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Objective:To investigate the application of mind map combined with daily mini-clinical evaluation exercise in standardized training of gynecological residents.Methods:A total of 100 trainees who received standardized training in Department of Gynecology, Women and Children's Hospital of Chongqing Medical University, were selected as subjects, and they were divided into control group (traditional teaching) and observation group (mind map combined with daily mini-clinical evaluation exercise) according to the order by which they entered the department for training, with 50 trainees in each group. After teaching, the two groups were compared in terms of assessment results of clinical practice exercise and degree of satisfaction with teaching. SPSS 22.0 statistical software was used for the t-test. Results:After the application of mind map combined with daily mini-clinical evaluation exercise in the standardized training of gynecological residents, compared with the control group, the observation group had significantly higher assessment results of inquiry ability, specialized physical examination, clinical diagnosis, diagnosis and treatment regimen, clinical practice ability, communication ability, clinical thinking ability, decision-making ability for clinical issues, and overall performance ( P<0.05). Compared with the control group, the observation group had significantly higher levels of mastery of clinical inquiry ability, specialized physical examination, development of diagnosis and treatment regimen, doctor-patient communication ability, and clinical practice ability, as well as a significantly higher overall teaching satisfaction score ( P<0.05). Conclusion:Mind map combined with daily mini-clinical evaluation exercise is a simple and feasible teaching method and can help to improve the comprehensive clinical practice ability of trainees receiving standardized residency training, and therefore, it holds promise for application in teaching.
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Introduction@#Physician burnout (BO) is an increasing global concern due to its rising prevalence and effect on patient care@*Objective@#This study determined the prevalence of BO, compassion fatigue (CF), and compassion satisfaction (CS), among residents of obstetrics and gynecology in the Philippines, and identified the factors associated with these@*Methods@#This was a cross‑sectional study, which used stratified random sampling. The strata comprised public and private hospitals that were subdivided into Luzon, Visayas, Mindanao, and National Capital Region. From these, 33 training hospitals were randomly selected, which served as clusters wherein all resident physicians of obstetrics and gynecology were invited to answer either an online or printed version of the Professional Quality of Life Scale Version 5 questionnaire@*Results@#Majority of the 311 participants included had average level of BO (n = 281, 90.4%), CF (n = 237, 76.2%), and CS (n = 213, 68.5%). CS was negatively correlated with burnout (r = −0.31, P < 0.001) and CF (r = −0.34, P < 0.001), whereas BO and CS were positively correlated (r = +0.48, P < 0.001). Type of institution, sleeping hours, and interrupted leaves were the common factors that yield significant differences in BO (P = 0.037, P < 0.001, and P < 0.001) and CF (P = 0.002, P = 0.043, and P = 0.005). Significant differences were observed in CS scores in terms of age (P = 0.016), marital status (P = 0.038), child dependents (P = 0.006), level of training (P = 0.005), and location and type of institution (P ≤ 0.001 and P = 0.003).@*Conclusion@#There is a need to develop active awareness of BO and CF among resident physicians to effect interventions at the individual and institutional level.
Subject(s)
Burnout, Psychological , Compassion FatigueABSTRACT
Hyperprolactinemia is a frequent condition in clinical practice, responsible for 20-25% of secondary amenorrhea cases. We performed an electronic survey among members of the Brazilian Society of Metabolism and Endocrinology (SBEM) and the Brazilian Federation of Association of Gynecology and Obstetrics (FEBRASGO) to assess diagnostic and therapeutic preferences for management of hyperprolactinemia. Electronic addresses of SBEM and FEBRASGO members were obtained from the directories of these societies, and these members were invited, through electronic messages (e-mail), to answer an online questionnaire that included 10 questions about the treatment of micro and macropro-lactinomas, maximum dose of dopamine agonist, how to exclude primary hypothyroidism and macroprolactinemia, hyperprolactinemia and pregnancy. We received responses to the questionnaire by e-mail from 521 SBEM members and 233 FEBRASGO members. The results of this survey demonstrate that there are many area of agreement between SBEM and FEBRASGO members and most of their responses follow the latest Endocrine Society Guideline. Relative to a survey performed several years ago, our findings show that SBEM members have incorporated some of latest recommendations in this field. The principal issues of concern for both groups are duration of dopamine agonist treatment for patients with microprolactinoma and dopamine agonist withdrawal during pregnancy.
La hiperprolactinemia es una alteración frecuente, siendo responsable del 20 al 25% de los casos de amenorrea secundaria. Se realizó una investigación electrónica entre los miembros de la Sociedad Brasileña de Endocrinología y Metabología (SBEM) y de la Federación Brasileña de Ginecología y Obstetricia (FEBRASGO) para evaluar sus preferencias en el diagnóstico y el tratamiento de la hiperprolactinemia. Las direcciones electrónicas de miembros SBEM y de FEBRASGO se obtuvieron a partir de los directorios de esas sociedades. Se invitó a estos miembros a responder un cuestionario que incluía 10 cuestiones sobre el tratamiento de los micro y macroprolactinomas, dosis máxima del agonista dopaminérgico, hiperprolactinemia e hipotiroidismo primario, macroprolactinemia, prolactinoma y embarazo. Hemos recibido respuestas de 521 miembros de la SBEM y de 233 miembros FEBRASGO. Los resultados demuestran que hay bastantes áreas de concordancia entre los miembros de la SBEM y de la FEBRASGO y que la mayoría de las respuestas están de acuerdo con el último consenso de la Endocrine Society. En cuanto a una encuesta similar realizada hace años, nuestros resultados muestran que los socios de SBEM incorporaron algunas de las últimas recomendaciones propuestas en esa área. Los principales aspectos de interés en ambos grupos son la duración del tratamiento con el agonista dopaminérgico y la retirada del mismo durante el embarazo.
Subject(s)
Humans , Female , Hyperprolactinemia/diagnosis , Hyperprolactinemia/therapy , Brazil , Prolactinoma/therapy , Dopamine Agonists/administration & dosage , Research ReportABSTRACT
Obstetrics and gynecology is concerned with the gestation,birth and healthy development of human life and related to the happiness and joy of all families.Physicians need to have good medical humanistic practice ability.This paper analyzed the connotation of the physician's humanistic practice ability,investigated the current status of humanistic practice ability of obstetricians and gynecologists through in-depth interviews,and put forward the countermeasures of cultivating the humanistic practice ability of obstetricians and gynecologists,including strengthening the foundation of medical humanistic knowledge,carrying out the training of the humanities skills of obstetricians and gynecologists,integrating the evaluation of humanistic practice ability into the work of medical ethics,and integrating the new medical humanistic view into the construction of hospital culture.
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Atualmente é crescente o número de mulheres atingidas por doenças como Hipertensão Arterial Sistêmica (HAS), Diabetes, Osteoporose e mesmo cânceres, como os de mama e cólon. O médico ginecologista, muitas vezes, é a única referência de saúde destas pacientes. Este artigo visa reunir as recomendações das principais Sociedades Médicas no que diz respeito ao rastreio das comorbidades citadas e os demais cuidados básicos de saúde da mulher. Ele objetiva, portanto, facilitar e ampliar a abordagem prática do ginecologista no consultório para que a mulher seja avaliada de uma maneira mais completa.(AU)
The number of women suffering from diseases such as Systemic Arterial Hypertension, Diabetes, Osteoporosis and breast and colon cancers has grown in the latest decades. The gynecologist is oftenly the only reference in medical care for these women. This article groups the main recommendations from different Medical Societies regarding the tracking of these conditions and other basic aspects on women's health care. It aims to facilitate and broaden the gynecologists' practical approach in evaluating women in a more complete way.(AU)
Subject(s)
Humans , Female , Women's Health , Medical Care , Delivery of Health Care , Diagnostic Tests, Routine , Gynecology/methods , Osteoporosis/diagnostic imaging , Referral and Consultation , Thyroid Diseases/diagnosis , Bacterial Infections/prevention & control , Bacteriuria/diagnosis , Urinary Tract Infections/diagnosis , Vitamin D Deficiency/diagnosis , Virus Diseases/prevention & control , Chlamydia Infections/diagnosis , Cholesterol/analysis , Vaccination , Colonic Neoplasms/diagnosis , Diabetes Mellitus/diagnosis , Monitoring, PhysiologicABSTRACT
Es un necesidad que las nuevas generaciones de profesionales de la salud cubanos cuenten, como legado imperecedero, con el conocimiento, la admiración y el respeto por la vida, trayectoria, obra y huella de una generación de médicos formados con la Revolución, y que han brindado, con hermosos gestos y consagración, lo mejor de sí. Es el caso del Dr. Alfredo Rodríguez Pérez, Profesor Consultante en Obstetricia y Ginecología de la Facultad de Ciencias Médicas "Finlay-Albarrán". Con ese propósito, apoyados en su testimonio, la revisión de documentos y su obra escrita, se logró reconocer su trayectoria como estudiante, soldado, médico, profesor, internacionalista, asesor, en fin como un hombre cuya única gloria verdadera ha estado en los servicios prestados a la Revolución.
It is a necessity that the new generations of cuban professionals of health have, as a permanent legacy, the knowledge, admiration and respect, for the life and results of the professional development of a generation of doctors in medicine formed by the Revolution, that have given with beautiful acts and consagration the gest of themselves, which is the case of Dr. Alfredo Rodríguez Pérez, Consultant Professor in Obstetric and Gynecology, of the Faculty of Medical Science "Finlay-Albarrán". With that purpose and supported on his testimony and documents of his written work, it was possible to recognize his trajectory as student, soldier, doctor in medicine, professor, internationalist, adviser, in conclusion, a man that his only really glory has been the services to the Revolution.