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Medical Students and Early Patient Contact

Lynn V Monrouxe, Alison Bullock, Hsu-Min Tseng, Stephanie E Wells
OBJECTIVES: To examine how burnout across medical student to junior doctor transition relates to: measures of professional identity, team understanding, anxiety, gender, age and workplace learning (assistantship) alignment to first post. DESIGN: A longitudinal 1-year cohort design. Two groups of final-year medical students: (1) those undertaking end-of-year assistantships aligned in location and specialty with their first post and (2) those undertaking assistantships non-aligned...
December 27, 2017: BMJ Open
Elizabeth D Yuan, Joseph Makris, Carolynn M DeBenedectis
PURPOSE: The purpose of this study is to share the preliminary findings after initiation of interventions at the medical school level, which have been suggested by the literature to increase female medical student interest in radiology at one institution. Additionally, the paper provides discussion of how to better future interventions for increasing female medical student interest. METHODS: Interventions to increase medical student exposure to radiology were implemented at the University of Massachusetts Medical School in 2012...
September 12, 2017: Current Problems in Diagnostic Radiology
Marta Wałaszek, Małgorzata Kołpa, Zdzisław Wolak, Anna Różańska, Jadwiga Wójkowska-Mach
Objective : The objective of the study was to examine the knowledge of Polish physicians and medical students about the role of hand hygiene (HH) in healthcare-associated infection (HAI) prevention. Study design : A survey was conducted using an author-prepared questionnaire, which was filled out on the first day of hospital work (or internship) by newly admitted physicians who had worked in other hospitals and students of different medical schools in Poland. Methods : 100 respondents participated in the study: 28 students, 18 medical interns and 54 physicians...
September 7, 2017: International Journal of Environmental Research and Public Health
Jenny Barrett, Steve C Trumble, Geoff McColl
CONTEXT: The black box that is student learning in clinical environments is an ongoing research project. Our previous research showed that despite the time that students are given to learn with, about and from patients, some lack confidence for those encounters and see few patients. The study reported here investigated individual and environmental factors affecting medical students' self-directed learning time in hospital. METHODS: We studied second year students in the four-year postgraduate Melbourne Medical School programme as they undertook the first of their four 9-week hospital placements in medical wards...
October 2017: Medical Education
Jennifer A Kaplan, Zabecca Brinson, Rebecca Hofer, Patricia O'Sullivan, Anna Chang, Helen Horvath, George J Chang, Emily Finlayson
BACKGROUND: Few opportunities exist for early learners to engage in authentic roles on health care teams. In a geriatric optimization clinic for frail high-risk surgical patients, first-year medical and nurse practitioner students were integrated into an interprofessional team as health coaches. MATERIALS AND METHODS: Frail surgical patients with planned operations were referred to a new preoperative optimization clinic to see a geriatrician, occupational, and physical therapists and a nutritionist...
March 2017: Journal of Surgical Research
B Kim Humphreys, Cynthia K Peterson
OBJECTIVE: In 2007, chiropractic became 1 of the 5 medical professions in Switzerland. This required a new chiropractic program that was fully integrated within a Swiss medical school. The purpose of this article was to discuss the Master in Chiropractic Medicine (MChiroMed) program at the University of Zürich, including advantages, opportunities, and challenges. DISCUSSION: In 2008, the MChiroMed program began with its first student cohort. The MChiroMed program is a 6-year Bologna model 2-cycle (bachelor and master) "spiral curriculum," with the first 4 years being fully integrated within the medical curriculum...
December 2016: Journal of Chiropractic Humanities
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...
December 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...
January 28, 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(0x379ba10) 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
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