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For the issues including inadequate ability for clinical diagnosis and treatment during the training of professional postgraduate students in neurology, this article elaborates on the importance of the application of multidisciplinary team (MDT) teaching from the aspects of the necessity of MDT teaching in the training of professional postgraduate students in neurology and the implementation scope, implementation process, implementation examples, and preliminary teaching results of MDT teaching, so as to provide experience for improving the clinical diagnosis and treatment ability of professional postgraduate students in neurology.
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Background: E-resources are one of the major sources of scientific information which provides the user with more precise and quick information. The completeness and quality of information accessible on electronic resources makes it dependable, reliable sources of information and knowledge production in the academic community. Information accessibility is pivotal in the health research environment as it helps in quick and effective response to challenges and complexities as they arise. However, the level of knowledge possessed by medical researchers in Lagos State University College of Medicine (LASUCOM) is important for teaching, learning and research. Hence, this study evaluated knowledge and use of e-resources by medical researchers in LASUCOM. Methods: The study adopted a descriptive research design. The population is 400 postgraduate students (MPH, resident doctors) and research scholars. The sample size is 200, representing 50% of the total population. Data were collected with the use of a structured questionnaire on knowledge and use of e-resources by the respondents. Frequency counts, percentages, mean, and standard deviation, were used reporting the data. Results: The results revealed the knowledge of medical researchers about electronic resources including journals (91.8%), books (89.4%), theses/dissertations (82.3%). Also, electronic resources were used for the purpose of obtaining current information (78.8%) and for academic /study purposes (78.8%). PubMed/MEDLINE (96.5%), PubMed Central (92.9%), African Journals Online (92.9%) were the most preferred electronic resources used by postgraduate and medical researchers in LASUCOM. Conclusion: The study concluded that librarians should be trained to support researchers in the research process. The study recommended that librarians should create awareness about electronic resources available and accessible in the library. Also, the library should provide adequate user education on database interface usage and optimal search skill techniques for retrieval of relevant information in the Medical Library.
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Access to Information , PubMed , Electronics, Medical , Health ResourcesABSTRACT
Background: Young teachers can skill for better teaching-learning ways can be acquired through structured and cheaper faculty training techniques. Microteaching can be adopted as one such measure to improvise teaching-learning skills among young teachers. Aims and Objectives: This study was conducted also to knew the impact of knowledge and perception regarding microteaching among postgraduate medical students and improvise on them. Also to knew the improvement in teaching skills after training and established the usefulness of this modality of microteaching by looking into its effectiveness. Materials and Methods: The participants were 29 1st year postgraduate students of Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha. One day microteaching workshop was arranged for them in the Medical Education Unit of KIMS. The participants were surveyed through questionnaires (A, B, C, D, and E). McNemar’s Chi-square test did this by comparing between pretesting and post-testing scores of Questionnaire A and D (Kirkpatrick level 1, 2, and 3) as well as B and C (Kirkpatrick level 4) by use of the STATA software. A three-point Likert scale (0 = Not useful, 1 = Doubtful, 2 = Useful) was used to assess the participants’ responses based on the qualitative analysis method from questionnaire E. Results: Pre-post testing revealed improvement in knowledge and perception about microteaching among the majority (P < 0.05). They improved skills-wise too (P < 0.05). All the participants believed that microteaching is useful with a score of 2 on a three-point Likert scale. Conclusion: The microteaching among postgraduate medical students before proper lecture is very much useful. This type of workshop and training should be done in regular interval.
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Objectives: The COVID-19 pandemic with its peaks and lockdowns has resulted in an unprecedented situation. Medical postgraduate (PG) residents were the “frontline COVID warriors” involved in direct patient care including COVID patients in many medical institutions across India. While the perceptions of undergraduate-MBBS students have been assessed, there are few studies assessing the perceptions of medical PG students in India during the COVID-19 pandemic. The objective of this study was to assess the perceptions of medical PG students during the COVID-19 pandemic in general including online teaching Material and Methods: The survey-based study was conducted using a pre-tested online questionnaire during the peak periods of COVID-19 outbreak in India including both the first and second waves. A cross-sectional internet-based online survey in the form of a questionnaire was prepared using Google Forms, and the responses were collected from the respondents. All respondents were from various places in South India. Results: A total number of participants were 135 across South India. All were involved in direct care of COVID patients. This study shows that many PGs were stressed, anxious, and worried but nearly 69% rated their overall sleep quality as “good.” Nearly, 75% reported that they “miss regular practical/bedside classes” while nearly 61% reported that they “miss regular seminar classes.” Conclusion: The unprecedented COVID-19 pandemic has impact on medical PG residents in training both in terms of psychological aspects and their education as well. This study highlights the perceptions of PG students during the COVID-19 pandemic and hints at possible indications of resilience and intact coping mechanisms among PG students and the inevitability of online teaching during this unprecedented situation.
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Objective:To realize the characteristics of postgraduate students applying for Peking University Third Hospital and to explore the strategies to improve the enrollment quality on the background of "Double first-class".Methods:Enrollment data from 2015 to 2019 of the Peking University Third Hospital was statistically analyzed by SPSS 17.0 software. For variables that did not conform to the normal distribution, median and quartile were utilized for description. Mann-Whitney U test was utilized for comparison between admission group and non-admission group. For the counting data, number of cases and proportion were utilized for description. The comparison between groups was performed by chi-square test or Fisher precision test. All tests were two-sided and had a significance level of 0.05. Results:The average enrollment ratio was 4.9∶1. The overall admission rate of first choice was 76.9% (450/585), which kept increased steadily, and the gap between national key clinical specialties and non-key specialties was narrowed. The geographical distribution of students was mainly in north China (30%, 175/585) and east China (28%, 164/585). The admission group had characteristics of high score of CET-6 (505 vs. 480, Z=-5.86, P<0.001) and young age (24 vs. 25, Z=-8.15, P<0.001). The proportion of "985", "211" or "Double first-class" universities, patents invention, conference speeches and high level awards in admission group was higher than that in non-admission group. Conclusion:Sustainable policies should be taken to constantly improve the quality of enrollment including establishing sound mechanism of discipline adjustment and optimization, increasing the publicity of enrollment nationwide, and strengthening the selection of the comprehensive ability of students centered on the construction of first-class disciplines.
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Teaching practice is an important link in the process of postgraduate training. This paper analyzes the current situation and existing problems of postgraduate teaching practice, and discusses the influence of new teaching practice mode on postgraduate training. Aiming at the problems existing in the teaching practice of postgraduate students, this paper carries out the reform from five aspects: subject course learning, teaching preparation, theoretical teaching, experimental teaching participation and teaching management participation, and evaluates the implementation effect of the reform. Through the reform of postgraduate teaching practice, the teaching ability and social competitiveness of postgraduate students have been effectively improved. The new teaching practice mode provides new ideas and methods for the cultivation of postgraduate students' teaching ability.
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OBJECTIVES@#It is an important reform for medical education in China to combine professional postgraduate training with standardized resident training. This study aims to evaluate the depression and perceived stress in postgraduate students of clinical medicine and residents from society and to determine the relation between depression and perceived stress in medical residents.@*METHODS@#Chinese Perceived Stress Scale (CPSS) and Self-Rating Depression Scale (SDS) were applied to 330 residents (including 235 postgraduate students of clinical medicine and 95 residents from society) from a Class-A Grade-3 genernal hospital in Hunan Province to evaluate and compare the depression and perceived stress in postgraduate students of clinical medicine and residents from society. Pearson correlation analysis was performed to assess the association between depression and perceived stress. Stress resources between 2 groups of residents were observed and compared.@*RESULTS@#Of the 235 postgraduate students of clinical medicine, 148 (63.0%) showed depression and 162 (68.9%) showed elevated perceived stress. Main stress resources were academic pressure, scientific research pressure, and employment pressure. Of the 95 residents from society, 52 (54.7%) showed depression and 58 (61.1%) showed elevated perceived stress. Main stress resources were economic stress, employment pressure, and academic pressure. The scores of CPSS and SDS were significantly higher in postgraduate students of clinical medicine than those in residents from society (@*CONCLUSIONS@#Residents (including postgraduate students of clinical medicine and residents from society) possess depression and elevated perceived stress with positive correlation. The postgraduate students of clinical medicine show higher level of depression and perceived stress than the residents from society under the "unified double-track" training system.
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Humans , China/epidemiology , Depression/epidemiology , Internship and Residency , Students, MedicalABSTRACT
Background: Adoption of competence-based medical education (CBME) is the need of the hour. Objectives: The objective of the study is to develop and validate appropriate assessment tools for the community medicine entrustable professional activities (EPAs) and to assess the usefulness of the validated tools in the assessment of postgraduate (PG) students. Methods: An interventional study for 14 months was done in the department of community medicine. After the sensitization of faculty members and PGs, three EPAs were selected through consensus between faculty members and appropriate assessment tools mini-clinical evaluation exercise (Mini-CEX), case-based discussion (CBD), and direct observation of procedural skills (DOPS). Rubrics of milestones were formulated for the selected tools, and the designed tools were validated. These three validated tools were used for the quarterly assessment. Results: The item-content validity index for all three assessment tools was one, while Scale Content Validity Index for Mini-CEX and CBD were 1, and for DOPS, it was 0.87. Three PG students were assessed using the validated tools thrice for the three selected EPAs. The PGs opined that assessment using rubrics made their task-specific, while faculties were quite satisfied with the assessment process as it removed subjectivity. Conclusions: The developed and selected tools of EPAs were found to have a substantial level of both face validity and content validity. The tools were also found to useful for periodic assessment in workplace settings and acceptable to both PG students and internal/external faculty members.
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Background: The pattern of prescribing anti-diabetic drugs varies among different medical professionals due to the availability of numerous anti-diabetic drugs and demographic and have increasingly favoured for tighter control of glycemic index. Even with the available multiple therapies many patients are not in control. The reasons may be multi factorial and the one important factor is the drugs prescribed.Methods: This cross-sectional study involving 140 type 2 adult diabetes patients was done to assess the pattern of anti-diabetic drugs prescribed by the postgraduate students in a tertiary health care center using a specially designed questionnaire.Results: Oral medications were predominantly prescribed. Metformin and Glimepiride combination was prescribed in majority. Among insulin, combination of short and intermediate acting insulin was prescribed more and the number of insulin prescription increased with the duration of diabetes. Interestingly no newer classes of drugs are prescribed.Conclusions: There is a rational prescription pattern of antidiabetic drugs but newer antidiabetic drugs are not prescribed and life style changes are not discussed with the patients. There is a need to include life style changes as a part of prescription to all the patients.
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Background: Resident doctors should consider adverse drug reaction (ADR) reporting as their professional obligation and should be aware of the existing pharmacovigilance mechanisms in their countries. In India, pharmacovigilance implementation is essential due to the absence of a vibrant ADR monitoring system. The present study primary objective was to evaluate the knowledge, attitude and practices (KAP) of the postgraduate students towards pharmacovigilance and ADR reporting in GMC, Bhopal as they observe and attend to the patients round the clock while the patient is admitted in the hospital.Methods: A cross-sectional-observational study was carried out using a pretested questionnaire having 17 questions in all. Data was compiled, entered in Microsoft Excel sheet and analysed by descriptive statistics.Results: A total of 127 duly filled responses were analysed. Study shows ADR is necessary and Pharmacovigilance should be taught in detail to postgraduate students is an important finding from our study. In this study there was also a wide gap between the ADR experienced in professional practice (71%) and ADR reported (23%).Conclusions: In our present study, the average knowledge score was 64% in contrast to 32% residents who didn’t answered correctly. Though majority (87%) of the residents had a positive attitude towards awareness about Pharmacovigilance and ADR reporting, however in clinical scenario even as ADR reporting was considered to be important by a large majority of the participants, the actual practices of ADR reporting was very low.
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Background: A package insert is a document approved by the administering licensing authority, which is provided with the package of a drug. A good package insert can prove to be of immense help to doctors as they are evidence based and are updated from time to time. The objective to study the awareness about package inserts among postgraduate medical students.Methods: The present study was a cross-sectional observational study carried out on 68 postgraduate medical students of Acharaya Shri Chander College of Medical Sciences and Hospital Sidhra, Jammu (J & K) in the month of February 2017 after taking approval from the institutional ethical committee. Pre-validated self-administered questionnaire was used to elicit responses from the students. The questionnaire consisted of specified questions regarding knowledge and opinion about package inserts.Results: In the present study, 86.7% of the students understand the relevance of Package inserts (PIs). About 72% of the students think that PIs are a necessary add-on to drug information and 70.6% of the students think that information given on package inserts is necessary for the patients. However, only 2.9% of the students had the knowledge of Drug Acts governing the information to be provided on PIs in India. About 86.8% of the students think that PIs should also be in regional language apart from in English language.Conclusions: It was found from the present study that the majority of the postgraduate students were aware about the package inserts available with the medicines but the information provided on package inserts was not optimally used by them. To achieve the target of optimally utilization of information provided in the package inserts, the PIs should be designed by considering the needs and information of two differently educated target groups i.e; patients and doctors.
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Background: The feedback from PG students will address the issues in organization of the workshop if any, which may be helpful for the continual improvement. The objectives of the study were to analyze the feedback of postgraduate students about every session of workshop; to analyze the feedback of postgraduate students about overall program of workshop; to assess the change in the knowledge of the participants with the help of pretest and posttest scores.Methods: The present cross sectional study was carried out in the month of August 2018. The three days research methodology workshop was conducted at Shri Vasantrao Naik Government Medical College, Yavatmal during 7th to 9th August 2018 for the 44 postgraduate students. The pretest questionnaire, posttest questionnaire, daily feedback form and program evaluation form were given to each participant. The analysis of pretest and posttest was done by paired t test with statistical software Epi Info Version 7.Results: Total 44 postgraduate students gave feedback on each day. The maximum score (1108) was given by participants to experimental study design and lowest score (942) was given to third group activity based on literature search. For the question about the scope for betterment in the workshop, we had developed three themes based on the responses of participants by using content analysis. Paired ‘t’ test showed significant difference between pre and post-test (p<0.001).Conclusions: The students gave constructive feedback on improvement of the sessions on literature search and Mendeley.
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Background: Medical Certificate of Cause of Death is a vital document, important scientific tool issued by the doc-tors. It is the physician’s primary responsibility to complete the medical certificate of cause of death correctly. Incor-rect filling up of the certificate will result in gross errors in legal scrutiny in medico-legal deaths. Method:At the beginning the self-designed, pretested questionnaire open ended was distributed to participants, immediately after dis-tribution pre-test was conducted. After the pre-test an interactive workshop was conducted on theMCCD. After the workshop post test was conducted. Result:There was an increase in the knowledge about who issues death certifi-cates, long form of MCCD, who issues death certificate, maximum period within which you have to inform the regis-trar office about death in your clinic/hospital, detent dead body until your bills paid, what matter you are going to write on 1a. column and version present available in medical students from 0% to 61%, 30% to 100 %, 0% to 91 %, 0% to 91 %, 70 % to 96 %, 26 % to 87 % and 39 % to 100 % respectively. Conclusion:In the present study there is an improvement in knowledge and awareness in post graduates students after an interactive workshop on theMCCD.
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Clinical laboratory diagnostics is an important secondary discipline in clinical medicine.Postgraduate students in clinical laboratory diagnostics are indispensable members of the future medical team.In view of the current situation about insufficiency of logical thinking ability of these graduates,this paper starts from the aspects of thought,theory,practice and effect test,and then enumerates examples to explore the reasonable training strategy of multi-level graduate students' logical thinking ability,in order to benefit the current graduate students in this major.
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@#Introduction: Psychological problems like anxiety, depression and stress significantly exacerbate the pressure on students to perform better. These factors collectively hamper their performance leading to low academic achievement especially among postgraduate students who majority of them are working and married. This study aims to identify the level of depression, anxiety and stress among postgraduate students, and to investigate the correlation between depression, anxiety and stress based on gender, marital status and age. Methods: The study was a quantitative survey and correlational research design using a clustered random sampling, selected from all postgraduate students (179) in Faculty of Education. The DASS-21 was used as measuring tools for depression, anxiety and stress among postgraduate students. Results: Findings of the study revealed that majority of the respondents are having moderate level of depression, anxiety and stress. Meanwhile, there were strong correlations between depression, anxiety and stress. However, there were no significant differences for level of depression, anxiety and stress based on demographic factors (gender, marital status and age). Conclusion: Based on the findings, it can be concluded that depression, anxiety and stress are strongly correlated. This study can give some insight to the educators, universities administration as well as students’ family to develop common intervention on how to curb depression, anxiety and stress among postgraduate students.
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DepressionABSTRACT
Objective To promote the research innovative capacity for the academic medical graduate student to adapt to the development of modern medicine,life science,as well as the trend of interdisciplinary integration.Methods The curriculum reform of the medical graduate student was carried out by taking into account of the knowledge context and systematic implementation,which covered the latest development of global life science and scientific research methodologies from the context perspective,also the interdisciplinary integration and the consistency and extension of knowledge from the structure perspective.Results A totally new core curriculum system for medical graduated students,which including four modules:public courses,core courses,professional courses and elective courses,was set up.Furthermore,related administrative mechanism reform was also carried out.Conclusions The new curriculum constructed is based on the integration of research and teaching,highlighted the needs for research innovation which is well adapted with the development trend of life science,break down the traditional barriers of different disciplines,contributes to the integration of interdisciplinary,as well as the promotion of research innovative capacities of graduate students.
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Objective To investigate the cognition on patient safety culture of resident doctors re-ceiving standardized training in two affiliated hospitals, analyze the effectiveness of publicity and education in patient safety culture and put forward suggestions for improvements. Methods A total of 913 resident doctors receiving standardized training in the two affiliated hospitals during 2014 to 2016 were enrolled. Their cognition on patient safety culture were investigated using questionnaire surveys from May to October in 2016, and the main factors influencing the cognition on patient safety culture in standardized training were put forward through expert interviews. All statistical analyses were performed with SPSS 17.0 software with Chi-square test. Results The response rate of the questionnaire was 87.62％ (800/913). Three factors were involved in the patient safety system, including the hospital security objectives, security feedbackchannels, and adverse event warning mechanism. The cognitiive level of A hospital (68.96％, 62.52％, 62.81％) was higher than that of B hospital (52.99％, 46.16％, 47.01％), and the difference was statistically significant (P<0.05). The publicity of pre-service training, education in the department, and encouragement from teachers (82.13％, 84.48％, 78.33％) was better in A hospital than in B hospital (68.38％, 71.8％, 62.39％) (P<0.05). The reporting rate of adverse events in A hospital was higher than that in B hospital (P <0.05). Conclusion It is necessary for hospitals to further intensify the publicity and education on patient safety culture. We can improve students' cognition on patient safety culture to reduce medical errors by cre-ating a favorable atmosphere, establishing standardized admission education and training system, improving teachers' teaching ability, and strengthening the training for clinical skills.
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Postgraduate students of clinical laboratory diagnostics are high level laboratory medicine personnel, scientific research idea education is an important aspect for postgraduate students of clinical laboratory diagnostics. It is the key to strengthen the comprehensive quality and improve the ability of innovation. Aiming at the low scientific research results of the academic postgraduate students in this sub-ject and the phenomenon of "heavy clinical, light scientific research" and weak scientific research con-sciousness, the Department of Medical Laboratory of Weifang Medical University relies on the laboratory platform to promote the graduate students to form scientific research thinking and improve scientific research ability by relying on the guidance of the tutors, optimizing the training program and encouraging the graduate students to explore actively, which is helpful for graduate students to develop good scientific research quality and establish correct scientific research concept.
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This paper analyzed the current problems and difficulties of the education for postgraduatesof infectious diseases,such as the outdated courses and nonstandard cultivating model,which demonstrated the necessity for teaching reform and innovation.Specifically,several innovation approaches were posed,including optimizing the coursesoffered,updating the training mode,and emphasizing the improvement of supervisors,with the purposes of promoting the postgraduates' clinical and research skills and cultivating their innovation and social adaptation abilities.
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Resident standardization training is an essential way in cultivating medical professionals. It is important for subject development and talent reserve. For cultivating high-quality resident physicians with comprehensive theory, independent clinical thinking, great practical ability, and innovative scientific idea, it recourses to both optimizing training scheme and evaluation system with highly specialization and comprehensive quality. In this study, the authors proposed incorporate training patterns includingoptimiz-ing design, innovating training, and standardized assessment based on their recent experience on resident standardization training.