scholarly journals ‘Thrown in at the Deep End’: The Experience of Graduates of Transnational Western Medical Education Transitioning into Middle Eastern Clinical Practice

2019 ◽  
Vol 8 (6) ◽  
pp. 36
Author(s):  
Fiza Rashid-Doubell ◽  
Timothy P Doubell
Keyword(s):  
Medical Education ◽  
Clinical Practice ◽  
Cultural Context ◽  
Middle Eastern ◽  
Phenomenological Approach ◽  
Full Time ◽  
Host Countries ◽  
Medical Teams ◽  
The One ◽  
And Coping

Background: Newly qualified doctors educated in their home country usually go on to work in their first hospital job in same country. These graduates are familiar with the socio-cultural context of clinical setting they work in. But, with many Western universities providing cross-border education to host countries in the Middle East and South East Asia in subjects such as medicine. The experiences of those graduating from transnational medical education and working in local hospitals are absent.The aim of the study was to explore the early transitional experiences of newly qualified doctors moving from a European branch campus to practice at hospitals affiliated to the medical school situated in a Middle-Eastern country.Methods: A qualitative study using an interpretive phenomenological approach through interviews to explore experiences of graduates of transnational medical education working in Middle Eastern hospitals. Results: The main findings can be summarised under the three themes generated: the essentials of practice, routine of practice and realities of practice. The results evidenced the transition as a challenging period for new doctors finding dissonance between the skills taught while in transnational education and the workplace. There were three particular areas of discord for the graduates in clinical practice: working in medical teams with a different arrangement to the one prepared for; adapting to a more patient-centred language and coping with differences in ethical norms, values and practices in the hospital.Conclusions: The graduates found transitioning from university to full-time clinical practice difficult and were disappointed by their experience not matching their expectations of work. These findings are valuable for transnational medical educators seeking to improve the experience of graduates who are moving from the clear ideals, norms and values of transnational medical education into the complexity of full-time clinical practice.  

Professional Qualification of German Physicians in Medical Informatics

1994 ◽  
Vol 33 (03) ◽  
pp. 312-314 ◽  
Author(s):  
J. Michaelis
Keyword(s):  
Medical Education ◽  
Clinical Practice ◽  
Federal Republic ◽  
Medical Informatics ◽  
Professional Training ◽  
Federal Republic Of Germany ◽  
Professional Qualification ◽  
Medical Degree ◽  
Formal Program ◽  
Medical Domain

Abstract:In addition to the medical education in the Federal Republic of Germany which includes a compulsory Medical Informatics course there exists a formal program for professional qualification of physicians in Medical Informatics. After two years of clinical practice and 1.5 years of professional training at an authorized institution, a physician may receive in addition to the medical degree a “supplement Medical Informatics”. The qualification requirements are described in detail. Physicians with the additional Medical Informatics qualification perform responsible tasks in their medical domain and serve as partners for fully specialized Medical Informatics ex-’ perts in the solution of practical Medical Informatics problems. The formal qualification is available for more than 10 years, has become increasingly attractive, and is expected to grow with respect to future Medical Informatics developments.

ДОСВІД У ДИСКУСІЙНОМУ ПОЛІ ПОЗИЦІЮВАННЯ КАТЕГОРІЇ "ТВОРЧИЙ ПОТЕНЦІАЛ"

1970 ◽  
Vol 6 (1) ◽  
pp. 62-71
Author(s):  
Лариса Міщиха
Keyword(s):  
Coming Out ◽  
Motion Vector ◽  
Integral Form ◽  
Phenomenological Approach ◽  
Humanistic Psychology ◽  
Creative Potential ◽  
Form Of Life ◽  
Conceptual Background ◽  
Creative Experience ◽  
The One

У статті зроблено спробу проаналізувати феномен "досвід" у форматі дослідження творчого потенціалу особистості. Теоретико-методологічними засадами заявленої вище проблеми стали концептуальні засади гуманістичної психології, феноменологічного підходу. Досвід, як вагома складова творчого потенціалу особистості, розглядається у співвідношенні таких провідних тенденцій, як стереотипність та оригінальність. Наголошується, що досвід, з одного боку, може сприяти все більшій алгоритмізації та стереотипізації, консерватизму у розв’язанні нових задач, що безумовно перешкоджає творчості. З іншого боку, в осіб з високим творчим потенціалом він стає інтегрованою формою життєтворчості, де в структурі старих знань завжди знайдеться місце новим знанням як привнесених "ззовні", так і знанням, що їх отримує автор через власні ініціації, пошук, накреслюючи власноруч вектор руху. Звідси він отримує "побічний продукт" творчої діяльності – саморозвиток. Відтак творчий досвід трактується як такий, що містить у собі акумуляцію та інтеграцію усіх прижиттєвих творчих напрацювань особистості, готовність її до творчої діяльності та безперервної освіти. Суб’єкт творчої діяльності залишається відкритим новому досвіду, сповнений готовності до нового пізнання, творчих пошуків. In the article there was an attempt to analyze the phenomenon "experience" in the form of investigating a person’s creative potential. The theoretic methodological background of the performed above problem is conceptual background of humanistic psychology and phenomenological approach. Experience as an essential part of a person’s creative potential is regarded in relation to such leading trends as stereotype and originality. On the one hand, the experience is emphasized to be able to promote the model of algorithm and stereotype, conservatism in solving new tasks that is certain to inhibit creativity. On the other hand, personalities with high creative potential have an experience that is becoming an integral form of life work where in the structure of old knowledge you can always find a place for both new ones coming out "from inside" and the ones the author takes due to his own initiation and search. In this way he sketches motion vector and gets the "by-product" of his creativity, it means self-development. Hence, creative experience is interpreted as the one to absorb accumulation and integration of all creative experience in a person’s life; also his/her readiness to creativity and continuing education. The subject of creativity remains opened to a new experience that is fully ready for a new cognition and creativity.

59. General medicine residents' perception of the mini-CEXs

2007 ◽  
Vol 30 (4) ◽  
pp. 61
Author(s):  
S. Malhotra ◽  
R. Hatala ◽  
C.-A. Courneya
Keyword(s):  
Internal Medicine ◽  
Medical Education ◽  
Focus Group ◽  
Qualitative Study ◽  
Focus Groups ◽  
General Medicine ◽  
Clinical History ◽  
Phenomenological Approach ◽  
Medical Teacher ◽  
The Impact

The mini-CEX is a 30 minute observed clinical encounter. It can be done in the outpatient, inpatient or emergency room setting. It strives to look at several parameters including a clinical history, physical, professionalism and overall clinical competence. Trainees are rated using a 9-point scoring system: 1-3 unsatisfactory, 4-6 satisfactory and 7-9 superior. Eight months after the introduction of the mini-CEX to the core University of British Columbia Internal Medicine Residents, a one hour semi-structured focus group for residents in each of the three years took place. The focus groups were conducted by an independent moderator, audio-recorded and transcribed. Using a phenomenological approach the comments made by the focus groups participants were read independently by three authors, organized into major themes. In doing so, several intriguing common patterns were revealed on how General Medicine Residents perceive their experience in completing a mini-CEX. The themes include Education, Assessment and Preparation for the Royal College of Physicians and Surgeons Internal Medicine exam. Resident learners perceived that the mini-CEX process provided insight into their clinical strengths and weaknesses. Focus group participants favored that the mini-CEX experience will benefit them in preparation, and successful completion of their licensing exam. Daelmans HE, Overmeer RM, van der Hem-Stockroos HH, Scherpbier AJ, Stehouwer CD, van der Vleuten CP. In-training assessment: qualitative study of effects on supervision and feedback in an undergraduate clinical rotation. Medical Education 2006; 40(1):51-8. De Lima AA, Henquin R, Thierer J, Paulin J, Lamari S, Belcastro F, Van der Vleuten CPM. A qualitative study of the impact on learning of the mini clinical evaluation exercise in postgraduate training. Medical Teacher January 2005; 27(1):46-52. DiCicco-Bloom B, Crabtree BF. The Qualitative Research Interview. Medical Education 2006; 40:314-32.

scholarly journals The Diagnosis and Therapy of Degenerative Knee Joint Disease: Expert Consensus from the Chinese Pain Medicine Panel

2018 ◽  
Vol 2018 ◽  
pp. 1-14 ◽  
Author(s):  
Dong Huang ◽  
Yan-Qing Liu ◽  
Li-Shuang Liang ◽  
Xue-Wu Lin ◽  
Tao Song ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Diagnosis And Treatment ◽  
Joint Disease ◽  
Knee Joints ◽  
Reproduction Rate ◽  
Pain Specialist ◽  
Chinese Association ◽  
The One ◽  
Almost All ◽  
Based Medicine

At present, there are many constantly updated guidelines and consensuses on the diagnosis and treatment of osteoarthritis both at home and abroad. The recommendations established using methods of evidence-based medicine has experienced strict research on controlling bias and promoting reproduction rate. As a result, the previous evidence was reevaluated, and a lot of changes were provoked in the diagnosis and treatment concept of osteoarthritis. However, several methods not recommended by foreign guidelines are still in use in the current clinical practice in China. On the one hand, Chinese experts have not reached extensive consensus on whether it is necessary to make changes according to foreign guidelines. On the other hand, almost all the current relevant guidelines are on osteoarthritis, but the lesions around knee joints which, as a whole, bear the largest weight in human body, cannot be ignored. For this purpose, Chinese Association for the Study of Pain (CASP) organized some leading experts to formulate this Chinese Pain Specialist Consensus on the diagnosis and treatment of degenerative knee osteoarthritis (DKOA) in combination with the guidelines in foreign countries and the expert experience of clinical practice in China. The consensus, which includes the definition, pathophysiology, epidemiology, clinical manifestation, diagnostic criteria, and treatments of DKOA, is intended to be used by first-line doctors, including pain physicians to manage patients with DKOA.

scholarly journals Analysis of the early mother-child relationship in schizophrenic patients

2021 ◽  
pp. 002076402199118
Author(s):  
Marziyeh Khoshgoftar ◽  
Anahita Khodabakhshi-Koolaee ◽  
Mohammad Reza Sheikhi
Keyword(s):  
Cultural Context ◽  
Phenomenological Approach ◽  
Sampling Procedure ◽  
Structured Interviews ◽  
Step Method ◽  
Child Relationship ◽  
New Information ◽  
Data Saturation ◽  
Schizophrenic Patients ◽  
Mother Child Relationship

Background and Aim: The mother as the first caregiver plays a significant role in the formation of the child’s behavior, growth, and communication. The present study aimed to analyze the early mother-child relationship in schizophrenic patients. Materials and Methods: This qualitative study employed a descriptive phenomenological approach. The participants were male patients with schizophrenia who were hospitalized in Qazvin Bahman Psychiatric Hospital from March to September 2020 with an age range of over 18 years. Given the objective of the study, the data were collected using semi-structured interviews. The participants were selected using purposive sampling and the sampling procedure continued until data saturation as the point when no new information is observed in the data. Accordingly, the data were saturated after interviewing 15 participants. The data were analyzed using Colaizzi’s seven-step method. Results: The analysis of the data revealed four main themes including ambivalent attachment to the mother, feelings of constant fear and worry, a sense of constant care for the mother, and a cold and emotionless relationship with the child. Conclusion: The present study suggested that schizophrenia is a disorder that affects the mother-child relationship, and does the term “schizophrenic mothers” need to be reconsidered? However, the result of this research has been done according to the nature and cultural context of Iranian society.

Diverse Dimensions of the Cotard’s Syndrome - an Approach Towards a Clear Classification of the Phenomenon

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
A. Nagy ◽  
V. Voros ◽  
T. Tenyi
Keyword(s):  
Clinical Practice ◽  
Diagnostic Category ◽  
Treatment Strategies ◽  
Differential Diagnostics ◽  
Dimensional System ◽  
Central Feature ◽  
Scientific Databases ◽  
Search Terms ◽  
The One

Aim:The authors present the Cotard's syndrome, a rare psychiatric condition, pointing out the latest results in terms of psychoneurology and classification of the phenomenon. The central feature of the syndrome is a nihilistic delusion, in which the patient denies his or her own existence and that of the external world.Method:We searched electronic scientific databases using the appropriate search terms; relevant articles were carefully reviewed. We also present three cases from our clinical practice.Results:After the overview of the latest biological and neuropsychological findings, the terminology, the nosology, the classification and the differential diagnostics are discussed. To sum up with useful information for the clinical practice, the possible treatment strategies, the course and the prognosis of the disease are also presented.Conclusions:The reported cases together with the reviewed literature suggest that a dimensional system of classifying Cotard's syndrome is preferable. At the one end of the spectrum is the presence of the pure nihilistic delusions, appearing as a symptom of an underlying psychiatric or neurological condition. The full-blown, classical syndrome as a diagnostic category forms the other end of the spectrum. The presented theoretical and practical aspects give a lead on deeper understanding, easier recognition and more adequate therapy of the Cotard's syndrome.

News and Announcements

PEDIATRICS ◽  
1975 ◽  
Vol 55 (5) ◽  
pp. 749-750
Keyword(s):  
Clinical Practice ◽  
Graduate Training ◽  
Full Time ◽  
Pediatric Hematology ◽  
Certifying Examination ◽  
Letters Of Recommendation

ANNOUNCEMENT OF 1976 EXAMINATION IN PEDIATRIC HEMATOLOGY-ONCOLOGY: The SubBoard of Pediatric Hematology-Oncology of the American Board of Pediatrics will give its next certifying examination on June 5, 1976. The following criteria must be met in order to be eligible to sit for this examination: (1) Certification by the American Board of Pediatrics; (2) Two years of full-time graduate training in pediatric hematology-oncology or five years in the clinical practice of pediatric hematology-oncology; (3) Letters of recommendation from individuals able to attest to the applicant's training or clinical practice.

“Where are the Nine?”

1996 ◽  
Vol 24 (3) ◽  
pp. 179-196 ◽  
Author(s):  
Randall Lehmann Sorenson
Keyword(s):  
Clinical Practice ◽  
John Bunyan ◽  
The One

Jesus’ questions as recorded in the Gospels offer a prophetic challenge for Christian therapists who seek to integrate their faith with their clinical practice. One of my favorites is Jesus’ question in Luke 17 to the one leper who returned after all ten had been healed: “Where are the nine?” John Bunyan (1678/1969) in his classic The Pilgrim's Progresshad his protagonist, an Everyman he named “Christian,” traverse an allegorical odyssey en route to the Celestial City past adversarial characters with names like “Ignorance,” “Pliable,” and “Obstinate.” Taking inspiration from Bunyan, I propose putting the lepers in Luke to similarly imaginative use, recasting them for my purposes here as ten invented characters who represent different but common responses to the notion that integration is something indivisbly, irreducibly, and fundamentally personal. It is my thesis that we run from this notion just as the lepers ran from Christ. I have divided the lepers into four “colonies”: three of three lepers each, and the tenth as a colony of one. In this article I address the first two colonies, which I have named “No Need” and “No Good.”

Sign in / Sign up

Export Citation Format

Share Document