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1.
BMC Med Educ ; 21(1): 320, 2021 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-34090439

RESUMO

BACKGROUND: Self-regulated learning (SRL) is an important contributing element to the academic success of students. Literature suggests that the understanding of SRL among medical students is obscure as there is still some uncertainty about whether high performing medical students use SRL. This study explored the characteristics of high performing medical students from the SRL perspective to gain a better understanding of the application of SRL for effective learning. METHODS: Twenty-one students who scored at the 90th percentile in written knowledge-based assessment consented to participate in this study. Each student wrote a guided reflective journal and subsequently attended a semi-structured interview. Students were prompted to explain the rationales for their answers. The data were then analysed using thematic analysis to identify patterns among these students from the SRL perspective. Two coders analysed the data independently and discussed the codes to reach a consensus. RESULTS: High performing students set goals, made plans, and motivated themselves to achieve the goals. They put consistent efforts into their studies and applied effective learning strategies. They also employed coping mechanisms to deal with challenges. High performing students regularly evaluated their performance and adopted new strategies. CONCLUSIONS: This study reported that high performing students applied SRL and described the rationales of practice. Medical schools could design SRL-driven interventions to enhance the learning experiences of medical students. Recommendations are made for students on how to apply SRL.


Assuntos
Educação de Graduação em Medicina , Estudantes de Medicina , Competência Clínica , Humanos , Aprendizagem , Pesquisa Qualitativa
2.
Front Public Health ; 9: 603331, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34095044

RESUMO

Background: The 2019 coronavirus disease (COVID-19) pandemic is a public health emergency of international concern. This study aimed to assess the psychological outcomes and their influencing factors among medical and non-medical University students during the COVID-19 pandemic in China. Methods: A cross-sectional online survey using structured questionnaires was conducted from February 20 to March 20, 2020. Psychological outcomes were assessed according to the Depression, Anxiety, and Stress Scale (DASS-21). Influencing factors were assessed by COVID-19 knowledge, mindful coping scale, and sense of control scale. Results: Our sample is comprised of 563 University students (male = 172, mean age = 21.52). Among them, 382 are medical students. Among the participants, 12.26, 18.47, and 8.53% have moderate to severe levels of depression, anxiety, and stress symptoms, respectively. Compared with the non-medical students, the medical students had a higher knowledge level of COVID-19, a higher sense of awareness, and fewer mental health symptoms. After controlling the covariance, perceived constraints of sense of control were negatively associated with depression, anxiety, and stress among both medical and non-medical students. Prevention of negative emotions by mindful coping was negatively associated with depression and anxiety among non-medical students. Knowledge of COVID-19 is not associated with mental distress among medical and non-medical students. Conclusions: During the COVID-19 pandemic in China, the mental health of University students was affected. Our findings suggested that a sense of control is a protective factor for both medical and non-medical students, while mindful coping is a protective factor for only non-medical students.


Assuntos
COVID-19 , Estudantes de Medicina , Adulto , China/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Humanos , Masculino , Saúde Mental , Pandemias , SARS-CoV-2 , Estresse Psicológico/epidemiologia , Adulto Jovem
3.
BMC Med Educ ; 21(1): 319, 2021 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-34088296

RESUMO

BACKGROUND: Undergraduate medical education is supposed to equip medical students with basic competences to select any specialty of their choice for postgraduate training. Medical specialties are characterized by a great diversity of their daily work routines and require different sets of competence facets. This study examines the self-assessed competence profiles of final-year undergraduate medical students and their specialty choice for postgraduate training. Students' profiles, who wish to choose anaesthesiology, internal medicine, or paediatrics, are compared with the physicians' competence profiles from these three disciplines. METHODS: In this study, 148 volunteer final-year undergraduate medical students completed the modified requirement-tracking (R-Track) questionnaire for self-assessment of their competence profiles. The R-Track questionnaire contains 63 competence facets assigned to six areas of competence: "Mental abilities", "Sensory abilities", "Psychomotor & multitasking abilities", "Social interactive competences", "Motivation", and "Personality traits". The expression of the different competence facets had to be assessed on a 5-point Likert scale (1: "very low" to 5: "very high"). Additionally, socio-demographic data and the participants' first choice of a medical speciality for postgraduate education were collected. We used analysis of variance (ANOVA) for mean score comparison of subgroups and least significant difference (LSD) tests for post hoc analysis. RESULTS: The competence area with the highest rating was "Motivation" (3.70 ± 0.47) while "Psychomotor & multitasking abilities" received the lowest rating (3.34 ± 0.68). Individual facets of competence ranked from "In need of harmony" (4.36 ± 0.72), followed by "Tactfulness" (4.26 ± 0.64), and "Cooperation/Agreeableness" (4.24 ± 0.53) to "Risk orientation" (2.90 ± 0.92), "Mathematical reasoning" (2.87 ± 1.25), and "Sanctioning" (2.26 ± 0.93). The students' competence profiles showed 100 % congruence with physicians' competence profiles of the postgraduate specialty of their choice for internal medicine, 33.3 % for paediatrics, and 0 % for anaesthesiology. CONCLUSIONS: Undergraduate medical students could define their competence profiles with the modified R-Track questionnaire and compare them with the profile of their desired specialty for postgraduate training to discover possible learning gaps or to detect good specialty matches. A combination of students' competence self-assessment with an external assessment of students' facets of competence could provide curricular planners with useful information how to design learning opportunities for specific facets of competence.


Assuntos
Educação de Graduação em Medicina , Estudantes de Medicina , Criança , Competência Clínica , Humanos , Autoavaliação (Psicologia) , Inquéritos e Questionários
4.
BMC Med Educ ; 21(1): 316, 2021 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-34088308

RESUMO

BACKGROUND: Empathy, which involves understanding another person's experiences and concerns, is an important component for developing physicians' overall competence. This longitudinal study was designed to test the hypothesis that medical students' empathy can be enhanced and sustained by Humanitude Care Methodology, which focuses on perception, emotion and speech. METHODS: This six-year longitudinal observational study examined 115 students who entered Okayama University Medical School in 2013. The study participants were exposed to two empathy-enhancing programs: (1) a communication skills training program (involving medical interviews) and (2) a Humanitude training program aimed at enhancing their empathy. They completed the Jefferson Scale of Empathy (JSE) seven times: when they entered medical school, before participation in the first program (medical interview), immediately after the first program, before the second program (Humanitude exercise), immediately after the second program, and in the 5th and 6th year (last year) of medical school. A total of 79 students (69% of the cohort) completed all seven test administrations of the JSE. RESULTS: The mean JSE scores improved significantly after participation in the medical interview program (p < 0.01) and the Humanitude training program (p = 0.001). However, neither program showed a sustained effect. CONCLUSIONS: The Humanitude training program as well as medical interview training program, had significant short-term positive effects for improving empathy among medical students. Additional reinforcements may be necessary for a long-term sustained effect.


Assuntos
Estudantes de Medicina , Empatia , Humanos , Japão , Estudos Longitudinais , Faculdades de Medicina
5.
BMC Med Educ ; 21(1): 317, 2021 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-34088316

RESUMO

BACKGROUND: The COVID-19 pandemic has revealed challenges that medical students face when healthcare systems are under intense pressure. There is a need to assess medical students' education needs in pandemic preparedness. The objective of this mixed-methods study was threefold: (1) to assess COVID-19 perceived efficacy, susceptibility, and anxiety in relation to health literacy; (2) to describe attitudes towards a policy of precautionary measures against COVID-19 and willingness to work during an outbreak; and (3) to examine multilevel factors associated with willingness to work. METHODS: An online survey was conducted among 263 medical students in Singapore during the lockdown period in July 2020. Participants were surveyed on COVID-19 related literacy, perceptions, anxiety, attitudes towards a policy of precautionary measures, and willingness to work during an outbreak. Bivariate and multivariate analyses were used to determine the factors associated with the key outcome variable of willingness to work. In addition, open-ended questions were used to assess medical education needs, which were reported using thematic analysis. RESULTS: Perceived adequacy of COVID-19 information was associated with higher perceived efficacy, lower perceived susceptibility, and lower anxiety levels among the students. Medical students were mostly supportive of COVID-19 precautionary measures except for relatively intrusive measures like in-home surveillance. The degree of willingness to work during an outbreak varied based on certain conditions, in particular family's health and safety, and was associated with self-efficacy, perceived susceptibility, and hospital capacity of outbreak management. CONCLUSIONS: Medical students' attitudes towards a policy of precautionary measures varied depending on legality, financial and psychological support, and privacy concerns. Health literacy played an important role in increasing the efficacy of protection against COVID-19 and reducing pandemic-related anxiety among medical students. Their willingness to work during an outbreak was increased by an effective policy of precautionary measures, hospital capacity to manage a pandemic, and assurance of family safety. Medical education should include pandemic preparedness to better prepare students to aid in pandemics, with emphasis on public health policy and ethics coupled with clinical training targeted to managing outbreaks.


Assuntos
COVID-19 , Influenza Humana , Estudantes de Medicina , Atitude , Controle de Doenças Transmissíveis , Surtos de Doenças/prevenção & controle , Humanos , Pandemias , SARS-CoV-2 , Singapura/epidemiologia
6.
J Pak Med Assoc ; 71(5): 1403-1408, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34091623

RESUMO

Objective: To explore students' perceptions regarding self-directed learning, their experience of it, and how it may play a role in life-long learning. METHODS: The exploratory study was conducted at the Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia, in January and February 2018, and comprised male undergraduate medical students from academic years 2-6. Data was collected through focus group discussions regarding the students' perception of self-directed learning. The sessions were audiotaped, transcribed, and analysed thematically. Validation was done by member-checking and external audit. RESULTS: There were 29 male students with a mean age of 22.4±1.9 years. A total of 4 focus group discussion sessions were conducted; 2(50%) with students of preclinical years 2 and 3, and 2(50%) with students of clinical years 4-6. Five major themes generated were: understanding of self-directed learning; views about self-directed learning as a strategy; process of the strategy; effects of self-directed learning; self-directed learning and life-long learning. Subthemes which led to developing major themes included self-study, personal efforts, and objectives and goals formed theme1; good strategy, boredom with lectures, and need guidance theme2; time management, outline of planning, and internet browsing theme3; deep learning and curiosity theme4; life-long learning and future progress theme 5. CONCLUSIONS: The students were found to have mixed perceptions regarding self-directed learning. Most students perceived that SDL could affect their learning and future progress positively. However, they needed support to effectively use this strategy. The faculty role was found to be crucial in this regard.


Assuntos
Educação de Graduação em Medicina , Estudantes de Medicina , Adulto , Humanos , Masculino , Percepção , Pesquisa Qualitativa , Arábia Saudita , Adulto Jovem
7.
J Pak Med Assoc ; 71(5): 1438-1441, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34091630

RESUMO

OBJECTIVE: To determine the prevalence and determinants of prediabetes among adolescents. METHODS: The cross-sectional study was conducted at a public-sector medical university in Quetta, Pakistan, from December 2019 to February 2020, and comprised students aged 16-19 years. A self-administered questionnaire was used to gather socio-demographic data. Fasting blood sample was taken to measure the fasting plasma glucose level, lipid profile and glycated haemoglobin levels. Height, weight, neck circumference and waist circumference were also measured. Data was analysed using SPSS 21. RESULTS: Of the 351 subjects, 158(45%) were males and 193(55%) were females. The overall mean age was 18.81±0.41 years. Of the total, 81(23.1%) participants were found to have prediabetes. Neck circumference was identified as the strongest predictor for prediabetes, followed by high level of triglycerides, high systolic blood pressure, low levels of high-density lipoproteins, high levels of low-density lipoproteins, high diastolic blood pressure, waist circumference and body mass index (p<0.05). There was no significant difference in the prevalence of prediabetes among male and female students (p>0.05). CONCLUSIONS: There was no significant difference in the prevalence of prediabetes among male and female medical students. Neck circumference, Waist circumference, Body mass index, systolic blood pressure, Diastolic blood pressure, Triglyceride and High density Lipoprotein were strong predictors of prediabetes in adolescent population.


Assuntos
Epidemias , Estado Pré-Diabético , Estudantes de Medicina , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Paquistão/epidemiologia , Estado Pré-Diabético/epidemiologia , Fatores de Risco , Universidades , Adulto Jovem
8.
J Pak Med Assoc ; 71(5): 1450-1454, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34091633

RESUMO

OBJECTIVE: To compare the difference in "memory recall" among undergraduates (UGs) and postgraduates (PGs) medical students reading printed text (hard copy) vs. on-screen text (soft copy). METHODS: Final year UGs medical students (Group A) were divided into two batches, one batch was given hard copy of 1258 worded text and other group was given a soft copy of the same text. Likewise PGs (Group B) were divided into two batches, each batch was given hard copy and soft copy of the same text material with identical physical attributes. All batches were asked to read the text in 15 minutes. Text was then removed and a proforma containing statements pertaining to recall of the text material was administered to all. RESULTS: The scores of students reading soft copy text were significantly higher compared to student reading text from hard copy (p<.008) in the proforma assessing memory recall. CONCLUSIONS: The memory recall from reading on screen text is better than reading printed (paper) text, implying that with the advancement of technology and early exposure to computer screen, students are developing the habit of reading on screen text more conveniently.


Assuntos
Leitura , Estudantes de Medicina , Computadores , Humanos
9.
J Pak Med Assoc ; 71(5): 1476-1478, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34091638

RESUMO

This qualitative study aimed to explore medical students' experience of generation gap in their interactions with senior teachers (aged >55) in Japan. Focus group interviews were conducted with 28 medical students (20 to 30 years, mean age 22 ±2 years, classified as millennials, with only one year of studies since starting specialised courses for medicine. The participants were interviewed in groups of four, with each interview lasting 60 minutes. Topics covered included generation gap experienced in daily life and during their studies, and work-life balance issues. The discussions were recorded and transcribed, and content analysis was applied. Four specific influential generation-gap categories were identified - distinctive sociocultural backgrounds, more recent educational media tools and faster information dissemination speed, new-era values, and challenges in communication - that were consistent with findings from previous studies. More senior personnel involved in medical education need to consider these categories to enhance effectiveness of teaching.


Assuntos
Educação Médica , Estudantes de Medicina , Adulto , Grupos Focais , Humanos , Relação entre Gerações , Pesquisa Qualitativa , Adulto Jovem
10.
J Transl Med ; 19(1): 242, 2021 06 04.
Artigo em Inglês | MEDLINE | ID: mdl-34088328

RESUMO

To investigate the COVID-19 pandemic related alteration of health promoting behaviour during lockdown among medical students compared to other students.In this cross-sectional study, we enrolled 1940 Bavarian students. Participants were asked to complete an online questionnaire 3 weeks after lockdown implementation, evaluating their lifestyle behaviour focusing on self-reported and objectively assessed physical activity.1154 medical (59.5%) and 786 non-medical (40.5%) students were included (median age 22.0 [IQR, 20.0-25.0], 71.5% female). Physical activity decreased in both groups after lockdown implementation. During lockdown, medical students reported higher physical activity levels compared to non-medical students. This was corroborated by daily step count data assessed by wearables (median steps per day [IQR], 6979 [5218-9348] versus 6581 [4497-8491], p = 0.02). Smoking behaviour during lockdown did not differ between medical and non-medical students (increased in 11.8% vs 13.6%, decreased in 31.9% versus 36.9%).During the COVID-19 pandemic, alteration of lifestyle behaviour among medical students was significantly different compared to non-medical students. This result suggests that medical students are more concerned about health promoting behaviour even in crisis situations.


Assuntos
COVID-19 , Estudantes de Medicina , Adulto , Controle de Doenças Transmissíveis , Estudos Transversais , Feminino , Humanos , Masculino , Pandemias , SARS-CoV-2 , Adulto Jovem
11.
BMC Med Educ ; 21(1): 329, 2021 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-34098940

RESUMO

As senior medical students who have had the privilege of undergoing early year clinical workplace experience, we believe that this opportunity medical students have through experiencing the 'frontline' could be utilised advantageously by the National Health Service (NHS). A system under pressure with depleting resources seemingly persists to be a constant theme that surrounds the NHS. Due to such issues, improvements in all sectors are sought, including costs, patient experience and communication between healthcare professionals. Through this article we highlight and analyse how medical students' early workplace experience, as presented by Leedham-Green et al., could benefit the NHS through tackling some of the challenges mentioned prior.


Assuntos
Medicina Estatal , Estudantes de Medicina , Comunicação , Humanos , Local de Trabalho
12.
Artigo em Inglês | MEDLINE | ID: mdl-34063219

RESUMO

INTRODUCTION: We reported previously that when teams of students reflect on readings about communication, unconscious bias, and service-learning, their critical reflection, implicit bias mitigation, empathy, and compassionate behavior all increase. However, would these gains occur when intimate classroom settings, in-person team meetings, and direct interactions with people served were lost owing to the COVID-19 pandemic and remote learning? METHODS: Before an online Medical Humanities course began in August 2020 and following the course in December 2020, 61 prospective medical students (54.1% female) completed reliable surveys of their reflective capacity (RC) and cognitive empathy (compassion). Students also completed surveys about their implicit biases and team community service in December 2020. RESULTS: Both RC and empathy scores increased in students after they reflected on difficulties in communication, unconscious biases, and team service-learning experiences in the course. In written reflections, they reported how their compassionate behavior also grew owing to bias mitigation. Most students concurred that "unconscious bias might affect some of (their) clinical decisions or behaviors as a healthcare professional" and vowed to remain aware of these biases in clinical settings. CONCLUSIONS: Compared to previous years, the pandemic and remote learning had minimal effects on the benefits of our Medical Humanities course.


Assuntos
COVID-19 , Estudantes de Medicina , Empatia , Feminino , Ciências Humanas , Humanos , Masculino , Pandemias , Estudos Prospectivos , SARS-CoV-2
13.
BMC Med Educ ; 21(1): 348, 2021 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-34134692

RESUMO

BACKGROUND: Training in psychiatry requires specific knowledge, attitudes, and skills that are obtainable by simulation, of which the use is only recent and still needs further development. Evidence is accumulating on its effectiveness but requires further validation for medical students. We aimed to evaluate the effectiveness of a single-day optional teaching program in psychiatry by simulation for medical students and validate a scale measuring Confidence in Psychiatric Clinical Skills (CPCQ), as part of the assessment. METHODS: This was a controlled study in a French University that compared (using paired-sample Student t-tests) knowledge and attitudes (university grades and CPCQ scores) before, just after teaching with simulated patients, and 2 months later. Satisfaction with the program (including the quality of the debriefing) was also investigated. The CPCQ scale was validated by assessing the factor structure, internal consistency, and test-retest reliability. Finally, a comparison was run with a control group who received the usual psychiatric instruction using covariance analyses. RESULTS: Twenty-four medical students were included in the simulation group and 76 in the control group. Just after the simulation, knowledge and attitudes increased significantly in the simulation group. Satisfaction with the training and debriefing was very high. The CPCQ scale showed good psychometric properties: a single-factor structure, acceptable internal consistency (α = 0.73 [0.65-0.85]), and good test-retest reliability (ICC = 0.71 [0.35-0.88]). Two months after the simulation, knowledge and attitudes were significantly higher in the simulation group than the control group, despite a lack of difference in knowledge before the simulation. CONCLUSIONS: Adding a simulation program in psychiatry to the usual teaching improved the knowledge and confidence of medical students. The CPCQ scale could be used for the evaluation of educational programs.


Assuntos
Psiquiatria , Estudantes de Medicina , Competência Clínica , Humanos , Psiquiatria/educação , Psicometria , Reprodutibilidade dos Testes
15.
J Pak Med Assoc ; 71(4): 1152-1156, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34125761

RESUMO

OBJECTIVE: To evaluate students' perceptions of problem-based learning tutorial sessions. METHODS: The cross-sectional study was conducted at the College of Medicine, Jouf University, Al-Jawf Saudi Arabia, from March to May 2019, and comprised medical students in their clinical phase. Data was collected using an electronic questionnaire about students' perceptions of problem-based learning sessions, tutors' session facilitation, and tutors' student evaluation fairness. Data was analysed using SPSS 21. RESULTS: Of the 66 students approached, 51(77.27%) completed the questionnaire; 23(45%) males and 28(55%) females. The agreement mean perception score was 4.73±2.13 regarding various statements characterising problem-based learning sessions. Lesser mean score of agreement 1.33±1.07 was observed regarding tutors' facilitation of the sessions and their students' evaluation. CONCLUSIONS: Students perceived problem-based learning sessions as effective and interactive, but did not positively perceive tutors' evaluations.


Assuntos
Educação de Graduação em Medicina , Estudantes de Medicina , Estudos Transversais , Feminino , Humanos , Masculino , Percepção , Aprendizagem Baseada em Problemas , Arábia Saudita , Universidades
16.
J Pak Med Assoc ; 71(4): 1157-1161, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34125762

RESUMO

OBJECTIVE: To determine the frequency of learning styles of medical students and their association with preferred teaching methodologies. METHODS: The cross-sectional study was conducted at Baqai Medical College, Gadap, Karachi, form July to October 2019, and comprised medical students regardless of age, gender and academic year. David Kolb's learning style questionnaire, along with another questionnaire, was used to collect data. Data was analysed using SPSS 23. RESULTS: Of the 523 students, 213(40.7%) were males and 310(59.3%) were females. The overall mean age was 21.5±1.69 years. Of the total, 268(51.7%) students were divergers, 118(22.8%) assimilators, 86(16.6%) accomodators and 46(8.9%) were convergers. There was a significant association between learning styles and selected teaching methodologies (p<0.05). CONCLUSIONS: Majority students were found to be divergers and assimilators. Aligning instructional strategies with learning styles will improve learning and academic performance.


Assuntos
Estudantes de Medicina , Adulto , Cognição , Estudos Transversais , Escolaridade , Feminino , Humanos , Aprendizagem , Masculino , Ensino , Adulto Jovem
17.
J Pak Med Assoc ; 71(4): 1167-1170, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34125764

RESUMO

OBJECTIVE: To identify the attitudes of medical students towards the clinical importance of embryology. METHODS: The cross-sectional questionnaire-based study was conducted from September to November 2019 at the private-sector Islam Medical College, Sialkot, Pakistan, and comprised first and final year medical students. A validated questionnaire, consisting of 20 statements, was used to collect data. Students had to tick only those statements with which they were in full agreement. Prior to data-collection, a median score was taken of 50 anatomy teachers regarding their opinion on each statement. Data was analysed using Microsoft Excel. RESULTS: Of the 194 subjects, 97(50%) each were from the first and final years. The medical students as well as the faculty were found to be appreciative of the importance of embryology in medical studies, with female students showing better attitudes in both the first and the final year groups (p<0.05). CONCLUSIONS: The attitude of students and faculty was found to be positive towards the importance of embryology in medical education.


Assuntos
Estudantes de Medicina , Atitude , Atitude do Pessoal de Saúde , Estudos Transversais , Feminino , Humanos , Paquistão , Inquéritos e Questionários
18.
J Pak Med Assoc ; 71(4): 1214-1220, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34125774

RESUMO

Behaviourism is the underpinning learning theory of many teaching and assessment tools utilised to enhance the effectiveness of learning. Feedback, reinforcements, motivation, learning outcomes and objectives are a few among many which are implied by the medical teachers while teaching both basic and clinical sciences to students. The claim of behaviourism being redundant or dead is not based on realities. The behaviourist approach is and will remain the most powerful theory to be implied in educational processes for gaining successful outcomes.


Assuntos
Educação Médica , Estudantes de Medicina , Logro , Behaviorismo , Humanos , Aprendizagem , Motivação , Ensino
19.
J Pak Med Assoc ; 71(4): 1296-1302, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34125799

RESUMO

OBJECTIVE: To determine perception of medical students about learning from integrated simulated clinical skill sessions as part of the undergraduate curriculum. METHODS: The cross-sectional study was conducted at the Centre for Innovation in Medical Education, Aga Khan University (AKU), Karachi, from July 2018 to February 2019, and comprised first year medical students undertaking the Respiration and Circulation module of the curriculum. Quantitative data was collected using a questionnaire and the responses were assessed on a five-point Likert scale. Data was analysed using SPSS 21. Qualitative data was gathered through focused group discussion with students and an in-depth interview with the facilitator conducting the sessions. The data was subjected to thematic analyses. RESULTS: Of the 161 subjects, 71(44%) participated in the session I and 90(56%) in the session II. Altogether 68(96%) students in session I and 81(90%) in session II believed integrated sessions to be effective in achieving learning objectives, and 65(92%) in session I and 79(88 %) in session II found them motivating, while 61(86%) in session I and 76(84%) in session II expressed the confidence that they had accomplished learning objectives and felt they had learned practical clinical skills; session I, 59(84%), session II, 73(81%). Qualitative analysis revealed that these sessions enhanced understanding of the subject matter and student engagement. CONCLUSIONS: Integrated clinical skills sessions improved students' interest, engagement and confidence. It should be implemented in undergraduate medical teaching curriculum.


Assuntos
Educação de Graduação em Medicina , Estudantes de Medicina , Competência Clínica , Estudos Transversais , Currículo , Humanos , Satisfação Pessoal , Tecnologia
20.
J Pak Med Assoc ; 71(4): 1303-1308, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34125800

RESUMO

OBJECTIVE: To explore medical students' preferences of career specialisation, and to investigate the factors that influence their choices. METHODS: The cross-sectional study was conducted at the University of Kufa, Iraq, from January 27 to February 21, 2019, and comprised medical students from the second to the sixth years. Data was collected using an anonymous, structured, self-administered questionnaire. Data was analysed using SPSS 25. RESULTS: Of the 601 students approached, 566 (94%) participated; 311(55%) females and 255(45%) males. The largest group was of students in the second year 161 (28.45%), followed by third year 123 (21.73%), sixth 98(17.31%), fifth 93(16.43%) and fourth year 91(16.08%). Cardiology was the most chosen specialty 55(9.7%), followed by Paediatrics 46 (8.1%) and Dermatology 45(8%), while 40(7.1%) students had not decided yet. The reason for choice most cited were "My Passion" by 427(75.4%) students, "income" 67(11.8%), "less on-call duties" 51(9%), "mentor inspiration" 46(8.1%), "family member inspiration" 34(6%), "reputation" 22(3.8%), "less competition" 15(2.6%), and "number of residency years" 8(1.4%). CONCLUSIONS: Being passionate about a speciality was the major influencing factor for students while selecting their future speciality.


Assuntos
Estudantes de Medicina , Escolha da Profissão , Criança , Estudos Transversais , Feminino , Humanos , Iraque , Masculino , Inquéritos e Questionários
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