scholarly journals Knowledge, Attitude and Practices Regarding COVID-19 among Postgraduate Trainees and House Officers

Esculapio ◽  
2021 ◽  
Vol 17 (2) ◽  
pp. 179-182
Author(s):  
Shandana Tarique ◽  
Shahid Sarwar
Keyword(s):  
Online Survey ◽  
Pearson Correlation ◽  
Tertiary Care ◽  
Sample Collection ◽  
Online Questionnaire ◽  
Maximum Score ◽  
Post Graduate ◽  
The Status ◽  
Graduate Trainees ◽  
Tertiary Care Hospitals

Objectives: To assess the knowledge, attitude and practice among house officers and post graduate trainees towards COVID-19 in tertiary care hospitals. Methods: An online questionnaire was used as research tool to collect data from 115 house officers and post graduate trainees working in tertiary care hospitals. Questionnaire was divided into three sections. Knowledge was assessed on basis of choosing the best option, attitude was evaluated with agree/disagree and practices were considered on yes/no format. Data was analyzed with SPSS 24®(Armonk NY:IBM corp). Results: 115 doctors responded to online survey. Mean age was 26.92±2.92, 62(53.9%) were female and 53(46.1%) were male. Regarding the status of participants, 46(40%) were house officers and 69(60%) were post graduate residents. Considering the domain of knowledge, maximum score was 12 and minimum was4. Mean score was 8.75. It was observed that 82(71.3%) participants agreed that COVID-19 will be successfully controlled, while 114 (99.1%) of participants counselled patients and their attendants about preventive measures. Regarding practice domain, 110(95.7%) participants replied in affirmative that they wore mask when leaving home while 19(16.5%) had undergone training for nasopharyngeal sample collection. Only 45(39.1%) had undergone training for doffing and donning. Pearson correlation was applied between the three domains and status of doctors. It was observed that postgraduate residents were significantly better in Covid-19 related knowledge (p<.05). Among the three domains, no significant relationship was observed. Conclusion: Doctors have positive attitude though factors have been identified in knowledge and practice that need improvement. Keywords: COVID-19, knowledge, attitude, practice How to cite: Tarique S., Sarwar S., Knowledge, Attitude and Practices regarding COVID-19 among Postgraduate Trainees and House Officers. Esculapio 2021;17(02):179-182.

scholarly journals 2288. Role of Β Lactam-Β Lactamase Inhibitors in Indian Tertiary Care Hospitals: Results from a Nationwide Survey

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S784-S784
Author(s):  
Shweta Kamat ◽  
Pankaj Gupta ◽  
Akshata Mane
Keyword(s):  
Clinical Experience ◽  
Online Survey ◽  
Tertiary Care ◽  
Bloodstream Infections ◽  
Nationwide Survey ◽  
Third Generation ◽  
Tract Infections ◽  
Abdominal Infections ◽  
Tertiary Care Hospitals ◽  
Third Generation Cephalosporins

Abstract Background Broad-spectrum antibiotics, particularly third-generation cephalosporins, are routinely used in the treatment of nosocomial infections. The emergence of Extended Spectrum Β-Lactamase (ESBL)-producing pathogens in Indian tertiary care hospitals warrants the need to reassess β-lactam–β-lactamase inhibitors (BL-BLIs) as better alternative treatments. Methods An online survey was conducted by Pfizer India to understand the usage of BL-BLIs across Indian hospitals. The survey was administered to 334 clinicians across multiple specialties out of which 195 were from tertiary care hospitals. Results were analyzed using MS-Excel statistical tools. Results One-hundred ninety-five (195) clinicians from tertiary care hospitals completed the survey. About 78% of HCPs revealed the resistance to third-generation cephalosporins (e.g., ceftriaxone, ceftazidime) to be between 10–60% in their clinical settings. BL-BLIs were mostly preferred for treatment based on hospital antibiograms (64%) and used as first-line options for hospitalized adults with mild-moderate severe infections caused by ESBL-producing organisms (71%) and in mild-moderate infections caused by susceptible Gram-negative bacteria such as Enterobacteriaceae (54%). The average duration of IV BL-BLI treatment was 5–7 days (66%). The HCPs considerations while choosing BL-BLIs were mainly based on anti-microbial spectrum (81%), and rationality of BL/BLI combination (63%) and clinical experience with the BL-BLI molecule (63%). Cefoperazone-Sulbactam (CS) and Piperacillin–tazobactam (PT) were most commonly prescribed BL-BLIs and HCPs preferred the latter for pneumonia (67%), skin and soft-tissue infections (57%), bloodstream infections (67%) and cancer-associated febrile neutropenia (64%); while they preferred former for urinary tract infections (64%). CS and PT were preferred for intra-abdominal infections (57% and 64% respectively) and post-surgical infections (56% and 53% respectively). Conclusion CS and PT were the most commonly prescribed BL-BLIs probably due to their wide antimicrobial spectrum, rationality of the BL/BLI combination and the clinical experience with the molecules. BL-BLIs are still a mainstay of treatment for infections due to ESBL producing organisms. Disclosures All authors: No reported disclosures.

scholarly journals Frequency of Depression, Anxiety and Stress among Gynae Residents during Covid Pandemic

2021 ◽  
Vol 15 (7) ◽  
pp. 1894-1897
Author(s):  
Imran Khan ◽  
Muhammad Zaman Afridi ◽  
Zahra Wasim ◽  
Nadia Khan Jawad ◽  
Zubaida Khanum Wazir ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Psychological Impact ◽  
Moderate Level ◽  
Teaching Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Post Graduate ◽  
Ethical Approval ◽  
Community Data ◽  
Tertiary Care Hospitals

Objective: To find the frequency of depression, anxiety and stress among Gynae residents during covid pandemic. Methodology: This Cross-sectional survey was carried out in different Teaching Hospitals of Khyber Pakhtunkhwa during the period of six months i.e from August 2020 to January 2021. After the ethical approval from the research community, data was collected from Post Graduate Gynae Residents of Teaching Hospitals. Sample size for the study was 405 participants. Depression, anxiety and gross scale shorten version DASS-21 containing 21 items was standard research to use in study i.e. depression, anxiety and stress was identified on the basis of their cutoff scores i.e. normal scores were ≥10, ≥8 and ≥15 for depression, anxiety and stress respectively. Result: In depression, 136 (34%) participants were normal followed by moderate level having frequency 121 (30.25%). In the anxiety category, 116 (29%) participants were normal followed by moderate level having frequency 101 (25.5). In the category of stress, 179 (44.75%) participants were normal followed by mild levels having frequency 106 (26.50%). Only COVID positive status was statistically significant with depression, anxiety and stress as their P-valve was 0.02 less than 0.05. Conclusion: Considerable number of post graduate Gynae trainees working in different tertiary care hospitals have varying degrees of depression, anxiety and stress due to COVID-19 pandemic. Keywords: COVID-19, Pandemic, Post graduate, Psychological impact, Trainee doctors, Gynae residents, Mental health, Obstetrics, Gynaecology.

scholarly journals Clavien classification in urology: Is there concordance among post-graduate trainees and attending urologists?

2013 ◽  
Vol 7 (5-6) ◽  
pp. 179 ◽  
Author(s):  
Mohamed A. Elkoushy ◽  
Murilo A. Luz ◽  
Tarik Benidir ◽  
Saad Aldousari ◽  
Armen G. Aprikian ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Tertiary Care ◽  
Care Centre ◽  
Rater Agreement ◽  
Tertiary Care Centre ◽  
Agreement Rate ◽  
Post Graduate ◽  
Clavien Classification ◽  
Significant Difference ◽  
Graduate Trainees

Purpose: We assess the variations between post-graduate trainees (PGTs) and attending urologists in applying the Revised Clavien-Dindo Classification System (RCCS) to urological complications.Methods: Twenty postoperative complications were selected from urology service Quality Assurance meeting minutes spanning 1 year at a tertiary care centre. The cases were from adult and pediatric sites and included minor and major complications. After a briefing session to review the RCCS, the survey was administered to 16 attending urologists and 16 PGTs. Concordance rates between the two groups were calculated for each case and for the whole survey. Inter-rater agreement was calculated by kappa statistics.Results: There was good overall agreement rate of 81% (range: 30-100) when both groups were compared. Thirteen of the 20 cases (65%) held an agreement rate above 80% (k = 0.753, p < 0.001) including 3 (15%) cases with 100% agreement. There were only 2 cases where the scores given by PGTs were significantly different from that given by attending urologists (p ≤ 0.03). There was no significant difference between both groups in terms of overall RCCS grades (p = 0.12). When all participants were compared as one group, there was good overall inter-rater agreement rate of 75% (k = 0.71). Although the percent of overall agreement rate among PGTs was higher than the attending urologists (82% [k = 0.79] vs. 69% [k = 0.64]), this was not significantly different (p = 0.68).Conclusion: There was good overall agreement among PGTs and attending urologists in application of the RCCS in urology. Therefore, it is appropriate for PGTs to complete the Quality Assurance meeting reports.

scholarly journals POLIO VACCINE;

2017 ◽  
Vol 24 (06) ◽  
pp. 919-923
Author(s):  
Naila Azam ◽  
Shamaila Mohsin ◽  
Aamira Hashmi ◽  
Muhammad Imran ◽  
Farman Ali ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Tertiary Care ◽  
Polio Eradication ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
Inadequate Knowledge ◽  
Knowledge And Attitude ◽  
Graduate Trainees ◽  
Tertiary Care Hospitals

Objectives: To assess knowledge and attitude of young doctors serving in Tertiarycare Hospitals regarding the IPV intervention and polio eradication campaign. Study Design:A cross sectional descriptive study. Setting: Five Tertiary Care Hospitals in Rawalpindi andIslamabad. Period: Oct 2015-Nov 2015. Methods: Proportionate random sampling techniquewas used to select a sample of 100 doctors working in pediatrics wards and out patientsdepartments (OPD). After taking informed consent the data was collected using a standardizedQuestionnaire to measure level of awareness among this cohort of Health care providers. Datawere entered and analyzed using SPSS version 21. Baseline distinctiveness (demographic)was summarized by descriptive statistics. The statistical inference was drawn using Chi squaretest, p value of ≤ 0.05 was considered as significant. Results The study sample comprised of47 males and 53 females. Mean age of participants was 29.8 ± 5.7. There were 15% HouseOfficers, 45% Post Graduate Trainees, 30% Medical Officers and 10% consultants in thesample. Majority of doctors (65%) expressed disinterest and doubt about polio immunizationwhile 40% suggested focus on sanitation and health promotion before immunization. Amongthe participants only 29% had attended polio surveillance training workshop in last 2 years andparticipated in polio National Immunization days. There was no significant association betweenknowledge about IPV and years of experience(x2 =2.68, p= 0.433). Conclusion: This studysuggests that there was inadequate knowledge of doctors in tertiary care hospitals regardingIPV and polio eradication efforts in Pakistan.

scholarly journals Compliance of antibiotic prescriptions to the antibiotic policy in surgical cases at an Indian tertiary care hospital

2020 ◽  
Vol 13 (36) ◽  
pp. 3772-3777
Author(s):  
Kulkarni Meenal ◽  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Prophylactic Antibiotic ◽  
Care Hospital ◽  
Medical Treatments ◽  
Antibiotic Policy ◽  
The Past ◽  
The Status ◽  
The Mean ◽  
Tertiary Care Hospitals

Background/ Objectives: The use of antibiotics in all kinds of medical treatments has increased tremendously in the past few years. Many tertiary care hospitals have developed guidelines and protocols on antibiotic usage but are unable to achieve targeted compliance and the desired outcome. This study aims to assess the status of antibiotic prescription and compliance with the hospital antibiotic policy during surgical cases. Methods: A retrospective study was carried out for a period of 2 months by passive file auditing of the patients’ record. Findings: The results obtained show 84.8 % compliance with respect to the choice of antibiotic, 90.4 % to indication, and prophylactic antibiotic was given in only 51.2 % amongst the 122 surgical cases. With respect to the time within which antibiotics were given it was found that in 10.4 % it was given more than 2 hours of surgery being started, in 26.4 % it was given in less than one hour and for the remaining 63.2 % that data was not recorded properly. The mean duration of administering the antibiotic was 6.29 hours with SD of 5.20 hours with a median of 4 hours. Novelty: The study highlights the lacunae and flaws amounting to the non-compliance to the antibiotic policy in surgical cases and suggests that most of the tertiary care hospitals too need an implementable policy than a perfect policy. Keywords: Antibiotic; assessment; compliance; prescription; surgical cases

scholarly journals Psychological Implications of The Late Phase of COVID-19 Pandemic among Medical Undergraduates, Attending Clinical Wards Rotations in Tertiary Care Hospitals of Rawalpindi, Pakistan: An Online Survey-Based Study

2020 ◽  
Vol 2 (5) ◽  
Author(s):  
Arham Ihtesham ◽  
Ather Iqbal ◽  
Muhammad Sarfraz Khan ◽  
Ali Murad Jamal ◽  
Shahzaib Maqbool ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Online Survey ◽  
Late Phase ◽  
Tertiary Care ◽  
Family Members ◽  
Predisposing Factors ◽  
Cross Sectional ◽  
Medical Undergraduates ◽  
The Mean ◽  
Tertiary Care Hospitals

  COVID-19 is proving to be a double-edged sword for health care professionals. It is not only causing physical malfunctioning but mental suffering among medical undergraduates. This study demonstrates the psychological impact and various predisposing factors causing mental distress. This is a descriptive cross-sectional study involving 157 medical undergraduates of Third, Fourth, and Final year MBBS being trained in tertiary care hospitals of Rawalpindi, Pakistan in September 2020, when the graph of COVID-19 was flattening. Data was collected through a self-designed questionnaire for demographic details and DASS-21. The mean and standard deviation was calculated for depression, anxiety, and stress levels. Frequencies and percentages were calculated for the severity of DASS-21 and predisposing factors. Data analysis was done through SPSS. V. 25. Out of 157 students, there were 80(51%) males and 77 (49%) females. The mean age was 22.52 (SD=1.60). The overall mean score of anxiety was 7.43 ± 4.53, depression was 7.75 ± 4.12, and stress was 8.15 ± 4.53. This study found that the most common reason for stress and anxiety among students attending wards was the fear that they might infect their family members 42 (26.8%), followed by the fear of getting infected themselves 39 (24.8%). This study doesn’t exhibit a significant mental burden of grave concern however, the anxiety level was high among the Third year and depression level was high among Final year students. Fear of infecting family members and contracting the virus themselves were common reasons for distress.  

scholarly journals Why doctors are not satisfied with their job current status in tertiary care hospitals

2018 ◽  
Vol 35 (1) ◽  
Author(s):  
Faiza Sadaqat Ali ◽  
Bader Faiyaz Zuberi ◽  
Tazeen Raheed ◽  
Majid Ahmed Shaikh
Keyword(s):  
Job Satisfaction ◽  
Private Sector ◽  
Tertiary Care ◽  
Medical Officer ◽  
Current Status ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Post Graduate ◽  
Work Related ◽  
Tertiary Care Hospitals

Objective: To determine level and factors of job satisfaction among doctors working in tertiary care hospitals in Pakistan. Methods: This is a multi-center cross-sectional survey conducted among Post graduate trainees, medical officers, consultants and faculty doctors. Job satisfaction was measured using 35 specific questions about sources of work-related stress and sources of work-related satisfaction. Satisfaction was defined if mean score of a factor was ≥3.0, where factors were rated using a 5-point Linkert scale ranging from 1 (completely dissatisfied) to 5 (completely satisfied). Results: In this study 373 doctors participated, out of which 215(57.6%) were males. Over all mean satisfaction score was of 2.69±0.37. Departmental mean satisfaction scores were Internal medicine 2.71±0.35, Medical subspecialties 2.63±0.38, Surgical and allied 2.73±0.45. Designation means were Consultant 2.87±0.38, Faculty 2.78±0.44, Medical officer/Registrar 2.50±0.32, Post graduate trainee 2.71±0.45. Public and private sector means satisfaction scores were 2.53±0.80 and 2.92 ±0.84 respectively. Conclusion: Job dissatisfaction was seen among doctors from all the tiers and departments. Public sector doctors were more dissatisfied than private sector doctors. Increasing age, duration of current posting and working experience, positively correlated with satisfaction level. How to cite this:Ali FS, Zuberi BF, Rasheed T, Shaikh MA. Why doctors are not satisfied with their job-current status in tertiary care hospitals. Pak J Med Sci. 2019;35(1):---------. doi: https://doi.org/10.12669/pjms.35.1.72 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Correlation of qSOFA with Severity of COVID-19 Infection Assessed on Admission at Tertiary Care Hospital in Lahore

2021 ◽  
Vol 35 (1) ◽  
pp. 1-6
Author(s):  
Munaza Javed
Keyword(s):  
Pearson Correlation ◽  
Tertiary Care ◽  
Clinical Severity ◽  
Care Hospital ◽  
Clinical Tool ◽  
Mortality And Morbidity ◽  
Mild Disease ◽  
Huge Impact ◽  
Qsofa Score ◽  
Tertiary Care Hospitals

Introduction: The COVID-19 crisis is continuously taxing the world with a huge impact on mortality, morbidity and disease related mental stress. COVID-19 has a variable presentation encompassing from simple myalgias to development of ARDS. Early detection of patients with severe COVID 19 infection by utilizing simple bed side clinical tool like qSOFA, which has been previously used for detection of severity of sepsis could help us in early triage and subsequent management of these patients in specialized dedicated units of the hospital. Thus help in limiting the mortality and morbidity because of this deadly contagion. Aims & Objectives: To correlate the severity of qSOFA score with the clinical severity and outcome of COVID-19 infection at presentation among admitted patients in tertiary care hospitals of Lahore. Place and duration of study: This study was conducted simultaneously at three tertiary care hospitals of Lahore, including Lahore General Hospital, Jinnah Hospital Lahore and Chaudhary Muhammad Akram Teaching and Research Hospital, Lahore. Material & Methods: A retrospective descriptive study on 120 RT PCR positive confirmed COVID-19 patients of both genders, more than 18 years of age. Case records of patients admitted in General Corona ward, Isolation wards, HDUs and ICUs were analyzed. The data analysis was done in SPSS version 20. Factors including blood pressure, respiratory rate, and conscious level were used to calculate the qSOFA score. COVID 19 infection was divided into mild, moderate, severe and critically ill. The relationship of qSOFA score was studied with severity of COVID-19 infection, outcome of disease and age by using the Pearson correlation. Results: Eighty-four (70%) patients were male and thirty-six (30%) were female, with mean age of 59.42 ± 13.49 years. Sixty-eight, twenty-five, five and 0.8 percent patients had critical, severe, moderate and mild disease respectively. Most frequent comorbids found were hypertension, diabetes, ischemic heart disease. A statistically significant correlation was observed between qSOFA with severity of COVID 19, age, and outcome of infection at the level of 0.01. Conclusion: qSOFA is a reliable bedside tool to measure severity and predict outcome of COVID 19 infection.

scholarly journals Impact of Covid-19 Virus on Ophthalmology Residents and Fellows in a Tertiary Care Hospital

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Maryum Nawaz
Keyword(s):  
Tertiary Care Hospital ◽  
Negative Impact ◽  
Clinical Skills ◽  
Tertiary Care ◽  
Surgical Skills ◽  
Care Hospital ◽  
Post Graduate ◽  
Significant Difference ◽  
Graduate Trainees ◽  
The Impact

Purpose:  To determine the impact of COVID-19 pandemic on the training of Ophthalmology residents and fellows in a tertiary care hospital. Study Design:  Cross sectional survey. Place and Duration of Study:  The study was conducted in a tertiary care hospital, Peshawar from august 1st to august 20th 2020. Methods:  A self-designed questionnaire was distributed among 50 ophthalmology residents and fellows. Under-graduate students, house officers and post-graduate trainees from other specialties were excluded. Questions comprised of demographic data, and questions which were meant to investigate the changes experienced by the trainees during COVID-19. The data was analyzed by SPSS Software (Version 19). Results:  Among 50 participants of this study, 16 (32%) were females and 34 (68%) were males. The age ranged from 27 to 35 years. There was no statistically significant difference in the perspectives of resident trainees and fellows regarding negative impact of COVID-19 on their training. Ninety-five percent of the residents and fifty five percent of the fellows had effect on their clinical skills with p values of less than 0.05. Hundred percent residents agreed that online case presentation could not replace the traditional long rounds and simulator based training could improve the surgical skills in pandemic. Twenty five (60.97%) trainees and 6 (66.66%) fellows mentioned that pandemic affected them psychologically and they felt fear while working. Conclusion:  COVID-19 has adversely affected the training of post graduate trainees. Training directors should ensure to provide modern technological tools to improve trainees’ clinical and surgical skills until the crisis is over. Key Words:  COVID-19, Ophthalmology, Training, Conference.

scholarly journals Evaluation of empathy and fatigue among physicians and surgeons in tertiary care hospitals of Rawalpindi

2021 ◽  
Vol 37 (3) ◽  
Author(s):  
Zubaida Rashid ◽  
Imtenan Sharif ◽  
Imdad Ali Khushk ◽  
Abdullah Anis Raja
Keyword(s):  
Statistical Tests ◽  
Pearson Correlation ◽  
Tertiary Care ◽  
P Value ◽  
Strong Negative Correlation ◽  
Cross Sectional ◽  
The Difference ◽  
Physician Empathy ◽  
Tertiary Care Hospitals ◽  
Score Range

Background and Objectives: Clinicians need to build an astute doctor-patient relationship. The term clinical empathy is the ability of doctor to cognitively appreciate a patient’s perspective, experiences, and deliver such an understanding back to patient. Studies associate high physician empathy with improved patient trust and clinical outcomes. In Pakistan, there is paucity of research data on this relationship. This study assessed the empathy and its relation to fatigue levels among physicians and surgeons. Methods: This was a cross-sectional analytical study involving 262 Physicians and Surgeons (1:1) chosen by convenience sampling method. Physicians and Surgeons were included from three hospitals in Rawalpindi from September 2017 to February 2018 and RAO soft sample calculator was used. The Jefferson Scale for Physician empathy (JSPE) (score range 20-140) and Multidimensional Fatigue Inventory (MFI-20) (score range 20-100) were used as data collection tools. The data was analyzed using SPSS version 23. Statistical tests including T-test and Pearson Correlation were used. Results: Overall, mean score of empathy was found to be 98.8±21.9 (range; 46-138). The empathy in Physicians (106.8±18.3) was found to be greater than Surgeons (89.4±22.1) and the difference was statistically significant (p value <0.01). Mean score of fatigue was 50.6±16.0. The fatigue level in Surgeons was greater than Physicians and the difference was found to be statistically significant (p value < 0.01). Strong negative correlation was observed between empathy and fatigue (r= -0.5, p=<0.01) using Pearson correlation. Conclusion: Overall, physicians had better empathy than surgeons, while fatigue scores were higher among surgeons. Fatigue is associated with empathy decay. This research provides an understanding of empathy deterioration and other factors responsible for it. doi: https://doi.org/10.12669/pjms.37.3.1973 How to cite this:Rashid Z, Sharif I, Khushk IA, Raja AA. Evaluation of empathy and fatigue among physicians and surgeons in tertiary care hospitals of Rawalpindi. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.1973 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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