scholarly journals Does level of training Influence the ability to detect hepatosplenomegaly in children with leukemia?

2012 ◽  
Vol 3 (2) ◽  
pp. e146-e150
Author(s):  
Donna L Johnston ◽  
Janelle Cyr
Keyword(s):  
Medical Students ◽  
Physical Examination ◽  
First Year ◽  
Training Level ◽  
Pediatric Residents ◽  
The Past ◽  
Ultrasound Findings ◽  
Level Of Training ◽  
Better Than

Background: Children with leukemia often have hepatosplenomegaly present. This can be diagnosed with physical examination and confirmed with ultrasound. We sought to determine if level of training influenced the ability to detect hepatosplenomegaly. Methods: All children diagnosed with leukemia during the past 5 years were reviewed. The training level of the examiner, the documentation of hepatosplenomegaly, and the ultrasound findings were collected and analyzed. Results: There were 245 examinations of the spleen and 254 of the liver. Splenomegaly was correctly diagnosed by medical students 54% of the time, by residents 81%, and by staff 79% of the time. First year residents diagnosed it correctly 68% of the time, R2s 64%, R3s 76% and R4s 86% of the time. Hepatomegaly was correctly diagnosed by medical students 44% of the time, by residents 73% and by staff 68% of the time. First year residents diagnosed it correctly 77% of the time, R2s 54%, R3s 81% and R4s 75% of the time. Conclusions: Pediatric residents had the best ability to detect hepatosplenomegaly, and were better than staff and medical students, although this was not statistically significant.

scholarly journals Confidence Level and Ability of Medical Students to Identify Abdominal Structures After Integrated Ultrasound Sessions

2020 ◽  
Vol 06 (01) ◽  
pp. E7-E13
Author(s):  
Fauzia Nausheen ◽  
Corey Young ◽  
John Brazil ◽  
Timothy Dunagan ◽  
Renu Bhupathy ◽  
...  
Keyword(s):  
Medical Students ◽  
Physical Examination ◽  
Confidence Level ◽  
Vena Cava ◽  
Abdominal Ultrasound ◽  
First Year ◽  
Portable Ultrasound ◽  
First Year Medical Students ◽  
Ureteric Jet

AbstractDetermine the confidence level and ability of first year medical students to identify abdominal structures using a wireless portable ultrasound scanner.The students were assessed for their confidence and ability to perform abdominal ultrasound. The 5-point Likert survey included questions on their perception about ultrasound as a resource for learning anatomy, physical examination skills, and the quality of the pre-session instructions. Data was also recorded by the faculty about the students’ ultrasound skills and confidence. Goodman and Kruskal's gamma was used to demonstrate an association between the students’ ability to identify the structures and the self-reported student confidence level. Most of the students had confidence and were able to identify the liver, kidney, and urinary bladder, while almost half of them needed faculty help them to identify the inferior vena cava and aorta. The spleen and gall bladder were the most difficult to locate even for the very confident students. The perception of supervising faculty was that the confidence level was low in most of the students and only 13–20% of students felt “very confident” about performing ultrasound. Almost 37% needed encouragement and support and almost 10% of the students were not willing to try to locate difficult organs. Some students started locating the ureteric jet and portal vein. Most of the students agreed that ultrasound is an excellent resource for learning anatomy and physical examination skills. All students suggested having more ultrasound sessions. Most of the students feel confident about performing ultrasound and they perceive that ultrasound can enhance their basic sciences and physical examination skills.

scholarly journals Recruiting psychiatrists – a Sisyphean task?

2009 ◽  
Vol 33 (10) ◽  
pp. 390-392 ◽  
Author(s):  
Nick Brown ◽  
Christopher A. Vassilas ◽  
Clare Oakley
Keyword(s):  
Medical Students ◽  
Royal College ◽  
Medical Specialty ◽  
Medical Schools ◽  
Psychiatric Training ◽  
First Year ◽  
The West ◽  
Medical Graduates ◽  
The Past ◽  
West Midlands

SummaryIn 2009, the Royal College of Psychiatrists piloted a system for national recruitment to the first year of training (CT1) in England. This paper reviews the changes in recruitment of UK medical graduates to psychiatry over the past 20 years, both within the West Midlands and nationally. Fewer UK graduates are entering psychiatric training in the West Midlands despite the introduction of pre-registration training in psychiatry and the expansion of medical schools in the region; this picture is reflected nationally. Reasons for the continuing problems in recruitment are discussed and suggestions made for improving the attractiveness of psychiatry as a medical specialty. the latter include: engaging more closely with medical students, continuing to lobby politically with regard to overseas recruitment and presenting a unified vision of the profession.

scholarly journals Implementation of a study skills program for entering at-risk medical students

2014 ◽  
Vol 38 (3) ◽  
pp. 229-234 ◽  
Author(s):  
Cynthia J. Miller
Keyword(s):  
At Risk ◽  
Medical Students ◽  
Medical School ◽  
Rural Areas ◽  
Study Skills ◽  
At Risk Students ◽  
Age Groups ◽  
First Year ◽  
The Past ◽  
Didactic Lecture

While the first year of medical school is challenging for all students, there may be specific issues for students from rural areas, economically disadvantaged backgrounds, ethnic minorities, or nontraditional age groups. A Summer Prematriculation Program (SPP) was created to prepare entering at-risk students for the demands of medical school. For the past 2 yr, an emphasis was placed on the development of appropriate study plans and skills. On presurveys, students predicted an increase in their number of study hours per lecture hour, from 7.6 h in undergraduate coursework to 9.1 h in medical school coursework ( n = 35). These study plans were infeasible given the rigorous didactic lecture schedule in medical school. Interventions were made through lectures on study plans and modeling of appropriate study habits using engaging lectures in the SPP physiology course. At the end of the program, a postsurvey was given, and students reported a reduction in the planned hours of study to a more realistic 3.9 h of study time per hour of lecture. Furthermore, students planned to decrease their use of textbooks while increasing their use of concept mapping, videos, and peer teaching. The majority of students completing the SPP program with a study skills emphasis performed well in the Medical Physiology course, with 4 students honoring in the course, 27 students passing, and 2 students remediating the course after an initial failure. These results indicate that at-risk medical students may have inappropriate study plans that can be improved through participation in a program that emphasizes study skills development.

scholarly journals PedLER: Pediatric Longitudinal Experience with Residents

2019 ◽  
Vol 10 (1) ◽  
pp. e134-136
Author(s):  
Danielle Weidman ◽  
Ori Scott ◽  
Natalie Jewitt ◽  
Alisha Jamal ◽  
Maya Harel-Sterling ◽  
...  
Keyword(s):  
Medical Students ◽  
First Year ◽  
Pediatric Residents ◽  
University Of Toronto ◽  
The University ◽  
First Year Medical Students ◽  
Unique Program

Pediatric Longitudinal Experience with Residents (PedLER) is a unique program at the University of Toronto, designed to foster formal mentorship between pediatric residents and first-year medical students.

scholarly journals Analisis Pemahaman Mahasiswa Kedokteran UNS 2018 Pada Pembelajaran Laboratorium Biomedik

2019 ◽  
Author(s):  
Sopia Nur Habibah
Keyword(s):  
Medical Students ◽  
Health Services ◽  
Physical Examination ◽  
Laboratory Tests ◽  
Medical Technology ◽  
Industrial Revolution ◽  
Medical Science ◽  
Medical Faculty ◽  
First Year ◽  
Biomedical Laboratory

Medical science is a dynamic science. The industrial revolution 4.0 brought challenges in the field of technology, especially medical technology. Doctors practice medicine in the form of health services to the community and have an important role to play in making a diagnosis. To make the diagnosis can be done with history and subsequent physical examination laboratory tests if needed. Therefore, doctors must have basic laboratory skills. One of the laboratories at the Medical Faculty of Sebelas Maret University is a biomedical laboratory. This laboratory can support molecular research and study a disease for research or diagnosis. Practicum at this biomedical laboratory was given in the first year of UNS medical students.

scholarly journals First-year medical students use of ultrasound or physical examination to diagnose hepatomegaly and ascites: a randomized controlled trial

2017 ◽  
Vol 20 (3) ◽  
pp. 199-204 ◽  
Author(s):  
Samantha Arora ◽  
Angela C. Cheung ◽  
Usman Tarique ◽  
Arnav Agarwal ◽  
Mohammed Firdouse ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Medical Students ◽  
Physical Examination ◽  
Controlled Trial ◽  
First Year ◽  
Randomized Controlled ◽  
First Year Medical Students

Pediatric Residencies: Differences Between 1959/1960 and 1984/1985

PEDIATRICS ◽  
1988 ◽  
Vol 82 (5) ◽  
pp. 752-755
Author(s):  
Christine R. Bryke ◽  
Walter W. Tunnessen ◽  
Thomas J. Scully ◽  
Frank A. Oski
Keyword(s):  
Patient Care ◽  
Teaching Hospitals ◽  
First Year ◽  
Patient Contact ◽  
Quarter Century ◽  
Pediatric Residents ◽  
The Past ◽  
Pediatric Residency ◽  
Contact Data ◽  
Chronic Disorders

Patient contact data, collected by two first-year pediatric residents, separated in time by 25 years, were compared, and it is concluded that pediatric residency has undergone major changes throughout the past quarter century. Pediatric training has increased in length and includes more female residents. The overall intensity of patient care pediatric residents provide has increased. Children with chronic disorders that were often lethal conditions 25 years ago now make up a large portion of pediatric admissions to teaching hospitals.

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