from medical students who had recently gone through their clinical clerkship modules for Pediatrics, General Medicine, General Surgery and Gynecology& Obstetrics. Each recorded FGD was transcribed verbatim. Thematic analysis was conducted manually. Themes were identified from the transcribed data, coded and analyzed. In order to achieve adequate coding and researcher reliability, investigator triangulation was performed. The initial thematic analysis was performed by the primary investigator. Thereafter, two more investigators independently analyzed the data. Before the data was finalized, all the three investigators reached a final consensus upon the themes that had emerged, ensuring triangulation of the analyzed data. Results: A four staged thematic analysis was conducted, in which five major themes and five sub-themes emerged. The main themes being: Purpose, Learning, Timing, Relevancy and Fairness of SLICE. Conclusion: The students generally thought that SLICE was effective in enhancing their clinical skills learning and should be conducted more frequently with minor adjustments. Continuous...

scholarly journals Evaluation of the geriatric curriculum implemented at Shiraz University of Medical Sciences, Iran, since 2017: A qualitative study

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 417 ◽  
Author(s):  
Faezeh Jaafari ◽  
Somayeh Delavari ◽  
Leila Bazrafkan
Keyword(s):  
Medical Students ◽  
Clinical Education ◽  
Group Discussion ◽  
Geriatric Medicine ◽  
General Medicine ◽  
Ambulatory Setting ◽  
Field Observations ◽  
Medical Sciences ◽  
Structured Interviews ◽  
The University

Background: Recently, there has been an increase in life expectancy due to improvements in nutrition, health, and sanitation. The aim of this study was to evaluate the geriatric curriculum in the field of general medicine at Shiraz University of Medical Sciences (SUMS), Iran to improve the quality of services provided to this population in the community. Methods: This was a qualitative study­­. Six educational hospitals and ambulatory centers of Shiraz University of Medical Sciences participated in this study. Within these centers, 15 medical education faculty members and educational experts, 6 medical students, 6 elderly patients and 6 nurses working in the university related to the geriatric field were selected using purposive sampling. Data were gathered through semi-structured interviews, focus group discussion and field observations in the teaching hospital and ambulatory setting of SUMS from June 2017 to May 2018.  Based on the qualitative research, the data underwent conventional content analysis and the main themes were developed from this. Results: Three main themes were extracted from the data: effective clinical education, geriatrics curriculum challenges and promotion strategies for geriatric medicine. Subcategories that emerged were a competent curriculum teacher, a challenging program, management of resources, promotion of the program, and the revision required in the curriculum, which were related to other concepts and described in the real-world situation of the geriatric curriculum in the university, as observed in field observations. Conclusions: This study identified three concepts as main themes that can be used to explain how to implement a geriatric curriculum in a medical university. The main contributing factor to different views of the participants was identified as the revision required to the curriculum for integrative care in a geriatric patient. This should be taken into consideration while planning any programs and decisions aimed at education of medical students on this topic.

Developing a model for analyzing the factors influencing interpersonal conflict

2019 ◽  
Vol 57 (5) ◽  
pp. 1127-1144
Author(s):  
Zeinab Lalegani ◽  
Ali Nasr Isfahani ◽  
Arash Shahin ◽  
Ali Safari
Keyword(s):  
Qualitative Study ◽  
Mixed Method ◽  
Interpersonal Conflict ◽  
Organizational Factors ◽  
Structured Interviews ◽  
Contributing Factors ◽  
Content Type ◽  
Factors Affecting ◽  
Interpersonal Conflicts ◽  
Factors Influencing

Purpose The purpose of this paper is to develop and analyze a model of factors influencing interpersonal conflicts. Design/methodology/approach This research was conducted using a mixed method approach. In the qualitative study, the conceptual model of the factors affecting interpersonal conflicts was extracted from semi-structured interviews with 17 relevant experts using a theme analysis technique. Then, three hypotheses were developed based on the model and relevant theoretical evidence. Using a researcher-made questionnaire which was developed earlier based on the qualitative results, a quantitative-based survey was performed to assess the interpersonal conflicts and also the standard scale of the level of interpersonal conflicts (Jehn, 1997). The hypotheses were tested on a sample of 160 employees of Chaharmahal and Bakhtiari Province Gas Company (CBPGC). Findings The results of the qualitative study indicated that individual factors including personality dimensions and individual differences; organizational factors including five dimensions of organizational culture, organizational structure, management characteristics, intra-organization factors and human resource systems; and environmental factors influenced the creation of interpersonal conflicts. The results of the quantitative study indicated that organizational factors with an effect size of 0.502 were identified as the most important factor influencing interpersonal conflicts. Research limitations/implications The findings of this study can provide a roadmap to managers of the CBPGC to be aware of the contributing factors to conflict within their organization. Originality/value The use of mixed method to identify the causes and factors of interpersonal conflict and analyzing a context different from previous studies can be considered as the innovations of this study.

scholarly journals Doctors’ decisions when disclosing their mental ill-health

2019 ◽  
Vol 69 (4) ◽  
pp. 258-265 ◽  
Author(s):  
S Rees ◽  
D Cohen ◽  
N Marfell ◽  
M Robling
Keyword(s):  
Decision Making ◽  
Medical Students ◽  
Thematic Analysis ◽  
Personal Experience ◽  
Potential Outcomes ◽  
Structured Interviews ◽  
Social Media Data ◽  
Seeking Help ◽  
The Many ◽  
Media Data

Abstract Background Understanding of what prevents doctors from seeking help for mental ill-health has improved. However, less is known about what promotes timely disclosure and the nature of doctors’ decision making. Aims This study aimed to define how doctors make decisions about their own mental ill-health, and what facilitates disclosure. It explored the disclosure experiences of doctors and medical students; their attitudes to their decisions, and how they evaluate potential outcomes. Methods Qualitative, semi-structured interviews with UK doctors and medical students with personal experience of mental ill-health. Participants were recruited through relevant organizations, utilizing regular communications such as newsletters, e-mails and social media. Data were subject to a thematic analysis. Results Forty-six interviews were conducted. All participants had disclosed their mental ill-health to someone; not all to their workplace. Decision making was complex, with many participants facing multiple decisions throughout their careers. Disclosures were made despite the many obstacles identified in the literature; participants described enablers to and benefits of disclosing. The importance of appropriate responses to first disclosures was highlighted. Conclusions Motivations to disclose mental ill-health are complex and multifactorial. An obstacle for one was an enabler for another. Understanding this and the importance of the first disclosure has important implications for how best to support doctors and medical students in need.

scholarly journals KEY FACTORS INFLUENCING LEARNERS’ ORAL FLUENCY IN ENGLISH SPEAKING CLASSES: A CASE AT A PUBLIC UNIVERSITY IN VIET NAM

2020 ◽  
Vol 36 (6) ◽  
pp. 93
Author(s):  
Dinh Thi Bich Ngoc ◽  
Tran Thi Dung
Keyword(s):  
Language Learning ◽  
English Language ◽  
Structured Interview ◽  
Survey Questionnaire ◽  
Structured Interviews ◽  
Oral Fluency ◽  
Factors Affecting ◽  
Affective Factors ◽  
Factors Influencing ◽  
English Speaking

In the field of English language learning, speaking is regarded as one of the most important skills to be developed and enhanced continually as means of effective communication. In most English classes at universities, many students find it difficult to express themselves in spoken English. So this research aims to investigate prominent factors affecting fluency of second-year students in speaking skill. The study uses mixed research methods with two data collection instruments namely survey questionnaire and semi-structured interview. The participants joining the survey questionnaire include 98 English non-majored students who were taking the English speaking course in their second semester at a university. The semi-structured interviews were conducted with 15 teachers and 15 students. The findings reveal that the group of affective factors is the prominent one, and then followed by automation, error correction and performance factors influencing their oral fluency. Therefore, some useful recommendations focusing on interactive strategies to minimize learners’ difficulties in oral fluency as well as develop their fluency in English speaking performance in this study could be taken into account for EFL teachers in English speaking classes.

scholarly journals The Negative Factors Influencing the Career Intention of General Practice Trainees in Eastern China: a Qualitative Study

2021 ◽  
Author(s):  
Lei Tang ◽  
Huan Yang ◽  
Zhuxin Mao ◽  
Quan Li ◽  
Shunping Li
Keyword(s):  
General Practice ◽  
Thematic Analysis ◽  
Eastern China ◽  
Training System ◽  
Social Recognition ◽  
Structured Interviews ◽  
Career Intention ◽  
Factors Influencing ◽  
The Government ◽  
Negative Factors

Abstract Background: There is an acute shortage of general practitioners (GPs) in China, and most of those general practice trainees have low career intention. This study aimed to investigate negative factors influencing the career intention of GPs in eastern China from the perspective of trainees taking standardised residency training, as to identify the barriers for general practice trainees becoming registered GPs, and to provide a policy-making basis for GPs recruitment and retention.Methods: A qualitative design was carried out in two training bases of Jinan and Qingdao in eastern China. Face-to-face, in-depth, semi-structured interviews were conducted, audiotaped, and transcribed using thematic analysis.Results: twenty-one trainees participated in this study. Thematic analysis generated five major themes: (1) low social recognition, (2) low professional identity, (3) low remuneration level, (4) imperfect training system and (5) influence of policy factors. Conclusion: Our results identified various negative factors influencing the career intentions of trainees. In order to eliminate these factors and increase attractiveness of general practice, it is recommended that the government and the public should create a supportive environment, which can be beneficial to the construction and development of general practice.

scholarly journals Emergency medicine training in Canada: a survey of medical students' knowledge, attitudes, and preferences

CJEM ◽  
2011 ◽  
Vol 13 (04) ◽  
pp. 251-258 ◽  
Author(s):  
Morgan Hillier ◽  
Shelley McLeod ◽  
Danny Mendelsohn ◽  
Bradley Moffat ◽  
Audra Smallfield ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Medical Students ◽  
Family Medicine ◽  
Training Program ◽  
Residency Training ◽  
Residency Training Program ◽  
Factors Affecting ◽  
Factors Influencing ◽  
The University ◽  
And Control

ABSTRACTObjectives:The objective of this study was to assess medical students' knowledge of and attitudes toward the two Canadian emergency medicine (EM) residency programs (Fellow of the Royal College of Physicians of Canada [FRCPC] and Certificant of the College of Family Physicians-Emergency Medicine [CCFP-EM]). Additionally, medical students interested in EM were asked to select factors affecting their preferred choice of residency training program and their intended future practice.Methods:Medical students enrolled at The University of Western Ontario for the 2008–2009 academic year were invited to complete an online 47-item questionnaire pertaining to their knowledge, opinions, and attitudes toward EM residency training.Results:Of the 563 students invited to participate, 406 (72.1%) completed the survey. Of the respondents, 178 (43.8%) expressed an interest in applying to an EM residency training program, with 85 (47.8%) most interested in applying to the CCFP-EM program.The majority of respondents (54.1%) interested in EM believed that there should be two streams to EM certification, whereas 18.0% disagreed. Family life and control over work schedule appeared to be common priorities seen as benefits of any career in EM. Other high-ranking factors influencing career choice differed between the groups interested in CCFP-EM and FRCPC. The majority of students interested in the CCFP-EM residency program (78%) reported that they intend to blend their EM with their family medicine practice. Only 2% of students planned to practice only EM with no family medicine.Conclusions:This is the first survey of Canadian medical students to describe disparities in factors influencing choice of EM residency stream, perceptions of postgraduate work life, and anticipated practice environment.

scholarly journals ‘Why didn’t they see my scars?’ Critical thematic analysis of simulated participants’ perceived tensions surrounding objective structured clinical examinations

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Mairead Corrigan ◽  
Helen J. Reid ◽  
Pascal P. McKeown
Keyword(s):  
Patient Safety ◽  
Medical Students ◽  
Thematic Analysis ◽  
Real Life ◽  
Negative Consequences ◽  
Structured Interviews ◽  
Clinical Encounters ◽  
Objective Structured Clinical Examinations ◽  
Power And Agency

Abstract Background Simulated participants (SPs) play an important role in simulated assessments of clinical encounters between medical students and patients, most notably in objective structured clinical examinations (OSCEs). SP contributions to OSCEs are invaluable, taking the role of a patient or carer. While SPs in some settings/contexts may rate students, their role has been problematized in the literature for their lack of agency within a standardised format of OSCEs that promotes reliability, objectivity and accountability. In this study, we explored SP experiences for tensions that result from simulated assessments and their potential implications for education. Methods Semi-structured interviews were conducted with seven SPs who were also tasked with providing a global mark for students. They were purposively selected to include women and men of different ages, occupation, education and experience as an SP. The interviews were analysed using a critical thematic analysis using a phenomenological approach. Results SP experiences directly addressed tensions and contradictions around OSCEs. SP participants described their experiences under four themes: industrialising, reducing, performativity and patient safety. OSCEs were compared to an industrial process that promoted efficiency but which bore no resemblance to real-life doctor-patient encounters. They were perceived to have a power and agency that reduced SPs to verbalising scripts to ensure that students were exposed to a standardised simulated experience that also underlined the performative role of SPs as props. These performative and reductionist experiences extended to students, for whom the mark sheet acted as a checklist, promoting standardised responses that lacked genuineness. All of this created a tension for SPs in promoting patient safety by ensuring that those medical students who passed were clinically competent. Conclusions OSCEs often form part of high-stakes exams. As such, they are governed by processes of industrialisation, accountability and standardisation. OSCEs possess a power and agency that can have unintended negative consequences. These include ‘conditioning’ students to adopt behaviours that are not suited to real-life clinical encounters and are not person-centred.

scholarly journals Factors affecting the market of household bank deposits in Ukraine

2021 ◽  
Vol 190 (5-6(2)) ◽  
pp. 98-108
Author(s):  
Serhii Ivanov ◽  
◽  
Svitlana Yudina ◽  
Svitlana Hanziuk ◽  
Tamara Gurzhiy ◽  
...  
Keyword(s):  
Economic Recovery ◽  
Effective Management ◽  
Domestic Investment ◽  
Factors Affecting ◽  
Bank Deposits ◽  
Factors Influencing ◽  
Major Factors ◽  
The Impact ◽  
Further Development

Ukraine currently needs additional investment resources in order to revitalize and develop the economy. The main objective of the study is to determine the regularities, peculiarities behind the formation of organized population’s savings and assess the factors influencing the development of this market in order to improve the quality of its management and use of the potential of domestic investment resources for economic recovery and growth in Ukraine. In order to compare the trends as for the accumulation of savings through deposit investment, the authors analyzed the impact of major factors on these processes in Ukraine and Czech Republic. The main results of the study encompass improved approaches to determining the impact of the system of factors on household deposits based on correlation-regression analysis. This makes it possible to optimize the choice of tools for effective management of deposit resources; further elaborate the approaches to assessing the level of domestic household deposits as well as allows substantiating the directions of implementation of the state policy in the context of ensuring the further development on the market of bank deposit services.

scholarly journals Describing Variability of Inpatient Consultation Practices: Physician, Patient, and Admission Factors

2020 ◽  
pp. 164-168
Author(s):  
Marika Kachman ◽  
Keme Carter ◽  
Vineet M Arora ◽  
Andre Flores ◽  
David O Meltzer ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Poisson Regression ◽  
General Medicine ◽  
Mixed Effect ◽  
Factors Affecting ◽  
Inappropriate Use ◽  
Factors Influencing ◽  
The University ◽  
Physician Patient ◽  
Improve Patient

Appropriate use of consultation can improve patient outcomes, but inappropriate use may cause harm. Factors affecting the variability of inpatient consultation are poorly understood. We aimed to describe physician-, patient-, and admission-level factors influencing the variability of inpatient consultations on general medicine services. We conducted a retrospective study of patients hospitalized from 2011 to 2016 and enrolled in the University of Chicago Hospitalist Project, which included 6,153 admissions of 4,772 patients under 69 attendings. Consultation use varied widely; a 5.7-fold difference existed between the lowest (mean, 0.613) and highest (mean, 3.47) quartiles of use (P <.01). In mixed-effect Poisson regression, consultations decreased over time, with 45% fewer consultations for admissions in 2015 than in 2011 (P <.01). Patients on nonteaching hospitalist teams received 9% more consultations than did those on teaching services (P =.02). Significant variability exists in inpatient consultation use. Further understanding may help to identify groups at high-risk for underuse/overuse and aid in the development of interventions to improve high-value care.

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