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JOURNAL ARTICLE
Ben Smith, Christopher Paton, Prashanth Ramaraj
BACKGROUND: The Royal College of Surgeons Basic Surgical Skills (BSS) course is ubiquitous among UK surgical trainees but is geographically limited and costly. The COVID-19 pandemic has reduced training quality. Surveys illustrate reduced logbook completion and increased trainee attrition. Local, peer-led teaching has been shown to be effective at increasing confidence in surgical skills in a cost-effective manner. Qualitative data on trainee well-being, recruitment, and retention are lacking...
November 15, 2023: JMIR perioperative medicine
#22
JOURNAL ARTICLE
Saakshi Bansal, Jimena Alvarez Del Castillo Gonzalez, Yanjinlkham Chuluunbaatar, Andrew Brodie
Exposure and education in urology for medical students (MSs) and junior doctors (JDs) have long been overlooked, resulting in inadequate preparedness for the management of urological cases/patients. This study addresses this deficiency through the implementation of a Urology Teaching Programme (UTP) and the creation of an Out-of-Hours Urology Handbook (OOHUH). The UTP was delivered virtually, targeting senior MSs and JDs, and covered common urological presentations and management pathways from a JD's perspective...
October 2023: Curēus
#23
JOURNAL ARTICLE
Yingxi Zhao, Daniel Mbuthia, David Gathara, Jacinta Nzinga, Raymond Tweheyo, Mike English
OBJECTIVE: Medical interns are an important workforce providing first-line healthcare services in hospitals. The internship year is important for doctors as they transition from theoretical learning with minimal hands-on work under supervision to clinical practice roles with considerable responsibility. However, this transition is considered stressful and commonly leads to burn-out due to challenging working conditions and an ongoing need for learning and assessment, which is worse in countries with resource constraints...
November 2023: BMJ Global Health
#24
JOURNAL ARTICLE
Tithi Jain, Gillian Smith
No abstract text is available yet for this article.
October 19, 2023: Medical Teacher
#25
JOURNAL ARTICLE
Quentin Laune, Romain Varnier, Adrien Rousseau, Audrey Larnaudie, Youssef Ghannam, Florence Huguet, Matthieu Delaye
CONTEXT: The reform of the third cycle of medical studies in France has introduced of the "Junior Doctor" status during the concluding year of residency. We wish to evaluate its implementation for the first promotion of medical oncology residents during 2021-2022 in correlation with the published guidelines. METHOD: AERIO conducted a cross-sectional study among French medical oncology residents. The survey was released via social networks and emails. RESULTS: Twenty-eight of 47 residents responded...
October 14, 2023: Bulletin du Cancer
#26
JOURNAL ARTICLE
Sean C Glossop, Hari Bhachoo, Thomas M Murray, Rayan A Cherif, John Y Helo, Evie Morgan, Arwel T Poacher
BACKGROUND: Students must be proficient in surgical skills according to General Medical Council and Royal College of Surgeons of England guidelines. If these skills are not appropriately taught, there is a risk of an incoming junior workforce with inadequate surgical skills. This paper aimed to review the literature relating to undergraduate teaching of surgical skills in the UK and summarize future suggested training methods. METHODS: The databases MEDLINE, Embase and SCOPUS were searched, and the existing literature relating to methodology of undergraduate teaching of surgical skills in the UK over the past 10 years was summarized...
September 5, 2023: BJS Open
#27
JOURNAL ARTICLE
Ravi Chotalia, Dora Czeke, Alun Harcombe
Nottingham University Hospital's cardiology department receives an average of 320 admissions via the emergency department (ED) monthly. The majority are out-of-hours. In ED, admissions are clerked by ED doctors as well as the specialist cardiology advanced nursing team (CATS). Upon transfer to cardiology, they are then re-clerked by an on-call junior doctor (JD). Our aim in this quality improvement project was to investigate the benefit of re-clerking cardiology patients by the JD. The CATS team clerking and plan were directly compared to the JD's plan across 100 patients by two reviewers...
July 2023: Future Healthcare Journal
#28
JOURNAL ARTICLE
Zachary Tait, Steve Bass, Ollie Minton
Deaths in hospital represent a vital learning opportunity for both individual clinicians and the wider healthcare system. Many deaths are reviewed and discussed in morbidity and mortality meetings, with the Royal College of Physicians promoting Structured Judgement Review (SJR) methodology to support this discussion. An analysis of 1 year of SJRs in one hospital was undertaken, generating a toolkit to support junior doctors in evaluating in-hospital deaths. Here, the opportunities and limitations of this analysis are discussed, with consideration of ways to improve the uptake of SJR across the hospital team...
September 2023: Clinical Medicine: Journal of the Royal College of Physicians of London
#29
JOURNAL ARTICLE
Haris Shoaib, Yunus K Hussain, Shahida Ahmed
Background In a questionnaire, we found that pediatric clinicians at Basildon and Thurrock University Hospital (BTUH) have low confidence levels in prescribing multiple daily injections (MDI) for newly diagnosed pediatric patients with type 1 diabetes mellitus. We designed and evaluated locally tailored prescription guidance to improve confidence in MDI discharge prescriptions for pediatric doctors of all grades. Methods We designed a prescription guidance tool by adapting existing local guidelines to improve clinician familiarity with MDI prescriptions and prevent prescription errors...
August 2023: Curēus
#30
REVIEW
Sanjeev Chaand Sharma, Jai Parkash Ramchandani, Arjuna Thakker, Anindya Lahiri
Background Chat Generative Pre-Trained Transformer (ChatGPT) is a versatile large language model-based generative artificial intelligence. It is proficient in a variety of tasks from drafting emails to coding to composing music to passing medical licensing exams. While the potential role of ChatGPT in plastic surgery is promising, evidence-based research is needed to guide its implementation in practice. Methods This review aims to summarize the literature surrounding ChatGPT's use in plastic surgery...
August 2023: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
#31
JOURNAL ARTICLE
Hailey K Carroll, Aoife Broderick, Orfhlaith McCarthy, Richard M Bambury, Derek G Power, Dearbhaile C Collins, Roisin M Connolly, Sinead A Noonan, Dan Collins, Elaine Cunningham, Mary Kennedy, Kieron O'Driscoll, Daniel Nuzum, Katie Twomey, Aideen O'Riordan, Finola O'Sullivan, Claire Roe, Aoife C Lowney, Mary Jane O'Leary, Seamus O'Reilly
The COVID-19 pandemic compounded isolation for patients through social distancing measures and staff shortages. We were concerned about the impact of COVID-19 on the quality of care provided at end-of-life in 2021 in a national cancer centre, and instigated the first ever review of the care of the dying. Quality of care was assessed retrospectively using a validated instrument developed by the United Kingdom's National Quality Board. Sixty-six patient deaths occurred in our cancer centre in 2021. The 'risk of dying' was documented in 65...
September 5, 2023: Omega
#32
JOURNAL ARTICLE
Gilbert Olbara, Krisna Handayani, Iris Hoogland, Pudjo Widjajanto, Festus Muigai Njuguna, Mei Sitaresmi, Gertjan Kaspers, Saskia Mostert
OBJECTIVE: Physician dual practices (PDP) can be defined as 'doctors combining clinical work in public and private health-sector.' This study explores the impact of PDP on a long-term pediatric-oncology outreach-program between large referral hospitals in the Netherlands, Indonesia and Kenya. METHODS: This cross-sectional descriptive study used a self-administered semi-structured survey. The most senior doctor from each partner site was interviewed in June 2022...
August 1, 2023: Asian Pacific Journal of Cancer Prevention: APJCP
#33
JOURNAL ARTICLE
Michael J McNeil, Alyssa Godfrey, Patricia Loggetto, André de Oliveira Junior, Godwin Job, Erica Boldrini, Glaucia Regina Costa Murra, Dileiny Antunes Geronutti Ayub, Allan Francisco Oliveira de Lima, Aline Esmeraldo Andrade de Almeida, Julia Lopes Garcia, Anna Beatriz Costa Neves do Amaral, Iêda Cristina Cunha Ferreira E Fonseca, Paola Friedrich, Monika L Metzger, Meenakshi Devidas, Asya Agulnik, Justin N Baker
PURPOSE: Early integration of pediatric palliative care (PPC) for children with cancer is critical to improving the quality of life of both the patient and family. Understanding physician perceptions of palliative care and perceived barriers to early integration is necessary to develop PPC in Brazil. METHODS: The Assessing Doctors' Attitudes on Palliative Treatment survey was modified for use in Brazil. The survey was open from January 2022 to June 2022 and distributed to physicians of all specialties from participating institutions who treat children with cancer...
August 2023: JCO global oncology
#34
JOURNAL ARTICLE
Renée A Scheepers, Aline J Boxem, Meike M J Blezer
PURPOSE: In daily practice, junior doctors can contribute to quality improvement by providing innovative suggestions for change, referred to as voice behavior. Junior doctors are more likely to engage in voice behavior when they receive sufficient support from supervisors and peers. Such support has also been associated with less burnout and more work engagement. However, whether less burned-out and more work-engaged junior doctors demonstrate more voice behaviors in the face of sufficient supervisor and peer support is unclear...
July 28, 2023: Medical Teacher
#35
JOURNAL ARTICLE
R G Dreyer, C M van der Merwe, M A Nicolaou, G A Richards
BACKGROUND: Chest radiographs are a common diagnostic tool in the internal medicine department, and correct interpretation is imperative for adequate patient management. OBJECTIVES: To determine the diagnostic accuracy of common pathologies in South Africa that are evident on chest radiographs, and to determine whether there are discrepancies according to different levels of qualification of doctors rotating through the internal medicine department, and which factors contribute to an accurate diagnosis...
2023: African journal of thoracic and critical care medicine
#36
JOURNAL ARTICLE
Charlotte Anne O'Leary, Laura Piu, George Braitberg
ObjectivesThe importance of engaging junior doctors in quality improvement (QI) initiatives is well recognised. Junior doctors bring fresh perspectives and engage closely with patients, consumers, families and the healthcare team. They are well positioned to recognise inefficiencies in the system that may compromise safe, timely and effective care. To promote QI participation by our junior doctors our organisation created a specific role; the Improvement House Medical Officer (IHMO). The objective of this study is to describe and evaluate the IHMO rotation at the Royal Melbourne Hospital, a large tertiary hospital in Australia...
July 4, 2023: Australian Health Review: a Publication of the Australian Hospital Association
#37
JOURNAL ARTICLE
Ruth Kinston, Simon Gay, R K McKinley, Sreya Sam, Sarah Yardley, Janet Lefroy
The goal of better medical student preparation for clinical practice drives curricular initiatives worldwide. Learning theory underpins Entrustable Professional Activities (EPAs) as a means of safe transition to independent practice. Regulators mandate senior assistantships to improve practice readiness. It is important to know whether meaningful EPAs occur in assistantships, and with what impact. Final year students at one UK medical school kept learning logs and audio-diaries for six one-week periods during a year-long assistantship...
June 22, 2023: Advances in Health Sciences Education
#38
MULTICENTER STUDY
Mohammed Mahmmoud Fadelallah Eljack, Fadi M Toum Ahmed, Elfatih A Hasabo, Mohammed Alfatih, Khabab Abbasher Hussien Mohamed Ahmed, Walaa Elnaiem, Malaz Tarig AbdAlla Mohamed, Alaa Ahmed, Fayha M Mdani Hamood, Amina Alfatih Idris Hajhamd, Raga Muawia Mukhtar Ahmed, Alia Fadl Alla Bashir Mansoor, Esraa Mohammed Ahmed, Yageen Makki Elsaid Ahmed Eisa, Nagwa Yassin Mohammed Taha, Mohga Elshafie Ahmed, Ammar Alemam Diab Alnour, Duha Osman Abdalatheem Tayfour, Leenah Ms Mohammed, Entisar Abdalla Zin Elabdein Ahmed, Samaher Tajeldeen, Maha Ali Abdelrasoul, Iman Magdi Mohamed Balla, Hiba Awadelkareem Osman Fadl, Tawheed Abdelfatah Hamza Ahmed, Abdalla Yousif, Qaswarah A Abdulrazique, Mohammed Sabri, Hanouf Nasreldeen Dafalla, Mawada Fath Alrahaman, Farah Riyad Gafar Mohamed, Alaa Mohammed Osman Basher Ahmed, Noon Hatim Khalid Alrabee, Marwa Elbannan Elhassan Mohamed Ali, Monia Mukhtar Ali, Abdelrahim Abdelrazig Ahmed Ibrahim, Ahmed A Wahaballah, Mohammed Elbagir, Esrar Adel Alkhier, M A Ahmed, Alamin Mustafa, Akram Khalid Altigany, Amna Elaagib, Yahya Almakey, Israa Kamaleldin Mohammed Altayeb, Gorashi Humida, Mohamed Hamid Abdelsalam Mohamed, Ahmed Tajalsir Mohamed Ali, Omnia Mokhtar Mohammed Ahmed
BACKGROUND: Ward rounds are a cornerstone in the educational experience of junior doctors and an essential part of teaching patient care. Here, we aimed to assess the doctors' perception of ward rounds as an educational opportunity and to identify the obstacles faced in conducting a proper ward round in Sudanese hospitals. METHOD: A cross-sectional study was conducted from the 15th to the 30th of January 2022 among house officers, medical officers, and registrars in about 50 teaching and referral hospitals in Sudan...
June 8, 2023: BMC Medical Education
#39
JOURNAL ARTICLE
Bunmi S Malau-Aduli, Richard B Hays, Karen D'Souza, Shannon L Saad, Helen Rienits, Antonio Celenza, Rinki Murphy
Assessment of senior medical students is usually calibrated at the level of achieving expected learning outcomes for graduation. Recent research reveals that clinical assessors often balance two slightly different perspectives on this benchmark. The first is the formal learning outcomes at graduation, ideally as part of a systematic, program-wide assessment approach that measures learning achievement, while the second is consideration of the candidate's contribution to safe care and readiness for practice as a junior doctor...
May 26, 2023: Medical Teacher
#40
JOURNAL ARTICLE
Emma V Thorley, Akash Doshi, Benedict R H Turner
Every day in hospitals around the world, millions of interspecialty referrals are made to obtain advice on the optimal care and management of patients. In the UK, the brunt of this work is undertaken by junior doctors with less clinical experience than the specialist colleagues to which they refer. A survey of 283 junior doctors revealed that colleagues were underconfident when making referrals and struggled to know which specialty to contact, how to reach the specialty and what clinical information to include in the referral...
April 2023: BMJ Open Quality
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