scholarly journals De paciente a futuro médico: escenas autobiográficas, narrativas y formación humanística en medicina / From Patient to Future Doctor: Autobiographical Scenes, Narratives and Humanistic Training in Medicine

Author(s):  
Elizabeth E. Gothelf ◽  
Mercedes Carrasco ◽  
Mariel Sciolla ◽  
Paula A. Martín

ABSTRACTFrom patient to future doctor: autobiographical scenes, narratives and humanistic development in medicine. This article intends to reread, analyze and resignify a series of narrations produced by medical students in the light of the contributions of Narrative Medicine. Such accounts were written during the “Doctors and Narratives” workshop which was held in the Culture and Society I class, in the first year of the Premedical Stage of Medical School at IUC (CEMIC University Institute, Buenos Aires, Argentina) in May 2010. The purpose of this “rereading” is to suggest some hypotheses that will guide the design of new mechanisms for training and action research, in order to keep building knowledge regarding the contributions that working with narratives can offer in the training of health professionals (in the initial stages and thereafter). By “narratives” we mean the use of stories from different sources (literature, oral tradition, autobiographical production) whether written or oral, to reflect upon the effect the use of language has in the practice of medicine and the role those accounts play in constructing personal and professional identity.RESUMENEste artículo se propone releer, analizar y re-significar una serie de relatos producidos por alumnos de la Carrera de medicina, a la luz de los aportes de la Medicina Narrativa. Dichos relatos fueron escritos en el marco del taller “Médicos y Narrativas“ que se desarrolló en la asignatura Cultura y Sociedad I, del primer año del Ciclo Premédico de la Carrera de Medicina del IUC (Instituto Universitario CEMIC, Buenos Aires, Argentina) en mayo de 2010. El objeto de esta relectura es sugerir algunas hipótesis que orienten el diseño de nuevos dispositivos de formación e investigación–acción, para seguir construyendo conocimiento acerca del aporte que el trabajo con Narrativas hacen a la formación de profesionales de la Salud (tanto inicial como continua). Cuando nos referimos a “Narrativas”, estamos pensando en el uso de relatos provenientes de diferentes fuentes (literatura, tradición oral, producción autobiográfica) en forma de Narración oral y /o escrita, para producir reflexiones acerca del efecto que el uso del lenguaje tiene en la práctica médica y la función que cumplen los relatos en la construcción de la identidad personal y profesional.

2011 ◽  
Vol 152 (12) ◽  
pp. 469-474 ◽  
Author(s):  
József Rinfel ◽  
János Oberling ◽  
Ildikó Tóth ◽  
László Prugberger ◽  
Lajos Nagy

Medical years are very important in shaping the attitudes of future doctors. It is proven that doctors who smoke do not advise their patient to stop smoking. We have to know the students’ smoking habits and attitudes about smoking cessation to make them interested in the fight against tobacco. Aims: To investigate medical students’ smoking habits and attitudes about cessation. Methods: We applied the Hungarian translation of the Global Health Professionals Student Survey. Medical students from the first and fifth year filled in the survey anonymously during the seminars. Statistical analysis was performed with SPSS. Results: In both years 245 students filled in the questionnaire. In the first year 30.8%, in the fifth year 38.9% of the students were defined as smokers. During the academic study the number of daily smokers and the number of smoked cigarettes increases. Students require training about smoking cessation, however they would entrust it to a specialist. Conclusions: Based on our data we need a teaching block in the curricula about smoking and smoking cessation. Orv. Hetil., 2011, 152, 469–474.


2021 ◽  
Vol 4 (2) ◽  
pp. 6062-6077
Author(s):  
Patrícia Raquel Maba ◽  
Juliana Trindade Clemente Napimoga ◽  
Danilo Roberto Xavier de Oliveira Crege ◽  
Giovana Tofoli ◽  
Ana Beatriz Albino de Almeida

PRiMER ◽  
2020 ◽  
Vol 4 ◽  
Author(s):  
Catherine F. Pipas ◽  
John A. Damianos ◽  
Leah Montalbano ◽  
Allison L. Matous ◽  
Jianjun Hua ◽  
...  

Introduction: Self-care has not been traditionally taught in medical education, but the epidemic of burnout among health professionals necessitates a change in culture, and consequently a change in curriculum. Burnout begins early in training and negatively impacts health professionals, patients, and institutions. Interventions that prevent and avert burnout are necessary at all stages of a doctor’s career to assure well-being over a lifetime. Evidence-based strategies supporting both personal and system wellness have begun to emerge, but more research is needed. Methods: We present a collaborative and comprehensive wellness program: “A Culture of Wellness.” We offered this pilot jointly for first-year medical students and faculty volunteers at the Geisel School of Medicine at Dartmouth. We gave participants the following: (1) time—60 minutes per week for 8 weeks; (2) tools—weekly cases highlighting evidence-based wellness strategies; and (3) permission—opportunities to discuss and apply the strategies personally and within their community. Results: Pre- and postsurvey results show that dedicated time combined with student-faculty collaboration and application of strategies was associated with significantly lower levels of burnout and perceived stress and higher levels of mindfulness and quality of life in participants. Components of the curriculum were reported by all to add value to personal well-being. Conclusions: This pilot presents a feasible and promising model that can be reproduced at other medical schools and disseminated to enhance personal health and promote a culture of well-being among medical students and faculty.


2019 ◽  
Author(s):  
Syarifah Islami

Burnout is a common occurrence in health professionals. However, recent findings have shown that burnout is also common in medical students during clinical rotation and pre-clinical period. This revelation causes a lot of concern since it has been known that burnout can cause a decrease in professional development and even severe personal consequences such as physical and mental health decline. Although the amount of research done about burnout in medical students are increasing, specific study about burnout in pre-clinical medical students are still few and far between. This research attempted to describe the experience of burnout in first year pre-clinical medical students. Three first year medical students who scored high on MBI-SS were interviewed using open-ended question and asked to describe their experience with burnout. A few common themes were identified, including: exhaustion, a decrease in motivation, difficulty to focus, a need to be alone and isolated, feeling unsatisfied with their work, and change in appetite and sleep schedule. It is necessary to conduct future study about burnout since burnout can have severe effects on the people who suffer it and their environment.


2019 ◽  
Vol 11 (1) ◽  
pp. 18-29
Author(s):  
Susana N. Biasutto ◽  
Isaías E. Molina Vargas ◽  
Diego M. Weigandt ◽  
M. Valentina Mora ◽  
Ramiro A. A. Vargas ◽  
...  

Student’s perceptions in the dissection-room and the relationship with the teaching staff determine their affinity with Anatomy and their introduction in the medical career. Our objective was to evaluate three different instances of the relation student/dissection-room during the Anatomy course, the importance students assigned to the corpses, symptoms and emotions associated to the dissection-room, their causes and also participants’ attitudes to the own body donation. Three surveys: initial perception, reactions by the first contact with the corpses and further evolution were performed to 237 first year students. Sixty three per cent were women and 97% argentine, of whom 59% were from Cordoba province and the rest for nearly all the country provinces. Hundred per cent considered very important Anatomy for the career and corpses for Anatomy. For 91% dissection should be compulsory for first year medical students. Most often physical reactions were ocular and nasal irritation, while the most frequent emotions were enthusiasm and surprise, due mainly to corpse and dissection-room smell.  Coping strategies to those reactions were: to focus on the topic, to watch the corpse as an object, to relax, humor and others. The will to donate the own body varied from 57% to 49% and 52%. Those percentages were not statistically different (p=0.1606), but higher than others in the literature. Influence of the corpse exposition on the attitude to donation seems to be less important than other articles; probably because our students do not dissect by themselves or because they recognize a great need of corpses. La percepción de los estudiantes en la sala de disección y su relación con el equipo docente determina su afinidad con la Anatomía y la introducción en la carrera médica. Nuestro objetivo fue evaluar tres diferentes instancias de la relación estudiante/sala de disección durante el curso de Anatomía, la importancia que los estudiantes asignan a los cuerpos, los síntomas y emociones asociados a la sala de disección, sus causas y las actitudes de los participantes hacia la donación del propio cuerpo. Se realizaron 3 encuestas: percepción inicial, reacciones ante el primer contacto con el cadáver y evolución posterior, en 237 estudiantes de primer año. El 63% eran mujeres y 97% argentinos, de los cuales el 59% provenían de la provincia de Córdoba y el resto de casi todas las provincias del país. Cien por ciento consideraron muy importante la Anatomía para la carrera y los cuerpos para la Anatomía. Para el 91% la disección debería ser obligatoria para los estudiantes de primer año de Medicina. Las reacciones físicas más comunes fueron la irritación ocular y nasal, mientras que las emociones más frecuentes fueron entusiasmo y sorpresa, debidas principalmente al olor de los cuerpos y de la sala. Las estrategias usadas para afrontar estas reacciones fueron: enfocarse en el tema, ver el cuerpo como un objeto, relajarse, humor y otros. La voluntad de donar el propio cuerpo varió de 57% a 49% y 52%. Estos porcentajes no fueron estadísticamente diferentes (p=0,1606), pero mayores que otros en la literatura. La influencia de la exposición a los cuerpos sobre la actitud hacia la donación parece menos importante que en otros artículos; probablemente porque nuestros estudiantes no disecan por sí mismos o porque reconocen la gran necesidad de cuerpos.


2015 ◽  
Vol 11 (2) ◽  
pp. 117-124 ◽  
Author(s):  
Katrina A. Bramstedt ◽  
Ben Ierna ◽  
Victoria Woodcroft-Brown

Social media is a valuable tool in the practice of medicine, but it can also be an area of ‘treacherous waters’ for medical students. Those in their upper years of study are off-site and scattered broadly, undertaking clinical rotations; thus, in-house (university lecture) sessions are impractical. Nonetheless, during these clinical years students are generally high users of social media technology, putting them at risk of harm if they lack appropriate ethical awareness. We created a compulsory session in social media ethics (Doctoring and Social Media) offered in two online modes (narrated PowerPoint file or YouTube video) to fourth- and fifth-year undergraduate medical students. The novelty of our work was the use of SurveyMonkey® to deliver the file links, as well as to take attendance and deliver a post-session performance assessment. All 167 students completed the course and provided feedback. Overall, 73% Agreed or Strongly Agreed the course session would aid their professionalism skills and behaviours, and 95% supported delivery of the curriculum online. The most frequent areas of learning occurred in the following topics: email correspondence with patients, medical photography, and awareness of medical apps. SurveyMonkey® is a valuable and efficient tool for curriculum delivery, attendance taking, and assessment activities.


1970 ◽  
Vol 6 (2) ◽  
pp. 16-24 ◽  
Author(s):  
Jorge Gelvane Tostes ◽  
Fernanda Paiva de Campos ◽  
Luís Gustavo Rodrigues Pereira

Objetivo: Traçar o perfil e estabelecer a prevalência do consumo álcool e/ou outras drogas entre os estudantes de uma faculdade de medicina do Sul de Minas Gerais. Materiais e Métodos: Os dados foram coletados com 419 alunos matriculados na faculdade no ano de 2013, a partir de questionário anônimo, o qual apresentou variáveis de idade, sexo, série do curso, uso de bebida alcoólica e drogas, frequência no ultimo mês (Julho/2013). Resultados: Constatou-se que 99% dos estudantes entrevistados já fizeram uso de bebida alcoólica ao menos uma vez na vida, sendo que 73% relataram que o ingresso na faculdade aumentou o consumo. Observou-se que o consumo é maior entre o sexo masculino. Quanto ao uso de outras drogas, 43,6% dos entrevistados relataram que fizeram uso ao menos uma vez na vida. No último mês (Julho/2013), 87,6% consumiram álcool, 23,4% tabaco, 13,4% maconha, 6,9% estimulantes, 6,2% tranquilizantes, 5,5% inalantes, 4,8% alucinógenos, 1,7% cocaína /crack, 0,2%   opiácios.  Conclusão: Os dados mostram que estudantes de medicina desta faculdade tendem a consumir drogas até duas vezes mais do que população em geral, A droga mais usada continua sendo o álcool, mas há consumo expressivo de outras substâncias como a maconha e cocaína.Palavras-chave: Álcool, Drogas, Estudantes de Medicina.ABSTRACTObjective: To describe a profile and establish the prevalence of alcohol consumption and / or other drugs among students of a medical school in southern Minas Gerais. Materials and Methods: Data were collected with 419 students enrolled in college in 2013 , from anonymous questionnaire , which presented variables of age, sex, year in the course, use of alcohol and drugs, frequency in the last month (July / 2013). Results:  99% of surveyed students were found to have already made use of alcohol at least once in their lifetime, and 73% reported entrance in college increased consumption. Higher consumption was observed among males. Regarding use of other drugs, 43.6% of the respondents have used them at least once in their life. In the previous month (July / 2013), 87.6% used alcohol, 23.4% tobacco, 13.4% marijuana, 6.9% stimulants, 6.2% tranquilizers, 5.5% inhalants 4.8% hallucinogens, 1.7% crack / cocaine, 0.2% opiates. Conclusion: The data show that college students tend to consume drugs up twice more often than the general population. The most widely used drug remains being alcohol, but there is significant use of other substances such as marijuana and cocaine.Keywords: Alcohol, Drugs, Medical Students.


Author(s):  
Christian M. Hammer ◽  
Michael Scholz ◽  
Larissa Bischofsberger ◽  
Alexander Hammer ◽  
Benedikt Kleinsasser ◽  
...  

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