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[PMID]:28468575
[Au] Autor:Cannon SM; Shukla V; Vanderbilt AA
[Ad] Endereço:a College of Medicine and Life Sciences , University of Toledo , Toledo , OH , USA.
[Ti] Título:Addressing the healthcare needs of older Lesbian, Gay, Bisexual, and Transgender patients in medical school curricula: a call to action.
[So] Source:Med Educ Online;22(1):1320933, 2017.
[Is] ISSN:1087-2981
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Medical students matriculating in the coming years will be faced with treating an expansive increase in the population of older lesbian, gay, bisexual, and transgender (LGBT) patients. While these patients face healthcare concerns similar to their non-LGBT aging peers, the older LGBT community has distinct healthcare needs and faces well-documented healthcare disparities. In order to reduce these healthcare barriers, medical school curricula must prepare and educate future physicians to treat this population while providing high quality, culturally-competent care. This article addresses some of the unique healthcare needs of the aging LGBT population with an emphasis on social concerns and healthcare disparities. It provides additional curricular recommendations to aid in the progressive augmentation of medical school curricula. ABBREVIATIONS: Liaison Committee on Medical Education (LCME); LGBT: Lesbian, gay, bisexual, transgender.
[Mh] Termos MeSH primário: Educação de Graduação em Medicina/métodos
Necessidades e Demandas de Serviços de Saúde
Minorias Sexuais e de Gênero
[Mh] Termos MeSH secundário: Fatores Etários
Currículo
Disparidades em Assistência à Saúde
Seres Humanos
Estudantes de Medicina
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1080/10872981.2017.1320933


  2 / 27114 MEDLINE  
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[PMID]:28460606
[Au] Autor:Hughes BO; Moshabela M; Owen J; Gaede B
[Ad] Endereço:a Centre for Rural Health , University of KwaZulu-Natal , Durban , South Africa.
[Ti] Título:The relevance and role of homestays in medical education: a scoping study.
[So] Source:Med Educ Online;22(1):1320185, 2017.
[Is] ISSN:1087-2981
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The community-based medical education curriculum is growing in popularity as a strategy to bring universal health coverage to underserved communities by providing medical students with hands-on training in primary health care. Accommodation and immersion of medical students within the community will become increasingly important to the success of community-based curricula. In the context of tourism, homestays, where local families host guests, have shown to provide an immersive accommodation experience. OBJECTIVE: By exploring homestays in the educational context, this scoping study investigates their role in providing an immersive pedagogical experience for medical students. DESIGN: A scoping review was performed using the online databases ScienceDirect and the Duke University Library Database, which searches Academic Search Complete, JSTOR, LexisNexis Academic, Web of Science, Proquest, PubMed and WorldCat. Using the inclusion term 'homestays' and excluding the term 'tourism', 181 results were returned. AClose assessment using inclusion criteria narrowed this to 14 relevant articles. RESULTS: There is very little published research specific to the experience of medical students in community homestays, indicating a gap in the literature. However, the existing educational outcomes suggest homestays may have the potential to serve a significant role in medical education, especially as a component of decentralised or community-based programmes. The literature reveals that educational homestays influence language learning, cultural immersion, and the development of professional skills for health science careers. These outcomes relate to the level of engagement between students and hosts, including the catalytic role of community liaisons. CONCLUSIONS: Homestays offer a unique depth of experience that has the potential to enrich the education of participating students, and require further research, particularly in the context of distributed and decentralised training platforms for medical and health sciences students. Future studies should explore the potential for homestays as a pedagogical component of community-based medical curriculum. ABBREVIATIONS: CBME: Community-based medical education.
[Mh] Termos MeSH primário: Serviços de Saúde Comunitária/métodos
Assistência à Saúde/métodos
Educação de Graduação em Medicina/métodos
Atenção Primária à Saúde/métodos
Distribuição Espacial da População
Estudantes de Medicina
[Mh] Termos MeSH secundário: Currículo
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1080/10872981.2017.1320185


  3 / 27114 MEDLINE  
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[PMID]:28460570
[Au] Autor:Houpy JC; Lee WW; Woodruff JN; Pincavage AT
[Ad] Endereço:a Department of Medicine , University of Chicago , Chicago , IL , USA.
[Ti] Título:Medical student resilience and stressful clinical events during clinical training.
[So] Source:Med Educ Online;22(1):1320187, 2017.
[Is] ISSN:1087-2981
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Medical students face numerous stressors during their clinical years, including difficult clinical events. Fostering resilience is a promising way to mitigate negative effects of stressors, prevent burnout, and help students thrive after difficult experiences. However, little is known about medical student resilience. OBJECTIVE: To characterize medical student resilience and responses to difficult clinical events during clinical training. DESIGN: Sixty-two third-year (MS3) and 55 fourth-year (MS4) University of Chicago medical students completed surveys in 2016 assessing resilience (Connor Davidson Resilience Scale, CD-RISC 10), symptoms of burnout, need for resilience training, and responses to difficult clinical events. RESULTS: Medical student mean resilience was lower than in a general population sample. Resilience was higher in males, MS4s, those without burnout symptoms, and students who felt able to cope with difficult clinical events. When students experienced difficult events in the clinical setting, the majority identified poor team dynamics among the most stressful, and agreed their wellbeing was affected by difficult clinical events. A majority also would prefer to discuss these events with their team later that day. Students discussed events with peers more than with attendings or residents. Students comfortable discussing stress and burnout with peers had higher resilience. Most students believed resilience training would be helpful and most beneficial during MS3 year. CONCLUSIONS: Clinical medical student resilience was lower than in the general population but higher in MS4s and students reporting no burnout. Students had some insight into their resilience and most thought resilience training would be helpful. Students discussed difficult clinical events most often with peers. More curricula promoting medical student resilience are needed.
[Mh] Termos MeSH primário: Esgotamento Profissional/psicologia
Educação de Graduação em Medicina/métodos
Resiliência Psicológica
Estresse Psicológico/psicologia
Estudantes de Medicina/psicologia
[Mh] Termos MeSH secundário: Adaptação Psicológica
Esgotamento Profissional/prevenção & controle
Currículo
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1080/10872981.2017.1320187


  4 / 27114 MEDLINE  
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[PMID]:29440597
[Au] Autor:Clark K
[Ti] Título:Generational divide?
[So] Source:Vet Rec;182(6):153, 2018 02 10.
[Is] ISSN:2042-7670
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Atitude
Educação em Veterinária/economia
Relação entre Gerações
Estudantes de Medicina/psicologia
Apoio ao Desenvolvimento de Recursos Humanos
[Mh] Termos MeSH secundário: Seres Humanos
Estudantes de Medicina/estatística & dados numéricos
Reino Unido
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE
[do] DOI:10.1136/vr.k631


  5 / 27114 MEDLINE  
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[PMID]:28448698
[Au] Autor:Uchida C; Uchida M
[Ad] Endereço:Department of Human Development and Culture, Fukushima University, Kanayagawa 1, Fukushima, Fukushima 960-1296, Japan. uchidach@gmail.com.
[Ti] Título:Characteristics and Risk Factors for Suicide and Deaths Among College Students: A 23-Year Serial Prevalence Study of Data From 8.2 Million Japanese College Students.
[So] Source:J Clin Psychiatry;78(4):e404-e412, 2017 Apr.
[Is] ISSN:1555-2101
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Suicide is a leading cause of death for college students. The aim of this study was to identify risk factors of suicide among college students that could improve university services to help prevent college suicide. METHODS: We conducted a 23-year serial prevalence study of the prevalence and characteristics of death and suicide among 8,262,314 Japanese college students. We analyzed rates of suicide from the 1989 to 1990 academic year through the 2011-2012 academic year and characterized suicide among this population, focusing on students' sex and psychiatric and academic backgrounds to identify risk factors for suicide. RESULTS: Suicide rates increased throughout the 23 years, and suicide was the leading cause of death every year from 1996 onward. Suicide accounted for 42.4% of all deaths that happened in the 23 years. Male students, medicine majors, students in the final year of their program, and students who completed extra years of schooling or took academic leaves of absence were at higher risk for suicide. Only 16.4% had received an official psychiatric diagnosis and 16.0% had received services through the university health center prior to the suicides. CONCLUSIONS: Results suggest the need for a stronger support system for college students. Areas for improvement could include better advertising of mental health services, student and staff education about suicide risk factors, and mentorship and outreach programs for students in their final year of classes, those majoring in medicine, and those who have taken leaves of absence or failed classes. Accommodations at the administrative level would also be helpful for students who need to retake classes or transfer credit.
[Mh] Termos MeSH primário: Causas de Morte/tendências
Estudantes de Medicina/estatística & dados numéricos
Estudantes/estatística & dados numéricos
Suicídio/estatística & dados numéricos
Universidades/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Japão/epidemiologia
Masculino
Prevalência
Fatores de Risco
Fatores Sexuais
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.4088/JCP.16m10807


  6 / 27114 MEDLINE  
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[PMID]:28458335
[Au] Autor:Liu Y; Huang Y; Gao H; Cheng X
[Ad] Endereço:School of Basic Medical Sciences, Fudan University.
[Ti] Título:Communication skills training: Adapting to the trends and moving forward.
[So] Source:Biosci Trends;11(2):142-147, 2017 May 23.
[Is] ISSN:1881-7823
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Communication ability is one of the core requirements of doctors' competency. Teaching communication to medical students and junior doctors has attracted much attention. With the challenge of escalating demands, the status of training communication skills has been promoted in the past several decades. The training content was integrated with other courses and various pedagogic approaches have been applied and proved to be effective. Practical strategies and mixed types were highly recommended. However, there are still many problems, including the fragmentation of the training, insufficient practice, inadequate qualified teachers, case adaptation, course localization and impediment from the environment. This paper proposes some suggestions to solve the problems.
[Mh] Termos MeSH primário: Educação Médica/métodos
[Mh] Termos MeSH secundário: Currículo
Seres Humanos
Relações Médico-Paciente
Estudantes de Medicina
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.5582/bst.2017.01095


  7 / 27114 MEDLINE  
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[PMID]:28458333
[Au] Autor:Song P; Tang W
[Ad] Endereço:Graduate School of Frontier Sciences, The University of Tokyo.
[Ti] Título:Emphasizing humanities in medical education: Promoting the integration of medical scientific spirit and medical humanistic spirit.
[So] Source:Biosci Trends;11(2):128-133, 2017 May 23.
[Is] ISSN:1881-7823
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:In the era of the biological-psychological-social medicine model, an ideal of modern medicine is to enhance the humanities in medical education, to foster medical talents with humanistic spirit, and to promote the integration of scientific spirit and humanistic spirit in medicine. Throughout the United States (US), United Kingdom (UK), other Western countries, and some Asian countries like Japan, many medical universities have already integrated the learning of medical humanities in their curricula and recognized their value. While in China, although medical education reform over the past decade has emphasized the topic of medical humanities to increase the professionalism of future physicians, the integration of medical humanity courses in medical universities has lagged behind the pace in Western countries. In addition, current courses in medical humanities were arbitrarily established due to a lack of organizational independence. For various reasons like a shortage of instructors, medical universities have failed to pay sufficient attention to medical humanities education given the urgent needs of society. The medical problems in contemporary Chinese society are not solely the purview of biomedical technology; what matters more is enhancing the humanities in medical education and fostering medical talents with humanistic spirit. Emphasizing the humanities in medical education and promoting the integration of medical scientific spirit and medical humanistic spirit have become one of the most pressing issues China must address. Greater attention should be paid to reasonable integration of humanities into the medical curriculum, creation of medical courses related to humanities and optimization of the curriculum, and actively allocating abundant teaching resources and exploring better methods of instruction.
[Mh] Termos MeSH primário: Educação Médica/métodos
[Mh] Termos MeSH secundário: China
Currículo
Assistência à Saúde
Ciências Humanas
Seres Humanos
Estudantes de Medicina
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.5582/bst.2017.01092


  8 / 27114 MEDLINE  
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[PMID]:29480833
[Au] Autor:Goel S; Angeli F; Singla N; Ruwaard D
[Ad] Endereço:School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
[Ti] Título:Measuring the reasons that discourage medical students from working in rural areas: Development and validation of a new instrument.
[So] Source:Medicine (Baltimore);97(2):e9448, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The sharply uneven distribution of human resources for health care across urban and rural areas has been a long-standing concern globally. The present study aims to develop and validate an instrument measuring the factors deterring final year students of Bachelor of Medicine and Bachelor of Surgery (MBBS) in 3 northern states of India, from working in rural areas.The medical student's de-motivation to work in rural India (MSDRI) scale was developed using extensive literature review followed by Delphi technique. The psychometric properties of the questionnaire were assessed in terms of content validity, construct validity, data quality and reliability. Exploratory factor analysis (EFA) followed by confirmatory factor analysis (CFA) was performed to identify the primary deterrents.Thirty-three items were generated from literature search followed by Delphi exercise. After assessing psychometric properties, the final instrument included 29 items whereas the EFA and CFA highlighted 5 main factors, namely lack of professional challenge, social segregation, socio-cultural gap, hostile professional environment, and lack of financial incentives as underpinning students' demotivation towards working in rural areas.The MSDRI instrument is the first valid and reliable measure for identifying deterring factors for MBBS students to work in rural areas of India. The use of it may be very helpful for policymakers as well as healthcare organizations in formulating effective measures to encourage medical students to work in rural areas, which suffer from a chronic shortage of medical personnel.
[Mh] Termos MeSH primário: Escolha da Profissão
Motivação
Saúde da População Rural/recursos humanos
Estudantes de Medicina/psicologia
Inquéritos e Questionários
[Mh] Termos MeSH secundário: Adulto
Técnica Delfos
Análise Fatorial
Feminino
Seres Humanos
Índia
Masculino
Projetos Piloto
Psicometria
Reprodutibilidade dos Testes
População Rural
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; VALIDATION STUDIES
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180227
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009448


  9 / 27114 MEDLINE  
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[PMID]:29450528
[Au] Autor:Gupta R
[Ad] Endereço:University of Michigan Medical School, Ann Arbor.
[Ti] Título:I Solemnly Share.
[So] Source:JAMA;319(6):549-550, 2018 Feb 13.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Transtorno Depressivo
Estudantes de Medicina/psicologia
[Mh] Termos MeSH secundário: Adaptação Psicológica
Transtorno Depressivo/psicologia
Transtorno Depressivo/terapia
Educação de Graduação em Medicina
Feminino
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; PERSONAL NARRATIVES
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180217
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.22135


  10 / 27114 MEDLINE  
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Texto completo SciELO Brasil
[PMID]:29239463
[Au] Autor:Costa EFO; Mendes CMC; Andrade TM
[Ad] Endereço:Universidade Federal de Sergipe, Aracaju, SE, Brazil.
[Ti] Título:Common mental disorders in medical students: A repeated cross-sectional study over six years.
[So] Source:Rev Assoc Med Bras (1992);63(9):771-778, 2017 Sep.
[Is] ISSN:1806-9282
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Becoming a medical doctor is a very complex process. Factors related to the student's personality, the educational process and the daily experience with death contribute to peculiar psycho-emotional experiences, not always properly investigated during medical training. OBJECTIVE: To estimate the prevalence of common mental disorders (CMD) and associated factors, over six years of medical undergraduate course among all students of a class at a public university in Brazil. METHOD: Cross-sectional study based on repeated surveys. All 40 students enrolled in 2006 in the first year of our medical school were included and evaluated annually until 2011 using the SRQ-20 and a structured questionnaire prepared by the authors on sociodemographic, personal and educational aspects. We performed logistic regression and correspondence analysis. RESULTS: The 40 freshmen in the first evaluation had a mean age of 20 years (SD=2.4), 57.5% were female, and 41% were approved after taking their third entrance exam. The prevalence of CMD increased over the years: from 12.5% in the first year to 43.2% in the fifth. The following variables were potentially associated with CMD: female sex (PR=1.38), originating from capital cities (PR=1.97), the program was less than they expected (PR=3.20), discomfort with program activities (PR=2.10), dissatisfaction with teaching strategies (PR=1.38), and feeling that the program is not a source of pleasure (PR=2.06), being R2=28.8% and AIC=60.04. CONCLUSION: The factors potentially associated with the high prevalence of CMD were those related to medical training, showing that it is necessary to implement preventive measures and review the educational process in order to reduce the damages caused by the development of CMD.
[Mh] Termos MeSH primário: Transtornos Mentais/epidemiologia
Estudantes de Medicina/psicologia
[Mh] Termos MeSH secundário: Brasil/epidemiologia
Estudos Transversais
Feminino
Seres Humanos
Masculino
Transtornos Mentais/psicologia
Fatores Socioeconômicos
Estudantes de Medicina/estatística & dados numéricos
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE



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