Self-reported assessment of outcome-based education in Philippine Otolaryngology - Head and Neck Surgery residency training programs by consultants and residents

Objective@#To determine the self-reported assessment of initial implementation of the 3 domains of Outcome-Based Education in accredited Otolaryngology - Head and Neck Surgery residency training programs in the Philippines by consultants and residents and explore any associations between their demographic profiles and assessments. @*Methods@#Design: Mixed Method Research Design Setting: Multicenter - 30 accredited ORL-HNS residency training institutions in the Philippines- National Capital Region (NCR) 19, Luzon 7, Visayas 2, and Mindanao 2. Participants: A total of 129 consultants and 82 second to fourth year residents in training were included in the study by convenience sampling. First-year residents who started their residency training in January 2020 were excluded. Respondents answered self-reported questionnaires to assess implementation of the 3 domains of OBE: intended learning outcomes (ILO), teaching and learning activities (TLA) and assessment tasks (AT) using the 4-point scale score from “fully implemented” (4) to “not implemented” (1). Results of questionnaires were confirmed using open-ended questions on the challenges of OBE with a focused group discussion among 4 consultants and 1 resident. @*Results@#The self-reported assessment of respondents on OBE implementation was “fully implemented” in the 3 domains. However, low numerical scores were seen for “managing community health and social need” in the ILO and “laboratory activities and workshops” in the TLA for both consultants and residents, in the assessment task (AT “multisource feedback by nurses and administrative staff” for the consultants, and “direct observation of performance skills for patient encounter” for residents. Among the 7 modules, “research methodology” had the lowest score for both consultants’ and residents’ self-perception. Challenges of OBE revealed included “mastery,” “time” and “data keeping.” Consultants younger than 60 years of age who had been in the department longer than 3 years and residents who attended an OBE workshop / lecture tended to give higher scores. @*Conclusion@#Two years after distribution of the manual on OBE to ORL-HNS residency training institutions, the consultants’ and residents’ self-reported assessment on implementation in all the 3 domains of OBE was “fully implemented.

Cuidados paliativos: desafios para o ensino na percepção de acadêmicos de enfermagem e medicina / Cuidados paliativos: desafíos para la enseñanza en la percepción de los estudiantes de enfermería y medicina / Palliative care: challenges for teaching in the perception of nursing and medical students

Objetivo identificar as dificuldades na abordagem dos cuidados paliativos e da terminalidade na percepção de acadêmicos de Enfermagem e Medicina de uma universidade pública. Método trata-se de estudo exploratório, descritivo, com abordagem qualitativa, cuja coleta de dados foi realizada entre setembro de 2019 e janeiro de 2020, por meio de entrevista semiestruturada. Resultados emergiram duas categorias temáticas principais: Desafios da comunicação em cuidados paliativos e Despreparo para lidar com o morrer e a morte. Considerações finais identificou-se que os acadêmicos de Enfermagem e Medicina apresentam dificuldades relacionadas à comunicação na assistência em cuidados paliativos e em situações de fim de vida. Demonstrou-se ainda o seu despreparo em lidar com a morte, o sofrimento humano e os conflitos morais decorrentes de crenças religiosas.

Objetivo identificar las dificultades para abordar los cuidados paliativos y la terminalidade en la percepción de los estudiantes de Enfermería y Medicina de una universidad pública. Método se trata de un estudio exploratorio y descriptivo con un enfoque cualitativo, cuya recogida de datos se llevó a cabo entre septiembre de 2019 y enero de 2020, a través de entrevistas semiestructuradas. Resultados surgieron dos categorías temáticas principales: Desafíos de la comunicación en los cuidados paliativos y Falta de preparación para lidiar con el morir y la muerte. Consideraciones finales se identificó que los estudiantes de Enfermería y Medicina presentan dificultades relacionadas con la comunicación en cuidados paliativos y situaciones al final de la vida. También se demostró su falta de preparación al tratar la muerte, el sufrimiento humano y los conflictos morales derivados de las creencias religiosas.

Objective to identify the difficulties in addressing palliative care and terminality in the perception of Nursing and Medical students from a public university. Method this is an exploratory, descriptive study with a qualitative approach, whose data collection was carried out between September 2019 and January 2020, through semi-structured interviews. Results two main thematic categories emerged: Challenges of communication in palliative care and Unpreparedness to deal with dying and death. Final Considerations Nursing and Medical students present difficulties related to communication in palliative care and end-of-life situations. This unpreparedness was also present in dealing with death, human suffering and moral conflicts arising from religious beliefs.

Construction and implementation of a new system for fundamentals and frontiers of brain science curriculum for medical graduates / 医学研究生学报

In order to adapt to the rapid development of brain science and cultivate high-level innovative brain science research talents, combined with the practical teaching experience in the Department of Neurobiology of Air Force Military Medical University in recent years, the article constructs a new system for fundamentals and frontiers of brain science curriculum, which integrates advanced teaching concepts, diverse teaching forms and flexible teaching modes, expecting this new curriculum system will lay a solid foundation for the cultivation of talents in brain science.

The Satisfaction of the Freshman of Graduate Medical Students to the New Medical Curriculum: One Medical School / 한국의학교육

PURPOSE: We changed a lot of the medical curricula to accept the freshman of graduate medical students in 2009. We surveyed the satisfaction of new medical curricula from graduate medical students. METHODS: We analysed the returned questionnaires from 118 freshmen of graduate medical students. RESULTS: The number of boys and girls was 56 (47.5%) and 62 (52.5%), respectively and of married students was 10 (8.5%). The graduate students thought that the future prospect was very positive and positive in 40.7%. The 77.1 percentages of medical students understood about 40~80% of the basic medicine. The satisfaction of medical curriculum was average 3.30 by Likert scale. The satisfaction of the professor who have enough information to the subjects was 4.00 and of integrated subjects which were organically related without repetition was 2.85 by Likert scale. Graduate students asked to strengthen clinical medicine lecture and practice. CONCLUSION: Generally, the satisfaction of the new medical curricula was positive in graduate students. But the satisfaction of the contents of the integrated subjects was lowest and so we have to check the organic relationship of integrated subjects.