scholarly journals Evaluating clinical teaching in a pediatric hospital in Iran: View points of academic members and medical students

2020 ◽  
Vol 9 (1) ◽  
pp. 4-4
Author(s):  
Maryam Baradaran Binazir ◽  
Mohammad Barzegar ◽  
Fariba Heidari

Background: Evaluating the state of clinical teaching is a very essential aspect of useful teaching.It helps in determining areas of strength and areas for improvement. Accordingly, the aim of this study was to evaluate clinical teaching activities in a pediatric hospital at the Tabriz University of Medical Sciences, based on standards provided by the Ministry of Health in Iran. Methods: A cross-sectional study was conducted from October to December 2018 in the setting of a pediatric hospital of the Tabriz University of medical sciences. Participants were selected from this hospital: academic members and medical students who were present in the pediatric hospital during this investigation. The evaluation tool was a checklist of standards relating to clinical teaching settings. The outcome measures included four domains, assessed using mean standard scores: teaching round, morning report, journal club, and outpatient clinic. Analysis of variance (ANOVA) was used to compare scores on the checklist among academic members and medical students. Results: A total of 126 participants completed the checklist. Among the participants, 50 (39.6%) were 5th-year medical students, 51 (40.4%) were final-year medical students and 25(19.8%)were academic members. The highest and lowest mean standard scores were 85.3 and 34.5,the morning report and the teaching round by final-year medical students, respectively. No statistically significant differences were found among academic members and medical students’mean standard scores for teaching round (P = 0.983), morning report (P = 0.696), journal club (P= 0.952), and outpatient clinic (P = 0.060). Conclusion: Considering both academic members and medical students, clinical teaching standards were not widely regarded as important in the pediatric wards of the Tabriz University of Medical Sciences. Some interventions are indicated to improve adherence to the Ministry of Health standards.

Author(s):  
M Baradan-Binazir ◽  
F Heidari

Introduction: Investigating the situation of clinical teaching is an important part of beneficial clinical teaching and it is used in finding domains of strength and domains needed to improve. Thus, the goal of this study was to evaluate clinical teaching situation in the internal medicine wards at Tabriz University of medical sciences, based on standards prepared by the Ministry of Health. Methods: This was a cross-sectional study conducted from January to March 2019 in the Internal medicine wards. Participants were all academic members and medical students who were present in these wards during this investigation. The study tool was a checklist of standards that contained four areas: teaching rounds, morning reports, journal club, and outpatient clinic. Because of the varying number of items in the different parts of the checklist, we calculated the standard score for each part.  Analysis of variance (ANOVA) was used to compare scores on the checklist among academic members and medical students. Result: Totally, 155 medical students and academic members participated in this study. Among them, 58 (37.4 %) were 5th-year medical students, 58 (37.4%) were final-year medical students and 39 (25.2%) were academic members. No statistically significant differences were found in mean standard scores for various areas of clinical teaching among academic members and medical students. Conclusion: Regarding the favorable running of outpatient clinics, morning reports, and journal clubs from viewpoints of medical students, some educational interventions are necessary to make better awareness and adherence to the Ministry of Health clinical teaching standards.


Author(s):  
Nahid Mehrabi ◽  
Fatemeh Kalroozi ◽  
Mohammad Hassan Kazemi-Galougahi ◽  
Erfan Kazemi ◽  
Leila Gholamhosseni ◽  
...  

Aim: The study aimed to investigate the viewpoints of medical students towards the development of telemedicine methods at the Army of the Islamic Republic of Iran (AJA) University of Medical Sciences. Method: This cross-sectional, descriptive-analytical study, which lasted 4 months, was performed on 117 medical students of AJA University of Medical Sciences in 2021. In doing so, a Stratified sampling method and researcher-made questionnaire were used to collect data. Thus, the inclusion criterion was being a medicine student and the exclusion criterion was the incomplete completion of the questionnaire. Results: Students showed the most positive view (90.6%) regarding organizational factors to having a codified program in telemedicine development, and the most positive view towards high-speed Internet access (92.3%) concerning technology factors.  In addition, as far as the stakeholders were concerned, they had the most positive view (70.1%) on community support for telemedicine development. As for information literacy, 88.9% emphasized computer and Internet skills. Also, 83.8% had the most positive view on raising awareness for telemedicine development regarding environmental factors. Conclusion: To sum up, the students had the most positive attitudes towards comprehensive telemedicine development plan, high-speed Internet access, and community support for telemedicine development, computer skills, Internet, and awareness. Hence, it is recommended to enhance these factors to help the development and implementation of telemedicine in medical education.


2019 ◽  
Author(s):  
Neda Dolatkhah ◽  
Seyed Kazem Shakouri ◽  
Azizeh Farshbaf Khalili ◽  
Majid Hajifaraji ◽  
Maryam Hashemian ◽  
...  

Abstract Objectives : In this cross-sectional study among 220 medical students we aimed to determine the nutritional knowledge and attitude of medical students through clinical training courses (externship and internship) of Tabriz University of Medical Sciences, Iran. A nutritional knowledge questionnaire included 51 questions was used to determine the correct, perceived and accuracy of knowledge of the participant in different aspects of nutrition sciences. Nutritional knowledge was calculated as percentage of correct responses. The nutrition attitude questionnaire included 30 questions. Both questionnaires were confirmed in terms of the validity and reliability for assessing nutritional knowledge and attitude in this sample of Iranian medical students. Results: The mean score of correct knowledge was not significantly different among externs and interns (68.20±7.50% and 67.87±6.04% respectively, p=0.729). Results showed that most of the participants (49.61% of externs and 57.14% of inters) had a poor nutritional knowledge, significantly varied by age (p=0.035). The mean attitude index of the subjects was not significantly different among externs and interns (106.37±13.66 and 108.16±13.35 out of 145 respectively, p=0.337). Most students (92.7%) had a very appropriate attitude toward nutrition, significantly varied by sex (p=0.010). These findings indicate that there are multiple deficiencies in nutrition knowledge of medical students.


Author(s):  
Fariba Ghaderi ◽  
Mohammad Asghari Jafarabadi ◽  
Mohammad Ali Mohseni Bandpei

Abstract Objective: Dysmenorrhea is the most common gynecologic condition experienced by menstruating women and has significant medical and psychosocial impacts. The objective of this study was to determine the prevalence and the problems related to menstruation, self-care strategies and their relations with pain severity in female students of Tabriz University of Medical Sciences. Methods: This cross sectional study was carried out among 197 unmarried and healthy female medical students during April 2013 to July 2013. A standardized questionnaire was given to participants to complete, which included questions about demographic information, prevalence and severity of pain, self-care strategies and its effectiveness. Results: The prevalence of dysmenorrhea was 98.4% (95% confidence interval=97.6%–99.2%). Almost 76% (149) of students reported limitation of daily activities. The most common method for relief pain were: taking analgesics (64.3%), rest (61.9%), taking herbal medicine (11.7%), and applying hot compress on area of pain (22.3%). Obtaining information about self-care strategies offered from family and friends 79 (41%) were more common than scientific articles 56 (28.7%) and the Internet 43 (22%). Significant relations were observed between self-care strategies’ scales and pain severity. Conclusion: The results indicated that dysmenorrhea was highly prevalent among female medical students and is a major problem affecting their life. A variety of treatments is available for dysmenorrhea but most of the participants did not seek medical advice and they used self-care strategies. However, further studies focusing on health education and routine screening for menstrual problems are recommended.


Author(s):  
Mina Danaei ◽  
Ali Akbar Rohani ◽  
Ali Sajadi ◽  
Mohsen Momeni

Introduction: Internet addiction is a global phenomenon with an increasing trend in university students. The aim of this study was to investigate the frequency and factors affecting internet addiction in externship and internship medical students of Kerman University of Medical Sciences in 2018. Methods: This cross-sectional study was carried out on externship and internship medical students of Kerman University of Medical Sciences in 2018 during a 6-month period using convenience sampling method. In this study, the valid and reliable self-administered questionnaire of “Kimberly-Young internet addiction questionnaire” was used to collect the research data. The attainable scores in this questionnaire range from 20 to 100, so that  higher scores show greater dependence on the Internet. Data were analyzed by SPSS version 20 using the Chi-square test. A significant level was set at lower than 0.05. Results: Among the participants, 46 participants (18.4%) were normal users, 127 (50.8%) were at risk, and 77 (30.8%) were addicted to the Internet. Among the demographic factors, a significant relationship was found between gender (p = 0.041) and educational level (p = 0.024) with Internet addiction. Conclusion: policymakers should pay particular attention to the issue of Internet addiction in medical students, since Internet addiction may cause these students to neglect their critical duties during externship and internship. In this regard, holding effective training courses can be helpful.


Author(s):  
Violet N. Pinto ◽  
Sumit Wasnik ◽  
Sumedha M. Joshi ◽  
Deepa H. Velankar

Background: Medical students during their training period to become competent physicians are themselves vulnerable to various stresses which can affect their health and academic performance. The objectives of the study were to study MBBS students perceptions of stress factors affecting their academic performance; to assess the perceived stress in the students; to identify the stress management techniques used by the students.Methods: A cross-sectional was conducted on 169 MBBS students in a private medical college in Navi Mumbai after taking their consent. Data collection was by pretested, pre-coded, semi-structured self-administered questionnaire. Statistical analysis was done by SPSS Version 20.0 and relevant tests for data analysis.Results: The mean PSS score in the students was 26.96 (SD=6.332). Moderate stress and severe stress were present in 37.3% and 1.1% students respectively. Perceived stress was significantly associated with female sex, mother tongue; vastness of curriculum, dissatisfaction with clinical teaching, competition with peers and high parental expectations. More than 50% students felt that they were not able to adequately manage their stress. The most commonly used stress management techniques were social media usage and engaging in hobbies/sports.Conclusions: There is an urgent need for conducting screening programmes for stress in medical students and implementing measures which will equip them with skills to manage their stress.


Author(s):  
Krupa Ravi ◽  
Annabel Killen ◽  
Angus Alexander ◽  
Frances Bell-Davies ◽  
James Biganiro Sebintu ◽  
...  

Abstract Background The Global Initiative for Children's Surgery (GICS) group produced the Optimal Resources for Children’s Surgery (OReCS) document in 2019, listing standards of children’s surgical care by level of healthcare facilities within low resource settings. We have previously created and piloted an audit tool based on the OReCS criteria in a high-income setting. In this study, we aimed to validate its use in identifying gaps in children’s surgery provision worldwide. Methods Our OReCS audit tool was implemented in 10 hospitals providing children’s surgery across eight countries. Collaborators were recruited via the Oxford Paediatrics Linking Our Research with Electives (OxPLORE) international network of medical students and trainees. The audit tool measured a hospital’s current capacity for children’s surgery. Data were analysed firstly to express the percentage of ‘essential’ criteria met for each specialty. Secondly, the ‘OxPLORE method’ was used to allocate each hospital specialty a level based on procedures performed and resources available. A User Evaluation Tool (UET) was developed to obtain feedback on the ease of use of the tool. Results The percentage of essential criteria met within each category varied widely between hospitals. The level given to hospitals for subspecialties based on OReCS criteria often did not reflect their self-defined level. The UET indicated the audit tool was practicable across multiple settings. Conclusions We recommend the use of the OReCS criteria to identify areas for local hospital improvement and inform national children’s surgical plans. We have made informed suggestions to increase usability of the OReCS audit tool.


Author(s):  
Nasim Namiranian ◽  
Seied Saman Mansouri ◽  
Mohammad Shafiee

Introduction: Considering the increase in Internet addiction rate, we tried to investigate the rate of internet addiction among medical students of Shahid Sadoughi University of Medical Sciences in Yazd in 2016. Methods: This analytic-cross-sectional study was performed on 350 students of Shahid Sadoughi University of Medical Sciences in Yazd. The data collection tool was a demographic questionnaire, and Yang's Internet addiction inventory. The questionnaire contains 20 questions, according to which the person is placed in one of four classes: normal, mild, moderate, and severe. After collecting the data, the data were entered into SPSS 16 software and analyzed using Chi-square and independent t-tests. The significance level was considered less than 0.05. Results: According to Internet addiction, students were 65% normal, 33.3% border lip and 1.7% were addicted to the Internet. The results also showed that there was a significant statistical relationship between the prevalence of internet addiction among students and sex, smoking, and registration in cyberspace (p<0.05), and there was no significant statistical relationship between the prevalence of internet addiction and marital status, place of residence and birthplace (p>0.05). Conclusion: According to the results of the study, it can be concluded that by increasing the awareness of medical students, the rate of Internet addiction in them can be minimized  


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