scholarly journals Factors determining the choice of a career in geriatrics among students in geriatric in-hospital training: a single-center prospective study of 74 students

2020 ◽  
Author(s):  
Valentine Nuss ◽  
Jérémy Barben ◽  
Caroline Laborde ◽  
Jérémie Vovelle ◽  
Martha Deidda ◽  
...  
Keyword(s):  
Medical Students ◽  
Prospective Study ◽  
Geriatric Patients ◽  
General Medicine ◽  
The Other ◽  
University Hospital ◽  
Single Center ◽  
Factors Influencing ◽  
The Impact ◽  
Geriatric Center

Abstract Background: To understand the reasons for the lack of attractiveness of the Diploma of Specialized Studies (DSS) in Geriatrics (DSSG), we conducted a study to identify the factors influencing medical students’ choice of their future specialty. In addition, we assessed the impact of in-hospital training (IHT) in the departments of our geriatric center on the students’ choice of their future specialty.Methods: We included all students who passed an IHT course in the geriatric center of our university hospital between 1 May 2018 and 31 October 2018. The data were collected using a questionnaire in two parts: one given before the IHT and the other after. The students were classified into two groups: those considering a career in geriatrics before IHT (GDSSG+) and those not considering it (GDSSG−). Results: Seventy-four students, aged a mean 22 years, were included. Of these students, 26%, were considering the possibility of a career in geriatrics before the IHT course (GDSSG+). This rate significantly increased to 42% after IHT (p=0.04). However, none of the students in GDSSG+ preselected geriatrics as their first option; general medicine was the most frequent option.For more than 92% of the students, the comprehensive care of geriatric patients was an asset. The main drawbacks were diagnostic and therapeutic limitations for 60% of the students, and managing aging, disability, and major neurocognitive disorders (MNCD) for 55%. After IHT, the view of geriatrics improved by 74%.Conclusion: Geriatric IHT improves students' opinions of geriatrics and significantly increases the number of students considering a potential career in geriatrics. However, geriatrics still suffers from a lack of prestige.

scholarly journals Factors Determining the Choice of a Career in Geriatrics among Students in Geriatric in-Hospital Training: A Prospective Study of 74 Medical Students

Geriatrics ◽  
2020 ◽  
Vol 5 (4) ◽  
pp. 87
Author(s):  
Valentine Nuss ◽  
Jérémy Barben ◽  
Caroline Laborde ◽  
Jérémie Vovelle ◽  
Martha Deidda ◽  
...  
Keyword(s):  
Medical Students ◽  
Geriatric Patients ◽  
The Other ◽  
University Hospital ◽  
Medical Studies ◽  
Factors Influencing ◽  
Geriatric Hospital ◽  
A Prospective Study ◽  
The Impact ◽  
Selection Of

To understand why students in the 2nd cycle of medical studies choose to complete a Diploma of Specialized Studies (DSS) in geriatrics, we conducted a study to identify the factors influencing the choice of a future specialty. In addition, we assessed the impact of clinical in-hospital training (CIHT) in a geriatric hospital on the students’ selection of their future specialty. We included all students who completed CIHT in the geriatric facility of our University Hospital between 1 May and 31 October 2018. Data were collected using a two-part questionnaire: one part was given before CIHT and the other after. The students were classified into two groups: those considering a career in geriatrics (CIG) before CIHT, forming the group DSS geriatrics+ (GDSSG+), and those not considering it, constituting the group DSS geriatrics− (GDSSG−). Seventy-four students aged 22 years old were included. Of these students, 26% were considering a CIG before CIHT. This rate increased significantly to 42% after CIHT (p = 0.04). However, none of the students who indicated that they were potentially interested in pursuing geriatrics before CIHT preselected geriatrics as their first option. For more than 92% of the students, the comprehensive care of geriatric patients was an asset. The main drawbacks were diagnostic and therapeutic limitations (60% of students), then managing aging, disability, and neurocognitive disorders (55% of students). After CIHT, the view of geriatrics improved by 74%. In conclusion, geriatric CIHT improves students’ opinions of geriatrics and increases the number of students considering a CIG. However, geriatrics still suffers from a lack of prestige.

scholarly journals Impact of Cardiovascular Failure in Intensive CareUnit-Acquired Pneumonia: A Single-Center, Prospective Study

Antibiotics ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 798
Author(s):  
Ignacio Martin-Loeches ◽  
Adrian Ceccato ◽  
Marco Carbonara ◽  
Gianluigi li Bassi ◽  
Pierluigi di Natale ◽  
...  
Keyword(s):  
Cox Regression ◽  
University Hospital ◽  
Single Center ◽  
Cox Regression Analysis ◽  
Cardiovascular Failure ◽  
Icu Length Of Stay ◽  
Patients At Risk ◽  
Surgical Icus ◽  
Pulmonary Superinfection ◽  
The Impact

Background: Cardiovascular failure (CVF) may complicate intensive care unit-acquired pneumonia (ICUAP) and radically alters the empirical treatment of this condition. The aim of this study was to determine the impact of CVF on outcome in patients with ICUAP. Methods: A prospective, single-center, observational study was conducted in six medical and surgical ICUs at a University Hospital. CVS was defined as a score of 3 or more on the cardiovascular component of the Sequential Organ Failure Assessment (SOFA) score. At the onset of ICUAP, CVF was reported as absent, transient (if lasting ≤ 3 days) or persistent (>3 days). The primary outcome was 90-day mortality modelled through a Cox regression analysis. Secondary outcomes were 28-day mortality, hospital mortality, ICU length of stay (LOS) and hospital LOS. Results: 358 patients were enrolled: 203 (57%) without CVF, 82 (23%) with transient CVF, and 73 (20%) with persistent CVF. Patients with transient and persistent CVF were more severely ill and presented higher inflammatory response than those without CVF. Despite having similar severity and aetiology, the persistent CVF group more frequently received inadequate initial antibiotic treatment and presented more treatment failures than the transient CVF group. In the persistent CVF group, at day 3, a bacterial superinfection was more frequently detected. The 90-day mortality was significantly higher in the persistent CVF group (62%). The 28-day mortality rates for patients without CVF, with transient and with persistent CVF were 19, 35 and 41% respectively and ICU mortality was 60, 38 and 19% respectively. In the multivariate analysis chronic pulmonary conditions, lack of Pa02/FiO2 improvement at day 3, pulmonary superinfection at day 3 and persistent CVF were independently associated with 90-day mortality in ICUAP patients. Conclusions: Persistent CVF has a significant impact on the outcome of patients with ICUAP. Patients at risk from persistent CVF should be promptly recognized to optimize treatment and outcomes.

scholarly journals The Perception of Rural Medical Students Regarding the Future of General Medicine: A Thematic Analysis

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1256
Author(s):  
Kasumi Nishikawa ◽  
Ryuichi Ohta ◽  
Chiaki Sano
Keyword(s):  
Medical Students ◽  
Thematic Analysis ◽  
General Medicine ◽  
Present Situation ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Factors Influencing ◽  
Positive Impression ◽  
Further Development ◽  
Medicine Education

Although the demand for general physicians has increased in Japan because of its aging population, medical universities primarily provide organ-based education; thus, medical students do not receive sufficient general medical education. The number of residents focusing on general medicine remains low; therefore, to understand the present situation regarding general medicine education, we attempted to clarify the views of medical students and the factors influencing them. In this qualitative study, semi-structured interviews were conducted in 12 medical students at Shimane University, and the results were analyzed through thematic analysis. The results indicated the emergence of three themes and 14 concepts. The three overarching themes were as follows: hopes for the field of general medicine, gaps between ideal and reality of general medicine, and factors affecting students’ motivation for specialization in general medicine. Medical students had a positive impression of general medicine and believed that it has potential for further development; however, they felt a gap between their ideals and reality (i.e., unclear expertise). Factors creating this gap included poorly developed education and medical policies. We need to restructure general medicine education based on the participants’ perceptions by establishing collaborative curricula between universities and community hospitals and by increasing students’ exposure to general medicine.

scholarly journals Modelling the impact of microbial contamination of fuel filtration efficiency

2017 ◽  
Vol 169 (2) ◽  
pp. 133-136
Author(s):  
Rafał KRAKOWSKI
Keyword(s):  
Numerical Model ◽  
Microbial Contamination ◽  
Petroleum Products ◽  
Filtration Efficiency ◽  
The Other ◽  
Entire System ◽  
Factors Influencing ◽  
Three Stages ◽  
The Impact ◽  
Growth Of Bacteria

In this paper the concept of filtration and the problem of microbial contamination occurring in the fuels and oils was presented. Then the factors influencing the growth of bacteria in petroleum products were described in detail. In the next part of the article modeling of the impact of fuel microbial contamination on filtration efficiency was performed. The modeling presented in the article is an example showing how undesirable phenomenon is the microbial contamination and how pollution affects the other elements of the entire system. As part of the modeling, numerical model of filtration with the solution was presented. Then analysis results on the basis of the impurities concentration characteristics in the fuel as a function of the fouling thickness in the partition of the filter is performed. The development of impurities was divided into three stages. In the article for one case the trend line was presented. The article was completed conclusions.

scholarly journals The impact of the 2009 influenza A(H1N1) pandemic on attitudes of healthcare workers toward seasonal influenza vaccination 2010/11

2011 ◽  
Vol 16 (17) ◽  
Author(s):  
C Brandt ◽  
H F Rabenau ◽  
S Bornmann ◽  
R Gottschalk ◽  
S Wicker
Keyword(s):  
Medical Students ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Influenza A ◽  
Influenza Season ◽  
University Hospital ◽  
The Public ◽  
Influenza A H1n1 ◽  
The Impact

The emergence of the influenza A(H1N1)2009 virus provided a major challenge to health services around the world. However, vaccination rates for the public and for healthcare workers (HCWs) have remained low. We performed a study to review the reasons put forward by HCWs to refuse immunisation with the pandemic vaccine in 2009/10 and characterise attitudes in the influenza season 2010/11 due to the emergence of influenza A(H1N1)2009. A survey among HCWs and medical students in the clinical phase of their studies was conducted, using an anonymous questionnaire, at a German university hospital during an influenza vaccination campaign. 1,366 of 3,900 HCWs (35.0%) were vaccinated in the 2010/11 influenza season. Of the vaccinated HCWs, 1,323 (96.9%) completed the questionnaire in addition to 322 vaccinated medical students. Of the 1,645 vaccinees who completed the questionnaire, 712 had not been vaccinated against the influenza A(H1N1)2009 virus in the 2009/10 season. The main reason put forward was the objection to the AS03 adjuvants (239/712, 33.6%). Of the HCWs and students surveyed, 270 of 1,645 (16.4%) stated that the pandemic had influenced their attitude towards vaccination in general. Many German HCWs remained unconvinced of the safety of the pandemic (adjuvanted) influenza vaccine. For this reason, effective risk communication should focus on educating the public and HCWs about influenza vaccine safety and the benefits of vaccination.

Factors Influencing Trainees’ Interest in Breast Imaging

2021 ◽  
pp. 084653712110495
Author(s):  
Tong Wu ◽  
Wyanne Law ◽  
Nayaar Islam ◽  
Charlotte J. Yong-Hing ◽  
Supriya Kulkarni ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Medical Students ◽  
Breast Imaging ◽  
Current Level ◽  
Common Reason ◽  
Training Level ◽  
Chi Square ◽  
Factors Influencing ◽  
Radiology Residents ◽  
The Impact

Purpose: To gauge the level of interest in breast imaging (BI) and determine factors impacting trainees’ decision to pursue this subspecialty. Methods: Canadian radiology residents and medical students were surveyed from November 2020 to February 2021. Training level, actual vs preferred timing of breast rotations, fellowship choices, perceptions of BI, and how artificial intelligence (AI) will impact BI were collected. Chi-square, Fisher’s exact tests and univariate logistic regression were performed to determine the impact of trainees’ perceptions on interest in pursuing BI/women’s imaging (WI) fellowships. Results: 157 responses from 80 radiology residents and 77 medical students were collected. The top 3 fellowship subspecialties desired by residents were BI/WI (36%), abdominal imaging (35%), and interventional radiology (25%). Twenty-five percent of the medical students were unsure due to lack of exposure. The most common reason that trainees found BI unappealing was repetitiveness (20%), which was associated with lack of interest in BI/WI fellowships (OR = 3.9, 95% CI: 1.6-9.5, P = .002). The most common reason residents found BI appealing was procedures (59%), which was associated with interest in BI/WI fellowships (OR, 3.2, 95% CI, 1.2-8.6, P = .02). Forty percent of residents reported an earlier start of their first breast rotation (PGY1-2) would affect their fellowship choice. Conclusion: This study assessed the current level of Canadian trainees’ interest in BI and identified factors that influenced their decisions to pursue BI. Solutions for increased interest include earlier exposure to breast radiology and addressing inadequacies in residency training.

scholarly journals Quick diagnostic unit integrated in an emergency department setting reduces medical admissions – an observational study

2013 ◽  
Vol 3 (3) ◽  
pp. 17 ◽  
Author(s):  
Dan Brun Petersen ◽  
Thomas Andersen Schmidt
Keyword(s):  
Internal Medicine ◽  
Emergency Department ◽  
General Medicine ◽  
University Hospital ◽  
First Year ◽  
Special Focus ◽  
Diagnostic Study ◽  
Diagnostic Unit ◽  
Number Of Patients ◽  
The Impact

Background: Hospitals in countries with public health systems have recently adopted organizational changes to improve efficiency and resource allocation, and reducing inappropriate hospitalizations has been established as an important goal, as well as avoiding or buffering overcrowding in Emergency Departments (EDs). Aims: Our goal was to describe the impact of a Quick Diagnostic Unit established on January 1, 2012, integrated in an ED setting in a Danish public university hospital following its function for the first year. Design: Observational, descriptive and comparative study. Methods: Our sample comprised the total number of patients being admitted and discharged from the Department of Internal Medicine in 2011 and 2012, with special focus on the General Medicine Ward. Results: Compared with 2011 the establishment of the Quick Diagnostic Unit integrated in the Emergency Department resulted in the admittance and discharge of fewer patients (40%; p < .0001) to the hospital’s General Medicine Ward and 11.6% (p < .0001) fewer patients in the whole Department of Internal Medicine. Conclusions: A Quick Diagnostic Unit integrated in an ED setting represents a useful and fast track model for the diagnostic study and treatment of patients with simple internal medicine ailments, and also serves as a buffer for overcrowding of the ED.

THE IMPACT OF AZATHIOPRINE ON CHRONIC VIRAL HEPATITIS IN RENAL TRANSPLANTATION: A LONG-TERM, SINGLE-CENTER, PROSPECTIVE STUDY ON AZATHIOPRINE WITHDRAWAL1

1999 ◽  
Vol 68 (7) ◽  
pp. 976-980 ◽  
Author(s):  
Elias David-Neto ◽  
Jo??o Americo da Fonseca ◽  
Flavio Jota de Paula ◽  
William Carlos Nahas ◽  
Emil Sabbaga ◽  
...  
Keyword(s):  
Renal Transplantation ◽  
Prospective Study ◽  
Viral Hepatitis ◽  
Chronic Viral Hepatitis ◽  
Single Center ◽  
The Impact

scholarly journals The Flipped Classroom Is Effective for Medical Students to Improve Deep Tendon Reflex Examination Skills: A Mixed-Method Study

2021 ◽  
Author(s):  
Shun Uchida ◽  
Kiyoshi Shikino ◽  
Kosuke Ishizuka ◽  
Yosuke Yamauchi ◽  
Yasutaka Yanagita ◽  
...  
Keyword(s):  
Medical Students ◽  
Flipped Classroom ◽  
Deep Tendon Reflex ◽  
Intervention Group ◽  
General Medicine ◽  
Likert Scale ◽  
University Hospital ◽  
Control Group ◽  
Self Confidence ◽  
Before And After

Abstract Background: Deep tendon reflexes (DTR) are a prerequisite skill in clinical clerkships. However, many medical students are not confident in their technique and need to be effectively trained. We evaluated the effectiveness of a flipped classroom for teaching DTR skills. Methods: We recruited 83 fifth-year medical students who participated in a clinical clerkship at the Department of General Medicine, Chiba University Hospital, from November 2018 to July 2019. They were allocated to the flipped classroom technique (intervention group, n=39) or the traditional technique instruction group (control group, n=44). Before procedural teaching, while the intervention group learned about DTR by e-learning, the control group did so face-to-face. A 5-point Likert scale was used to evaluate self-confidence in DTR examination before and after the procedural teaching (1=no confidence, 5=confidence). We evaluated the mastery of techniques after procedural teaching using the Direct Observation of Procedural Skills (DOPS). Unpaired t-test was used to analyze the results of the 5-point Likert scale and DOPS. We assessed self-confidence in DTR examination before and after procedural teaching using a free description questionnaire in the two groups. Additionally, in the intervention group, focus group interviews (FGI) (7 groups, n=39) were conducted to assess the effectiveness of the flipped classroom after procedural teaching.Results: Pre-test self-confidence in the DTR examination was significantly higher in the intervention group than in the control group (2.8 vs. 2.3, P=0.005). Post-test self-confidence in the DTR examination was not significantly different between the two groups (3.9 vs. 4.1, P=0.31), and so was mastery (4.3 vs. 4.1, P=0.68). The questionnaires before the procedural teaching revealed themes common to the two groups, including “lack of knowledge” and “lack of self-confidence.” Themes about prior learning, including “acquisition of knowledge” and “promoting understanding,” were specific in the intervention group. The FGI revealed themes including “application of knowledge,” “improvement in DTR technique,” and “increased self-confidence.” Conclusions: Teaching DTR skills to medical students in flipped classrooms improves readiness for learning and increases self-confidence in performing the procedure at a point before procedural teaching.

Instagram as a Learning Tool in Neurology: A Prospective Study

2021 ◽  
Author(s):  
Georges T. Bakhos ◽  
Karine J. Abou Khaled
Keyword(s):  
Social Media ◽  
Medical Students ◽  
Prospective Study ◽  
Learning Strategy ◽  
Target Population ◽  
Multiple Choice Questions ◽  
Learning Tool ◽  
Post Exposure ◽  
The Impact

Abstract Background: Since the beginning of the Covid-19 pandemic, there were remarkable changes in people’s lifestyle with a tendency to spend more time on social media rendering its platforms essential in all fields. This study was designed to look at the potential role of Instagram as a learning tool in neurology among Saint Joseph University (Beirut, Lebanon) medical students.Methods: This prospective study was spread over the period of 3 months, between the 10th of October and the 10th of December 2020. The target population was the medical students at Saint Joseph University (Beirut, Lebanon) in their 3rd to 7th academic year. The purpose was to evaluate the impact of the Instagram page called “La Synapse” on the students’ answers to ten neurology multiple choice questions (MCQs) before and after their exposure to the page’s content. The evaluation was done through a questionnaire conceived on Google Forms that also covered demographical characteristics, social media usage for educational purposes and their feedback post-exposure. In addition, we intended to evaluate the students’ opinion on using social media as a learning tool. The results were analyzed by comparing the pre-exposure and post-exposure data.Results: A total of 180 students were enrolled in the pre-exposure questionnaire (40% of the entire population) and 107 (59.44%) out of the initial group participated in the post-exposure questionnaire. Most students (81%) already used social media for educational purposes with YouTube being the most popular (51%). After exposure, 95% said to have profited from the experience but the junior students benefited more than the seniors. “Mnemonics” were the most practical learning strategy (44%) according to the participants. Regarding the MCQs, an improvement was found in seven out of the ten questions, with three having a statistically significant upswing (p < 0,05).Conclusions: The Instagram page “La Synapse” was an efficient tool for transmitting neurological information to medical students. These results should encourage the development of future prospective studies to better explore the role of social media in medical education.

Sign in / Sign up

Export Citation Format

Share Document