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This article considers the history of Fort Pitt (1780-1922), its military hospital (founded 1814) and, in particular, its Army Medical School (1860–63). The museum and library were the work of the hospital’s first directors: Dr David MacLoughlin and Sir James McGrigor, the latter the renowned reformer of military medical education. Central to the foundation of the medical school was Florence Nightingale who visited the site in 1856. The school opened in 1860 with five sets of students attending before it was transferred in 1863 to the Royal Victoria hospital, Netley, Hampshire. Fort Pitt was a “practical” medical school with students attending for 4-9 months of clinical experience. This included “instruction in tropical medicine” delivered by members of the Indian Medical Service. The foundation of a military medical school fulfilled an ambition dating back to at least 1796. Nightingale’s role (exerted through Sidney Herbert) was omitted from contemporary newspaper reports. Fort Pitt continued as a military hospital until 1922 when it was converted to a school. The medical school constitutes a landmark in British military medicine, a response to the failure of British medical care in the Crimean war (1853–1856) and a forgotten legacy of Florence Nightingale.
Required Longitudinal Service-Learning and Its Effects on Medical Students’ Attitudes Toward the Underserved
AbstractAlthough medical students enter medicine with altruistic motives and seek to serve indigent populations, studies show that medical students’ attitudes towards the undeserved tend to worsen significantly as they go through their medical education. This finding emphasizes the need for medical educators to implement activities such as service-learning that may help mitigate this negative trend.All students at the University of Nevada Las Vegas (UNLV) School of Medicine are required to participate in longitudinal service-learning throughout medical school, and a majority of students interact with the underserved at their service-learning sites. Using the previously validated Medical Student Attitudes Towards the Underserved (MSATU), independent sample T-tests showed that students who interact with underserved populations at their sites scored with significantly better attitudes towards the underserved at the end of their preclinical phase. Subjects included 58 medical students with 100% taking the MSATU. This result indicates that longitudinal service-learning, particularly when it includes interaction with the underserved, can be one method to combat the worsening of medical students’ attitudes as they complete their medical education.
Abstract Introduction: Insufficient knowledge about endometriosis among women is one of the causes of its delayed diagnoses. Due to the exceptional trickiness of symptoms, the most important part is played by proper and exhaustive knowledge, allowing its early detection. The objective of the study was to assess Polish women's awareness of endometriosis. Methods: The pilot studies were performed with the participation of 200 women, in an average age of M=33.65 years (SD = 11.45), who filled in the authors’ questionnaire related to self-assessment of the level of knowledge about the disease, its symptoms, late effects and directions of a remediation procedure. The statistical analysis was performed using the IBM SPSS Statistics 25 suite. It included a frequency analysis, a one-way analysis of variance ANOVA, a single variable regression analysis and Student’s t-test for independent samples. Results: Almost 84% of women had heard about endometriosis, while only 1/3 of them considered their knowledge sufficient or good. Very good knowledge was declared by 4.5% of women, and 16.1% had never heard about it. The knowledge level turned out significantly higher (p = 0.001) among women with medical education. Polish women acquired their knowledge mainly from the Internet and the experience of other women. They see reasons behind their lack of knowledge in the still existing ‘taboo’ related to menstruation, the absence of information in the media and education in schools, which is critical according to 92.4% women.Conclusions: Polish women's level of knowledge about endometriosis is insufficient, which should be changed. Higher awareness is presented by women with medical education, and the higher the level of knowledge, the larger the interest of women in healthy behaviour.