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1.
Artigo em Russo | MEDLINE | ID: mdl-33161676

RESUMO

The article considers issues of professional orientation of future medical students. Their professional and career attitudes were identified. The percentage of students (19%) was determined who already at the stage of education have no plans to work in health care area, partly due to disappointment in their choice of profession. It is established that primary professional career paths for graduates of medical universities are admission to clinical residency (67%) and work in hospital. It is noted that the percentage of graduates wishing to work in private sector of medical services reached 20%. The respondents indicated among causes of problematic employment of graduated professionals lack of experience, lack of knowledge, low wages and overrated expectations of graduates themselves. It is recommended to improve quality of professional selection of applicants, to increase the degree of possession of practical skills and applied knowledge, to ensure increasing of accessibility of clinical residency training and to expand financial support of graduates of medical universities.


Assuntos
Estudantes de Medicina , Universidades , Atitude , Escolha da Profissão , Humanos , Salários e Benefícios
5.
BMC Med Educ ; 20(1): 385, 2020 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-33109168

RESUMO

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.


Assuntos
Escolha da Profissão , Estágio Clínico , Infecções por Coronavirus/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Estresse Psicológico , Estudantes de Medicina/psicologia , Adulto , Betacoronavirus , Canadá/epidemiologia , Currículo , Feminino , Humanos , Internato e Residência , Masculino , Adulto Jovem
6.
JNMA J Nepal Med Assoc ; 58(229): 677-680, 2020 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-33068090

RESUMO

INTRODUCTION: There is a global crisis which has been led by COVID-19. The patients undergoingdental procedures and dental professionals are at higher risk of contracting this disease owing toaerosols generated and a lot of face to face contact during the procedures. The aim of this study was to know the perceptions of dental students of COMS-TH regarding future of dentistry in Nepal amidCOVID-19 pandemic. METHODS: The present cross-sectional descriptive study was conducted at COMS-TH, Bharatpur by sending an online e-survey questionnaire to 146 dental students out of which 99 responded. The e-survey questionnaire consisted of three parts which consisted of questions about demographics, knowledge about COVID-19 and their perceptions about future of dentistry. RESULTS: The results of the study depicted that most of the students thought dentistry is good and noble profession and will recommend it to young medical aspirants. Most of them wanted to pursue post graduation courses in future giving preference to Oral and Maxillofacial Surgery. CONCLUSIONS: The study concluded that most of the dental students were satisfied with dentistry as their profession and wanted National Dental Association to fix the minimum charges of each dental procedure. Also there is a need to start more post graduation courses in existing institutions providing dental education as most of the students want to pursue it in future.


Assuntos
Atitude do Pessoal de Saúde , Infecções por Coronavirus , Odontologia/tendências , Economia em Odontologia/tendências , Pandemias , Pneumonia Viral , Estudantes de Odontologia , Betacoronavirus , Escolha da Profissão , Feminino , Previsões , Custos de Cuidados de Saúde/tendências , Humanos , Controle de Infecções Dentárias , Masculino , Nepal , Padrões de Prática Odontológica/tendências , Cirurgia Bucal , Inquéritos e Questionários
9.
Med J Aust ; 213(7): 329-334, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32865236

RESUMO

OBJECTIVE: To synthesise what is known about women combining motherhood and a career in medicine by examining the published research into their experiences and perspectives. STUDY DESIGN: We reviewed peer-reviewed articles published or available in English reporting original research into motherhood and medicine and published during 2008-2019. Two researchers screened each abstract and independently reviewed full text articles. Study quality was assessed. DATA SOURCES: CINAHL, MEDLINE, PsycINFO, Web of Science, and Scopus abstract databases. DATA SYNTHESIS: The database search identified 4200 articles; after screening and full text assessment, we undertook an integrative review synthesis of the 35 articles that met our inclusion criteria. CONCLUSIONS: Three core themes were identified: Motherhood: the impact of being a doctor on raising children; Medicine: the impact of being a mother on a medical career; and Combining motherhood and medicine: strategies and policies. Several structural and attitudinal barriers to women pursuing both medical careers and motherhood were identified. It was often reported that women prioritise career advancement by delaying starting a family, and that female doctors believed that career progression would be slowed by motherhood. Few evaluations of policies for supporting pregnant doctors, providing maternity leave, and assisting their return to work after giving birth have been published. We did not find any relevant studies undertaken in Australia or New Zealand, nor any studies with a focus on community-based medicine or intervention studies. Prospective investigations and rigorous evaluations of policies and support mechanisms in different medical specialties would be appropriate. PROTOCOL REGISTRATION: PROSPERO CRD42019116228.


Assuntos
Mães/psicologia , Poder Familiar/psicologia , Médicas/psicologia , Local de Trabalho/psicologia , Escolha da Profissão , Feminino , Humanos , Gravidez
10.
BMC Med Educ ; 20(1): 324, 2020 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-32962691

RESUMO

BACKGROUND: The Covid-19 pandemic necessitated the delivery of online higher education. Online learning is a novel experience for medical education in Sri Lanka. A novel approach to undergraduate surgical learning was taken up in an attempt to improve the interest amongst the students in clinical practice while maximizing the limited contact time. METHOD: Online learning activity was designed involving medical students from all stages and multi consultant panel discussions. The discussions were designed to cover each topic from basic sciences to high-level clinical management in an attempt to stimulate the student interest in clinical medicine. Online meeting platform with free to use basic plan and a social media platform were used in combination to communicate with the students. The student feedback was periodically assessed for individual topics as well as for general outcome. Lickert scales and numeric scales were used to acquire student agreement on the desired learning outcomes. RESULTS: A total of 1047 student responses for 7 questionnaires were analysed. During a 6-week period, 24 surgical topics were discussed with 51 contact hours. Eighty-seven per cent definitely agreed (highest agreement) with the statement 'students benefitted from the discussions'. Over 95% have either participated for all or most sessions. A majority of the respondents (83.4%) 'definitely agreed' that the discussions helped to improve their clinical sense. Of the total respondents, 79.3% definitely agreed that the discussions helped to build an interest in clinical medicine. Around 90% agreed that both exam-oriented and clinical practice-oriented topics were highly important and relevant. Most widely raised concerns were the poor Internet connectivity and limitation of access to the meeting platform. CONCLUSION: Online teaching with a novel structure is feasible and effective in a resource-limited setting. Students agree that it could improve clinical interest while meeting the expected learning outcomes.


Assuntos
Betacoronavirus , Medicina Clínica/educação , Infecções por Coronavirus/epidemiologia , Educação a Distância/organização & administração , Educação de Graduação em Medicina/organização & administração , Cirurgia Geral/educação , Pneumonia Viral/epidemiologia , Escolha da Profissão , Competência Clínica , Humanos , Pandemias , Satisfação Pessoal , Mídias Sociais , Sri Lanka , Estudantes de Medicina , Inquéritos e Questionários
11.
PLoS One ; 15(9): e0238635, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32956356

RESUMO

Women can play a pivotal role in the progress and sustainability of the world if they are empowered through education and employment opportunities in Science, technology, innovation and through changing the social stereotypes that restrain them in certain workplaces. In the literature, few recently published studies exist that document the challenges faced by female scientists in their workplaces. The purpose of this study was to understand the challenges and coping strategies faced by female scientists around the world today, in order to contribute to their improved performance. A multi-centre electronic cross-sectional survey across 55 countries was conducted to profile female scientists and to identify the challenges that they experience throughout their career as well as the coping mechanisms that they use to overcome the barriers. A total of 263 female scientists from different countries across the world participated in our study and most participants were from the South East Asian Region. Most female scientists in our study belong to the middle and junior level career category and earning around 1250 USD per month. Most of the scientists reported availability of maternity leave at their workplace but less than a third reported presence of a creche at work. Workplace sexual harassment was reported by 24% of the study population. Work related stress (71.5%) and work life imbalance (46%) are also major challenges faced by female scientists. Self-confidence, dedication and hard work are the most commonly adopted coping strategy. Flexible work timings, woman-friendly management policies, fair appraisal and mentorship appear to reduce the work-related stress and improve work-life balance among female scientists. In conclusion, female scientists face numerous challenges, which can greatly affect both their individual and career growth. Intrinsic (personal) and extrinsic (institutional) factors are important for improving female scientists' wellbeing and productivity.


Assuntos
Adaptação Psicológica , Estresse Ocupacional/psicologia , Pesquisadores/psicologia , Adulto , Escolha da Profissão , Estudos Transversais , Feminino , Felicidade , Humanos , Equilíbrio Trabalho-Vida , Local de Trabalho
12.
PLoS One ; 15(9): e0238250, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32936827

RESUMO

The present study tests predictions from the Tripartite Integration Model of Social Influences (TIMSI) concerning processes linking social interactions to social integration into science, technology, engineering, and mathematics (STEM) communities and careers. Students from historically overrepresented groups in STEM were followed from their senior year of high school through their senior year in college. Based on TIMSI, we hypothesized that interactions with social influence agents (operationalized as mentor network diversity, faculty mentor support, and research experiences) would promote both short- and long-term integration into STEM via social influence processes (operationalized as science self-efficacy, identity, and internalized community values). Moreover, we examined the previously untested hypothesis of reciprocal influences from early levels of social integration in STEM to future engagement with social influence agents. Results of a series of longitudinal structural equation model-based mediation analyses indicate that, in the short term, higher levels of faculty mentorship support and research engagement, and to a lesser degree more diverse mentor networks in college promote deeper integration into the STEM community through the development of science identity and science community values. Moreover, results indicate that, in the long term, earlier high levels of integration in STEM indirectly influences research engagement through the development of higher science identity. These results extend our understanding of the TIMSI framework and advance our understanding of the reciprocal nature of social influences that draw students into STEM careers.


Assuntos
Engenharia/educação , Matemática/educação , Modelos Estatísticos , Ciência/educação , Apoio Social , Estudantes/psicologia , Tecnologia/educação , Adulto , Escolha da Profissão , Feminino , Humanos , Estudos Longitudinais , Masculino , Mentores , Modelos Psicológicos , Motivação , Autoeficácia , Inquéritos e Questionários , Universidades , Adulto Jovem
13.
Psychiatr Danub ; 32(Suppl 1): 135-138, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32890376

RESUMO

INTRODUCTION: The World Health Organization identified a chronic shortage of psychiatrists in Low- Middle- and High-Income Countries. In Qatar, the situation is dire with reports there is one psychiatrist per 170,000 people in the population. A one-day, student-led mental-health conference was held in Doha, Qatar under the auspices of the World Psychiatric Association with the aim of increasing interest in psychiatry as a career. SUBJECTS AND METHODS: In this single-arm, pre-post comparison study, a questionnaire assessing interest in psychiatry as a career was administered on participants before and after attending the conference. Demographic information was obtained and response items were on a 5-point Likert scale. Statistical analysis was performed using a two-sample t-test with a significant p-value set at <0.05. RESULTS: The conference was attended by 102 individuals. Fifty-four attendees completed the pre-conference survey (53% response rate) and 36 participants completed the post-conference survey (35% response rate). Data for the 36 matched pre-post responses were included in our analyses. The average age of respondents was 22 years and 81% were female. There was improvement in post-conference results however these changes were not statistically significant. CONCLUSION: To the best of our knowledge this is the first intervention study on increasing interest in psychiatry as a career carried out in Qatar. It is likely that psychiatry enthusiasts attended the conference and therefore their interest in this medical specialty was already high as corroborated by the favorable pre-conference survey results. This might explain why there was a lack of statistical significance in comparison to post- intervention scores. We recommend that such an event be integrated into the medical school curricula throughout Qatar to include students with low baseline interest in psychiatry. Further research in this area with more robust methodology is urgently needed to help narrow the pervasive treatment gap.


Assuntos
Escolha da Profissão , Psiquiatria , Estudantes de Medicina , Adulto , Feminino , Humanos , Masculino , Projetos Piloto , Catar , Inquéritos e Questionários , Adulto Jovem
14.
Med Educ Online ; 25(1): 1810968, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32815785

RESUMO

The COVID-19 pandemic has altered the normal delivery of medical education globally. Following the cancelation of traditional course components such as elective placements, UK medical students have been able to carry out temporary roles within the NHS. We believe these events may have an effect on medical students' future choice of specialty.


Assuntos
Betacoronavirus , Escolha da Profissão , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Estudantes de Medicina , Humanos , Medicina Estatal , Reino Unido
15.
Surgery ; 168(3): 355-362, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32741622

RESUMO

BACKGROUND: To interview extraordinary women who have made recent significant contributions to the field of colorectal surgery. DESIGN: The authors asked some of the many extraordinary women who have made significant contributions to the field of colorectal surgery to answer several questions. These women were selected from many potential candidates based upon their extraordinary recent contributions to the field of colorectal surgery. These thought leaders were asked about their contributions to colorectal surgery, their mentors, whether they had any women as role models, and, lastly, what they would tell their younger selves. The study was structured to recognize these women for their remarkable recent contributions to colorectal surgery, and we wished to encourage women to pursue leadership in colorectal surgery including the allied fields of colorectal pathology and colorectal imaging. Furthermore, the authors hoped to inspire male colorectal surgeons to actively mentor and help the career development of women colorectal surgeons. The potential limitations of the study include the fact that there are many more well-deserving women who could have been included in the sample survey but, because of space constraints, were not invited. CONCLUSION: Women in colorectal surgery and in the allied specialties of colorectal pathology and colorectal radiology have made many recent major significant contributions to colorectal surgery. The expectation is that the volume and frequency of such contributions as well as the number of women making these contributions should further significantly increase with time.


Assuntos
Cirurgia Colorretal/organização & administração , Liderança , Mentores , Médicas/psicologia , Cirurgiões/psicologia , Escolha da Profissão , Cirurgia Colorretal/estatística & dados numéricos , Cirurgia Colorretal/tendências , Feminino , Humanos , Masculino , Médicas/estatística & dados numéricos , Médicas/tendências , Cirurgiões/estatística & dados numéricos , Cirurgiões/tendências
16.
Plant Biotechnol J ; 18(11): 2147-2154, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32799416

RESUMO

Growing up in a densely wooded tropical forest enhanced my curiosity in plants and reading biography of Marie Curie profoundly influenced pursuit of my research career. Early in my career, I developed in vitro functional chloroplasts, capable of expressing foreign genes and this laid the foundation for the chloroplast genetic engineering field. Four decades of research has advanced chloroplast bioreactors for production of industrial enzymes or biopharmaceuticals by small or large companies. Because I experienced firsthand horrors of expensive vaccines or medicines, I devoted most of my career to develop affordable therapeutics. During this long journey, I suffered institutional racial discrimination but was rescued by several guardian angels. This biography gives readers a glimpse of tribulations and triumphs of my journey and recognizes important contributions made by my mentees.


Assuntos
Biotecnologia/história , Escolha da Profissão , Cloroplastos/genética , Racismo , Betacoronavirus , Infecções por Coronavirus , Engenharia Genética , Vetores Genéticos , Genoma de Cloroplastos , História do Século XX , História do Século XXI , Humanos , Pandemias , Pneumonia Viral
18.
J Emerg Manag ; 18(4): 325-339, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32804400

RESUMO

Graduate job placement is an important issue for emergency management higher education programs, practitio-ners, and students. Yet, despite considerable discussion about the topic, no line of empirical research has emerged. This article begins to address this gap by reporting the findings of an exploratory study that examined the actual job placement of students who recently graduated with a bachelor's degree in emergency management and the extent to which their placement was consistent with their intent. This study found that the vast majority of recent graduates are indeed securing jobs they want, but, for about half, the jobs they want are not emergency management. There is sig-nificant diversity in the career-paths and sectors being pursued by graduates. This article discusses the potential impli-cations of these findings as well as the critical need for further research in this area.


Assuntos
Educação de Pós-Graduação , Emprego , Escolha da Profissão , Humanos , Inquéritos e Questionários
19.
Artigo em Inglês | MEDLINE | ID: mdl-32806697

RESUMO

The COVID-19 pandemic has changed the orders and structures of societies, particularly in the fields of medical and nursing professions. The researcher aims to understand the experiences, sense of belonging, and decision-making processes about Japanese pre-service nursing students and how the COVID-19 pandemic, social distancing, and lockdown has influenced their understanding as pre-service nursing professionals in Japan. As this study focuses on the issues of pre-service nursing students, the researcher invited forty-nine pre-service nursing students for a virtual interview due to the recommendation of social distancing. To increase the coverage of the population, the researcher employed snowball sampling to recruit participants from all over Japan. Although the COVID-19 pandemic influenced the overall performance of the medical and nursing professions, all participants showed a sense of belonging as Japanese citizens and nursing professionals due to the natural disaster of their country. More importantly, all expressed their desires and missions to upgrade and improve the overall performance of the public health system due to the influence of the COVID-19 pandemic. The results discovered that many Japanese nursing students advocated that Japan's national development, the benefits and advantages of their country, were of a greater importance than their own personal development and goals.


Assuntos
Infecções por Coronavirus/epidemiologia , Educação em Enfermagem/organização & administração , Pneumonia Viral/epidemiologia , Estudantes de Enfermagem/psicologia , Betacoronavirus , Escolha da Profissão , Tomada de Decisões , Humanos , Entrevistas como Assunto , Japão/epidemiologia , Desastres Naturais , Pandemias , Administração em Saúde Pública/normas , Qualidade da Assistência à Saúde/organização & administração
20.
Eur J Clin Invest ; 50(10): e13367, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32735699

RESUMO

Producing excellent physician scientists starts with the active discovery of talent and dedication, supported by the strong belief that physician involvement in biomedical research is essential to make fundamental discoveries that improve human health. The revolution of surgical and interventional therapy of structural heart disease has had 'profoundly positive effects on survival and quality of life over the decades. (…) Small increments in clinical improvement will still be possible in the future, but for the most part, the potential for major advancement using these techniques has been exhausted' (Frank Hanley, MD; Stanford). Personalized medicine, rapid genetic diagnostics, RNA and extracellular vesicle biology, epigenetics, gene editing, gene and stem cell-derived therapy are exemplary areas where specialized training for paediatric/congenital cardiology physician scientists will be increasingly needed to further advance the field. About a decade ago, a series in Circulation discussed academic career models and highlighted the major challenges facing the cardiovascular 'clinician scientist' (syn. physician scientist), which have not abated since. To develop the skills and expertise in both clinical congenital cardiology and basic research, the training of fellows must be focused and integrated. The current pandemic COVID-19 puts additional pressure and hurdles on fellows-in-training (FIT) and early career investigators (ECI) who aim to establish, consolidate or expand their own research group. Here, we discuss the major challenges, opportunities and necessary changes for academic institutions to sustain and recruit physician scientists in paediatric/congenital cardiology in the years to come.


Assuntos
Pesquisa Biomédica , Cardiologistas/provisão & distribução , Escolha da Profissão , Cardiopatias Congênitas/terapia , Pediatras/provisão & distribução , Seleção de Pessoal , Pesquisadores/provisão & distribução , Centros Médicos Acadêmicos , Betacoronavirus , Cardiologistas/educação , Cardiologia/educação , Infecções por Coronavirus , Educação de Pós-Graduação em Medicina , Bolsas de Estudo , Humanos , Pandemias , Pediatras/educação , Pediatria/educação , Pneumonia Viral , Pesquisadores/educação
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