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1.
Rev. SPAGESP ; 21(2): 66-82, jul.-dez. 2020.
Artículo en Portugués | LILACS, Index Psicología - Revistas técnico-científicas | ID: biblio-1125732

RESUMEN

Este artigo se propõe a discutir os desafios na formação para o trabalho com grupos e o papel dos coordenadores, com base na experiência de coordenação de grupos de sala de espera realizado em uma Unidade Básica de Saúde, a partir de um estágio de graduação em Psicologia. Através de recortes do diário de campo, buscamos discutir a mediação grupal nesse contexto de intervenção, ressaltando possibilidades, expectativas e dificuldades vivenciadas. Considerando a escassez de trabalhos publicados com relação à temática de grupos em sala de espera e ênfase em grupos informativos, o presente trabalho buscou ampliar a discussão para grupo enquanto processo, expondo reflexões sobre nossa postura e intervenções, discussões ampliadas para pensar coordenação de grupos e formação profissional.


This article proposes to discuss the challenges in training for group work and the role of coordinators, based on the experience of coordinating groups in a waiting room held in a Basic Health Unit, from a graduation internship in Psychology. Through field diary clippings, we sought to discuss group mediation in this context of intervention, highlighting possibilities, expectations, and difficulties experienced. Considering the scarcity of studies regarding the theme of groups in the waiting room, besides an emphasis on informative groups, this study aimed to expand the discussion to the group as a process, exposing reflections on our posture and interventions, extended discussions to think coordinating groups and professional qualification.


Este artículo se propone discutir los desafíos en la formación para el trabajo con grupos y el papel de los coordinadores, con base en la experiencia de coordinación de grupos de sala de espera realizado en una Unidad Básica de Salud, a partir de una etapa de graduación en Psicología. A través de recortes del diario de campo, buscamos discutir la mediación grupal en ese contexto de intervención, resaltando posibilidades, expectativas y dificultades vivenciadas. Considerando la escasez de trabajos publicados con relación a la temática de grupos en sala de espera y énfasis en grupos informativos, el presente trabajo buscó ampliar la discusión para grupo en cuanto proceso, exponiendo reflexiones sobre nuestra postura e intervenciones, discusiones ampliadas para pensar coordinación de grupos y formación profesional.


Asunto(s)
Humanos , Citas y Horarios , Postura , Rol , Apoyo a la Formación Profesional , Centros de Salud , Negociación , Atención Médica , Capacitación Profesional , Internado y Residencia
2.
Rev Med Suisse ; 16(713): 2104-2107, 2020 Nov 04.
Artículo en Francés | MEDLINE | ID: mdl-33146959

RESUMEN

Gender bias in medicine negatively interfere with the medical care of both men and women, which can lead to risks for patients as well as health inequalities. Unisanté has launched a pilot project to integrate reflexivity by students at the Medical School of the University of Lausanne on the influence of gender in clinical practice, using an electronic portfolio. The clinical vignettes presented and discussed in this article illustrate this reflective work and the main biases and stereotypes encountered: pain management, assessment of the psychosocial context, management of domestic violence, screening for chlamydia infection and discussion of a contraceptive method.


Asunto(s)
Internado y Residencia , Medicina , Sexismo , Estudiantes de Medicina , Femenino , Humanos , Masculino , Proyectos Piloto , Facultades de Medicina , Suiza
3.
J Korean Med Sci ; 35(42): e380, 2020 Nov 02.
Artículo en Inglés | MEDLINE | ID: mdl-33140592

RESUMEN

There were two rallies of medical students and trainee doctors, where 9,000 participants gathered. We performed polymerase chain reaction (PCR)-based universal screening for the participants using pooling at a tertiary care hospital. Around 609 (94%) of 646 participants underwent PCR tests for severe acute respiratory syndrome coronavirus 2; all of them tested negative. Our data suggested low transmission rates in open air mass gatherings when appropriate personal protective practices were followed.


Asunto(s)
Betacoronavirus/aislamiento & purificación , Técnicas de Laboratorio Clínico , Control de Enfermedades Transmisibles/métodos , Infecciones por Coronavirus/diagnóstico , Neumonía Viral/diagnóstico , Reacción en Cadena de la Polimerasa , Infecciones por Coronavirus/epidemiología , Higiene de las Manos , Humanos , Internado y Residencia , Máscaras , Tamizaje Masivo , Pandemias , Médicos , Neumonía Viral/epidemiología , República de Corea/epidemiología , Aislamiento Social , Estudiantes de Medicina , Centros de Atención Terciaria
10.
Afr J Prim Health Care Fam Med ; 12(1): e1-e3, 2020 Nov 06.
Artículo en Inglés | MEDLINE | ID: mdl-33181875

RESUMEN

The health-service redesign that came with the preparation for the surge of COVID-19 had a potential of disrupting the Family Medicine internship programme like it did to many other health and academic programmes. A team of Cape-Town based Community Health Centre (CHC) doctors mitigated this challenge by designing an innovative tool that facilitated ongoing supervision of the interns in order to achieve the outcomes of the Health Professions Council of South Africa (HPCSA).


Asunto(s)
Centros Comunitarios de Salud , Infecciones por Coronavirus , Consejo , Medicina Familiar y Comunitaria/educación , Internado y Residencia , Pandemias , Neumonía Viral , Preceptoría , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/terapia , Infecciones por Coronavirus/virología , Personal de Salud , Humanos , Médicos , Neumonía Viral/epidemiología , Neumonía Viral/terapia , Neumonía Viral/virología , Sudáfrica
11.
Arch. argent. pediatr ; 118(5): 337-342, oct 2020. tab
Artículo en Inglés, Español | LILACS, BINACIS | ID: biblio-1122034

RESUMEN

Introducción. Publicaciones internacionales estiman una prevalencia de sensibilización al látex (SL) en el personal de salud del 7 % al 17 %, y se desconocen los valores en la Argentina.Objetivos. Estimar la prevalencia de sensibilización y alergia al látex en médicos residentes de un hospital pediátrico mediante la prueba epicutánea de lectura inmediata y evaluar factores de riesgo asociados en dicha población.Población y métodos. Estudio de corte transversal. Se incluyeron los residentes, jefes e instructores de Pediatría, Ortopedia, Cirugía y Terapia Intensiva entre junio y octubre de 2017. En todos, se realizó un cuestionario (que evaluó enfermedades atópicas y otros factores de riesgo) y la prueba epicutánea de lectura inmediata. En un subgrupo (residentes de 1ero, 4to año, especialidades quirúrgicas y terapia) se dosó inmunoglobulina E total y específica para látex.Resultados. Se incluyeron 113 participantes. La prevalencia de SL fue del 7,96 % (intervalo de confianza del 95 %: 3,70-14,58); 4 participantes resultaron alérgicos al látex. El antecedente de síntomas relacionados con el látex se asoció significativamente con prueba epicutánea de lectura inmediata + (p = 0,0196; odds ratio 6,13; intervalo de confianza del 95 %: 1,44-26,04). No hubo asociación entre SL y año de residencia.Conclusiones. La prevalencia de SL hallada fue del 7,9 %. Se evidenció una relación significativa entre el antecedente de SRL y un resultado de prueba epicutánea de lectura inmediata positiva


Introduction. International publications estimate a 7 %-17 % latex sensitization (LS) prevalence among health care workers, but values in Argentina are unknown.Objectives. To estimate the prevalence of latex sensitization and allergy among residents of a children's hospital using the immediate-reading prick test and to assess associated risk factors in this population.Population and methods. Cross-sectional study. Residents, trainers, and Chief residents of the Departments of Pediatrics, Orthopedics, Surgery and Intensive Care were included between June and October 2017. All of them were administered a questionnaire (assessing atopic diseases and other risk factors) and underwent the immediate-reading prick test. Total and latex-specific immunoglobulin E levels were determined in a subgroup of individuals (first- and fourth-year residents, surgical specialties, and intensive care).Results. A total of 113 participants were included. LS prevalence was 7.96 % (95 % confidence interval: 3.70-14.58); 4 participants were allergic to latex. A history of latex-related symptoms (LRS) was significantly associated with a positive result in the immediate-reading prick test (p = 0.0196; odds ratio: 6.13; 95 % confidence interval: 1.44-26.04). There was no association between LS and the year of the residency program.Conclusions. The observed LS prevalence was 7.9 %. There was a significant relation between a history of LRS and a positive result in the immediate-reading prick tes


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Hipersensibilidad al Látex , Médicos , Pruebas Cutáneas , Epidemiología Descriptiva , Prevalencia , Estudios Transversales , Encuestas y Cuestionarios , Factores de Riesgo , Internado y Residencia
12.
Arch. argent. pediatr ; 118(5): 358-365, oct 2020. tab, ilus
Artículo en Español | LILACS, BINACIS | ID: biblio-1122547

RESUMEN

Introducción. Actualmente, no existe un registro completo de las residencias pediátricas de la Argentina.Objetivos. Identificar todas las residencias pediátricas de la Argentina. Establecer un diagnóstico de situación y un registro unificado.Población y métodos. Estudio descriptivo, observacional de corte transversal. Se estableció un listado preliminar de residencias con datos de la Sociedad Argentina de Pediatría. Se comparó con los de todos los sistemas de selección vigentes. Se contactó a todos los colegios médicos del país y a las dependencias ministeriales, provinciales y municipales de salud para completar el registro.Resultados. Se identificaron 188 residencias. Cincuenta y cinco (el 30 %) no se encontraban en ningún registro. El 70,2 % eran de dependencia pública. Casi el 80 % funcionaban en hospitales generales. La mayoría se encontraban acreditadas por algún organismo.Conclusiones. Se identificaron todas las residencias pediátricas del país. Se estableció un diagnóstico de situación y un registro unificado.


Introduction. Currently, there is no complete registry of pediatric residences in Argentina.Objectives. To identify all pediatric residences in Argentina. To establish a situation diagnosis and a unified registry.Methods. Descriptive, observational cross-sectional study. A preliminary list of residences was established with data from the Argentine Pediatric Society. It was compared with those of all the current selection systems. All the Medical Colleges of the country and the ministerial, provincial and municipal Health agencies were contacted to complete the registration.Results. 188 residences were identified. Fifty-five (30 %) were not found in any registry; 70.2 % were from public dependency. Almost 80 % worked in general hospitals. Most of them were accredited by different institutions.Conclusions. All pediatric residences in the country were identified. A situation diagnosis and a unified registry were established


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Pediatría , Internado y Residencia , Epidemiología Descriptiva , Estudios Transversales , Encuestas y Cuestionarios , Educación Médica , Programas de Posgrado en Salud
13.
BMC Med Educ ; 20(1): 385, 2020 Oct 27.
Artículo en Inglés | MEDLINE | ID: mdl-33109168

RESUMEN

BACKGROUND: The COVID-19 pandemic has been an unprecedented and potentially stressful event that inserted itself into the 2019-2020 Canadian medical curriculum. However, its impact on stress and subsequent professional pathways is not well understood. This study aims to assess the impact of the COVID-19 pandemic on the mental well-being, training, and career choices of Canadian medical clerks within the first three months of the pandemic. It also aims to assess their use of university support systems and their appreciation of potential solutions to common academic stressors. METHODS: An electronic survey composed of four sections: demographics, stressors experienced during the pandemic, World Health Organization (WHO) well-being index, and stress management and resources was distributed to Canadian clerks. RESULTS: Clerks from 10 of the 17 Canadian medical faculties participated in this study (n = 627). Forty-five percent of clerks reported higher levels of stress than usual; 22% reconsidered their residency choice; and 19% reconsidered medicine as a career. The factors that were most stressful among clerks were: the means of return to rotations; decreased opportunities to be productive in view of residency match; and taking the national licensing exam after the beginning of residency. The mean WHO well-being index was 14.8/25 ± 4.5, indicating a poor level of well-being among a considerable proportion of students. Clerks who reconsidered their residency choice or medicine as a career had lower mean WHO well-being indices. Most clerks agreed with the following suggested solutions: training sessions on the clinical management of COVID-19 cases; being allowed to submit fewer reference letters when applying to residency; and having protected time to study for their licensing exam during residency. Overall, clerks were less concerned with being infected during their rotations than with the impact of the pandemic on their future career and residency match. CONCLUSION: The COVID-19 pandemic had a considerable impact on the medical curriculum and well-being of clerks. A number of student-identified solutions were proposed to reduce stress. The implementation of these solutions throughout the Canadian medical training system should be considered.


Asunto(s)
Selección de Profesión , Prácticas Clínicas , Infecciones por Coronavirus/epidemiología , Pandemias , Neumonía Viral/epidemiología , Estrés Psicológico , Estudiantes de Medicina/psicología , Adulto , Betacoronavirus , Canadá/epidemiología , Curriculum , Femenino , Humanos , Internado y Residencia , Masculino , Adulto Joven
14.
Arthroscopy ; 36(10): 2696-2697, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-33039041

RESUMEN

Residency and fellowship training programs have evolved significantly over the past 20 years. As the practice of medicine has become more sophisticated, and as increased economic factors exert pressures on health care delivery, postgraduate physician education is naturally affected. Residency programs have always been a formalized, graduate level apprenticeship, and there is really no way to adequately train new physicians other than direct experience in patient care. In surgery, this means providing young trainees the opportunity to be involved in surgical procedures with a gradual increase in autonomy. However, potential negative impacts, which may include financial or legal ramifications for the providers and adverse outcomes for the patient, are real. As a program director and clinician, I personally struggle with these challenges in balancing quality patient care, efficiency, and education.


Asunto(s)
Internado y Residencia , Procedimientos Ortopédicos , Becas , Humanos , Complicaciones Posoperatorias
15.
J Card Surg ; 35(10): 2539-2542, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-33043661

RESUMEN

BACKGROUND: A major difference exists between the rate of females and males entering cardiac surgery (CSx) residency in Canada. The objective of this study was to investigate the concerns and perceived obstacles of medical students with regards to CSx residency training to identify potential modifiable factors. METHODS: A 15-question web-based survey was designed to compare male to female medical students' perceptions with regards to CSx training. The survey was distributed to all 682 medical students at Western University (London, ON, Canada) enrolled during 2018 to 2019 academic year. A total of 153 students (63 males vs 90 females) completed the survey. RESULTS: More females perceived significant levels of difficulties to getting accepted in CSx residency programs (44/63 [63.8%] males vs 77/90 [85.6%] females, P = .03). As for their perception of the most difficult aspect about a career in CSx, more males expressed significant concerns about finding a job after completing the residency training (16/63 [25.3%] males vs 10/90 [11.0%] females, P = .02). A similar proportion of students expressed a strong interest in applying to a CSx residency (12/63 [19.0%] males vs 15/90 [16.7%] females, P = .83). Of these, more males expressed concerns about maintaining a work-life balance (6/12 [50%] males vs 1/15 [6.67%] female, P = .02), and more females expressed fears of not getting matched to CSx residency (3/12 [25%] males vs 11/15 [73.3%] females, P = .02). CONCLUSION: Despite showing a strong interest in completing a residency in CSx, female medical students perceive a significant fear of not getting matched to the speciality, which limits them from applying.


Asunto(s)
Miedo , Identidad de Género , Internado y Residencia , Solicitud de Empleo , Selección de Personal , Médicos Mujeres/psicología , Estudiantes de Medicina/psicología , Cirugía Torácica/educación , Adulto , Canadá , Femenino , Humanos , Masculino , Encuestas y Cuestionarios , Adulto Joven
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