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Medical Students and Early Patient Contact

Sunaina Patel, Philip J Batterham, Alison L Calear, Rachel Cryer
OBJECTIVE: The aim of this study was to identify factors associated with comfort and confidence in providing care to patients at risk of suicide, in a sample of Australian medical students. METHODS: An online cross-sectional survey was completed by 116 current medical students (42 % male) aged between 20 and 41 years (M = 25, SD = 3.8). RESULTS: Greater personal experience of suicide and previous contact with patients with psychiatric problems were significantly associated with both increased perceived comfort and increased confidence in providing care for individuals with suicidal thoughts or behaviors, based on self-report...
July 8, 2016: Academic Psychiatry
Astrid Eich-Krohm, Alexandra Kaufmann, Kirstin Winkler-Stuck, Katrin Werwick, Anke Spura, Bernt-Peter Robra
GOAL: The aim of the course "interprofessional communication and nursing" is to reflect medical students' experiences from the nursing internship. The content of the course focuses on barriers and support of interprofessional communication as a foundation for teamwork between nursing professionals and physicians. The nursing internship is for most medical students the first contact with nursing professionals and can lead to perceptions about the other group that might hinder interprofessional teamwork and consequently harm patients...
2016: GMS Journal for Medical Education
Marcela Cisternas, Solange Rivera, Marisol Sirhan, Natalie Thone, Claudia Valdés, Julio Pertuzé, Klaus Puschel
The career of Medicine at the Pontificia Universidad Católica de Chile was established from the beginning (1929), with a classical Flexner curriculum design. In seven years, the career is divided in three cycles: basic sciences, clinics and internship. It obtained Chilean accreditation and fulfilled American Association of Medical Colleges accreditation requirements. Changes in the Chilean epidemiological profile and health system, and new teaching methods in medicine, stimulated a process of deep curricular analysis, identifying strengths and weaknesses of the medical career...
January 2016: Revista Médica de Chile
Daniel S Furmedge, Laura-Jane Smith, Alison Sturrock
BACKGROUND: Objective Structured Clinical Examination (OSCE) is a core component of undergraduate medical student assessment. With increased emphasis on integrated programmes, more courses include OSCEs in the traditionally 'preclinical' years. The acceptability and impact of such assessment methods at this stage of training is unknown. METHODS: In 2013 and 2014 University College London Medical School piloted a formative, integrated OSCE in years 1 and 2 of the undergraduate medical degree programme...
2016: BMC Medical Education
Porntip Nimkuntod, Soraya Kaewpitoon, Naporn Uengarporn, Karakad Ratanakeereepun, Pattama Tongdee
BACKGROUND: Early introduction to clinical medicine program was use as medical curriculum, Suranaree University since 2007. Today, medical students are learning introduction to patient contact, communication skills and clinical examination in the pre-clinicalyears with the purpose ofgaining early clinical experience. OBJECTIVE: Investigation for pre-clinical students and clinical facilitators' perception through early introduction to clinical medicine. MATERIAL AND METHOD: Third-year medical students were enrolled in the introduction to clinical medicine coursefor 2 weeks...
May 2015: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Heidi Bateman, J Mark Thomason, Janice Ellis
BACKGROUND: In undergraduate dental or medical programmes clinical time with exposure to patients is limited. A priority for all those involved in the delivery of a clinical programme is to ensure that this time is used effectively and to maximum potential. Patient non-attendance is a reality, and developing organised activities to provide alternative learning opportunities is important. METHODS: We have developed a range of close-contact teaching and learning activities (CCTLs) for dental students to productively use patient non-attendance time...
June 2016: Clinical Teacher
Li Yan Lim, Shireen A Nah, Narasimhan K Lakshmi, Te-Lu Yap, Anette S Jacobsen, Yee Low, Caroline C P Ong
AIM: Studies report that most boys with undescended testis(UDT) are referred and operated beyond the recommended age of 1 year, possibly due to lack of awareness of treatment guidelines. We investigate the level of knowledge of UDT among potential referring health-care providers. METHOD: We devised a survey on the clinical features and appropriate management of UDT. Using convenience sampling, we approached health-care professionals with regular contact with paediatric patients and final year medical students...
November 2015: Journal of Paediatrics and Child Health
Weiqin Lin, Glenn K Lee, Joshua P Loh, Edgar L Tay, Winnie Sia, Tang-Ching Lau, Shing-Chuan Hooi, Kian-Keong Poh
INTRODUCTION: This study aimed to assess the effectiveness of the use of a cardiopulmonary patient simulator in the teaching of second-year medical students. Effectiveness was measured in terms of the extent of knowledge retention and students' ability to apply the skills learned in subsequent real-life patient contact. METHODS: In this study, ten third-year medical students who had previously undergone simulator training as part of their second-year curriculum underwent an objective structured clinical examination (OSCE) and a multiple-choice question (MCQ) test to assess their ability to apply the knowledge gained during the simulator training when dealing with real patients...
February 2015: Singapore Medical Journal
Nadja Köhl-Hackert, Markus Krautter, Sven Andreesen, Katja Hoffmann, Wolfgang Herzog, Jana Jünger, Christoph Nikendei
BACKGROUND: Learning on the ward as a practice-oriented preparation for the future workplace plays a crucial role in the medical education of future physicians. However, students' ward internship is partially problematic due to condensed workflows on the ward and the high workload of supervising physicians. For the first time in a German-speaking setting, students' expectations and concerns about their internship on the ward are examined in a qualitative analysis regarding their internal medicine rotation within clinical medical education...
2014: GMS Zeitschrift Für Medizinische Ausbildung
Gudrun Herrmann, Ulrich Woermann, Claudia Schlegel
Teamwork and the interprofessional collaboration of all health professions are a guarantee of patient safety and highly qualified treatment in patient care. In the daily clinical routine, physicians and nurses must work together, but the education of the different health professions occurs separately in various places, mostly without interrelated contact. Such training abets mutual misunderstanding and cements professional protectionism, which is why interprofessional education can play an important role in dismantling such barriers to future cooperation...
July 2015: Anatomical Sciences Education
Margret Alers, Petra Verdonk, Hans Bor, Katarina Hamberg, Antoine Lagro-Janssen
OBJECTIVE: To explore changes in specialty preferences and work-related topics during the theoretical phase of Dutch medical education and the role of gender. METHODS: A cohort of medical students at Radboudumc, the Netherlands, was surveyed at start (N=612, 69.1% female) and after three years (N=519, 69.2% female), on specialty preferences, full-time or part-time work, motivational factors, and work-life issues. Chi square tests were performed to analyze gender-differences, and logistic regression to explore the influence of gender on considerations...
2014: International Journal of Medical Education
Donica Liu-Baker, Mittal Mayank, Will Roland
SESSION TITLE: Infectious Disease Student/Resident Case Report Posters IIISESSION TYPE: Medical Student/Resident Case ReportPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: This case report describes a rare presentation of histoplasmosis and emphasizes the importance of maintaining suspicion in endemic areas. CASE PRESENTATION: A 62 year old veteran from mid-Missouri was admitted with a one month history of SOB, cough productive of green sputum, and weight loss of 2...
October 1, 2014: Chest
Anette Hauskov Graungaard, John Sahl Andersen
Teaching communication skills is an important task in the medical curriculum. It is widely agreed that the ability to communicate with the patient is just as important as biomedical knowledge and technical skills. We present data from an early patient contact (EPC) course with integrated theoretical and practical skills inspired by modifications of Kolb's learning cycle. Our objective was to examine first-term medical students' personal experiences and challenges with EPC. A qualitative design was adopted, with data from written logbooks and focus group interviews with medical students who had recently completed an EPC course...
May 2014: Education for Primary Care
Lotte S Haugbølle, Hanne Herborg
OBJECTIVE: To describe the practice, education and research concerning medication adherence in Danish community pharmacy. METHODS: The authors supplemented their expertise in the area of medication adherence through their contacts with other educators and researchers as well as by conducting searches in the Danish Pharmacy Practice Evidence Database, which provides annually updated literature reviews on intervention research in Danish pharmacy practice. RESULTS: HASH(0x501e9b8) PRACTICE: Medication adherence is the focus of and/or is supported by a large number of services and initiatives used in pharmacy practice such as governmental funding, IT-supported medicine administration systems, dose-dispensing systems, theme years in pharmacies on adherence and concordance, standards for counselling at the counter, pharmacist counselling, medication reviews and inhaler technique assessment...
October 2009: Pharmacy Practice
Jürgen Schlumbohm
The problem of anonymous or confidential deliveries, a subject of current controversy, has a long history. Some maternity hospitals offered the possibility for "clandestine" births as early as the 18th and 19th century. A recently emerged source about the maternity clinic of Göttingen University allows insight into the motives that led to keeping a birth secret and the consequences of such a clandestine birth for mother, father and child. The director of the institution, a professor of obstetrics, wrote case reports on the women, who paid a handsome sum for his help and the in-patient care they received...
2014: Medizin, Gesellschaft, und Geschichte
David L Whitford, Amal Redha Hubail
AIM: This study aimed to explore the early clinical experience of medical students following the adaptation of an Early Patient Contact curriculum from a European culture in Ireland to an Arab culture in Bahrain. METHODS: Medical students in Bahrain took part in an Early Patient Contact module modelled on a similar module from a partner medical school in Ireland. We used a qualitative approach employing thematic analysis of 54 student reflective logbooks. Particular attention was placed on reflections of cultural influences of experience in the course...
November 2014: Medical Teacher
Ana P Ortiz, Humberto M Guiot, Olga L Díaz-Miranda, Leticia Román, Joel Palefsky, Vivian Colón-López
OBJECTIVE: This training activity aimed at increasing the knowledge of anal cancer screening, diagnostic and treatment options in medical students and physicians, to determine the interest of these individuals in receiving training in the diagnosis and treatment of anal cancer, and to explore any previous training and/or experience with both anal cancer and clinical trials that these individuals might have. METHODS: An educational activity (1.5 contact hours) was attended by a group of medical students, residents and several faculty members, all from the Medical Sciences Campus of the University of Puerto Rico (n = 50)...
December 2013: Puerto Rico Health Sciences Journal
Kazuya Iwata, Deborah Gill
BACKGROUND: Early clinical contact (ECC) is a key feature of undergraduate programmes, yet they make significant demands on senior clinicians delivering it and usually focus on patient contact. AIMS: To explore the potential of an ECC activity oriented to work as a junior doctor and the clinical environment, and the use of very junior doctors as facilitators of this learning. METHODS: For two academic years, all first year medical students at UCL Medical School shadowed a Foundation Year (FY) doctor for a four-hour shift to experience and understand the work of junior doctors...
August 2013: Medical Teacher
Marjorie D Wenrich, Molly B Jackson, Ineke Wolfhagen, Paul G Ramsey, Albert J J Scherpbier
BACKGROUND: Despite increasing attention to providing preclinical medical students with early patient experiences, little is known about associated outcomes for students. The authors compared three early patient experiences at a large American medical school where all preclinical students complete preceptorships and weekly bedside clinical-skills training and about half complete clinical, community-based summer immersion experiences. The authors asked, what are the relative outcomes and important educational components for students? METHODS: Medical students completed surveys at end of second year 2009-2011...
2013: BMC Medical Education
Ying-Chuan Wang, Po-Chuan Chen, Kwai-Fong Lee, Yu-Cheng Wu, Chun-Hsiang Chiu
Scrub typhus is a mite-borne infectious disease caused by Orientia tsutsugamushi (previously called Rickettsia tsutsugamushi). The severity of this disease varies from only mild symptoms to death, and its manifestations are nonspecific. Therefore, clinicians may not correctly diagnose scrub typhus early enough for successful treatment. Reports of infections in travelers returning from Asia to their home countries are increasingly common. Thus, it is important that even clinicians in nonepidemic regions be alert for this disease...
March 2013: Vector Borne and Zoonotic Diseases
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