Socio-psychological portrait of a modern medical intern in a ten-year dynamics

We analyzed over 3,000 anonymous surveys of interns who studied the Emergency medicine course this year and 10 years ago. We were studying their psychological features and social behavior in ten-year dynamics. The main characteristics of representatives of generation Y in medicine were determined. Representatives of this generation need an individual personal approach, which would allow transforming the downsides of mosaic thinking, features of behavior and attitude to the educational process, modern passion for gadgets and manner of communication into positive qualities.

A qualitative study exploring the experience of the Medical Intern Programme: Supportive transition for international doctors working in the NHS

Background: The UK is experiencing a shortage of doctors. Consequently, the Medical Intern Programme, a unique two year programme consisting of an observership, four clinical rotations at the level of a foundation doctor within an NHS Trust and a postgraduate diploma from a university in the north of England, was set up to enhance the NHS workforce by facilitating the entry of international medical graduates into UK medicine via a supported transitional programme. We aimed to explore the experiences of the doctors enrolled on the Medical Intern Programme. Methods: Semi-structured interviews were conducted via the telephone with seven doctors enrolled on the programme. The interview guide was informed by the research questions and data were analysed using a thematic analysis. Results: We identified four themes that were important in the experiences of the doctors: preparing to work in the UK, feeling supported, weighing up the pros and cons of the programme and comparisons between countries. Conclusions: The Medical Intern Programme successfully facilitated international doctors' transition to the UK and working in the NHS. Support needs to be provided at the organisational, team and individual level including a period of observing and shadowing to enable the doctors to understand the systems and multidisciplinary team working in the NHS.

Evaluation of medical intern work hours in Senegal

Background: in many countries, medical intern work hours have been discussed for a long time and many schedules has been modified in order to improve it. In our country, this topic has never been studied.Methods: It was a cross sectional study including all resident regardless of their specialties. An online questionnaire was shared to all the members of the Senegalese association of medical Interns.Results: Overall, 102 answers were collected. The average age was 28.3 years. More than half of the resident stated that they stay at hospital more than eight hours a day. Besides, 83,5 % declared doing more than 40 hours a week. In addition, 37,2 % of resident said that they were “on call” between 4 and 8 times monthly and 15,1% were “on call” more than 8 times per month. We have seen an average of 55,7 hours with up to eighty hours extremes. Conclusion: Medical intern work hours is a good subject of discussion, in such an under developed country like ours.

Resuscitating Patient Rights during the Pandemic: COVID-19 and the Risk of Resurgent Paternalism

The COVID-19 Pandemic a stress test for clinical medicine and medical ethics, with a confluence over questions of the proportionality of resuscitation. Drawing upon his experience as a clinical ethicist during the surge in New York City during the Spring of 2020, the author considers how attitudes regarding resuscitation have evolved since the inception of do-not-resuscitate (DNR) orders decades ago. Sharing a personal narrative about a DNR quandry he encountered as a medical intern, the author considers the balance of patient rights versus clinical discretion, warning about the risk of resurgent physician paternalism dressed up in the guise of a public health crisis.

Missed It

In this case, a middle-aged male presents in the early hours of the morning to the emergency department (ED) of a teaching hospital. His chief complaint is shortness of breath. His history is significant for chronic obstructive pulmonary disease (COPD), and he is diagnosed as having exacerbation of COPD. The ED physician calls a medical intern to do the admission, and the patient is taken to the floor. The patient does not settle, and the intern is called back to the floor twice. The second time the intern is called back, the patient deteriorates further and has a cardiac arrest from which he cannot be resuscitated. His true diagnosis is revealed at an autopsy later that day.