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1.
BMC Med Educ ; 20(1): 396, 2020 Oct 31.
Artigo em Inglês | MEDLINE | ID: mdl-33129295

RESUMO

BACKGROUND: The coronavirus disease 2019 pandemic prompted the pediatric department at King Abdulaziz University to continue students' educational activities by offering courses online that utilized web video conferencing (WVC). Given the uncertainties of WVC educational quality and the challenge of shifting to an online environment, this study aimed to evaluate student satisfaction with the teaching quality of case-based discussion (CBD) sessions conducted through WVC. METHODS: One hundred sixty-two undergraduate medical students in pediatrics completed the reduced Students' Evaluation of Educational Quality (SEEQ) survey with a five-point Likert scale over 5 weeks. The WVC CBD sessions were facilitated by 50 faculty members. RESULTS: 82% of respondents were highly satisfied with the WVC CBD session's teaching quality. The majority agreed that the sessions were intellectually challenging, that the instructors were dynamic, and encouraged students to participate. No statistically significant correlation was found between student satisfaction and technical issues (r = 0.037, p = 0.003). CONCLUSIONS: WVC teaching had an overall positive outcome on student satisfaction, and teaching quality relied on teaching, cognitive, and social presence rather than technology. However, technology remains an important platform that supports teachers' educational activities. Thus, implementing a blended pediatric course to augment future course delivery is optimal.


Assuntos
Infecções por Coronavirus/epidemiologia , Educação de Graduação em Medicina/métodos , Pneumonia Viral/epidemiologia , Estudantes de Medicina/estatística & dados numéricos , Comunicação por Videoconferência/organização & administração , Betacoronavirus , Humanos , Pandemias , Satisfação Pessoal , Arábia Saudita , Faculdades de Medicina/organização & administração , Estudantes de Medicina/psicologia
2.
PLoS One ; 15(10): e0239490, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33035228

RESUMO

This study analyzes the effects of COVID-19 confinement on the autonomous learning performance of students in higher education. Using a field experiment with 458 students from three different subjects at Universidad Autónoma de Madrid (Spain), we study the differences in assessments by dividing students into two groups. The first group (control) corresponds to academic years 2017/2018 and 2018/2019. The second group (experimental) corresponds to students from 2019/2020, which is the group of students that had their face-to-face activities interrupted because of the confinement. The results show that there is a significant positive effect of the COVID-19 confinement on students' performance. This effect is also significant in activities that did not change their format when performed after the confinement. We find that this effect is significant both in subjects that increased the number of assessment activities and subjects that did not change the student workload. Additionally, an analysis of students' learning strategies before confinement shows that students did not study on a continuous basis. Based on these results, we conclude that COVID-19 confinement changed students' learning strategies to a more continuous habit, improving their efficiency. For these reasons, better scores in students' assessment are expected due to COVID-19 confinement that can be explained by an improvement in their learning performance.


Assuntos
Infecções por Coronavirus/patologia , Educação a Distância , Avaliação Educacional/estatística & dados numéricos , Pneumonia Viral/patologia , Adulto , Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/virologia , Feminino , Humanos , Masculino , Modelos Teóricos , Pandemias , Pneumonia Viral/virologia , Espanha , Estudantes de Medicina/estatística & dados numéricos , Adulto Jovem
5.
Rev. Hosp. Ital. B. Aires (2004) ; 40(3): 127-131, sept. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1129089

RESUMO

Introducción: Los aspirantes a las residencias en salud pertenecen a una generación que suele preferir instituciones flexibles y poco estructuradas para avanzar en su desarrollo profesional. Objetivo: Nos propusimos explorar cuáles son las motivaciones de los aspirantes en la elección de la institución en donde llevarán a cabo su residencia. Material y métodos: Se realizó un estudio de corte transversal a través de una encuesta anónima a todos los aspirantes a las residencias médicas. Se evaluaron edad, sexo, universidad de procedencia, especialidad elegida, preferencia de tipo de gestión y la descripción de las tres condiciones que consideran más importantes para elegir una institución en orden de importancia. Resultados: Se analizaron 1113 encuestas y el 59% correspondieron a mujeres. Las primeras tres condiciones elegidas fueron: 1.°) calidad académica (65,4%), prestigio institucional (16%) y caudal y complejidad de pacientes (5,9%); 2.°) clima de aprendizaje (21,6%), calidad académica (20%) y prestigio institucional (18,8%) y 3.°) clima de aprendizaje (16,1%), condiciones laborales (16,1%) y calidad académica (14,5%). No se encontró asociación entre las motivaciones para elegir una institución y sexo, universidad de origen, tipo de especialidad o preferencia de gestión. Conclusión: Los aspirantes a las residencias valoran en primer lugar los aspectos vinculados con su formación académica. Por otra parte, es relevante la importancia adjudicada al clima de aprendizaje y las condiciones laborales. (AU)


Introduction: Applicants to health care residences belong to a generation that often prefers flexible and unstructured institutions to develop their professional development. Objective: We set out to explore what the applicants' motivations are in choosing the institution where they will carry out their residence. Material and methods: A cross-sectional study was conducted through an anonymous survey of all applicants to medical residences. Age, sex, university of origin, chosen specialty, management type preference and the description of the three conditions that they consider most important to choose an institution in order of importance were evaluated. Results: 1,113 surveys were analyzed and 59% were women. The first three conditions chosen were: 1st) academic quality (65.4%), institutional prestige (16%) and wealth and complexity of patients (5.9%); 2nd) learning climate (21.6%), academic quality (20%) and institutional prestige (18.8%) and 3rd) learning climate (16.1%), conditions labor (16.1%) and academic quality (14.5%). No association was found between the motivations for choosing an institution and sex, home university, type of specialty or management preference. Conclusion: Applicants to residences value first the aspects related to their academic training. On the other hand, the importance attached to the climate of learning and working conditions. (AU)


Assuntos
Humanos , Masculino , Feminino , Estudantes de Medicina/estatística & dados numéricos , Internato e Residência/tendências , Argentina , Médicos/tendências , Instituições Acadêmicas/estatística & dados numéricos , Ambiente de Trabalho/estatística & dados numéricos , Condições de Trabalho , Estudos Transversais , Inquéritos e Questionários , Capacitação Profissional , Esgotamento Psicológico , Ambiente de Instituições de Saúde/estatística & dados numéricos , Internato e Residência/estatística & dados numéricos , Satisfação no Emprego
6.
Cent Eur J Public Health ; 28(3): 178-186, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32997472

RESUMO

OBJECTIVES: This study aims to identify the differences in the use of HPV vaccination between female medical students in the Czech and Slovak Republics and their possible causes. METHODS: We performed a cross-sectional survey among female students of general medicine in all faculties of medicine in the Czech and Slovak Republics. RESULTS: We obtained 630 questionnaires from the Czech Republic and 776 questionnaires from the Slovak Republic. In the Czech Republic, 65.4% of female medical students underwent HPV vaccination, while in the Slovak Republic, the figure was 21.1%. In the Czech Republic, residency and religion of students did not influence their rate of vaccination. However, in the Slovak Republic, village residency with less than 5,000 inhabitants lowered the probability of vaccination with OR = 0.56 (95% CI: 0.38-0.84), and the Catholic religion lowered the probability of vaccination with OR = 0.40 (95% CI: 0.28-0.57). Czech students were informed about the possibility of vaccination by a paediatrician in 55.7% of cases, while the figure for Slovak students was 26.8%. In the Czech Republic, 75.7% of students participated in regular cervical oncologic screening, while in the Slovak Republic, the figure was 57.7%. Vaccination of relatives would be recommended by 86.5% and 80.5% of Czech and Slovak students, respectively. CONCLUSIONS: The adoption of an oncologic prevention programme and the more extensive propagation by paediatricians are probably the medical reasons for the higher HPV vaccination among Czech students. Demographic factors - village residency and religion - are also important.


Assuntos
Vacinas contra Papillomavirus/administração & dosagem , Estudantes de Medicina/psicologia , Vacinação/psicologia , Estudos Transversais , República Tcheca , Feminino , Humanos , Infecções por Papillomavirus/prevenção & controle , Eslováquia , Estudantes de Medicina/estatística & dados numéricos , Inquéritos e Questionários , Vacinação/estatística & dados numéricos
8.
Korean J Med Educ ; 32(3): 223-229, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32894923

RESUMO

PURPOSE: Clinical rotations of medical students across the world have inevitably been affected due to the coronavirus disease 2019 (COVID-19) pandemic. The aims of this study were to explore medical students' perception on the school's response and management of clinical rotation during the COVID-19 pandemic and on how it had affected the quality of their education. METHODS: An online questionnaire was distributed to third year medical students at one institution whose clinical rotations re-started during the pandemic. The questions asked about the students' satisfaction with the school's policy and feelings of safety, and the impact of COVID-19 on clinical learning. RESULTS: The students' perception on the school's response to the pandemic was mixed. Re-commencement of the clinical rotations and procurement of personal protective equipment was positive but a third of students still felt unsafe. The decreased number of hospital patients did not seem to have impacted their overall clinical education with praise on the role of the supervising physicians. Seventy-six-point seven percent of students conferred the positive educational opportunities on medical professionalism presented to them only as the clinical rotation during the ongoing pandemic. CONCLUSION: Our observations on the re-commencement of clerkship during this pandemic may help equip medical institutions on future public health crisis.


Assuntos
Atitude do Pessoal de Saúde , Betacoronavirus , Estágio Clínico/métodos , Infecções por Coronavirus/prevenção & controle , Educação de Graduação em Medicina/métodos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Estudantes de Medicina/psicologia , Humanos , República da Coreia , Estudantes de Medicina/estatística & dados numéricos , Inquéritos e Questionários
11.
Actas esp. psiquiatr ; 48(4): 154-162, jul.-ago. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-193803

RESUMO

INTRODUCCIÓN; Diversos estudios internacionales muestran altas tasas de depresión e ideación suicida en estudian-tes de medicina. Sin embargo, no se dispone de datos específicos en estudiantes españoles. El objetivo del presente estudio es determinar la prevalencia de síntomas depresivos e ideación suicida en la Facultad de Medicina de Valencia, así como su relación con otras variables de interés. METODOLOGÍA: En abril de 2018 se invitó a todos los estudiantes matriculados en el Grado de Medicina de la Universitat de València a completar el Inventario de Depresión de Beck (BDI-II). Los estudiantes participaron de forma voluntaria y las respuestas fueron anonimizadas. RESULTADOS: Un total de 858 estudiantes (69,2% mujeres) respondieron la encuesta (tasa de respuesta del 44,7%). Más de un tercio de la muestra (39,1%) presentaba síntomas depresivos, de intensidad leve a grave, mientras que un 15,8% referían ideación suicida reciente. Se encontraron niveles de síntomas depresivos significativamente más ele-vados en las mujeres, así como en aquellos con una peor satisfacción con los resultados académicos, una mayor percepción de necesidad de apoyo psicológico por problemas de salud mental recientes y en los que habían consultado alguna vez con profesionales sanitarios por un problema de salud mental (29,4%). CONCLUSIONES: Estos resultados son consistentes con la prevalencia de síntomas depresivos en estudiantes de medicina de otros países e invitan a realizar estudios comparativos en otras universidades españolas. Las facultades de medicina deberían incorporar intervenciones para proveer a los estudiantes de herramientas que mejoren su salud mental


INTRODUCTION:. Several international studies show high rates of depression and suicidal ideation in medical students. However, no specific data is available in Spanish students. The aim of this study is to determine the prevalence of de-pressive symptoms and suicidal ideation in the Faculty of Medicine of Valencia, as well as its relationship with other variables of interest. METHODS: In April 2018, all students enrolled in the Medical Degree of the University of Valencia were invited to complete the Beck Depression Inventory (BDI-II). The students participated voluntarily and the answers were anonymized. RESULTS: A total of 858 students (69.2% women) completed the survey (response rate of 44.7%). More than a third of the sample (39.1%) had depressive symptoms, of mild to severe intensity, while 15.8% of the students report-ed recent suicidal ideation. Significantly higher levels of depressive symptoms were found in women, as well as in those with a worse satisfaction with academic results, a greater perception of the need for psychological support due to re-cent mental health problems and in those who had ever consulted with health professionals for a mental health problem (29.4%). CONCLUSIONS: These results are consistent with the prevalence of depression in medical students from other countries and suggest comparative studies in other Spanish universities. Medical schools should incorporate interventions to provide students with tools that improve their mental health


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Estudantes de Medicina/estatística & dados numéricos , Estudantes de Medicina/psicologia , Depressão/complicações , Depressão/psicologia , Ideação Suicida , Espanha/epidemiologia , Prevalência
12.
Radiología (Madr., Ed. impr.) ; 62(4): 306-312, jul.-ago. 2020. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-194248

RESUMO

OBJETIVOS: Evaluar la efectividad de los talleres prácticos de ecografía en la adquisición y afianzamiento de conceptos de física y semiología ecográfica básica, dirigidos a estudiantes del módulo de exploración física en el tercer año del grado de Medicina. MATERIAL Y MÉTODOS: Se impartieron talleres prácticos de ecografía a dos grupos de 177 y 175 alumnos durante dos cursos académicos consecutivos. Todos ellos habían cursado una asignatura de radiología básica durante el curso académico anterior. Los estudiantes realizaron exploraciones ecográficas entre ellos, bajo supervisión, en una sesión práctica de 2 horas de duración. Se realizó un examen antes de empezar el taller y, nuevamente, al concluir este. El examen constaba de siete preguntas de elección múltiple sobre semiología básica y de dos preguntas que evaluaban del 1 al 10 el grado de confianza al interpretar imágenes ecográficas y al manejar un ecógrafo. RESULTADOS: No se encontraron diferencias estadísticamente significativas en las puntaciones obtenidas entre ambos cursos (p >0,05). En conjunto, la puntuación media del cuestionario inicial fue del 59,71%, que mejoró de forma significativa hasta el 88,29% tras el taller (p < 0,01). La confianza inicial en la interpretación de imágenes y en el manejo del ecógrafo fue de 3,39/10 y 3,73/10, respectivamente. Después del taller mejoró significativamente hasta los 6,28/10 y 6,51/10, respectivamente (p <0,01). CONCLUSIÓN: Los talleres prácticos demostraron ser útiles en el aprendizaje de conceptos básicos de ecográfica, logrando una mejoría significativa en la puntuación final del cuestionario. Los estudiantes partieron con un bajo nivel de confianza en la interpretación de imágenes y manejo de un ecógrafo, el cual también mejoró significativamente


OBJECTIVES: To evaluate the effectiveness of practical ultrasound workshops for the acquisition and consolidation of conceptual learning about the basic physics and semiology of ultrasonography aimed at third-year medical school students doing the physical examination module of their studies. MATERIAL AND METHODS: We carried out practical ultrasound workshops with two groups of 177 and 175 students in two consecutive academic years. All students had taken a class in basic radiology in the previous year. Students examined each other with ultrasonography under instructors' supervision in a two-hour session. Before and after the workshop, students did a seven-question multiple-choice test about basic semiology and answered two questions evaluating their degree of confidence in interpreting ultrasonographic images and handling the ultrasound scanner on a scale from 1 to 10. RESULTS: No significant differences were found between the scores obtained in the two groups. Overall, the mean score on the multiple-choice test improved from 59.71% on the initial assessment to 88.29% on the post-workshop assessment (p <0.01). Confidence in interpreting images improved from 3.39/10 to 6.28/10 (p <0.01), and confidence in handling the equipment improved from 3.73/10 to 6.51/10 (p <0.01). CONCLUSION: Practical workshops were useful for learning basic concepts about ultrasound imaging, allowing students to significantly improve their scores on the multiple-choice test. Students had a low level of confidence in their ability to interpret ultrasound images and handle the equipment before starting the workshop, but their confidence improved significantly after completing the workshop


Assuntos
Humanos , Estudantes de Medicina/estatística & dados numéricos , Educação de Graduação em Medicina/métodos , Ultrassonografia/métodos , Radiologia/educação , Inquéritos e Questionários
14.
J Laryngol Otol ; 134(6): 497-500, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32618522

RESUMO

OBJECTIVE: Rate of learning is often cited as a deterrent in the use of endoscopic ear surgery. This study investigated the learning curves of novice surgeons performing simulated ear surgery using either an endoscope or a microscope. METHODS: A prospective multi-site clinical research study was conducted. Seventy-two medical students were randomly allocated to the endoscope or microscope group, and performed 10 myringotomy and ventilation tube insertions. Trial times were used to produce learning curves. From these, slope (learning rate) and asymptote (optimal proficiency) were ascertained. RESULTS: There was no significant difference between the learning curves (p = 0.41). The learning rate value was 68.62 for the microscope group and 78.71 for the endoscope group. The optimal proficiency (seconds) was 32.83 for the microscope group and 27.87 for the endoscope group. CONCLUSION: The absence of a significant difference shows that the learning rates of each technique are statistically indistinguishable. This suggests that surgeons are not justified when citing 'steep learning curve' in arguments against the use of endoscopes in middle-ear surgery.


Assuntos
Endoscopia/instrumentação , Ventilação da Orelha Média/métodos , Procedimentos Cirúrgicos Otológicos/métodos , Educação Médica , Endoscópios , Feminino , Humanos , Curva de Aprendizado , Masculino , Microscopia/instrumentação , Ventilação da Orelha Média/educação , Procedimentos Cirúrgicos Otológicos/educação , Procedimentos Cirúrgicos Otológicos/tendências , Avaliação de Resultados em Cuidados de Saúde , Estudos Prospectivos , Treinamento por Simulação/métodos , Estudantes de Medicina/estatística & dados numéricos , Membrana Timpânica/cirurgia
15.
J Am Med Dir Assoc ; 21(7): 948-950, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32674825

RESUMO

Social isolation has been associated with many adverse health outcomes in older adults. We describe a phone call outreach program in which health care professional student volunteers phoned older adults, living in long-term care facilities and the community, at risk of social isolation during the COVID-19 pandemic. Conversation topics were related to coping, including fears or insecurities, isolation, and sources of support; health; and personal topics such as family and friends, hobbies, and life experiences. Student volunteers felt the calls were impactful both for the students and for the seniors, and call recipients expressed appreciation for receiving the calls and for the physicians who referred them for a call. This phone outreach strategy is easily generalizable and can be adopted by medical schools to leverage students to connect to socially isolated seniors in numerous settings.


Assuntos
Infecções por Coronavirus/prevenção & controle , Empoderamento , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Qualidade de Vida , Isolamento Social/psicologia , Telefone/estatística & dados numéricos , Adaptação Psicológica , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Uso do Telefone Celular/estatística & dados numéricos , Estudos de Coortes , Comunicação , Infecções por Coronavirus/epidemiologia , Feminino , Avaliação Geriátrica , Humanos , Masculino , Pneumonia Viral/epidemiologia , Estudantes de Medicina/estatística & dados numéricos , Estados Unidos , Voluntários , Adulto Jovem
16.
Ann Biol Clin (Paris) ; 78(4): 446-448, 2020 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-32627731

RESUMO

Training and education are essential for medical students. During the COVID-19 outbreak, numerous schools and universities have had to close. Ensuring pedagogical continuity requires alternatives to the traditional classroom, especially in medical education. Usual distance learning tools such as videos and downloadable handouts are not sufficient to promote efficient teaching. Distance learning requires self-motivation and does not give you direct access to your instructor. Some students fear the loss of human contact with an instructor - like asking questions during and after class - which promotes learning, understanding and communication. Moreover, classical distance learning methods do not offer immediate feedback that can help students in their understanding of the lecture. In this context, interactive pedagogic tools (IPT) could be useful for medical education continuity and for maintaining human contact necessary in pedagogy. We briefly evaluated interactive pedagogic tool compared to traditionnal distancial tools on medical students. This study showed the importance to have direct contact with a teacher and feedback during a lecture and to not exclusively perform distance learning without direct interaction and feedback. Hence, in the present context, we encourage teacher to use this type of tools to maintain direct interaction with students - which is essential in pedagogy - and ensure a qualitative pedagogical continuity.


Assuntos
Instrução por Computador/métodos , Infecções por Coronavirus/epidemiologia , Educação a Distância/métodos , Educação Médica Continuada/métodos , Pneumonia Viral/epidemiologia , Treinamento por Simulação , Software , Betacoronavirus , Serviços de Laboratório Clínico/organização & administração , Instrução por Computador/normas , Infecções por Coronavirus/prevenção & controle , Surtos de Doenças , Educação a Distância/organização & administração , Educação a Distância/normas , Educação Médica Continuada/organização & administração , Humanos , Internet/organização & administração , Internet/normas , Aprendizagem , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Aprendizagem Baseada em Problemas/métodos , Aprendizagem Baseada em Problemas/organização & administração , Aprendizagem Baseada em Problemas/normas , Treinamento por Simulação/métodos , Treinamento por Simulação/organização & administração , Treinamento por Simulação/normas , Estudantes de Medicina/psicologia , Estudantes de Medicina/estatística & dados numéricos , Gravação em Vídeo/métodos , Gravação em Vídeo/normas
17.
J Am Acad Orthop Surg ; 28(14): e620-e625, 2020 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-32692099

RESUMO

INTRODUCTION: Students seek gap years to enhance knowledge and improve chances of professional success. Although many institutions offer research opportunities, no studies have examined outcomes after these experiences. This study evaluates a dedicated year of orthopaedic research on a cohort's ultimate orthopaedic surgery match rate. METHODS: From 2001 to 2018, 129 learners spent a year with our Department of Orthopedic Surgery at a major academic medical center. The students were either completing a gap year after college, during or after medical school, or after an unsuccessful match. Participants were asked to respond to a survey, which included demographics, educational information, and metrics related to the program. For the subcohort of students who ranked orthopaedic surgery, the match rate was compared with the mean for the US orthopaedic surgery match rates from 2006 to 2018 using a chi-square analysis. In addition, a Mann-Whitney U test was used to compare the number of publications before and after the year. RESULTS: One hundred three students (80%) returned completed questionnaires. Of all learners who applied to and ranked orthopaedic surgery, 91% matched into an orthopaedic surgery residency program. These results compared favorably with the US orthopaedic match from 2006 to 2018 (67.9%; P < 0.001), despite a 4-point lower United States Medical Licensing Examination (USMLE) Step 1 score for the research cohort. Finally, the research cohort had a greater percentage of women (23%) and minorities (40%) than the proportion of woman and minority practicing orthopaedic surgeons. CONCLUSION: Students who completed a gap year in research matched into orthopaedics at a higher rate than the national average, despite a lower Step score. Mentors may also target traditionally underrepresented groups to help increase the pool of diverse applicants.


Assuntos
Educação Médica/métodos , Educação Médica/estatística & dados numéricos , Procedimentos Ortopédicos/educação , Ortopedia/educação , Estudantes de Medicina/estatística & dados numéricos , Estudos de Coortes , Humanos , Internato e Residência , Mentores , Inquéritos e Questionários , Fatores de Tempo
19.
Niger J Clin Pract ; 23(7): 995-1003, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32620731

RESUMO

Objective: To determine the emigration plans after graduation of clinical medical students of Ebonyi State University Abakaliki, Nigeria. Methods: A descriptive cross-sectional study design was used. All clinical medical students of the University willing to participate were included. Information was obtained using a pre-tested self-administered questionnaire. Outcome measure included proportion of students willing to emigrate and those willing to practice in rural areas after graduation. Results: A total of 285 students participated in the study, (response rate, 92.5%). Majority, 93.3% intend to pursue specialist training after graduation. Minor proportion, 13.9% intend to specialize in Nigeria, whereas 74.4% prefer to specialize outside Nigeria. Major reasons for preferring specialist training abroad included good equipment/facilities, 33.8%, better remuneration/quality of life, 27.8%; and improved skills, 18.7%. Countries of interest for training outside Nigeria included Canada, 28.3%; United Kingdom, 23.2%; and the United States of America, 18.2%. Minor proportion, 17.2% intend to practice in rural area after graduation. Predictors of willingness to emigrate included being in 400 level class, (adjusted odds ratio (AOR) =2.0, 95% CI = 1.1-4.1), being single, AOR = 4.0, 95% CI = 1.2-13.3) and having decided on specialty of choice, (AOR = 2.6, 95% CI = 1.5-4.5). Predictors of willingness to serve in rural area included family residence in urban area, (AOR = 0.2, 95% CI = 0.2-0.8) and intention to specialize in Nigeria, (AOR = 3.7, 95% CI = 1.6-8.5). Conclusions: Majority of students intend to pursue specialist training and prefer training abroad. Minor proportions were willing to specialize in Nigeria and serve in rural areas. The students may have perceived medical practice in Nigeria as serving in rural areas hence students willing to work in rural areas were more likely to specialize in Nigeria. This may adversely affect health service delivery in Nigeria if left unchecked. Nigerian authorities should ensure that medical graduates willing to practice in Nigeria are not deterred. Also, plans to encourage doctors to practice in Nigeria should receive desired attention.


Assuntos
Escolha da Profissão , Emigração e Imigração/estatística & dados numéricos , Médicos/psicologia , Especialização , Estudantes de Medicina/estatística & dados numéricos , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Nigéria , Qualidade de Vida , Inquéritos e Questionários , Universidades
20.
PLoS One ; 15(7): e0235154, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32649681

RESUMO

BACKGROUND: Burnout causes personal suffering and adverse professional consequences. It is prevalent among medical students, although the relationship between burnout and lifestyle factors are understudied in Chinese medical students. Thus, this study aims to (i) estimate the prevalence of burnout among medical students in Hong Kong (HK) and (ii) delineate the relationship between burnout and various lifestyle factors. METHOD: 1,341 students were invited to complete a questionnaire from September to December 2017. Burnout was measured by the Maslach Burnout Inventory. Lifestyle factors including drinking habit, sleep habit and quality, and exercise level were assessed by validated instruments, including Alcohol Use Disorder Identification Test (AUDIT-C), Pittsburgh Sleep Quality Index (PSQI), and Godin-Shephard Leisure-Time Physical Activity (GSLTPA), respectively. Smoking status and use of self-medications were also inquired into, while demographic data was self-reported. Prevalence of burnout with confidence intervals was calculated. Difference in lifestyle and demographic data in students with or without burnout, were compared by t-test and Chi-square/Fisher's exact test. From this, all associations with significant p-value at p<0.1 were entered into the multiple logistic regression model. RESULTS: 731 students (55.6%) responded to the questionnaire. Prevalence of burnout was 27.9% (95%CI: 24.6%-31.5%). Only 3 students in the whole sample smoked; and 6.6% of students drank weekly but rarely drank more than 2 drinks per week. 6.3% and 2.3% self-medicated themselves with medications to improve their sleep and concentration, respectively. Using a multiple logistic regression model, only sleep quality and exercise level were significantly associated with the presence of burnout. CONCLUSION: Around a quarter of medical students in HK suffered from burnout. Burnout was found to be significantly associated with sleep quality and physical exercise. The study also highlighted that HK medical students lived very different lifestyles from those from other countries. More research is needed to design and establish the effectiveness of lifestyle interventional programs that enhance exercise level and sleep quality.


Assuntos
Esgotamento Psicológico/epidemiologia , Educação de Graduação em Medicina , Estilo de Vida , Estudantes de Medicina/psicologia , Adolescente , Estudos Transversais , Feminino , Hong Kong/epidemiologia , Humanos , Masculino , Prevalência , Faculdades de Medicina , Estudantes de Medicina/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Adulto Jovem
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