Essentials for Education and Training for Tomorrow's Physicians

Author(s):  
Timothy Edward A. Barrett

Education and training of medical students and postgraduate residents must undergo a critical review in light of the changing times and attitudes. The demands of life in general are enough to provide significant stressors for today's students in addition to coping with pressures of balancing passing exams with meeting the expectations of family and instructors. This chapter will highlight the realities of the effect of the pressures of study on the students' mental health and well-being. It will then describe several changes that can be made to the way medical students are trained which then shifts the focus to personal growth and development and away from the traditional goals of knowledge, skills and competencies for the goal of passing the exams. In the end, this chapter will challenge readers and institutions to pause and reconsider the current approach to training of medical students.

2020 ◽  
Vol 8 ◽  
Author(s):  
Divyansh Sharma ◽  
Sonu Bhaskar

Medical students are the future of sustainable health systems that are severely under pressure during COVID-19. The disruption in medical education and training has adversely impacted traditional medical education and medical students and is likely to have long-term implications beyond COVID-19. In this article, we present a comprehensive analysis of the existing structural and systemic challenges applicable to medical students and teaching/training programs and the impact of COVID-19 on medical students and education. Use of technologies such as telemedicine or remote education platforms can minimize increased mental health risks to this population. An overview of challenges during and beyond the COVID-19 pandemic are also discussed, and targeted recommendations to address acute and systemic issues in medical education and training are presented. During the transition from conventional in-person or classroom teaching to tele-delivery of educational programs, medical students have to navigate various social, economic and cultural factors which interfere with their personal and academic lives. This is especially relevant for those from vulnerable, underprivileged or minority backgrounds. Students from vulnerable backgrounds are influenced by environmental factors such as unemployment of themselves and family members, lack of or inequity in provision and access to educational technologies and remote delivery-platforms, and increased levels of mental health stressors due to prolonged isolation and self-quarantine measures. Technologies for remote education and training delivery as well as sustenance and increased delivery of general well-being and mental health services to medical students, especially to those at high-risk, are pivotal to our response to COVID-19 and beyond.


2018 ◽  
Vol 15 (3) ◽  
pp. 49-51 ◽  
Author(s):  
Nick Bouras ◽  
Silvia Davey ◽  
Tracey Power ◽  
Jonathan Rolfe ◽  
Tom Craig ◽  
...  

Maudsley International was set up to help improve people's mental health and well-being around the world. A variety of programmes have been developed by Maudsley International over the past 10 years, for planning and implementing services; building capacity; and training and evaluation to support organisations and individuals, professionals and managers to train and develop health and social care provisions. Maudsley International's model is based on collaboration, sharing expertise and cultural understanding with international partners.


Author(s):  
Gilbert Mitullah Omware

This chapter examines Kenya's current approach to the regulation of low-fee private schools amid the tension between conceiving of education as a commodity provided for profit — where rules of the market determine growth and development — and conceiving of education as a fundamental right that the state must fulfil for every person in its jurisdiction. In Kenya, the contextual term for ‘low-fee’ private schools is ‘APBET’ schools (Alternative Provision of Basic Education and Training), after the 2009 APBET Policy. The Kenyan government still does not know exactly how many APBET schools operate in the country and therefore cannot adequately regulate them. As demonstrated by the fragmentation in the regulation of these schools, it reveals that there is a need to consolidate the incorporation, registration, licensing, and taxation regimes to ensure a uniform approach to law and policy on low-fee private schools. As such, a comprehensive overhaul of the regulation of APBET schools is required.


2020 ◽  
Author(s):  
Carlos Von Krakauer Hübner ◽  
Marcella de Lima Bruscatto ◽  
Rafaella Dourado Lima

AbstractThe first case of infection with the new coronavirus was identified in December 2019 in Wuhan, China. In March, the World Health Organization (WHO) defined the disease epidemic as a pandemic. Thus, a quarantine was imposed by many governments. As a consequence, and given that epidemiological outbreaks of infectious diseases, such as Covid-19, are associated with psychological disorders and symptoms of mental illness, researchers at the Shanghai Mental Health Center have created the Covid-19 Peritraumatic Distress Index (CPDI), in which the results are obtained: normal, mild/moderate distress and severe distress. The main objective of the study was based on the application of CPDI, in order to identify the health and well-being of Brazilian students from different undergraduate courses at the Pontifical Catholic University of São Paulo (PUC/SP) during the Covid-19 pandemic and to test the hypothesis that medical students suffer more than students from other courses. The research is based on a cross-sectional observational study, in which we applied, using Google FormsR, the questions contained in CPDI, among with demographic data: age, sex, educational institution, undergraduate course and school year. The Index was applied online for seven days in which a total of 654 valid responses were obtained: 501 (76.6%) female and 149 (22.8%) male. Regarding age, 333 students (50.91%) were 17-20 years old, 279 (42.66%) between 21-25, 30 (4.59%) between 26-30 and 12 (1.84%) between 31-50. The results indicate that the participants reported significant psychological distress, according to the CPDI score. Practically 90% (87.92%) of the students experienced suffering, while only 12.08% did not suffer. The study provides the first empirical evidence on the level of psychological distress in Brazilian university students during the Covid-19 pandemic. Also, it suggests support and monitoring of university students during and after the pandemic, with effective and efficient intervention in their mental health.Summary boxesSECTION 1Researchers at the Shanghai Mental Health Center have created the Covid-19 Peritraumatic Distress Index (CPDI), to measure the amount of psychological suffering of the population, due to the pandemic of Coronavirus. Before our research, the survey had been applicated in China and Iran. The main objective of the study was to identify with the survey, the health and well-being of Brazilian students from different undergraduate courses at the Pontifical Catholic University of São Paulo (PUC/SP) during the Covid-19 pandemic and to test the hypothesis that medical students suffer more than students from other courses.SECTION 2The study provides the first empirical evidence on the level of psychological distress in Brazilian university students during the Covid-19 pandemic, practically 90% (87.92%) of the students experienced some suffering.


Author(s):  
Christina Ramirez Smith

Every year across the globe, thousands of students begin the quest towards becoming a medical doctor and donning a long white coat. Global research indicates that after beginning medical education, medical students' mental health and well-being dramatically declines. The loss of well-being continues into the residency and practice of medicine. The aim of this chapter is to broadly examine the pressures unique to medical students within the context of medical education training, higher education, and the general population. A call for medical education to adopt innovative policy, plans, and administrative and curricular changes designed to foster a culture conducive to the long-term positive mental health and well-being of medical students during training and into the internship and long-term practice of medicine concludes the chapter.


2015 ◽  
Vol 90 (5) ◽  
pp. 652-659 ◽  
Author(s):  
Julia M. Przedworski ◽  
John F. Dovidio ◽  
Rachel R. Hardeman ◽  
Sean M. Phelan ◽  
Sara E. Burke ◽  
...  

Author(s):  
Christina Ramirez Smith

Every year across the globe, thousands of students begin the quest towards becoming a medical doctor and donning a long white coat. Global research indicates that after beginning medical education, medical students' mental health and well-being dramatically declines. The loss of well-being continues into the residency and practice of medicine. The aim of this chapter is to broadly examine the pressures unique to medical students within the context of medical education training, higher education, and the general population. A call for medical education to adopt innovative policy, plans, and administrative and curricular changes designed to foster a culture conducive to the long-term positive mental health and well-being of medical students during training and into the internship and long-term practice of medicine concludes the chapter.


2017 ◽  
Vol 5 (1) ◽  
pp. 57-58
Author(s):  
Thiago Henrique Roza

The spirituality, cultural beliefs and religion of any patient are likely to have an impact on his/her health, and well-being. Health professionals, mainly young physicians and medical students, often fail to consider this type of background when taking care of their patients. This experience is a report of an interesting encounter, in the field of mental health, in which the spiritual beliefs and socioeconomic needs of a patient were considered during her treatment. Consequently, sleeping pills were not prescribed in her case.


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