Choosing wisely: protocols, priorities and a postcard

Can a young doctor without training in communication skills use empathy as a compass for making ethical decisions? This narrative reflects on a young boy left alone with a paralysed dying father after six months of ‘free’ but futile treatment. Protocols should be weighed against prognosis and priorities when the disease is incurable.

Society of Physicians at Kazan University. Hygienic section. Meeting 8/X 1929; meeting 22/X 1929

Prof. V.V. Miloslavsky. On the issue of training doctors in sanitary-prophylactic affairs. Analyzing the causes of the current crisis in sanitary organization, the speaker came to the following conclusions. 1. We do not have a specific cadre of sanitary workers and are forced to often fill the ranks of sanitation with random material. 2. The crisis of sanitary organization depends primarily on the fact that the medical faculty cannot, within the limits of its curriculum, give two guidelines to future doctors the setting of prevention and the doctor, since an in-depth study of preventive disciplines requires special training. 3. More than 1/3 of the time according to the curriculum of the medical faculty is devoted to clinical subjects, and only 1/10 to prophylactic subjects. There is little reason for a young doctor to turn from a medical to a preventive path, especially since the student will not actually give this tithe to prevention, and, on the contrary, devotes much more time to clinics than is indicated in the curriculum. In the proposed curriculum of the professional faculty, 1/10 of the preventive disciplines is also allocated, the same is allocated to the clinic, but a number of disciplines are introduced that help to better assimilate the preventive sciences and, of course, this 1/10 will be fully used. The lack of practical training in preventive disciplines will be filled up during the 6th year internship. 4. The only correct solution to the problem of training a cadre of sanitary and professional workers is to organize a preventive faculty with a special program that has the task of developing a preventive doctor, from the 1st year of training to accustom him to preventive thinking, equip him with all the knowledge to achieve a single goal of improving the team's health - Debate: doctors Mendelssohn, Trotsky, Schwartz, Mukhamedyarov, Mekhonoshin, Kondakov and prof. Gran.

Use of new learning methods in the training of internal doctors

The article provides a form of performing a fragment of scientific work by interns, which motivates a young doctor to study modern methods of diagnosis and treatment in various sections of otolaryngology. It provides for the study of an important modern issue in the specialty, attending online conferences on the selected topic and a thorough study of international literature over the past 3 years. Control over the implementation is carried out by all employees of the department through a presentation of the scientific work and defense of these by an intern doctor.

Does the age difference between the doctor and the patient matter - communication between the doctor and the young patient

Introduction and purpose of work: The contact between doctor and patient is an element that builds mutual trust, which translates into the quality and effectiveness of treatment. This is especially important for adolescent patients, who expect attention and understanding of their problems. In addition, they start visiting the doctor themselves, so it is very important that they do not become discouraged by the lack of understanding of the doctors and that they do not avoid visits in the future. Currently, the average age of a doctor in Poland is over 50 years. The aim of the study is to investigate the influence of a doctor's age on his contact with a teenage patient.Material and method: The results of the study were obtained on the basis of the questionnaire survey.Results: 54 respondents aged 16-19 participated in the study. The vast majority (64.8%) consider a person under 30 years of age to be a young doctor, 29.6% under 40 years of age. Almost 67% declare that it is more likely to visit a young doctor. 87% of respondents find it easier to establish contact with a younger medic. For 68.5% of respondents, a visit to a senior doctor is more embarrassing. 88.9% of teenagers find it easier to admit embarrassing matters to younger medics. 66.7% declare that for them being more practiced is more important than easier contact with doctor. Two out of three teenagers are more stressed about visiting older doctor.Conclusions: Teen patients definitely prefer visits to younger doctors. Despite the greater stress and resistance to visiting older, more experienced doctors, young patients choose them. Training for senior physicians on contact with young people should be considered to reduce the proportion of people avoiding medical appointments due to difficulties in making contact in the future.

August 9 — the day of the Great Martyr Panteleimon, the holy healer

On August 9, Orthodox Christian churches celebrate the day of remembrance of one of the most revered saints - the Great Martyr Panteleimon. Panteleimon the healer - under this name we know the saint who provides all kinds of support to doctors and contributes to the recovery of the sick. His veneration in the Russian Orthodox Church dates back to the twelfth century, when Prince Izyaslav placed the image of Panteleimon on his battle helmet. Born into the family of a noble pagan, the young man lost his mother early and was raised by his father, who decided to teach his son the art of healing. Having met the Christian Ermolai, who was in exile and guarded the secret of his religion, the young doctor was baptized. This happened after seeing the body of a dead boy bitten by a snake on the street of the city, whom Panteleimon was able to bring back to life by the power of prayer.

In memory of the great surgeon-Harvey Williams Cushing

Harvey Cushing is one of the greatest surgeons of the early 20th century. The young doctor was trained in the best medical universities; parents, teachers and colleagues always noted his thirst for knowledge. Cushing opened a new page in the study of neurosurgery, endocrinology, anesthesiology, and neurology. Thanks to the improvement of surgical techniques, the great doctor has achieved a reduction in mortality in surgical interventions, and new diagnostic methods have given life to more than one person. Cushing’s versatility amazed his contemporaries and still surprises the world. His books won the Pulitzer prize, one of the most prestigious literary prizes, he was repeatedly nominated for the Nobel prize, and the American Association of neurosurgeons is named in honor of the greatest doctor.

School on HIV infection for future doctors of various specialties Vera HIV med school: importance and value for a young doctor

The article presents a brief overview of the materials received by the author in September 2020 at the School HIV infection for future doctors of various specialties (Moscow), in which she participated as a resident of the Department of Family Medicine of the North-Western State Medical University named I.I. Mechnikov. The goal of the School is to raise the awareness of young doctors on the topic of HIV infection and reduce the level of discrimination against people living with HIV in the health sector.

Thomas Keith. — On Surpa-pubic fixation of the Uterus in certain cases of retroversion and prolapse. (Lancet, 1894, 22 / IX, p. 679). Suprapubic attachment of the uterus in some cases of inclination and prolapse of the uterus

In 45-year-old women,I woman in labor, labor was completed by one young doctor with difficult forceps in 1867. Prof. Keith saw her after 2 weeks. Vagina and rectum represented one cavity; the ruptured bowel extended several inches; the edges of the gap seemed uneven, the suppuration was terrible, some parts of the sleeve were close to necrosis. The doctor, who removed the child with forceps, performed the operation, being sick, why the damage was so extensive. After 6 months, the patient did not recover and the feces were spilled out involuntarily with every movement of the patient.

Antenatal Care Description and Pregnancy Risk of Pregnancy in Pregnant Mother in Palu City 2019: Study of Co-Ass Assistance for IKM-KK Faculty of Medicine, Tadulako University

The purpose of this study was to obtain an overview of pregnancy risk factors in pregnant women accompanied by young doctor from the IKM-KK department of the Faculty of Medicine at Tadulako University during a stase at the Primary Health Care in the city of Palu. The design of this study was descriptive in order to obtain an overview of pregnancy risk factors obtained from the checklist for assisting pregnant women. The population in this study were all pregnant women who received young doctor from the IKM-KK department in the last 2 (two) years, totaling 147 pregnant women. While the sample in this study was 3rd trimester pregnant women whose notes in the accompanying book are complete. The results showed that: 1) Compliance with the lowest Antenatal Care standard in laboratory tests (70%); 2) Pregnant Women with Low Risk Pregnancy (KRR) of 58.2%, High Risk Pregnancy (KRT) of 32.2% and Very High Risk Pregnancy (KRST) of 9.6%; 3) The three highest risk factors for pregnancy are getting pregnant too soon again <2 years (31.3%), had cesarean section (22.9%) and pre-eclampsia (16.7%); and 4) Pregnant women with very high risk pregnancies (KRST) at most (72.7%) were found in urban health centers, including: kamonji (36.3%), Singgani (18.2%) and Talise (18.2%).