RESUMEN

BACKGROUND: Curriculum is a plan of educational experiences and activities offered to a learner. Curricular reform is a dynamic process. To make a curricular change impactful the curriculum needs to be accepted and followed by all stakeholders otherwise it will be unsuccessful. Change is not readily accepted as evidence suggests that there have been frequent curricular reforms but with little change in medical education. Evidence suggests that teachers agree for upgrading themselves towards recent trends in the field of medical education. In light of these facts perceptions of medical teachers of AJK Medical College were evaluated for the purpose of identification of issues and continuation of this process. METHODS: Qualitative study design was used. Study setting was AJK Medical College; duration of study was six months from February 1 to July 31 2014. The interviews conducted with the help of a semi structured guide were recorded, and all the recordings were then fully transcribed. Transcripts were read several times by investigators separately to select units of significance and identifying themes.. RESULTS: Four themes namely curricular design, integrated curricular implementation, teacher's issues and student's issues were identified. Regarding integrated curriculum teachers think that it should be continued in the institution. Teachers believe that proper training is mandatory for the integrated curriculum to be successfully implemented. CONCLUSIONS: It is concluded that teachers should be aware of universal practices in medical education, and the curriculum of their university. Teacher's training is mandatory for implementation and continuation of this curricular reform.

Asunto(s)

Actitud , Curriculum , Educación Médica , Docentes Médicos , Adulto , Docentes Médicos/educación , Femenino , Humanos , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Percepción , Investigación Cualitativa

RESUMEN

OBJECTIVE: To assess Knowledge, Attitude and Practices (KAP) regarding voluntary blood donation prevalent in medical and paramedical personnel having basic level of awareness on the subject. DESIGN: Cross-sectional Study. PLACE AND DURATION OF STUDY: The study was conducted in AK CMH, Muzaffarabad, from 15th March 2003 to 15th September 2003. PATIENTS AND METHODS: For the assessment of knowledge, attitude and practices regarding voluntary blood donation in medical and paramedical personnel, 83 doctors and 83 paramedics were interviewed. A pre-tested close-ended questionnaire was designed according to the basic level of awareness of paramedics regarding voluntary blood donation. Variables used in the study were analyzed and compared between the two groups. Thereafter, Chi-square test was applied to see association between level of awareness and the actual gesture of voluntarily donating blood. RESULTS: Maximum number of doctors was in the age group ranging from 30 to 50 years while maximum paramedics were in the range of 30-40 years of age. Sixty three out of 83 doctors were blood donors that makes a percentage of 76, whereas 34 out of 83 paramedics were blood donors that makes a percentage of 41.Chi-square test was applied on two groups to compare the association between increased level of awareness and act of donating blood. Our statistical results supported this association (c2 = 20.85) and value fell in the rejection region accepting alternate hypothesis and rejecting null hypothesis (c2 Z. 3.84). A 49.2% of blood donations by doctors (whether random or regular donors) were voluntary and this percentage for paramedics was 35.3. Among doctors, only 3.40% were regular Voluntary Non-remunerated blood Donors (VNDs), whereas no one was found amongst the paramedics. Forty percent of non-donor doctors and 63.3% of non-donor paramedics stated the reason for their non-donation as "no one had ever asked them to do so". CONCLUSION: It is concluded from our study that there is an urgent need to create and strengthen programs for motivation, recruitment and retention of Voluntary Non-remunerated blood Donors (VNDs) in our country on the basis of following observations of the study:- More blood donations from medical doctors are observed in our study as compared to the paramedics. This phenomenon seems to be related to the basic and advanced medical education of doctors that obviously tends to increase their level of awareness manifolds as compared to the paramedics. Maximum number of non-donors (both medical and paramedical) in the study stated the reason of their non-donation being "no one has ever asked them to donate blood". This implies that even the increased level of awareness on the subject does not result in actual act of donating blood. It would, therefore, not be justified to expect from general public 'humane gesture of preserving life' without creating in them awareness of the importance of voluntary blood donation.