ABSTRACT
Gender bias in medicine negatively interfere with the medical care of both men and women, which can lead to risks for patients as well as health inequalities. Unisanté has launched a pilot project to integrate reflexivity by students at the Medical School of the University of Lausanne on the influence of gender in clinical practice, using an electronic portfolio. The clinical vignettes presented and discussed in this article illustrate this reflective work and the main biases and stereotypes encountered: pain management, assessment of the psychosocial context, management of domestic violence, screening for chlamydia infection and discussion of a contraceptive method.
Les biais de genre en médecine interfèrent négativement avec la prise en charge médicale tant des hommes que des femmes, ce qui peut entraîner des risques pour les patient·e·s et des inégalités de santé. Unisantéaa lancé un projet pilote visant à intégrer l'approche réflexive par les étudiant·e·s de l'École de médecine de l'Université de Lausanne (UNIL) sur l'influence du genre dans la pratique clinique, en utilisant un portfolio électronique. Les vignettes cliniques présentées et discutées dans cet article illustrent ce travail réflexif et les principaux biais et stéréotypes rencontrésâ : la prise en charge de la douleur, l'évaluation du contexte psychosocial, la prise en charge des violences au sein du couple, le dépistage d'une infection à Chlamydia ainsi que la discussion d'une méthode de contraception.
Subject(s)
Internship and Residency , Medicine , Sexism , Students, Medical , Female , Humans , Male , Pilot Projects , Schools, Medical , SwitzerlandSubject(s)
Burnout, Professional/prevention & control , Meditation , Physicians/psychology , Adult , Burnout, Professional/psychology , Female , Humans , Male , Meditation/methods , Meditation/psychology , Middle Aged , Mindfulness , Occupational Stress/psychology , Occupational Stress/therapy , Randomized Controlled Trials as Topic , Young AdultSubject(s)
Cardiovascular Diseases/mortality , Death, Sudden, Cardiac/prevention & control , Steam Bath , Adult , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/physiopathology , Cohort Studies , Coronary Disease/epidemiology , Coronary Disease/mortality , Death, Sudden, Cardiac/epidemiology , Finland/epidemiology , Humans , Male , Middle Aged , Prospective StudiesABSTRACT
Protozoan and helminthes are frequently associated with persistent digestive complaints, not only in returning travelers from the tropics, but also in industrialized countries. The symptoms are often more vague than those associated to bacterial or viral infections and diarrhea is not always a key feature of the clinical presentation. Three stool examinations and a full blood cells count looking for eosinophilia is the comer stone of the investigations looking for digestive parasites. This article reviews the epidemiology, clinical presentation, diagnostic and management of digestive protozoans and helminthes.
