scholarly journals Improving the quality of care and medical education by involving medical students in providing patient education: a scoping review

2017 ◽  
Vol 17 (5) ◽  
pp. 281
Author(s):  
Thomas Willem Vijn ◽  
Cornelia R.M.G. Fluit ◽  
Jan A.M. Kremer ◽  
Marjan J. Faber ◽  
Hub Wollersheim
Keyword(s):  
Medical Education ◽  
Quality Of Care ◽  
Medical Students ◽  
Patient Education ◽  
Scoping Review

The Medical School Marketplace, c.1850–1900

2018 ◽  
Author(s):  
Laura Kelly
Keyword(s):  
Nineteenth Century ◽  
Medical Education ◽  
Medical Students ◽  
Medical School ◽  
Medical Profession ◽  
Student Experience ◽  
Bedside Teaching ◽  
Student Behaviour ◽  
Irish Medical

The early nineteenth century has been frequently hailed as the ‘golden age of Irish medicine’ as result of the work of physicians Robert Graves and William Stokes, whose emphasis on bedside teaching earned fame for the Meath Hospital where they were based. However, by the 1850s and for much of the nineteenth century, Irish medical education had fallen into ill-repute. Irish schools were plagued by economic difficulties, poor conditions, sham certificate system, night lectures and grinding, all of these affected student experience in different ways. Furthermore, intense competition between medical schools meant that students wielded a great deal of power as consumers. Irish students had a remarkable amount of freedom with regard to their education and qualifications. As the medical profession became increasingly professionalised, student behaviour improved but disturbances and protests in relation to professional matters or standards of education replaced earlier rowdiness. The nineteenth century also witnessed complaints by medical students about the quality of the education they were receiving, resulting, for example, in a series of visitations to Queen’s College Cork and Queen’s College Galway. This chapter highlights these distinctive aspects of Irish medical education while illustrating the power of Irish students in the period as consumers.

scholarly journals Maternal perceptions of the quality of Care in the Free Maternal Care Policy in sub-Sahara Africa: a systematic scoping review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Monica Ansu-Mensah ◽  
Frederick I. Danquah ◽  
Vitalis Bawontuo ◽  
Peter Ansu-Mensah ◽  
Desmond Kuupiel
Keyword(s):  
Quality Of Care ◽  
Maternal Health ◽  
Scoping Review ◽  
Maternal Care ◽  
Service Utilisation ◽  
Care Policy ◽  
Maternal Healthcare ◽  
Maternal Perceptions ◽  
Free Care

Abstract Background The world aims to achieve universal health coverage by removing all forms of financial barriers to improve access to healthcare as well as reduce maternal and child deaths by 2030. Although free maternal healthcare has been embraced as a major intervention towards this course in some countries in sub-Saharan Africa (SSA), the perception of the quality of healthcare may influence utilization and maternal health outcomes. We systematically mapped literature and described the evidence on maternal perceptions of the quality of care under the free care financing policies in SSA. Methods We employed the Arskey and O’Malley’s framework to guide this scoping review. We searched without date limitations to 19th May 2019 for relevant published articles in PubMed, Google Scholar, Web of Science, Science Direct, and CINAHL using a combination of keywords, Boolean terms, and medical subject headings. We included primary studies that involved pregnant/post-natal mothers, free maternal care policy, quality of care, and was conduct in an SSA country. Two reviewers independently screened the articles at the abstract and full-text screening guided by inclusion and exclusion criteria. All relevant data were extracted and organized into themes and a summary of the results reported narratively. The recent version of the mixed methods appraisal tool was used to assess the methodological quality of the included studies. Results Out of 390 studies, 13 were identified to have evidence of free maternal healthcare and client perceived quality of care. All the 13 studies were conducted in 7 different countries. We found three studies each from Ghana and Kenya, two each in Burkina Faso and Nigeria, and a study each from Niger, Sierra Leone, and Tanzania. Of the 13 included studies, eight reported that pregnant women perceived the quality of care under the free maternal healthcare policy to be poor. The following reasons accounted for the poor perception of service quality: long waiting time, ill-attitudes of providers, inadequate supply of essential drugs and lack of potable water, unequal distribution of skilled birth attendants, out-of-pocket payment and weak patient complaint system. Conclusion This study suggests few papers exist that looked at maternal perceptions of the quality of care in the free care policy in SSA. Considering the influence mothers perceptions of the quality of care can have on future health service utilisation, further studies at the household, community, and health facility levels are needed to help unearth and address all hidden quality of care challenges and improve maternal health services towards attaining the sustainable development goals on maternal and child health.

scholarly journals Learning styles and the myths surrounding it: a systematic scoping review of the literature.

2021 ◽  
Author(s):  
Lucas de Mendonça ◽  
Regis Rodrigues Vieira ◽  
Michel Silvio Duailibi
Keyword(s):  
Medical Education ◽  
Learning Style ◽  
Cognitive Processing ◽  
Scoping Review ◽  
Postgraduate Medical Education ◽  
Inclusion Criteria ◽  
Theoretical Assumption ◽  
Cross Sectional ◽  
Searching Strategy

Abstract Background: Learning style (LS) is the theoretical assumption that each individual has a better form for cognitive processing throughout learning. In medical education, LS has been studied as a tool to optimize medical learning. Teaching in the postgraduate medical environment embraces specific methodological aspects for mastering medical abilities and LS inventories have been widely used for enhance learning. However, no review has been done on this subject until this date. Therefore, a scoping review was performed to explore the extent of evidence on LS and postgraduate medical education. Methods: a systematic scoping review was performed according to PRISMA - ScR and JBI guidelines. We searched MEDLINE, ERIC, LILACS and SCIELO virtual library on February 2020. A peer review was performed with blinding of both investigators and any divergence was resolved by consensus. Searching strategy, search terms, exclusion and inclusion criteria and data charting were structured prior to the beginning of the study. Data was summarized and collated. Analysis of the quality of the evidence was also performed using specific tools.Results: 211 studies were obtained with the search engine after duplicates were removed. Of these, 40 were selected after applying exclusion and inclusion criteria. Two other studies were excluded post initial screening. The majority of studies were from United States. General surgery, internal medicine and family medicine were the specialties that had most studies on LS. Kolb LSI was the most used LS inventory. The majority of studies were observational with a cross sectional design (34 out of 38). Only four studies were RCTs with a low quality of evidence and a high risk of bias. It was also seen that LS may change through training, with work-hours and areas of specialty training.Conclusion: There is a lack of high quality studies to provide reliable evidence for the utilization of LS in postgraduate medical education and it is desirable for more Cohort or Randomized Control Trials in this area for a more robust evidence.

scholarly journals Critical Reflection on Own Beliefs for Cultural Competence in Medical Education: an Analysis of Tutors’ Reflective Narratives

2020 ◽  
Vol 9 (3) ◽  
pp. 273
Author(s):  
Costas S Constantinou ◽  
Panayiota Andreou ◽  
Alexia Papageorgiou ◽  
Peter McCrorie
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Medical Students ◽  
Cultural Competence ◽  
Quality Of Health Care ◽  
Critical Reflection ◽  
Cultural Beliefs ◽  
Training Model ◽  
Clinical Communication

Critical reflection on own beliefs, within the context of cultural competence, has been acknowledged as an important skill doctors and medical students should have in order to enhance the quality of health care regardless of patients’ social and cultural background. Yet the guidelines for teaching students critical reflection on their own cultural beliefs are lacking. Based on the method of investigating short reflective narratives and Gibbs’ reflective cycle for development, this paper explores the experience of clinical communication tutors’ in examining cultural competence in OSCEs, how they felt, analyzed and concluded, and examines their account on how to construct a training model for dealing with such challenge in medical education.

Maintenance of Certification

2007 ◽  
Vol 73 (2) ◽  
pp. 143-147
Author(s):  
Roberts Rhodes
Keyword(s):  
Medical Education ◽  
Quality Of Care ◽  
Continuous Process ◽  
Quality And Safety ◽  
Medical Expertise ◽  
Maintenance Of Certification ◽  
Practice Performance ◽  
Specialty Board ◽  
Requirement Change

Maintenance of Certification® (MOC) is the most recent stage in the evolution of specialty board certification. Driven by increasing concerns over the quality and safety of medical care, MOC represents a change in the frequency and the nature of the requirements of existing recertification. Under MOC, the every 10-year snapshot of professionalism, participation in continuing medical education, and medical expertise that are part of current recertification will become a more continuous process. MOC adds the assessment of practice performance to these measures and represents a philosophical change as well as a requirement change. The focus of these assessments is for improvement rather than judgment. The extent to which MOC succeeds will reflect surgeons’ ability to improve the quality of care through voluntary efforts.

Medical Education in the 21st Century

2011 ◽  
pp. 528-535
Author(s):  
Stefane M. Kabene ◽  
Jatinder Takhar ◽  
Raymond Leduc ◽  
Rick Burjaw
Keyword(s):  
Medical Education ◽  
Quality Of Care ◽  
Patient Outcomes ◽  
21St Century ◽  
Healthcare Professionals ◽  
New Technologies ◽  
Healthcare Delivery ◽  
The Right

As with many disciplines, the fields of healthcare in general and medicine, in particular, have made vast strides in improving patient outcomes and healthcare delivery. But, have healthcare professionals and medical academia been able to maximize the utilization of new technologies to improve the delivery of the right knowledge, to the right people, at the right time across geographical boundaries? In order to provide the best quality of care, regardless of patient or provider location, specific issues must be addressed.

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