Common Problems Related to Podiatry

India is a developing country and lacks many things including Podiatry as subspecialty of Diabetes. There are no Podiatry Collegesnor provision for regular training of young physicians in podiatry. Missing job opportunity, kills interest of physicians in Podiatry. Most physicians have acquired some degree of skill by self-reading or doing observer ship abroad and by attending a few International conferences on Podiatry.

Factors influencing the young physicians’ intention to use Internet of Things (IoT) services in healthcare

The Internet of Things (IoT) enabled technologies to have proliferated due to their abilities to capture and exchange quality information. This empirical study aims to investigate the factors influencing the intention to use IoT services in healthcare by young physicians. An integrated model based on the theory of planned behaviour (TPB) and diffusion of innovations (DOI) theories are drawn upon and analyzed through a Structural Equation Modelling (SEM) with importance-performance map analysis (IPMA). Data were collected through a structured survey questionnaire. The results indicated that behavioural intention to use IoT in healthcare services vastly affected by the attitude and value co-creation. Attitude was found to be a principal determinant followed by the relative advantage towards behavioural intention to use IoT services. The novelty of this empirical study is that the proposed integrated model provides a meaningful application of the young physicians’ intention to use IoT in healthcare in developing countries.

The brain drain: why medical students and young physicians want to leave Egypt

Background: Egypt has a shortage of physicians despite thousands of medical students graduating annually. Aims: This study aimed to explore the reasons for Egyptian medical students and young physicians wanting to emigrate. Methods: This cross-sectional study, conducted from February to April 2019, included 711 fifth- and sixth-year medical students and 174 residents from two medical faculties in Egypt, Tanta and Kafrelshiekh. A questionnaire was used to collect data on sociodemographic factors, desire to emigrate and motives for wanting to emigrate. Results: Most participant (89.4%) wanted to emigrate, and thought their salary was not compatible with their working hours or risks. About half the participants (52.8%) worked part-time in private hospitals. Only 4.9% of participants felt appreciated by the country. Most participants (75.9%) were not satisfied with their relationship with patients and 40.2% were not satisfied with their relationship with colleagues. Verbal abuse was reported by 55.5% of participants and physical assaults by 35.4%. Most participants who wanted to emigrate (85.1%) said they would change their minds if improvements were made in the health sector. Residents generally had less negative attitudes to workplace and professional factors than students. Conclusion: Physicians emigrate to seek better work and financial incentives. A retention policy needs to be developed to prevent Egyptian physicians from emigrating

Improving Genetic Knowledge Among Physicians: A Necessity in the Era of Genomic Medicine

Background: Genetic analyses have experienced rapid development over the past decades. This evolution is accompanied by a considerable increase in indications in clinical practice. As a result, physicians are exposed to prescribing and understanding genetics results in their daily practice. The objective was to assess the knowledge of young physicians on new genetic techniques and their expectations concerning molecular biology education. Methods: This study is based on the results of an anonymized questionnaire on genetics knowledge sent to young French physicians specialized in medical oncology, radiation therapy, and clinical hematology in France; and on a retrospective analysis of nonconformities to requirements of the ISO 15189 accreditation standard in genetics samples from a Parisian university hospital center. Results: Of the 87 young physicians (median age 29, 58.6% female) who responded to the survey, 60.3% did not differentiate several standard molecular biology techniques. Median Visual Analog Scale for theoretical knowledge of standard genetic technics was 35/100 (IQR 20-56). Median Visual Analogical Scale for genetics diagnostic and theragnostic indications knowledge were 50/100 (IQR 31.2-70) and 43/100 (IQR 19.2-65), respectively. Proficiency in genetics results interpretation was assessed with a Median Visual Analog Scale of 47/100 (IQR 23.25-69). Finally, 82.4% of young physicians believed that the current teaching of molecular biology was not suited to their current practice and 91.9% requested a specific training implementation. These results were supported by the high rate of nonconformities regarding the prescription (43%) among the different types of nonconformities of genetics samples.Conclusion: Medical education on new techniques of genetics by young French physicians appears to be insufficient, and a specific training should be considered. A better knowledge of this discipline is necessary in order to control the clinical, ethical and financial issues associated with the exponential use of molecular biology in medicine.

Checklist to aid young physicians managing obstetric emergencies in rural India: a quality improvement initiative

BackgroundThe decision to admit or refer a patient presenting with an obstetric emergency is extremely crucial. In rural India, such decisions are usually made by young physicians who are less experienced and often miss relevant data points required for appropriate decision making. In our setting, before the quality improvement (QI) initiative, this information was recorded on loose blank sheets (first information sheets (FIS)) where an initial clinical history, physical examination and investigations were recorded. The mean FIS completeness, at baseline, was 73.95% (1–5 January 2020) with none of the FIS being fully complete. Our objective was to increase the FIS completeness to >90% and to increase the number of FIS that were fully complete over a 9-month period.MethodsWith the help of a prioritisation matrix, the QI team decided to tackle the problem of incomplete FIS. The team then used fishbone analysis and identified that the main causes of incomplete FIS were that the interns did not know what to document and would often forget some data points. Change ideas to improve FIS completeness were implemented using Plan-Do-Study-Act (PDSA) cycles, and ultimately, a checklist (referred to as antenatal care (ANC) checklist) was implemented. The study was divided into six phases, and after every phase, a few FIS were conveniently sampled for completeness.ResultsFIS completeness improved to 86.34% (p<0.001) in the post implementation phase (1 Feb to 31 August 2020), and in this phase, 69.72% of the FIS were documented using the ANC checklist. The data points that saw the maximum improvement were relating to the physical examination.ConclusionThe use of ANC checklist increased FIS completeness. Interns with no prior clinical and QI experience can effectively lead and participate in QI initiatives. The ANC checklist is a scalable concept across similar healthcare settings in rural India.

COMMUNICATIVE AND CONFLICT-RESOLVING COMPETENCE OF MEDICAL INTERNS IN THE SPECIALTY "NERVOUS DISEASES"

The proper doctor-patient relationship has been proved to be essential prerequisite for rapid recovery. Positive attitude can contribute to positive therapeutic outcomes no less than the expert experience. Today, medical practitioners are experiencing a pressing need to boost communication skills and to master methods and tactics of communicative correction to deal with complex controversial issues. The medical interns who specialize in General Medicine constitutes a professional environment are at the cross-section between students and medical practitioners and, in terms of educational characteristics, between the pedagogical and andragogical educational subjects. The aim of this study is to assess the levels of communicative and conflict-resolving competences in medical interns specializing in nervous diseases. We carried out anonymous questionnaire survey of 50 medical interns (1 year of the internship) by using the Thomas’ method then adapted by N.V. Grishina in order to reveal the individuals with personal traits to uncooperative behaviour and analyzed the empirical data obtained. The study of the uncooperative behaviour indicators in young physicians has shown rather low values due to the deficient propensity to cooperate that is productive behaviour in a situation of conflict resolution. The results of the study point out that it is essential to motivate newly qualified medical doctors not only to obtain professional knowledge, but also to develop the relevant effective behavioural patterns; moreover, principles of effective communication strategies, tactics and techniques should be a component of training process on regular basis to foster the skills for effective health communication intervention. These issues require searching for new ways to correct the social behaviour foundations in medical practice.

Atherogenic indices in clinical practice and biomedical research: A short review

Cardiovascular diseases (CVD) represent a major cause of mortality and morbidity worldwide. To date, many physicians still requesting traditional lipid profile tests (TG, TC, HDL-C, and LDL-C) to confirm the clinical diagnosis related to CVD. However, using these tests may be inadequate for the prediction of CVD risk, especially in intermediate risk. For better clinical practice, laboratory diagnostic alternatives should constantly be evaluated and developed by physicians and laboratory scientists. In this review, we sought to focus on the benefits of lipid ratios (CRI-, CRI-II, AIP, AC, and CHOLindex) in supporting clinical diagnosis and how they can be calculated. To attain this aim, a literature search in reputed databases (PubMed and Scopus) was performed and peer-reviewed research articles were included to conduct this review. Short theoretical and practical notes about each index were accordingly included along with calculation formulas. Thus, the current article can assist new researchers and young physicians to review what supports their knowledge in managing early CVDs.

WORK–LIFE BALANCE OF YOUNG PHYSICIANS IN JAPAN

Background: Geographical and specialty maldistribution of physicians are key issues in the Japanese healthcare system. These are strongly related to work–life balance issues that physicians face, including long working hours, burnout, and discontinuation of female physicians’ careers. Objective: To obtain the opinions of young physicians in Japan on policies regarding work–life balance and career building. Method: A cross-national study was conducted using a questionnaire that was sent to physician across Japanese Red Cross Hospitals. Results: Young physicians view work–life balance as important in choosing specialties and work location. In addition to the motivation to gain training experience, they seek adequate rest through shift work, and work efficiency by sharing tasks with other medical professionals, using IT, and improving operation management. Discussion: As an example of work-style reform in progress, we would like to introduce the shift-work system at our institution’s Obstetrics and Gynecology Department. By clarifying the line between work and life, physicians can balance career building and time for self-improvement. Conclusion: For young physicians to continue their careers without burning out and excel in various fields, we must create a system that allows for efficient learning and work–life balance for both mental and physical well-being.