scholarly journals Perception of Medical Professionalism among Medical Residents in Spain

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1580
Author(s):  
Joaquín García-Estañ ◽  
Jose María Cabrera-Maqueda ◽  
Eduardo González-Lozano ◽  
Jacinto Fernández-Pardo ◽  
Noemí M. Atucha
Keyword(s):  
Medical School ◽  
Educational Interventions ◽  
Medical Residents ◽  
Medical Professionalism ◽  
Medical Residency ◽  
University Hospitals ◽  
Social Commitment ◽  
Service Excellence ◽  
Validated Questionnaire ◽  
Increasing Trend

Background: Medical professionalism, defined as commitment to the primacy of patient welfare, is the basis for doctor–patient–society relationships, but previous research with medical students has shown that professionalism and social commitment to medicine may be waning. To determine if this trend also appears in recently qualified practicing doctors, we surveyed 90 newly graduated doctors currently working as medical residents in two university hospitals in Murcia, Spain. A previously validated questionnaire that studies the perception of six categories (responsibility, altruism, service, excellence, honesty and integrity, and respect) defining medical professionalism was used. Results: A good perception of professionalism was found among medical residents, with more than 70% positive responses in all these six categories. There is an increasing trend in the number of negative responses as the residency goes on. Altruism was the category with the greatest percentage of negative answers (22.3%) and Respect was the category with the lowest percentage (12.9%). Conclusions: The results show a good professionalism perception in medical residents, but also a slight decline in positive answers that began during medical school. A significant trend was found when including both students and residents. Although there were some differences between students and residents, these were not statistically significant. Educational interventions are needed both at the level of medical school and postgraduate medical residency.

The Resident in the Non-university Hospital

PEDIATRICS ◽  
1962 ◽  
Vol 29 (4) ◽  
pp. 678-679
Author(s):  
H. William Fink
Keyword(s):  
Medical Students ◽  
Medical School ◽  
University Hospital ◽  
Community Hospitals ◽  
University Hospitals ◽  
Pediatric Practice ◽  
The Future

I write with concern for the future of good community hospitals with qualified attending pediatricians and plenty of patient material but no residents. In the ever-increasing competition for residents, such hospitals are slowly being strangled by the more fortunate university hospitals with their access to medical students and interns. I fear that the ultimate consequences will be the downgrading of pediatric practice throughout the county in those areas where there is not a medical school.

scholarly journals Obstructive sleep apnea knowledge and attitudes among recent medical graduates training in Ecuador

2019 ◽  
Vol 13 ◽  
Author(s):  
Iván Chérrez-Ojeda ◽  
Juan Carlos Calderón ◽  
Andrea Fernández García ◽  
Donna B. Jeffe ◽  
Ilka Santoro ◽  
...  
Keyword(s):  
Medical School ◽  
Latin American ◽  
Educational Interventions ◽  
Categorical Variables ◽  
Clinical Disorder ◽  
Medical Graduates ◽  
Knowledge And Attitudes ◽  
Obstructive Sleep ◽  
Recent Graduates ◽  
Practicing Physicians

Background: We aimed to assess recent Latin American medical school graduates’ knowledge and attitudes about OSA and examine whether their knowledge and attitudes about OSA differed from practicing physicians. Methods: Recent medical graduates completed the Spanish translation of the OSA Knowledge and Attitudes (OSAKA) questionnaire at the 2013 national primary-care residency-placement meeting in Ecuador. The OSAKA includes 18 knowledge and five attitudinal items about OSA. We compared recent graduates’ data with data collected in 2010–2011 from practicing physicians using chi-square tests of associations among categorical variables and analysis of variance of differences in mean knowledge and attitude scores. Unadjusted logistic regression models tested the odds that recent graduates (vs. practicing physicians) answered each item correctly. Results: Of 265 recent graduates, 138 (52.1%) were male, and mean age was 25.9 years. Although mean knowledge was low overall, scores were lower for recent graduates than for the 367 practicing physicians (53.5% vs. 60.4%; p < 0.001). Practicing physicians were significantly more likely to answer specific items correctly with one exception—recent graduates were more likely to know that < 5 apneas-hypopneas/h is normal (OR 1.47, 1. 03–2.07). Physicians in practice attributed greater importance to OSA as clinical disorder and the need for identifying patients with OSA; but recent graduates reported greater confidence in managing patients with OSA and CPAP. Conclusions: OSA-focused educational interventions during medical school should help to improve recent medical graduates’ abilities to diagnose and treat OSA. We recommend a greater number of hours of medical students’ exposure to sleep education.

scholarly journals The Academic Performance of Scholarship Students during Medical School

2019 ◽  
Vol 43 (3) ◽  
pp. 163-169
Author(s):  
Glaucia de-Oliveira Moreira ◽  
Silvia Passeri ◽  
Paulo Eduardo Neves Ferreira Velho ◽  
Flavio Ferraresi ◽  
Simone Appenzeller ◽  
...  
Keyword(s):  
Academic Performance ◽  
Medical Students ◽  
Medical School ◽  
Low Income ◽  
Educational Background ◽  
Public Institution ◽  
Choice Test ◽  
Medical Residency ◽  
Full Time ◽  
Residency Programs

ABSTRACT The inclusion, adherence and success of low-income undergraduates are important goals in Brazilian higher education, as well as in other parts of the world, especially in busy and full-time courses such as medicine. This paper analyzes the performance of undergraduate medical students by comparing two groups: those who applied for and received a scholarship during the academic years (scholarship holders) and the others (without scholarship). We analyzed data from 417 medical students who graduated between 2010 and 2013, corresponding to four years of a retrospective cohort at a free public university in Brazil. Statistical analysis was performed using Fisher’s exact test, Student’s t test, Mann-Whitney test, and linear regression to compare the scores of these groups in the sixth and twelfth semesters (middle and final semesters) and in the admission exam for medical residency programs, consisting of: total score, multiple choice test for knowledge assessment, simulated structured clinical assessment, interview and written questions. The independent variable was to receive a scholarship, while the control variables were age, socioeconomic strata, extra gratuities for high school in public institution and self-declaration of race, score in the vestibular entry exam (general and in each area assessed) and parents’ level of education. A total of 243 students (58.2%) received a scholarship, most of them as a scientific initiation grant (217 or 89.3%), while 10.7% received social assistance, the average income per capita was about 16% lower among students who received a scholarship (p = 0.01) compared to those who did not. Scholarship recipients achieved better academic performance in the sixth (p<0.01) and in the twelfth (p<0.01) semester, but not in admission to medical residency programs. Good performance was independent of age, race, receipt of bonuses for admission to medical school, and educational background of their parents. Therefore, we conclude that receiving a scholarship at the undergraduate level was associated tobetter student performance during the undergraduate medical course. It is important to emphasize the importance of reinforcing similar programs, especially to help support students who are most vulnerable socioeconomically.

Burnout in Medical Residents: Prevalence and Risk Factors

2017 ◽  
Vol 41 (S1) ◽  
pp. S284-S284
Author(s):  
I. Feki ◽  
S. Hentati ◽  
R. Sallemi ◽  
N. Bahloul ◽  
D. Zalila ◽  
...  
Keyword(s):  
Personal Characteristics ◽  
Working Hours ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Medical Residents ◽  
University Hospitals ◽  
Organizational Interventions ◽  
Burn Out ◽  
Competing Interest ◽  
Severe Degree

BackgroundBurnout is a state of mental and physical exhaustion related to work. It is manifested in a variety of professions and is prevalent in contexts in which health professionals are required to interact directly with the public.ObjectivesTo estimate the burnout syndrome (BOS) prevalence and to identify its associated factors among medical residents.MethodsA descriptive and analytic study conducted during a period from 2012 until 2014, including 184 residents exerting at the two university hospitals of Sfax, Tunisia. Data collection was conducted using an anonymous self-questionnaire, including demographic items and working conditions items. Maslach Burn-out Inventory (MBI) was used to assess BOS.ResultsThe average age was 25.14 ± 1.47 years. The sex-ratio was 0.65. The majority (154 residents) was single. Over than half (58.2%) of medical residents endure a high emotional exhaustion, 62.5% a high depersonalisation and 12.5% a low personal accomplishment. About eighty percent (79.3%) of them were in burn out with 37% at intermediate and 11.3% at a severe degree. No statistical association was found between the personal characteristics and BOS. Whereas, several factors related to employment status were correlated with the presence of BOS such us: number of working hours > 30 h/week, a number of free weekends < 2/month and a number of days off ≤ 30 days/year. In addition, we found that psychotropic and alcohol consumption were significantly associated to BOS with respectively P = 0.050 and P = 0.002.ConclusionBurnout is a worrying reality among young doctors. Individual as well as organizational interventions should be targeted to prevention.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Peer mentoring in medical residency education: A systematic review

2020 ◽  
Author(s):  
Helen Pethrick ◽  
Lorelli Nowell ◽  
Elizabeth Oddone Paolucci ◽  
Liza Lorenzetti ◽  
Michele Jacobsen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Peer Mentoring ◽  
Academic Research ◽  
Residency Education ◽  
Medical Residents ◽  
Professional Competencies ◽  
Mentoring Relationships ◽  
Medical Residency ◽  
Peer Mentorship ◽  
Psychosocial Wellbeing

Background: Medical residents may experience burnout during their training, and a lack of social support. This can impact their overall wellbeing and ability to master key professional competencies. We explored, in this study, the extent to which peer mentorship promotes psychosocial wellbeing and the development of professional competencies in medical residency education. Methods: We searched six databases (MEDLINE, EMBASE, PsycINFO, Academic Research Complete, ERIC, Education Research Complete) for studies on peer mentoring relationships in medical residency. We selected any study where authors reported on outcomes associated with peer mentoring relationships among medical residents. We applied no date, language, or study design limits to this review. Results: We included nine studies in this systematic review. We found that medical residents received essential psychosocial supports from peers, and motivation to develop academic and career competencies. Medical residents in peer-mentoring relationships also reported increased overall satisfaction with their residency training programs. Conclusions: Peer-mentoring relationships can enhance the development of key professional competencies and coping mechanisms in medical residency education. Further rigorous research is needed to examine the comparative benefits of informal and formal peer mentoring, and identify best practices with respect to effective design of peer-mentorship programs.

scholarly journals A comparison of four models of professionalism in medical education

2021 ◽  
Vol 6 (3) ◽  
pp. 24-31
Author(s):  
Maria Isabel Atienza
Keyword(s):  
Medical Education ◽  
Medical School ◽  
Teaching And Learning ◽  
Medical Curriculum ◽  
Medical Professionalism ◽  
Role Modelling ◽  
School Of Medicine ◽  
Curricular Design ◽  
Definition Of ◽  
Vanderbilt University

Introduction: The prevailing consensus is that medical professionalism must be formally included as a programme in the undergraduate medical curriculum. Methods: A literature search was conducted to identify institutions that can serve as models for incorporating professionalism in medical education. Differences and similarities were highlighted based on a framework for the comparison which included the following features: definition of professionalism, curricular design, student selection, teaching and learning innovations, role modelling and methods of assessment. Results: Four models for integrating professionalism in medical education were chosen: Vanderbilt University School of Medicine (VUSM), University of Washington School of Medicine (UWSOM), University of Queensland (UQ) School of Medicine, and Mayo Clinic and Mayo Medical School. The task of preparing a programme on medical professionalism requires a well-described definition to set the direction for planning, implementing, and institutionalizing professionalism. The programmes are best woven in all levels of medical education from the pre-clinical to the clinical years. The faculty physicians and the rest of the institution’s staff must also undergo a similar programme for professionalism. Conclusion: The development of all scopes of professionalism requires constant planning, feedback and remediation. The students’ ability to handle professionalism challenges are related to how much learning situations the students encounter during medical school. The learning situations must be adjusted according to the level of responsibilities given to students. The goal of learning is to enable students to grow from a novice to a competent level and afterwards to a proficient and expert level handling professionalism challenges in medicine.

scholarly journals From Reading to Healing: Teaching Medical Professionalism through Literature

2020 ◽  
Vol 108 (1) ◽  
Author(s):  
Eleanor Shanklin Truex
Keyword(s):  
Medical School ◽  
Health Sciences ◽  
Medical Professionalism

This well-organized anthology describes a variety of pedagogic scenarios designed to explore the concept of professionalism that can be incorporated into medical school or any health sciences curriculum.

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