Basic Life Support awareness among resident doctors, medical students, nursing experts, health care providers, and their assistants in Southwest Iran

Background: Human papilloma virus is a causative agent of cervical cancer. Hence,vaccination against HPV is an important mode of primary prevention against cervical cancer. Two vaccines against HPV have been approved and recommended for use in India. However the availability of these vaccines is hardly known and seldom utilised even among the medical fraternity.Aims and Objectives: This study aims to find out the awareness about HPV vaccination among medical students of Andhra Medical College, India. Results of this study will help in assessing the need for awareness programs among health care professionals regarding this important public health issue. Materials and Methods: An observational descriptive study was conducted to know the awareness of HPV infection and vaccination among medical students of a government medical college at Visakhapatnam in Andhra Pradesh. A pretested questionnaire was administered to students of final MBBS Part 1 and final MBBS part 2. Results were analyzed in MS excel and the statistical significance of difference in knowledge between males and females was assessed. Results: Overall, the level of awareness reported was 54.5%. Females had slightly better knowledge than males. Students of final year Part 2 had better knowledge the Final year part 1. The most commonly cited source of information was medical education and the most important factor that deterred subjects from receiving/advising HPV vaccination was lack of knowledge. Conclusion: There exists a large gap in knowledge regarding HPV vaccination. Addressing this gap is necessary if we want to decrease the burden of cervical cancer in India. Medical students, health care providers should be sensitized first and then we should reach out to the public.Asian Journal of Medical Sciences Vol.7(4) 2016 64-67

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Medical Students’ Experiences and Outcomes Using a Virtual Human Simulation to Improve Communication Skills: Mixed Methods Study (Preprint)

10.2196/preprints.15459 ◽

2019 ◽

Author(s):

Timothy C Guetterman ◽

Rae Sakakibara ◽

Srikar Baireddy ◽

Frederick W Kron ◽

Mark W Scerbo ◽

...

Keyword(s):

Health Care ◽

Mixed Methods ◽

Medical Students ◽

Communication Skills ◽

Health Care Providers ◽

Mixed Methods Study ◽

Virtual Human ◽

Care Providers ◽

Empathic Communication ◽

Nonverbal Skills

BACKGROUND Attending to the wide range of communication behaviors that convey empathy is an important but often underemphasized concept to reduce errors in care, improve patient satisfaction, and improve cancer patient outcomes. A virtual human (VH)–based simulation, MPathic-VR, was developed to train health care providers in empathic communication with patients and in interprofessional settings and evaluated through a randomized controlled trial. OBJECTIVE This mixed methods study aimed to investigate the differential effects of a VH-based simulation developed to train health care providers in empathic patient-provider and interprofessional communication. METHODS We employed a mixed methods intervention design, involving a comparison of 2 quantitative measures—MPathic-VR–calculated scores and the objective structured clinical exam (OSCE) scores—with qualitative reflections by medical students about their experiences. This paper is a secondary, focused analysis of intervention arm data from the larger trial. Students at 3 medical schools in the United States (n=206) received simulation to improve empathic communication skills. We conducted analysis of variance, thematic text analysis, and merging mixed methods analysis. RESULTS OSCE scores were significantly improved for learners in the intervention group (mean 0.806, SD 0.201) compared with the control group (mean 0.752, SD 0.198; <italic>F</italic><sub>1,414</sub>=6.09; <italic>P</italic>=.01). Qualitative analysis revealed 3 major positive themes for the MPathic-VR group learners: gaining useful communication skills, learning awareness of nonverbal skills in addition to verbal skills, and feeling motivated to learn more about communication. Finally, the results of the mixed methods analysis indicated that most of the variation between high, middle, and lower performers was noted about nonverbal behaviors. Medium and high OSCE scorers most often commented on the importance of nonverbal communication. Themes of motivation to learn about communication were only present in middle and high scorers. CONCLUSIONS VHs are a promising strategy for improving empathic communication in health care. Higher performers seemed most engaged to learn, particularly nonverbal skills.

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The Impact and Perception of Cell Phone Usage in a Teaching Hospital Setting

Journal of Patient Experience ◽

10.1177/2374373519892416 ◽

2020 ◽

Vol 7 (6) ◽

pp. 1627-1633

Author(s):

Courtney Caminiti ◽

Lily Deng ◽

Patricia Greenberg ◽

Anthony Scolpino ◽

Catherine Chen ◽

...

Keyword(s):

Health Care ◽

Medical Students ◽

Patient Care ◽

Health Care Providers ◽

Cell Phone ◽

Cell Phones ◽

Hospital Setting ◽

University Hospital ◽

Care Providers ◽

Cell Phone Use

Objective: To evaluate perceptions regarding cell phone use in a teaching hospital setting among health care providers, residents, medical students, and patients. Methods: Fifty-three medical students, 41 resident physicians, 32 attending physicians, and 46 nurses working at University Hospital completed a questionnaire about cell phone use practices and their perceptions of cell phone use in the hospital. Forty-three inpatients admitted to medical/surgical units at University Hospital were surveyed at bedside about their perceptions regarding physicians’ cell phone use. Results: All health care providers identified cell phones as a risk to patient confidentiality with no specific group significantly more likely to attribute risk than another. Practitioners were identified as either primarily as inpatient or outpatient practitioners. Inpatient practitioners were significantly more likely to rate cell phones as beneficial to patient care than outpatient practitioners. Physicians were statistically more likely to rate mobile phones as beneficial to patient care as compared to nurses. Among the patient population surveyed, one quarter noted that their physician had used a cell phone in their presence. The majority of those patients observing practitioner cell phone use had reported a beneficial or neutral impact on their care. Significance: Perceived risk of cell phones to patient confidentiality was equal across health care providers surveyed. Physician and medical students were significantly more likely to rate cell phones as beneficial to patients’ care than nurse providers. Patients indicated that their physicians used cell phones in their presence at low rates and reported that the use was either neutral or beneficial to the care they received.

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Drs. Russo and Gururaj Reply

PEDIATRICS ◽

10.1542/peds.57.4.576 ◽

1976 ◽

Vol 57 (4) ◽

pp. 576-576

Author(s):

Raymond M. Russo ◽

Vymutt J. Gururaj

Keyword(s):

Health Care ◽

Medical Students ◽

Health Care Providers ◽

Practical Importance ◽

Outpatient Service ◽

House Staff ◽

Patient Records ◽

Care Providers

The involvement of health care providers, whose patient records are to be reviewed, in evolving a set of audit criteria would appear to be an important compliance determinant. And, while its degree of importance remains to be determined, ideally all providers should be involved in creating self-audit criteria. There is, however, an issue of practical importance that arises when large staffs are to be audited, and particularly when a part of this staff is assigned only temporarily to the outpatient service, e.g., house staff officers or medical students.

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Current Controversies in Prehospital Resuscitation of the Terminally Ill Patient

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00026522 ◽

1990 ◽

Vol 5 (1) ◽

pp. 49-57 ◽

Cited By ~ 11

Author(s):

R. Jack Ayres

Keyword(s):

Health Care ◽

Nursing Homes ◽

Health Care Providers ◽

Care Provider ◽

Life Support ◽

Terminally Ill ◽

Advanced Life Support ◽

Care Providers ◽

Emergency Health Care ◽

Prehospital Emergency

Prehospital health-care providers regularly are called upon to assist terminally ill patients in residential or institutional, non-hospital settings such as nursing homes or hospices. Among the most crucial issues regarding such patients is whether they should be resuscitated. With alarming frequency, EMS providers are encountering vigorous and sometimes violent refusals of examination, treatment, and/or transportation from the terminally ill patient, members of the patient's family, or third persons ostensibly acting on the patient's behalf. Today, the prehospital emergency health-care provider repeatedly is faced with the legal and ethical questions that surround the issue of resuscitation and advanced life support.

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ROME: a tool to train under graduate medical students as community health care providers

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20180781 ◽

2018 ◽

Vol 5 (3) ◽

pp. 1181

Author(s):

Rajesh Kumar Konduru ◽

Amit Kumar Mishra ◽

Manikandan M. ◽

Joy Bazroy

Keyword(s):

Health Care ◽

Medical Students ◽

Community Health ◽

Health Care Providers ◽

Data Entry ◽

Community Health Care ◽

Care Providers ◽

Undergraduate Medical Students ◽

Effective Community ◽

Teaching Learning

Background: Re-Orientation of Medical Education (ROME) program is relatively a new teaching and learning method for undergraduate medical students which enables them to achieve the knowledge and skills to provide effective community health care. Objective of this study was to find out which of the various activities that were carried out during the ROME posting helped them to achieve the required knowledge and skills to provide effective Community Health Care.Methods: A descriptive study was conducted among 101 undergraduate MBBS students who participated in the ROME posting under the Department of Community Medicine of a medical college in Puducherry. Predesigned and pretested questionnaire was used to get the feedback regarding the various teaching-learning methods applied during this ROME posting which was carried out for one full month and about various activities that were carried out by the students such as clinical examination, data collection, data entry and analysis, development of IEC materials and their administration, organizing medical camps, maintaining drug inventory, sanitation campaign and report writing under the supervision of Intern, PG and faculty.Results: “Learning through performing individual tasks” was the most popular teaching-learning method. “Conducting survey” and “data entry” were the most sought after activities by the students.Conclusions: ROME posting helps in motivating undergraduate medical students to apply the principles of comprehensive approach towards various medical problems and thereby fulfill the ultimate aim of creating efficient Community Health Care Providers.

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Perceptions of the educational environment at entry and exit of medical students to clinical teaching in a rural medical college

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20172455 ◽

2017 ◽

Vol 5 (6) ◽

pp. 2601

Author(s):

Deepsha James ◽

Susan Mani ◽

Anna Mathew ◽

Saravana Kumar Velusamy

Keyword(s):

Health Care ◽

Medical Students ◽

Student Perceptions ◽

Health Care Providers ◽

Clinical Teaching ◽

Educational Environment ◽

Care Providers ◽

Entry And Exit ◽

Medical College ◽

Significant Difference

Background: The foundation for good health care to patients is the competence of health care providers. Motivated learners in supportive environments have high levels of self-efficacy. DREEM is considered a valid and reliable tool, globally accepted for assessing the educational environment. The objectives of the study were to elicit the perceptions of first clinical year and final year medical students in a rural medical college using the Dundee ready education environment measure (DREEM) inventory and to find out if there is any difference in the perceptions at entry and exit to the clinical environment.Methods: This was a cross sectional study on 78 students each in first clinical year and final year of this rural medical college. The DREEM inventory was used by the investigator to record relevant data, which was then statistically analyzed using SPSS software. The student t-test was used to compare the total and sub-domain mean scores in the two groups.Results: There was significant difference in perception in the final year students compared to the first clinical year class.Conclusions: The students of both first clinical year and final year have a positive perception about their educational environment. However there is a significant difference in the total DREEM score as well as total sub-domain scores among first clinical year students and final year students. Student perceptions are a valuable resource for institutional curriculum planners to make appropriate changes to enhance student learning.

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