scholarly journals Medical Graduates’ Viewpoints on the First Big UME Reform in Iran

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Marzieh Zanjanian ◽  
Mehrnaz Zarei ◽  
Ali Tabibi ◽  
Ali Reza Abadi ◽  
Fakhrolsadat Hosseini

Background: Shahid Beheshti General Medical Degree Curriculum (2004) is the first big reform program in Iran with more than 10 major educational interventions. Objectives: We aimed to evaluate the graduates’ viewpoints about the program. Methods: This study is a descriptive cross-sectional graduate survey in 2018, in which 194 medical graduates from 2011 to 2014 participated with a response rate of 51.3%. The authors prepared a questionnaire with a four-point Likert scale based on the stakeholders’ viewpoints. The questionnaire contained 121 questions in seven domains: Job status, undertaking social responsibility, self-improvement, competency, effects of interventions, adequacy of educational facilities, the impact of faculty members, and reform book effectiveness. In data analysis, the authors combined the positive ratings of "I agree" and "I strongly agree" and negative ratings of "I disagree" and "I strongly disagree.” Results: More than 88% of the respondents were specialists, medical residents, or were preparing for the medical residency entrance exam. More than 94% of the graduates evaluated themselves as competent in clinical skills, health promotion, and self-improvement, but 48.9% were competent in health advocacy, 43.3% in rehabilitation, 38.6% in the knowledge of diseases, and 29.4% in cognitive skills. The organ system approach (99%) and the approach to the presentation (87.1%) were the most favorable aspects of the program; but, communication skills education (60.8%), problem-solving sessions (64.3%), and professionalism education (66%) were the weak aspects. Bedside clinical teaching (83%) was more effective than outpatient education (79.4%) and didactic education (74.2%). Among the participants, 64.4% assessed the educational facilities as desirable, and 78.4% of them, the educational hours. Besides, 77.8% of the respondents agreed with the positive effect of clinical faculty members, and 45.9% agreed with the basic faculty members. Moreover, a difference was observed between the effects of student textbooks (80.4%) and study guides (60.3%) on enhancing students' learning. Conclusions: Overall, the program has shown effectiveness in many areas; however, it has a few weaknesses that should be considered in curriculum revision.

Author(s):  
Aneesa Abdul Rashid ◽  
Sazlina Shariff Ghazali ◽  
Iliana Mohamad ◽  
Dalila Roslan ◽  
Husna Musa ◽  
...  

Introduction: House officers are reported to feel less confident in working, especially in the initial part of their training. Among the factors that make them feel unprepared are in terms of adequate knowledge, clinical skills and dealing with workload. The impact of less confident house officers (HO) can lead to detrimental effects.Objectives: This study aims to look into the confidence and readiness levels of medical graduates prior to starting a HO preparatory course and factors associate.Methods: This is a cross sectional questionnaire study done among medical graduates between April – September 2018. This is part of a bigger study looking into the effectiveness of this course, which was initially organised under the Islamic Medical Association of Malaysia (IMAM) and later privatized to Medicorp (a medical training company for junior doctors). 238 participants who fulfilled the inclusion and exclusion criteria, completed the adapted IMU Competency survey pre and post the course. Their level of confidence and readiness to work was scored out of a Likert scale of 1 to 5. The higher the score, the higher the confidence or readiness to work.Results: We found significant association of confidence levels pre-course with ethnic it y (p=0.038). The scores were 2.0 (IQR=2.0), 2.0 (IQR=2.0), 3.0 (IQR=1.0), 2.5 (IQR=1.25) for Malay, Chinese, Indian and others respectively. We report significant associations with level of confidence (p=0.03) and readiness (p=0.08) not only prior, but levels of confidence (p<0.001) and readiness (p<0.001) after the course in association with place of study. Significant association was found for levels of confidence (p=0.048) and readiness (p=0.07) according to gender for scores post-course which were both 3.0 (IQR=1.0) and 4.0 (IQR=1.0) for females and males respectively.Conclusion: Confidence level to start work were higher for the Indian ethnicity before the HOpreparatory- course. Confidence and readiness levels were higher in male after the course, and locally graduated participants pre and post course.International Journal of Human and Health Sciences Supplementary Issue: 2019 Page: 41


2021 ◽  
Vol 15 (9) ◽  
pp. 2253-2256
Author(s):  
Ahmad Liaquat ◽  
Komal Atta ◽  
Rehan Ahmad Khan

Background: COVID-19 has had unprecedented effects in all disciplines of life, across the world. Nationwide shutdowns and uncertainty of reopening educational institutes have raised concerns about the smooth continuity of the education system. Sudden and abrupt shifts to online learning poses significant challenges for dental and medical schools everywhere. Aim: This cross-sectional study explores the challenges faces by students and faculty of Undergraduate Dentistry in clinical years. Methods: This cross-sectional study was conducted from 6th April to 5th May 2020. Two structured questionnaires (for faculty and third, final year BDS students respectively) were designed and validated. Data analysis was performed using SPSS 21, descriptive statistics were applied and frequencies were calculated for various responses Results : Thirty-three (94.3%) faculty members and 161 (95.3%) students expressed that COVID-19 was disrupting the teaching and learning of the clinical years of dentistry, while 16 (45.7%) said clinical teaching had been disturbed more than knowledge-based teaching. According to the students and faculty members, applications like WhatsApp and Zoom were inadequate for developing clinical skills. Conclusion: Clinical teaching and learning of Dentistry have been considerably disrupted by the Corona Virus. Social media applications such as WhatsApp and Zoom are the most commonly used mode for knowledge transfer but are not adequate platforms for clinical skills needed to gain competence in clinical dentistry. The ability of teaching and accessing mandatory clinical skills using online forums is a major concern and needs to be addressed as soon as possible. Keywords: E-learning, COVID-19 and dental teaching, social media teaching


Author(s):  
Ranga Rao D. ◽  
Parameswari Babu U. ◽  
Kalyan Chakravarthy C. V. ◽  
Ramya N.

Background: Assessment drives the student learning. Regular periodical assessment not only improves learning habits, but also enhances the competence in all levels of medical education. Traditional practical examination is more subjective. It depends on examiners subjectivity, varying difficulty level of various experiments, and also internal marks variation etc. These flaws can be overcome by newer methods like OSPE. The aim of the study was to implement OSPE as a tool of internal assessment for practical skills in the II MBBS. To compare this with traditional practical examination (TPE). To obtain the students and faculty feedback regarding OSPE as a tool of assessment.Methods: A cross sectional study was carried out for 158 students in II internal pathology practical examination for six days in the second week of September 2016 at Department of Pathology, Dr. Pinnamaneni Siddhartha institute of medical sciences & Research Foundation, Chinnaoutpalli. Faculty and students were sensitized; blueprint were used to arrange twenty OSPE stations for the exercises conducted as per TPE and for the same 25 marks as per TPE. Simultaneously, all the students were subjected to both TPE and OSPE at the same time and venue. TPE was assessed by two professors and OSPE by separate eight faculty members independently without interaction with the students. The procedural stations were evaluated by using checklist and the response stations which consisted of short answers and MCQs, facilitated correction. Feedback was given to the student on their performance and feedback was obtained from the students and faculty regarding OSPE by questionnaire with Yes/No answers.Results: Performance score of students in OPSE (13.73 ±2.49) was higher as compared to TPE (9.27±1.86) which was statistically significant. Based on the response to the questionnaire, students perception towards OSPE was analyzed. Majority strongly agree OSPE to be fairer, more transparent and objective in comparison to TPE. In contrast, all the faculty members unanimously opined that OSPE was difficult to arrange, time taken and faculty versus students ratio was high for evaluation. Though, the faculty (91%) overall opined that OSPE should be included as a method of assessment.Conclusions: Present study revealed that OSPE was acceptable, feasible and reliable to the students as well as for faculty for the internal assessment in pathology. Opinions of both students and faculties strongly agreed that OPSE is more effective objective assessment tool.


2020 ◽  
Author(s):  
WeiHonn Lim ◽  
Li Ying Teoh ◽  
Kanesh Kumaran A/L Seevalingam ◽  
Shanggar Kuppusamy

AbstractIntroductionCoronavirus 2019 (COVID-19) has strike all nations hard since the end of year 2019, Malaysia unable to escape the fate as well. Healthcare system, financial growth, industrial development and educational programme are stunted. Inevitably, professional training and education are affected which include the medical training of medical interns.MethodsThis is a cross-sectional, pilot study to determine the impact of the pandemic on University Malaya Medical Centre (UMMC) medical interns. A survey which comprises 37-items was used. Data are analysed by Ordinal Logistic Regression Analysis.ResultsMedical interns feel that they lack clinical skills (p = 0.005) and need more exposure in surgical operations (p =0.029). Some are satisfied with the introduction of triage (p = 0.024), online teaching (p = 0.005) and bedside teaching (p=0.023). Most of them think they are fit and ready to handle the pandemic (p = 0.012 and 0.025 respectively) except first year medical interns (p = 0.029). Some feel like their time are wasted (p <0.05) as they are involved in many non-clinical activities (p = 0.003).ConclusionIn summary, COVID-19 has a great impact on medical training amongst medical interns. Alternative measures should be taken to minimize the interruption in training of our future leaders in medical field.


2021 ◽  
Author(s):  
Widya Lestari ◽  
Nur Hazirah Yazid ◽  
Zawin Najah Azhar ◽  
Azlini Ismail ◽  
Cortino Sukotjo

Abstract Background The coronavirus disease 2019 (COVID-19) caused by a novel coronavirus (SARS-CoV-2) has spread across the world at unprecedented speed and gained worldwide attention. The pandemic proved to hold an impact to humankind including dental students in all aspects of life. Dental students’ performances may indirectly be affected following the preventive measures in containing the disease. This study aims to evaluate the impact of COVID-19 pandemic on physical, mental, financial health and academic concern among dental students in Malaysia. Methods The current research implemented a cross sectional study among dental students in Malaysia. Assessment of the impact of COVID-19 on dental education was done by the distribution of a set of online survey consisting of 28 questions to dental students (n = 353) from public and private universities in Malaysia. The questionnaires include sociodemographic backgrounds and assessment on the 4 main domains. Results A total number of 353 respondents was recorded and 76.2% comprised of female. 59.7% were clinical students and 40.3% were preclinical students. 55.8% of the respondents attended hybrid mode of study. 78.0%, 76.5% and 91.8% students were concerned about their own emotional, physical health and the amount of clinical skill they acquire respectively. Year 3 students were found to be more concerned about their mental and financial health concern (p < 0.05). Conclusions COVID-19 pandemic had indeed significantly affected Malaysian dental students mainly due to fear of the quality of online learning and the amount of clinical skills acquired.


Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 40
Author(s):  
Reham AlJasser ◽  
Lina Alolyet ◽  
Daniyah Alsuhaibani ◽  
Sarah Albalawi ◽  
Md.Dilshad Manzar ◽  
...  

Aim: to assess the impact of e-learning through different e-resources among health sciences students. Methodology: A cross-sectional design was conducted among health science students (n = 211; 134 female and 77 male) at King Saud University, Saudi Arabia. The data was collected using a previously used structured questionnaire to assess the impact of e-resources on learning. Results: The four most frequently used e-resources were: Zoom (38%), YouTube (31%), Google applications (29%), and Blackboard (27%). More than one-third of the students (35%) reportedly used e-resources for three or more hours daily. The majority of the students (55.9%) recognized a gender-related and age-related difference among faculty members in terms of e-resources usage. The majority of the students (58.2%) believe that online resources recommended by faculty members were credible. The majority of students believed that their academic performance was primarily influenced by these features of the e-resources: organization/logic of the content (64.5%), the credibility of the video (64.5%), and up to date “look and feel” of the video (60.6%). The study identified the most frequently used e-resources, gender, and age-related differences in faculty members’ use of e-resources, students’ overwhelming reliance on faculty feedback regarding the credibility of e-resources, and three most important characteristics (organization, credibility, and updated status) of e-resources. Conclusion: e-learning resources had a significant impact on participating students’ education as they were used very frequently during their health sciences’ courses.


2015 ◽  
Vol 20 (3) ◽  
pp. 192-198 ◽  
Author(s):  
Kayloni Olson ◽  
Kathi J. Kemper ◽  
John D. Mahan

Burnout has high costs for pediatricians and their patients. There is increasing interest in educational interventions to promote resilience and minimize burnout among pediatric trainees. This study tested a conceptual model of factors that might promote resilience and protect against burnout, and which could serve as targets for addressing burnout in pediatric residents. Questionnaires were administered in a cross-sectional survey of (n = 45) first-year pediatric and medicine-pediatric residents. A minority (40%) of residents met one or more criteria for burnout. Physician empathy and emotional intelligence were not significantly correlated with burnout or resilience. Self-compassion and mindfulness were positively associated with resilience and inversely associated with burnout. Thus many residents in this sample endorsed burnout; mindfulness and self-compassion were associated with resilience and may promote resilience and protect against burnout in these trainees. Future studies should explore the impact of training in mindfulness and self-compassion in pediatric trainees.


2020 ◽  
Author(s):  
Jessika Tawil ◽  
Chadia Haddad ◽  
Youssef Farchakh ◽  
Hala Sacre ◽  
Rita Nabout ◽  
...  

Abstract Objectives : Textbooks are the major source of instruction, yet many Lebanese schools have partially introduced electronic devices, and have discreetly started to rely on them. Given the reported discrepancies between textbooks and tablets learning in international literature, it is essential to conduct a Lebanese study that compares both entities. Therefore, the objective of this paper was to assess the impact of tablet use at school on memory, attention and learning abilities among Lebanese children. Methods: This cross-sectional study, conducted between January and May 2019, enrolled 566 students aged of 11-13 years. Three schools were chosen conveniently for this study, one of them uses the Tablet and text books for students’ learning whereas the second one uses text books exclusively. Students were randomly chosen from the list given by the school administration. Results : Textbook learning was significantly associated with lower episodic memory score (better episodic memory) and lower visual memory score (better visual memory), lower attention score (better attention), lower processing speed score (better processing speed), lower mathematic skills score (better mathematic skills) compared to tablets and textbook learning. Conclusion : Learning is evolving to another level and forever changing. Many studies should be conducted in order to understand the importance of merging new and old techniques to ensure that the next generations are receiving what can positively affect their cognitive skills and their performance.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 423-424
Author(s):  
Andrew Steward ◽  
Leslie Hasche

Abstract A growing body of literature demonstrates the public health impacts of negative self-perceptions of aging (SPA). However, minimal research has explored mediating mechanisms as well as which lifestyle activities may influence SPA. Based on theory and prior research in successful aging, this study explored the impact of lifestyle activities on SPA and tested self-efficacy as a mediator between lifestyle activities and SPA. This study analyzed cross-sectional data from the psychosocial module in the 2018 wave of the Health and Retirement study (N = 2,675; mean age = 65.67/ SD = 9.95). Eight SPA items (e.g., “Things keep getting worse as I get older”) were derived from the Attitudes Toward Own Aging subscale of the Philadelphia Geriatric Center Morale Scale. 10 items measure self-efficacy on a 6-point Likert-type scale from strongly disagree to strongly agree. 21 lifestyle activities covering physical, intellectual, social, and spiritual domains were dichotomized into whether respondents participate at least monthly. Multiple regression analyses were utilized. Results indicate that self-efficacy explained 23% of the variance in SPA while holding constant age, gender, and functional ability. Sobel’s test showed that self-efficacy mediated the relationship between lifestyle activities and SPA. Exercise explained the most variance in SPA, followed by computer use and volunteering. Building upon successful aging literature, this study demonstrates the impact of self-efficacy and helps distinguish which lifestyle activities may be most effective in improving SPA. In addition to individual-level lifestyle activities, the impact of structural interventions on SPA should be tested in future research.


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