Integrated Teaching: the Need of the Hour

Integration means a systemic organization of teaching matter pertaining to different disciplines coordinating delivery of the learner to give a holistic approach to medical study. The objective of this study is to compare the effectiveness of integrated with traditional teaching. Twenty integrated and ten traditional sessions were conducted over five semesters. Duration of each session was 90 minutes. Sample sizes for integrated and traditional groups were respectively 5600 and 1400 students. Pre and post- test scores for integrated, pre and post- test scores for traditional and post-test scores for integrated and traditional teaching groups were compared. Faculty and students’ feedback were analyzed. Difference in Pre and Post-Test scores for integrated teaching was statistically highly significant. Difference in Pre and Post-Test scores in traditional teaching group, though statistically significant, was less than that observed with integrated teaching .The difference in Post-Test scores obtained in integrated and traditional teaching groups was statistically highly significant. Ninety four percent Faculties agreed that integrated teaching was an effective mode of training. Ninety percent faculties rated the program on a higher scale. Ninety five percent students liked the concept of integrated teaching. .Student-centered, patient-oriented approach is the fruitful outcome of the integrated teaching model, which will definitely help us to have a much needed “Basic Doctor.” Bangladesh Journal of Medical Education Vol.13(1) January 2022: 79-86

Pathophysiology teaching reform during the COVID-19 pandemic

The Coronavirus Disease 2019 pandemic has changed the way most people live and work, including the way in which students undertake study. To protect students during the pandemic, most schools in China adopted a study-at-home model. Under these circumstances, the pathophysiology teaching team at Tongji University considered how to reform teaching methods to minimize the impact of the pandemic on students’ curriculum studies. This article describes our teaching reforms in detail, notably a combination of online education resources, online discussion courses, and a WeChat study group. We compared the effects of the reformed and traditional teaching approaches, including student performance and student evaluation of the reformed teaching methods. Analysis showed that although students were generally worried about the impact of the pandemic on their curriculum studies, their overall performance was not affected by the reformed teaching methods. Of interest, compared with traditional teaching, the proportion of students with higher final test scores (≥90 points) actually increased. The revised teaching methods promoted the learning of some students externally and internally and enhanced their enthusiasm for medical study and their academic performance. These approaches could be applied as a reference for future course arrangements after the pandemic.

Can Online Learning Fulfill the Competence of Medical Study Program Students?

Background: The Covid-19 outbreak has had a huge impact on education, especially in health education both throughout the world and in Indonesia. Educational institutions are forced to close any access of offline meeting in order to reduce the spread of Covid-19. This is in accordance with the Official Letter of Ministry of Education and Culture Republic of Indonesia. No. 36962 / MPK.A / HK / 2020, the government prohibits universities from holding offline lectures then encourages online learning. Online learning in Indonesia is not popular before pandemic but it must be held. However, the learning goal must still be achieved. The learning process is aimed to achieve the expected performance also improve the quality of education. Quality assurance and personalized online learning are one of the mechanisms that help higher education to achieve planned outcomes. Online learning changes all aspects in the learning process. Both educators and students need to adapt to the online learning process. As a result, students and educators need to adapt quickly to minimize the material backlog. Due to the various reasons above, it is necessary to develop an online learning model that can help the learning process both in the cognitive and psychomotor domains in the Medical Study Program so that the expected competencies can still be achieved. Method: The data was analyzed by using t-test statistic to compare between students’ achievement in distance learning and offline learning.Results: The results showed that the learning outcomes of students who took online learning methods were higher than those of students who took offline learning. This can be seen from the average learning evaluation score, the number of passing practicum scores, the number of passing skills lab scores and the number of passing blocks (p<0.05). Conclusion: It can be concluded that online learning helps students achieve competence at the academic stage of learning.

Prof. Dr. Michel Zerah

Michel Zerah was born on May 22, 1956 in Paris, France. He finished his medical study in 1985 at Faculté de médecine de CRETEIL (Paris, France) and graduated in Neurosurgery in April, 1988. Quickly took over as head of Clinic-Assistant of Paris Hospitals, “Service de Neurochirurgie de l’hôpital de Bicêtre” (1989) and as university professor (1998) at “Service de Neurochirurgie pédiatrique” of hospital group “Necker-Enfants Malades”. Prof. Zerah was a great teacher and mentor to countless neurosurgeons, around the world and here in Brazil. He participated in several courses and congresses, highlighting his unconditional dedication to teaching. With his knowledge, his humility and incredible charisma he made countless friends and students wherever he went. His lectures have always been unique experiences, approaching each subject in a masterly way, with emphasis on craniocervical transition diseases and spinal dysraphimos. He has authored more than 261 scientific articles and several books and book chapters, with emphasis on lumbar lipomas surgery, Chiari, deposit diseases, among others. His last project was the development of fetal surgery at Necker Hospital. Michel Zerah had an incredible ability to bring people together and, thus, he walked a path of respect, affection and friendship wherever he went. He was head of the Pediatric Neurosurgery Service at Hospital Necker, Paris, France where he devoted a large part of his life, teaching and operating numerous children. An immense and irreparable loss for everyone who knew him and who had the privilege of working and living with him. Short Biography: Head of the Pediatric Neurosurgery Service – Hospital Necker, Paris, France President of the European Society for Pediatric Neurosurgery (ESPN) President of the French Society of Pediatric Neurosurgery Member of the French National Academy of Surgery PhD in Mathematics, Statistics and Computer Science Coordinator of the European Course on Pediatric Neurosurgery between 2002 and 2014. Collaboration with the Society of Neurosurgery of Vietnam where he practiced solidarity work and trained numerous professionals. 324 communications or conferences in National or International Meetings 32 Chapters in Books 123 articles in Scientific Journal

Cosmetology versus cosmetic dermatology – A personal view

The dispute on cosmetology or cosmetic dermatology as the right technical term to describe the dermatological subspeciality is not only about words but contents and perspectives. Cosmetic/ esthetic dermatology seems a better choice as outlined in this “Perspective” article. Independent from that, has the term cosmetology been used for non-medical study in natural sciences and business economics with a focus on later employment in the cosmetic industry.

Tingkat Pengetahuan Penulisan Resep Pada Mahasiswa Tingkat Akhir Tahap Sarjana Program Studi Kedokteran Universitas Malahayati

ABSTRACT: KNOWLEDGE LEVEL OF RECEPTION WRITING AT END LEVEL BACHELOR STAGE BACHELOR OF MEDICAL STUDY PROGRAM, MALAHAYATI UNIVERSITY, 2020 Background: Prescription is the most important therapeutic transaction between doctor and patient in which a written order is attached about the drug to be used for the prevention of complications and the treatment of patient diagnosis directed by the doctor. Prescription writing is one of the materials studied by medical students, especially final year students because they have passed almost all clinical blocks. Objective: Determine the level of knowledge of prescription writing in the final year undergraduate students of the Malahayati University medical study program.Methodology: The type of research used in this research is descriptive quantitative. With a measuring instrument using a prescription writing questionnaire that has been tested for validity and reliability to the respondent. Result: Of the 190 respondents consisting of 63 men and 127 women who filled out the questionnaire, the knowledge level of prescription writing was obtained 96 respondents (50.5%) sufficient knowledge, 92 respondents (48.4%) good knowledge, and 2 respondents (1.1%) lack of knowledge. Conclusion: The majority of prescription writing knowledge of final year students of the Malahayati University medical study program has sufficient knowledge. With the topic of discussion, the majority of which were controlled by the respondents was the authority to write prescriptions and the less mastered was the abbreviation of prescription. Keywords: Knowledge Level, Prescription Writing INTISARI: TINGKAT PENGETAHUAN PENULISAN RESEP PADA MAHASISWA TINGKAT AKHIR TAHAP SARJANA PROGRAM STUDI KEDOKTERAN UNIVERSITAS MALAHAYATI TAHUN 2020 Latar Belakang: Resep merupakan sebuah transaksi teurapeutik terpenting antara dokter dengan pasien yang didalam nya terlampir perintah tertulis tentang obat yang akan digunakan untuk pencegahan komplikasi dan pengobatan diagnosis pasien yang diarahkan oleh dokter. Penulisan resep merupakan salah satu materi yang di pelajari mahasiswa kedokteran, terutama mahasiswa tingkat akhir karena telah melewati hampir seluruh blok klinis.Tujuan: Mengetahui tingkat pengetahuan penulisan resep pada mahasiswa tingkat akhir tahap sarjana program studi kedokteran Universitas Malahayati.Metodologi: Jenis penelitian yang digunakan dalam penelitian ini adalah deskriptif kuantitatif. Dengan alat ukur menggunakan kuesioner penulisan resep yang telah diuji validitas dan realibilitasnya kepada responden.Hasil: Dari 190 responden yang terdiri dari 63 laki-laki dan 127 perempuan yang mengisi kuesioner tingkat pengetahuan penulisan resep didapatkan 96 responden (50,5%) pengetahuan cukup, 92 responden (48.4%) pengetahuan baik dan 2 responden (1,1%) pengetahuan kurang.Kesimpulan: Mayoritas pengetahuan penulisan resep mahasiswa tingkat akhir program studi kedokteran Universitas Malahayati memiliki pengetahuan cukup. Dengan topik bahasan yang mayoritas sangat dikuasai responden adalah wewenang menulis resep dan yang kurang dikuasai adalah singkatan peresepan. Kata Kunci : Tingkat Pengetahuan, Penulisan Resep

Analisis Hubungan Stres Dengan Nyeri Kepala Primer Pada Mahasiswa Program Studi Kedokteran Fakultas Kedokteran Universitas Malahayati Tahun 2020

ABSTRACT: ANALYSIS OF THE RELATION OF STRESS WITH PRIMARY HEAD PAIN IN STUDENTS OF MEDICAL STUDY PROGRAM FACULTY OF MEDICINE MALAHAYATI UNIVERSITY Background: According to the World Health Organization, in 2012, it was stated that primary headaches showed a very high prevalence rate. Globally, it is estimated that the prevalence of headaches in adults reaches 50%. Where it was reported in the last year that adults aged 18-65 years in the world suffered from headaches, and among this population, 30% had migraines, while more than 70% of the population reported suffering from TTH. Objective: This study aims to determine the relationship between stress and primary headache. Method: This study used an observational analytic method with a cross-sectional approach. With the sample population used by students of the 2017 Malahayati University medical faculty medical study program. Result: The results of this study showed that 180 respondents experienced mild stress levels of 2 people (1.1%), moderate stress 124 people (68.9%), and 54 people experiencing severe stress (30%). There were 114 respondents (63.3%) who experienced primary headaches (migraines) and 66 respondents (36.7%) experienced tension-type headaches (TTH). From the results of the bivariate analysis of the study using the chi-square method, it was found that the p-value was 0.000 (p <0.05). Conclusion: There is a relationship between stress levels and primary headaches in students of the medical study program at the medical faculty of Malahayati University in 2020 with p = 0.000 (<0.05), OR CI value = 3.841. Keywords: Stress, Migraine, Tension-type headache, Cluster headache INTISARI: ANALISIS HUBUNGAN STRES DENGAN NYERI KEPALA PRIMER PADA MAHASISWA PROGRAM STUDI KEDOKTERAN FAKULTAS KEDOKTERAN UNIVERSITAS MALAHAYATI Latar Belakang : Menurut World Health Organization pada tahun 2012 menyatakan bahwa nyeri kepala jenis primary headache menunjukkan angka prevalensi yang sangat tinggi. Secara global, diperkirakan prevalensi nyeri kepala pada orang dewasa mencapai angka 50%. Dimana dilaporkan dalam satu tahun terakhir orang dewasa berumur 18-65 tahun di dunia menderita nyeri kepala, dan diantara populasi tersebut 30% nya menderita migrain, sedangkan lebih dari 70% populasi melaporkan menderita TTH.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara stres dengan nyeri kepala primer.Metode: Penelitian ini menggunakan metode Analitik observasional dengan pendekatan cross sectional. Dengan populasi sampel yang digunakan mahasiswa program studi kedokteran fakultas kedokteran Universitas Malahayati angkatan 2017.Hasil penelitian : Hasil dari penelitian ini 180 responden didapatkan bahwa responden yang mengalami tingkatan stres ringan 2 orang (1,1%), stres sedang 124 orang (68,9%) dan yang mengalami stres berat 54 orang (30%). Responden yang mengalami nyeri kepala primer yaitu migrain sebanyak 114 orang (63,3%) dan yang mengalami nyeri kepala tipe tegang (TTH) sebanyak 66 orang (36,7%). Dari hasil analisis bivariat penelitian dengan metode chi square dimana didapati nilai p-value sebesar 0,000 (p < 0,05).Kesimpulan : Terdapat hubungan anatara tingkat stres dengan nyeri kepala primer pada mahasiswa program studi kedokteran fakultas kedokteran Universitas Malahayati Tahun 2020 dengan p = 0,000 (<0,05), nilai OR CI = 3,841. Kata Kunci: Stress, Migrain, Tension-type headache, Cluster headache.

The Struggle Against Acute Enteric Infections Among Children in Soviet Russia (1930-1940)

The results of a historical and medical study reflecting the issues of combating dysentery and other acute enteric infections among the children in Soviet Russia during the 1930-1940 period are presented in this article. Analysis of medical reports, orders, circular letters of the People’s Commissariat of Health Сare of the USSR and other documents from published and unpublished archival materials, and scientific publications of Soviet scientists indicate that the situation with dysentery and other acute intestinal infections among children (especially of early age) was complicated and characterized by significant prevalence of this pathology in the 1930s. This study has shown that it was possible to reduce children morbidity and mortality due to the implementation of extensive sanitary, hygienic and anti-epidemic measures on the government level, the implementation of specialized dietary products for kids and new methods of therapy (sulfanilamides, dysenteric bacteriophage, antidisenteric serum) in Moscow and other regions (for example in Gorky and Kirov regions). The experience of organizing the pediatricians, epidemiologists, health care organizers work against acute enteric infections among children in Soviet Russia in the 1930s can currently be used in various countries and regions where acute diarrheal diseases are significant cause of children mortality.