Preferred teaching styles of medical faculty: an international multi-center study.

BACKGROUND: In the current wave of educational reforms, understanding teaching styles of medical faculty can help modify instructional strategies for effective teaching. Few studies have probed distinctive teaching styles of medical faculty. We compared preferred teaching styles of faculty from seven medical schools in United Arab Emirates, the Netherlands, Saudi Arabia, Malaysia, Pakistan, and Sudan. METHODS: The validated Grasha-Riechmann teaching style inventory was administered online for data collection and used SPSS version 20.0 for statistical analysis. RESULTS: Of the 460 invitees, 248 responded (response rate; 54%). Delegator teaching style was most common with a highest median and mean of 2.38 and 2.45, respectively. There was a significant correlation between expert and authority teaching styles, correlation coefficient 0.62. Similarly, we found a significant correlation between authority teaching style and nature of curriculum, correlation coefficient 0.30. Multiple regression analysis showed that only authority teaching style and male gender had significant correlation. Interestingly, 117 (47%) teachers disagreed with the teaching philosophy of delivering course contents by strictly following learning outcomes. Female teachers (114/248) were more willing to negotiate with their students regarding how and what to teach in their course, while male teachers tended to allow more autonomy by allowing students to set their learning agenda. CONCLUSIONS: This study showed that the medical teachers preferred delegator teacher style that promotes students' collaboration and peer-to-peer learning. Most teachers are conscious of their teaching styles to motivate students for scientific curiosity. These findings can help medical educators to modify their teaching styles for effective learning.

Exploring Potential Association Between Emergency Department Crowding Status and Patients' Length of Stay at a University Hospital in Saudi Arabia.

BACKGROUND: Emergency department (ED) crowding has been described as the most serious problem that endangers the reliability of healthcare system worldwide. The aim of this study was to explore the possible relationship of ED crowding status and length of stay in patient received care. In addition, association between LOS and other variables in relation to crowding status has been explored. METHODS: This is a retrospective cohort analysis study done by using dataset abstracted from Quadra Med Information System of patients visited emergency department of a tertiary university hospital at Eastern Province of Saudi Arabia during the period of January 1st, 2018 to December 30th, 2018. ED occupancy rates were used to define crowding status (as crowding and overcrowding), while the percentage of patient who spent in ED more than 6 hours was used to define the length of stay in ED. RESULTS: There were 53,309 crowded and 57,290 overcrowded presentations in ED. The median length ± interquartile range of the length of stay for low-crowded and high-crowded conditions were 211 ± 606 and 242 ± 659 minutes, respectively. There was a significant association between ED crowding status and length of stay (p < 0.05). CONCLUSION: The increased patients' length of stay at ED was associated with crowding status of ED. Therefore, decision-makers at ministry of health should develop and implement measures and interventions to shed light on the causes of crowding, to reduce the crowding at ED, and resolve the problem steamed from such crowding for the purpose of shorten patients' length of stay at ED.

Investigating Stress and Sources of Stress Among Female Health Profession Students in a Saudi University.

BACKGROUND: Health profession students experience tremendous levels of stress throughout their education. A high level of stress may have a negative effect on the cognitive functioning and learning of students. OBJECTIVE: The study sought to determine the levels and main sources of stress and its possible correlation with academic performance in the preclinical female health profession. METHODS: The cross-sectional design involved the use of self-administered questionnaires. Data were collected from 260 students in health profession programmes in Saudi Arabia. The Medical Student Stressor Questionnaire (MSSQ) was used to collect the data from all second-, third-, and fourth-year undergraduate students. RESULTS: A high level of stress was observed in 42.7% of the students, and a moderate stress level was observed in 41.5% of the students. The major source of stress experienced by students was related to the academic domain (mean= 2.7±0.73), followed by the group activity domain (mean= 2.1±0.91; p< 0.05). Second-year and third-year students were significantly less likely to show high stress levels compared with fourth-year students (AOR= 0.3; 95% CI: 0.1-0.8; p≤ 0.030 and AOR= 0.4; 95% CI: 0.1-0.5; p≤ 0.001, respectively). High stress levels were not found to be associated with students' age and academic performance. CONCLUSION: Half of the students experienced high and severe levels of stress. Academic and group activity domains were perceived as the major stressors. The year of study was the only significant factor associated with stress levels. Stress among female health profession students should be acknowledged, and efforts should be made to alleviate it. Students should be guided to reduce their stress levels, as this can enhance their quality of life and study experience.

Assessment of Organizational Commitment Among Nurses in a Major Public Hospital in Saudi Arabia.

PURPOSE: Nurses play a vital role in the provision of healthcare internationally. The level of organizational commitment of healthcare workers, including nurses, is closely connected to the productivity and quality of care provided by healthcare institutions. The aims of the present study were to explore nurses' levels of organizational commitment and the impact of key sociodemographic variables on this issue. MATERIALS AND METHODS: A cross-sectional descriptive quantitative study was conducted at a major public hospital in Saudi Arabia during April and May 2019. A revised validated version of the three-component model (TCM) questionnaire was self-administered to a systematic random sample of 384 nurses. The data were analyzed using Statistical Package for Social Sciences (SPSS) version 22. Mean scores were compared by independent variables using an independent sample t-test and analysis of variance (ANOVA). Multiple linear regression analysis was performed. RESULTS: Out of 384 participants, 337 responded, yielding a response rate of 88%. Overall, 47.88% of the nurses agreed with all items related to the organizational commitment scale, while only 22.3% disagreed. There was a significant difference in the levels of commitment among nurses in the various age groups (p = 0.024). The continuous commitment subscale received the largest number of positive responses. CONCLUSION: Most nurses showed a moderate level of job commitment. Greater organizational commitment was positively related to sociodemographic variables, such as age and nationality, and the only positive predictor of overall organizational commitment was age. Nursing policy makers should enhance the organizational commitment of nurses by developing strategies to recruit, attract, and retain committed nurses.

Comparisons of the predictive values of admission criteria for academic achievement among undergraduate students of health and non-health science professions: a longitudinal cohort study.

OBJECTIVE: The main objective of this study was to compare the predictive value of admission criteria for students' grade point averages (GPAs) over a 3-year period for a cohort of students enrolled in health and non-health science professions during the 2012-2013 academic year at Imam Abdulrahman Bin Faisal University (IAU). MATERIALS AND METHODS: This longitudinal, retrospective cohort study was conducted at eight colleges (four health and four non-health colleges) in IAU between December 2017 and February 2018. The high school grades, aptitude test scores, achievement test scores, and GPA scores over a 3-year period for students admitted during the 2012-2013 academic year at health and non-health colleges at IAU were used. The data were analyzed using descriptive and inferential statistics. RESULTS: Positive, significant correlations (P<0.01) were found between the three admission criteria and the annual GPA scores (r ranged from 0.192 to 0.499 and from 0.359 to 0.588) for both the health and non-health colleges. High school grades were the most significant predictor of annual GPAs (ß=0.340, P<0.01 and ß=0.374, P<0.01), followed by achievement test scores in both health and non-health fields of study, respectively. Aptitude test scores were not good predictors of GPAs for the health and non-health colleges. CONCLUSION: High school grades are the most important predictor of student GPAs at health and non-health colleges. Changing the weighting criteria in our institution to place more emphasis on high school grades, as our findings indicate, should be considered during the admission process.

Comparing the extent and pattern of use of social networking sites by medical and non medical university students: a multi-center study.

OBJECTIVES: Although use of social networking sites (SNSs) for fun and leisure is escalating, educational use of SNSs by students is low. Furthermore, there is a scarcity of data about the use of SNSs by students from different faculties. This study compared patterns and extent of use of SNSs among medical and nonmedical university students. METHODS: A 21-statement questionnaire was administered to the students of medical colleges of two Saudi universities and nonmedical students of two Chinese universities. Demographic data, nature of SNSs, and strategies used for sharing knowledge were collected and analyzed. RESULTS: Of 2,350 respondents, 92% used SNSs for various reasons. Overall, 624 (26.6%) students used SNSs for education and found these sites to be useful (P=0). Educational use of SNSs was significantly higher in medical than nonmedical students (P=0). However, nonmedical students found SNSs more useful for social connections than medical students, with mean rankings of 1,328 and 978, respectively. WhatsApp use was significantly greater among medical students, while WeChat was more popular with nonmedical students (P=0). CONCLUSION: This study reports low use of SNSs for education by university students. For sharing knowledge, WhatsApp was more popular among medical students and WeChat for nonmedical students. This research demands educational reforms that can uniformly embed the use of social media in teaching and learning pedagogies across disciplines.

Measuring the extent and nature of use of Social Networking Sites in Medical Education (SNSME) by university students: Results of a multi-center study.

There is a sharp rise in the use of social networking sites (SNSs) by university students for various purposes. However, little is known about the use of SNSs for educational purposes. This study aims to determine educational use of SNSs by the medical students of two Saudi and a Kuwaiti medical school. A cross-sectional study was conducted by administering a 20-statement questionnaire to the undergraduate medical and allied health sciences students of two Saudi universities: Taibah University (TU) and Imam Abdulrahman AlFaisal University (IAFU), and one Kuwaiti university, Kuwait University (KU). The data were collected and analyzed by SPSS 20. Of a total of 1312 respondents, 1181 (90%) students used SNSs and 131 (10%) did not use SNSs for any reason. Further, only 442/1181 (37%, p < 0.00) students used SNSs for education and found these sites to be useful. As many as 357 (27%) students used SNSs for sharing education-related information once a day, 306 (23%) 3-5 times a day, and 331 (25%) once a week. A maximum of 678 (52%) used Facebook for educational purpose and most of the students, 469 (38%), used SNSs for sharing lectures. There were significant variations in responses among genders and year of schooling. The use of online social media in medical education is a rapidly evolving arena of scholarship. Low use of SNSs for sharing information and significant variations in perceptions of medical students about social media should draw attention of policy-makers for promoting awareness and educational reforms.

Assessment of educational environment of surgical theatre at a teaching hospital of a saudi university: using surgical theatre educational environment measures.

OBJECTIVES: This study was aimed to determine how medical interns perceive the important factors of the learning environment the surgical theatre at the teaching hospital of the medical school, University of Dammam (UoD). The study also investigated the relationships between the learning environment and academic achievements. Finally, it determined the role and significance of gender on the above perceptions and relationships. METHODS: The Surgical Theatre Educational Environment Measure (STEEM) was used to identify the perceptions of interns on the most important factors prevalent in the surgical theatre as an educational environment. STEEM was administered to all interns during the period of June-September 2009. Ninety-one out of 145 students completed the questionnaire representing a response rate of 63%. Non-parametric statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) Version 17. RESULTS: The STEEM was shown to be internally consistent for the assessment of the overall educational environment in the surgical theatre of UoD. The overall STEEM mean score was 110. For male and female students, the mean scores were 114 and 107 respectively. There were statistically significant gender differences in the perceptions of "learning opportunities" and "teaching and training". Females rated these subscales lower than males. There were no significant associations between academic achievements and perceptions of the educational environment. CONCLUSION: The interns perceived the learning environment of the surgical theatre as less than satisfactory. In comparison with the males; the perception of the females was less positive, particularly in the areas of learning opportunities, and teaching and training. The study also revealed some other problematic areas in the learning environment of surgical theatre of the teaching hospital of UoD. The results imply that there is much room for improvement. They also indicate that equal opportunities for learning and training should be given to both sexes.

Successes and challenges in the implementation and application of telemedicine in the eastern province of Saudi Arabia.

Telemedicine is the practice of healthcare using audio, video, and data communications. The aim of this study was to determine the perceptions of health professionals at hospitals adopting and not adopting telemedicine on its benefits and challenges, and their willingness to use it. The study was conducted at one hospital not adopting telemedicine and three hospitals adopting telemedicine. It was a cross-sectional descriptive study, and the target population was health professionals. Data collection methods included two paper-based questionnaires. Nonparametric statistical analysis and descriptive statistics were used. The study concluded that although telemedicine is promising and the Ministry of Health in Saudi Arabia has allocated a huge budget for e-health, the telemedicine modalities used were very limited. The percentage of adoption of telemedicine by health professionals was low in comparison to the high interest of nonadopters. Nonadopters' perception of benefits was higher than that of adopters. The most frequently cited benefits among adopters were improving the quality of care, enhancing access to healthcare, and providing patient care and management. However, adopters' perceptions were low for other benefits such as easy use of the network, the use of store-and-forward telemedicine, and the ability to follow up after face-to-face contacts. The greatest barrier as perceived by health providers was the lack of knowledge about telemedicine. Dissemination of information about telemedicine and proper training of health professionals on its use are recommended.