ABSTRACT
INTRODUCTION: Medical students are under constant stress due to demanding academic load, fear of exam failure and hectic schedules. These factors can lead to poor sleep quality among medical students. Sleep quality of medical students not only determine their academic performance but is also important in determining long term effect on cognitive, psychosocial, behavioural as well as physical health of individuals. Although there are not enough recent studies to assess sleep quality of students, it is necessary to evaluate the condition of sleep among students. This study aims to find out the prevalence of poor sleep quality among medical students. METHODS: This descriptive cross-sectional was conducted among undergraduate medical students of Kathmandu Medical College from October to November 2019 after taking ethical clearance from Institutional Review Committee of a tertiary care hospital before collecting data from participants. Subjects were recruited by simple random sampling from students of first, second, third and final years and were asked to fill the self-reported questionnaires, using Pittsburgh Sleep Quality Index. Descriptive statistical analysis was done using Statistical Software for Social Sciences version 24. RESULTS: Out of 217 selected medical students, 96 (44.23%) of students have poor sleep quality with prevalence among male and female students as 41 (39.8%) and 55 (48.2%) respectively. The mean duration of sleep among students was 6.7±1.6 hours. CONCLUSIONS: Significant numbers of medical students have poor sleep quality which may affect their academic performance and may have long term impact on their health. Efforts must be directed towards educating about the sleep hygiene as well as proper time management skills.
Subject(s)
Sleep , Students, Medical , Cross-Sectional Studies , Female , Humans , Male , Surveys and Questionnaires , Tertiary Care CentersABSTRACT
An account is given of ancient funeral practices and then of the development of forensic medicine from the mid twentieth century. Early forensic practices at Bir Hospital have been recorded and then the subsequent development of the study of forensic medicine in the country has been stated. Keywords: autopsies; Bir Hospital; forensic medicine; Institute of Medicine.
Subject(s)
Autopsy/history , Forensic Medicine/history , History, 20th Century , History, 21st Century , Humans , Medicine in Literature , NepalABSTRACT
The history of the implementation of PBL which started in 1978 is long and there have been many ups and downs in the process of getting it to work. Of course there are many reasons for this, starting with the fact that basically it is a method of learning of medicine that is being tried out in various parts of the world. What is envisaged by KU is a hybrid form of the process to be implemented for the MBBS course that KUSMS conducts at its campus at Chaukot, Kavre and at its seven affiliated medical colleges. Various points regarding this are discussed in this article. The information provided in the MBBS curriculum of KU was analysed and comments made there on. The syllabi of IoM, BPKIHS and PAHS were also referred to, to note the existing differences.
Subject(s)
Curriculum , Problem-Based Learning , Schools, Medical , Humans , Nepal , Problem-Based Learning/organization & administration , Program Development , Schools, Medical/organization & administrationABSTRACT
BACKGROUND: All medical schools in Nepal use academic merit as the criterion for selecting students. Medical educationists in Nepal seek to make the selection process more transparent and fair to applicants from different socio-economic backgrounds, while striving to raise the educational standards. AIM: To evaluate the efficacy of selection methods in relation to academic success. METHOD: Formative and Summative scores of three groups that had used different selection criteria were obtained and subjected to statistical analysis. RESULTS: The group selected through an interview (INT) showed significantly better performance on the formative exam in Year 1. Scores of the first come first served group (FCF) on Summative exam in Year 1 were significantly lower than those of INT or the group selected from the entrance exam merit list (KUM), with also the lowest pass rate. No significant differences were present amongst the formative or summative scores of the groups in Year 2, albeit INT which showed the highest pass rate. CONCLUSION: The academic performance of students at the end of two years of basic sciences does not appear to correlate with pre-admission academic merit. The usefulness of an interview is reflected in a higher pass rate. It might be worthwhile to include an interview in the selection process with a concomitant change in the methods of student assessment.
Subject(s)
Private Sector , School Admission Criteria , Schools, Medical/standards , Students, Medical , Adolescent , Educational Status , Eligibility Determination , Female , Humans , Interviews as Topic , Male , Nepal , Organizational Case Studies , Young AdultABSTRACT
The Nepal Medical Council (NMC) has been technically in operation for forty six years though in reality it is much less. The initial years were spent in establishing it. It is only in the last fifteen years or so that there has been much interest in it's functioning. The objective of the NMC is to protect the public and also to oversee the medical education being conducted within the country. A brief account of the NMC from its date of establishment till the present is given here.
Subject(s)
Delivery of Health Care/organization & administration , Health Planning Councils/trends , Guidelines as Topic , Humans , NepalABSTRACT
The development of the Bachelor of Medicine and Bachelor of Surgery (MBBS) course in Nepal is recounted. From the stage of having a single medical college to the stage of having ten is documented. The role that the Nepal Medical Council (NMC) has played in the development of medical education in Nepal has been adequately described. Comparison of the MBBS course that the three universities are running the MBBS is done and suggestions are made for possible future directions.
