Mismatch between Arab women's preferences and options offered for treatment of stress urinary incontinence in the United Arab Emirates.

Stress urinary incontinence is a relatively common condition with a high burden of suffering that can be treated effectively with minimally invasive surgery. Treatment preferences for this condition in Arab women are not known, especially in regard to willingness to undergo surgery. In this survey of 404 women across the United Arab Emirates, 99 had self-reported stress urinary incontinence and 51% of these stated they would undergo surgery. This preference was not related to age, parity, education or severity of incontinence. However, of the 24 women who sought medical advice, only 5 recalled being offered surgical management by their physicians. Other treatments offered included medication (29%), pelvic exercise (38%) and bladder training (25%). Even though half of the Arab Emirati women with stress urinary incontinence in our study were willing to undergo surgery, this treatment is not being offered routinely.

Mismatch between Arab women's preferences and options offered for treatment of stress urinary incontinence in the United Arab Emirates

Stress urinary incontinence is a relatively common condition with a high burden of suffering that can be treated effectively with minimally invasive surgery. Treatment preferences for this condition in Arab women are not known, especially in regard to willingness to undergo surgery. In this survey of 404 women across the United Arab Emirates, 99 had self-reported stress urinary incontinence and 51% of these stated they would undergo surgery. This preference was not related to age, parity, education or severity of incontinence. However, of the 24 women who sought medical advice, only 5 recalled being offered surgical management by their physicians. Other treatments offered included medication [29%], pelvic exercise [38%] and bladder training [25]. Even though half of the Arab Emirati women with stress urinary incontinence in our study were willing to undergo surgery, this treatment is not being offered routinely

What community-based preceptors want in teaching medical students: findings from a mixed methods study.

CONTEXT: Clinical clerkships in medical colleges are increasingly relying on teaching by community physicians in ambulatory clinics. OBJECTIVES: The aim of the study was to determine the attitudes and perceptions of community physicians towards teaching medical students at their clinics. METHODS: A focus group discussion with 14 and a survey questionnaire of 23 community-based physicians were conducted. FINDINGS: The focus group discussion session yielded insight into the expectations of community physicians about student attachments, including: the need for learning objectives; continuity; feedback; ongoing communication; and planned placement of students. The answers to the survey questions showed willingness to teach medical students (mean score=4.7 on a scale of 1 to 5) and the view that medical students added value to the clinics (mean=4.4). However, the respondents gave lower ratings to the questions about students being able to independently evaluate patients in the beginning of their clerkship (mean=3.3). CONCLUSIONS: Community physicians request clear learning objectives, assessment criteria and advance planning for teaching medical students. Clerkship coordinators should ensure ongoing communication with community preceptors in these areas as well as offer recognition of teaching contribution and opportunities for professional development.

Communication skills training in English alone can leave Arab medical students unconfident with patient communication in their native language.

INTRODUCTION: Communications skills curricula and pedagogy for medical students are often exported to non-English speaking settings. It is assumed that after learning communication skills in English, doctors will be able to communicate effectively with patients in their own language. METHODS: We distributed a questionnaire to third year Emirati students at a medical school within the United Arab Emirates. We assessed their confidence in interviewing patients in Arabic after communication skills training in English. Of the 49 students in the sample, 36 subjects (73.5%) completed and returned the questionnaire. RESULTS: Nearly three-quarters (72.2%) of students said they felt confident in taking a history in English, while 27.8% of students expressed confidence in taking a history in Arabic. Half of students anticipated that after their training they would be communicating with their patients primarily in Arabic, and only 8.3% anticipated they would be communicating in English. CONCLUSIONS: Communication skills training purely in English can leave Arab medical students ill equipped to communicate with patients in their own communities and tongue.

Effectiveness of telephone reminders in improving rate of appointments kept at an outpatient clinic: a randomized controlled trial.

BACKGROUND: Clinic appointments in which patients do not appear (no-show) result in loss of provider time and revenue. Previous studies have shown variable effectiveness in telephone and mailed reminders to patients. METHODS: We conducted a randomized controlled trial of telephone reminders 1 day before the scheduled appointments in an urban family practice residency clinic. Patients with appointments were randomized to be telephoned 1 day before the scheduled visit; 479 patients were telephoned and 424 patients were not telephoned. RESULTS: The proportions of patients not showing up for their appointments were 19% in the telephoned and 26% in the not-telephoned groups (P = .0065). Significantly more cancelations were made when telephoning patients before their visit, 17% compared with 9.9%. The opened scheduling slots were used for appointments for other patients. This additional revenue offset the cost of telephone intervention in our cost analysis. CONCLUSION: Reminding patients by telephone calls 1 day before their appointments yields increased cancelations that can be used to schedule other patients. Telephone reminders provide substantial net revenue, but the results may be population specific.