scholarly journals Migration, Retention and Return Migration of Health Professionals Comment on "Doctor Retention: A Cross-sectional Study of How Ireland Has Been Losing the Battle"

2020 ◽  
Author(s):  
Latha S. Davda ◽  
David R. Radford ◽  
Jennifer E. Gallagher
Keyword(s):  
Medical Education ◽  
Health Professional ◽  
Health Professionals ◽  
Well Being ◽  
Cross Sectional Study ◽  
Continuous Training ◽  
Cross Sectional ◽  
The United Kingdom ◽  
Medical Education And Training ◽  
Shortage Of Doctors

Medical education and training of health professionals are linked with their recruitment and retention. Practising as a competent health professional requires life-long continuous training and therefore training structures in health systems appear to influence doctors job satisfaction, their well-being and their intentions to remain in that health system. The commentary critiques aspects of the paper on doctors retention in Ireland, while drawing some parallels with the United Kingdom. There appears to be an emerging type of health professional migrants ‘education tourists’ who travel to other countries to obtain medical education creating new routes of migration and this presents new challenges to source and destination countries. The global shortage of doctors and other health professionals further exacerbates health inequalities as seen in the present pandemic and therefore the increased need for research into health professionals’ migration and their integration.

scholarly journals A cross-sectional study of factors determining empathy levels among undergraduate medical students of a medical college in Northern Telangana

2021 ◽  
Vol 8 (3) ◽  
pp. 49-55
Author(s):  
Shiv Kumar R ◽  
Puli SK ◽  
P. Kishan ◽  
Sanjay ND ◽  
Pusukuri Sphurthi ◽  
...  
Keyword(s):  
Medical Education ◽  
Well Being ◽  
Cross Sectional Study ◽  
First Year ◽  
Sectional Study ◽  
Global Functioning ◽  
Cross Sectional ◽  
Clinical Rotations ◽  
Medical College ◽  
Second Year

Background: The development of an ideal doctor-patient relationship requires empathy. Empathetic conversation aids in the formation of an open and trusting equation between doctor and patient. Furthermore, this leads to accurate diagnoses and more compliance to the advised treatment. In this manner, empathy helps in overall recovery of the patient and improves global functioning and generalised well-being. This study aims to make note of the fluctuation in empathy levels during medical education. Studies done in various countries have found factors such as curriculum, clinical rotations timing and gender to progressively influences empathy levels in students throughout their medical training. The recent trend of violence against healthcare professionals in India calls for an urgent action into the gap between doctors and patients communication. Empathy towards patients and attendants will reduce such untoward events. In this current context, we should improve empathy levels among the training doctors. As a first step, we should assess various factors affecting empathy among health care professionals. Method: This cross sectional study was done among undergraduates of a rural medical college in Northern Telangana during the time period of October to December 2019. Their empathy levels were assessed using Jefferson’s Scale for Empathy- Student version (JSE-S). Result: Of the 470 students surveyed, 227 were males and 243 females. Female students were having higher empathy among first year and second years (p<0.001). Empathy levels seem to decline from first year to second year following which the mean empathy remains similar throughout the remaining years in students of both sexes. There is no significant relation between mean empathy scores and choice of future speciality (p>0.05). Conclusion: Female undergraduate students are found to be more empathetic than their male counterparts. A fall in empathy scores from the first to second year of MBBS is seen, which is when students enter their clinical rotations. Targeted intervention at this time may go a long way in the creation of a new generation of more empathetic physicians. Hence, there is a need for evaluation of teaching and learning techniques in medical education. Further, there is a call for more research into the determinants of decline in empathy amongst medical professionals.

scholarly journals COVIDReady2 Study Protocol: Cross-sectional Survey of Medical Student Volunteering and Education During the COVID-19 Pandemic in the United Kingdom

2021 ◽  
Author(s):  
Matthew H V Byrne ◽  
James Ashcroft ◽  
Laith Alexander ◽  
Jonathan C M Wan ◽  
Anmol Arora ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Learning Experience ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The United Kingdom ◽  
Clinical Support ◽  
Qualitative Responses ◽  
Education Opportunity

Background and objectives: Covid-19 has led to global disruption of healthcare. Many students volunteered to provide clinical support. Volunteering to work in a clinical capacity was a unique medical education opportunity; however, it is unknown whether this was a positive learning experience or which volunteering roles were of most benefit to students. Methods and Design: The COVIDReady2 study is a national cross-sectional study of all medical students at UK medical schools. The primary outcome is to explore the experiences of medical students who volunteered during the pandemic in comparison to those who did not. We will compare responses to determine the educational benefit and issues they faced. In addition to quantitative analysis, thematic analysis will be used to identify themes in qualitative responses. Discussion: There is a growing body of evidence to suggest that service roles have potential to enhance medical education; yet, there is a shortage of studies able to offer practical advice for how these roles may be incorporated in future medical education. We anticipate that this study will help to identify volunteer structures that have been beneficial for students, so that similar infrastructures can be used in the future, and help inform medical education in a non-pandemic setting.

scholarly journals Involvement of Final year Medical Students in Hospital work during COVID-19 pandemic: A students’ perspective

2020 ◽  
Author(s):  
Priya Rawat ◽  
Chitra Joshi ◽  
Anil Kumar Joshi ◽  
Ashutosh Sayana ◽  
Yamini Bisht ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Hospital Work ◽  
Shortage Of Doctors ◽  
Chi Square Test ◽  
Voluntary Initiative

Abstract Background: The Coronavirus disease (COVID-19) has upended medical education. This pandemic has risen uncertainty over the start of the normal routine of studies in medical universities. Amidst the worldwide shortage of doctors, there is widespread dilemma and disagreement regarding the role of the medical students during this pandemic. Medical education is suspended and the students are barred from being direct medical providers unless there is a critical need for the additional healthcare workforce. Considering these facts we have done a survey amongst medical students of pre-final and final year to know and evaluate their opinion and outlook regarding their involvement in the hospital work at the time of the ongoing COVID 19 pandemic. Materials and Method: This is a cross-sectional study among the clinic going medical students of Government Doon Medical College Dehradun, India. It is used to know their opinion regarding their voluntary initiative to actively participate and usefulness in the hospital works while going through their classes and hospital postings. We have circulated a questionnaire among 385 medical students to know their mindset and formulate a plan to include them in the future clinical hospital works in case the pandemic situation worsens.Statistical analysis is performed using SPSS version 25. Chi-square test was used to evaluate the association between the two variables. A two-tailed p < 0.05 was considered statistically significant. Results: Out of 294 respondents 62.2% had a high motivation to work in the hospital. This was synergized by the worldwide appreciation of doctors according to 88.8% of students. A sense of duty towards the patients was clear by the responses which surpassed the fear of the disease and the belief of being a better doctor (94.2%). Conclusion: The majority of medical students were highly motivated to be a part of the hospital workforce and help to fight this apocalyptic pandemic.

scholarly journals COVIDReady2 study protocol: cross-sectional survey of medical student volunteering and education during the COVID-19 pandemic in the United Kingdom

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Matthew H. V. Byrne ◽  
◽  
James Ashcroft ◽  
Laith Alexander ◽  
Jonathan C. M. Wan ◽  
...  
Keyword(s):  
Medical Education ◽  
United Kingdom ◽  
Medical Students ◽  
Learning Experience ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The United Kingdom ◽  
Clinical Support ◽  
Qualitative Responses

Abstract Background The coronavirus disease 2019 pandemic has led to global disruption of healthcare. Many students volunteered to provide clinical support. Volunteering to work in a clinical capacity was a unique medical education opportunity; however, it is unknown whether this was a positive learning experience or which volunteering roles were of most benefit to students. Methods The COVIDReady2 study is a national cross-sectional study of all medical students at medical schools in the United Kingdom. The primary outcome is to explore the experiences of medical students who volunteered during the pandemic in comparison to those who did not. We will compare responses to determine the educational benefit and issues they faced. In addition to quantitative analysis, thematic analysis will be used to identify themes in qualitative responses. Discussion There is a growing body of evidence to suggest that service roles have potential to enhance medical education; yet, there is a shortage of studies able to offer practical advice for how these roles may be incorporated in future medical education. We anticipate that this study will help to identify volunteer structures that have been beneficial for students, so that similar infrastructures can be used in the future, and help inform medical education in a non-pandemic setting. Trial registration Not Applicable.

scholarly journals Remote versus on-site proctored exam: comparing student results in a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Vasiliki Andreou ◽  
Sanne Peters ◽  
Jan Eggermont ◽  
Johan Wens ◽  
Birgitte Schoenmakers
Keyword(s):  
Medical Education ◽  
Proficiency Test ◽  
Well Being ◽  
Cross Sectional Study ◽  
Future Research ◽  
High Stakes ◽  
Cross Sectional ◽  
Live Supervision ◽  
Post Test ◽  
Mixed Feelings

Abstract Background The COVID-19 pandemic has profoundly affected assessment practices in medical education necessitating distancing from the traditional classroom. However, safeguarding academic integrity is of particular importance for high-stakes medical exams. We utilised remote proctoring to administer safely and reliably a proficiency-test for admission to the Advanced Master of General Practice (AMGP). We compared exam results of the remote proctored exam group to those of the on-site proctored exam group. Methods A cross-sectional design was adopted with candidates applying for admission to the AMGP. We developed and applied a proctoring software operating on three levels to register suspicious events: recording actions, analysing behaviour, and live supervision. We performed a Mann-Whitney U test to compare exam results from the remote proctored to the on-site proctored group. To get more insight into candidates’ perceptions about proctoring, a post-test questionnaire was administered. An exploratory factor analysis was performed to explore quantitative data, while qualitative data were thematically analysed. Results In total, 472 (79%) candidates took the proficiency-test using the proctoring software, while 121 (20%) were on-site with live supervision. The results indicated that the proctoring type does not influence exam results. Out of 472 candidates, 304 filled in the post-test questionnaire. Two factors were extracted from the analysis and identified as candidates’ appreciation of proctoring and as emotional distress because of proctoring. Four themes were identified in the thematic analysis providing more insight on candidates’ emotional well-being. Conclusions A comparison of exam results revealed that remote proctoring could be a viable solution for administering high-stakes medical exams. With regards to candidates’ educational experience, remote proctoring was met with mixed feelings. Potential privacy issues and increased test anxiety should be taken into consideration when choosing a proctoring protocol. Future research should explore generalizability of these results utilising other proctoring systems in medical education and in other educational settings.

scholarly journals Predictors of violence against health professionals during the COVID-19 pandemic in Brazil: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253398
Author(s):  
Mariá Romanio Bitencourt ◽  
Ana Carolina Jacinto Alarcão ◽  
Lincoln Luís Silva ◽  
Amanda de Carvalho Dutra ◽  
Nayara Malheiros Caruzzo ◽  
...  
Keyword(s):  
Health Professionals ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Graph Models ◽  
Cross Sectional ◽  
Public Places ◽  
Public And Private ◽  
Final Model ◽  
Structured Questionnaire

Background The increase in violence against health professionals in the COVID-19 pandemic makes it necessary to identify the predictors of violence, in order to prevent these events from happening. Objective Evaluating the prevalence and analyzing the variables involved in the occurrence of violence against health professionals during the COVID-19 pandemic in Brazil. Method This is a cross-sectional study conducted online involving Brazilian health professionals during the COVID-19 pandemic. The data were collected through a structured questionnaire (Google Online Form) sent to health professionals on social networks and analyzed through logistic regression by using sociodemographic variables. The set of grouped variables was assigned to the final model when p <0.05. A network was built using the Mixed Graph Models (MGM) approach. A centrality measurement chart was constructed to determine which nodes have the greatest influence, strength and connectivity between the nodes around them. Results The predictors of violence in the adjusted regression model were the following: being a nursing technician / assistant; having been working for less than 20 years; working for over 37 hours a week; having suffered violence before the pandemic; having been contaminated with COVID-19; working in direct contact with patients infected by the virus; and having family members who have suffered violence. The network created with professionals who suffered violence demonstrated that the aggressions occurred mainly in the workplace, with an indication of psycho-verbal violence. In cases in which the aggressors were close people, aggressions were non-verbal and happened both in public and private places. The assaults practiced by strangers occurred in public places. Conclusions Violence against health professionals occurs implicitly and explicitly, with consequences that can affect both their psychosocial well-being and the assistance given to their patients and families.

scholarly journals A Brief Burnout Evaluation Scale (BBES) as a potential tool to prevent collapse of the health care task force during the COVID-19 pandemic

2020 ◽  
Author(s):  
Tamires Martins Bastos ◽  
Gabriela Massaro Carneiro Monteiro ◽  
Rogerio Boff Borges ◽  
Carolina Meira Moser ◽  
Daniel Luccas Arenas ◽  
...  
Keyword(s):  
Health Care ◽  
Suicidal Ideation ◽  
Health Professionals ◽  
Assessment Tool ◽  
Task Force ◽  
Severe Depression ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Ideation Methods

Introduction: In the context of the COVID-19 pandemic, where overloaded health systems seem inevitable, there is a need for reliable, conceptually adequate, and easily applied measurement tools to identify health professionals at risk. Objective: to present the preliminary psychometric properties of a Brief Burnout Evaluation Scale (BBES) and its association with important outcomes, i.e., moderate to severe depression and suicidal ideation. Methods: The BBES has 4 Likert-type items and was tested as part of a cross-sectional study that included 401 medical students. Reliability analysis and validity studies were performed. Results: In the parallel analysis, two factors were extracted, explaining 84.4% of the variance. The Cronbach's alpha was 0.78, showing high internal consistency. Considering a cut-off point of 12, the odds ratio for moderate to severe depression was 3.01 (CI 1.7-5.22; p<0.001) and for last month suicidal ideation 2.96 (CI 1.6-5.48). Conclusion: The results suggest good psychometric characteristics for the BBES, thus reinforcing its utility as an assessment tool for evaluating the well-being or distress of health professionals. It carries with it the potential to implement early interventions and to prevent the descent into burnout so common today in the health care task force during the pandemic.

scholarly journals Bienestar psicológico en médicos residentes de una universidad pública en México

2020 ◽  
Vol 61 (2) ◽  
Author(s):  
Carolina Delgado Domìnguez ◽  
Adriana Rodríguez Barraza ◽  
Roberto Lagunes Còrdoba ◽  
Francisco Domingo Vázquez Martínez
Keyword(s):  
Medical Education ◽  
Well Being ◽  
Cross Sectional Study ◽  
Public University ◽  
Cross Sectional ◽  
Formal Curriculum ◽  
Psychological Well Being ◽  
Study Population ◽  
Low Levels ◽  
Bienestar Psicologico

Introduction: In Mexico there is a lack of knowledge about the importance of promotion of psychological well-being in Medical Education. Most of the research focuses on the pathologies developed during his journey as a student in relation to the adverse environments they face. Objective: To identify the level of psychological well-being in medical residents from first to fourth year of a public university in Mexico and the need for its inclusion in the formal curriculum in Medical Education. Method: Descriptive and cross sectional study. The Ryff Psychological Wellbeing Scale (SPWS) was used which was previously validated in the study population. 157 first to fourth year residents of the different specialties participated. Results: The scale was made up of four factors. It was found that 35.1% had low levels and 33.7% average levels of psychological well-being. Conclusions: Most of the residents showed levels of medium and low psychological well-being, which make reference to the relevant decision made by the corresponding authorities that include the promotion of psychological well-being within the formal curriculum of Medical Education.

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