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Telemedicine has great potential in urology as a strong medium for providing patients with continuous high-quality urological care despite the hurdles involved in its implementation. Both clinicians and patients are crucial factors in determining the success of tele-consults in terms of simplicity of use and overall satisfaction. For it to be successfully incorporated into routine urological practice, rigorous training and evidence-based recommendations are lacking. If these issues are addressed, they can provide a significant impetus for future tele-consults in urology and their successful deployment, even beyond the pandemic, to assure safer and more environment-friendly patient management.
RESUMO
OBJECTIVE: Bedside teaching is an important element of training undergraduate and postgraduate medical students to attain clinical skills. The perceptions of patients about bedside teaching vary significantly based on their understanding of the educational climate in hospitals. This study aimed to evaluate the views of diverse groups of patients on bedside teaching and the degree of involvement of medical students in their clinical decision-making processes. METHODS: This was a cross-sectional study conducted among patients admitted to various departments of a tertiary care hospital. A total of 200 patients were surveyed by students using a questionnaire, which covered their knowledge, views, and expectations with respect to medical students in hospital settings and bedside teaching. RESULTS: The majority (83.5%) of patients surveyed felt that the students made the hospital environment more comfortable and friendly. Male patients chose to permit students' involvement more than female patients. Among the female patients, teens, young adults, and unmarried women were more positive towards students' direct participation in their physical examinations. Health concerns and stress were issues for adults and older patients, whereas privacy and confidentiality concerned the younger age group. Patients admitted to the obstetrics and gynaecology wards were more likely to reject student involvement in hospital procedures than patients in other departments. CONCLUSION: Most of the patients had a markedly positive attitude towards bedside teaching. Alternative methods of teaching can be implemented in situations where patients feel uncomfortable with students' involvement during their hospital stay.
RESUMO
PURPOSE: To review retrospectively the benefits of using mandibulotomy as an access for tumors involving the maxilla and infratemporal fossa. PATIENTS AND METHODS: Twenty-four consecutive patients with tumors involving the maxilla and infratemporal fossa underwent maxillectomy through mandibular access osteotomy. Patient details and postoperative follow-up were reviewed and recorded. Postoperative complications such as neural morbidity and problems relevant to the procedure were evaluated. Ethical clearance from the medical practices board of the hospital was not required for this study. RESULTS: All but 1 patient underwent en bloc resection of the maxillary tumor with a histologically negative margin. One patient with adenoid cystic carcinoma had a positive orbital margin. Residual mouth opening smaller than 2.5 cm was observed in 4 patients. Healing of the osteotomy site was satisfactory in 21 patients. Three patients had osteotomy-related complications that required secondary intervention. Neural morbidity was temporary and cosmetic outcome of the procedure was excellent. CONCLUSION: Mandibular access osteotomy is an acceptable approach to tumors involving the maxilla and infratemporal fossa. The advantages of wide exposure, minimal morbidity, and good cosmesis make it superior to the conventional panfacial approach. This article highlights the advantages of this procedure and discusses conventional approaches with review of the literature.
