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1.
Artigo em Inglês | LILACS, BNUY, UY-BNMED | ID: biblio-1563683

RESUMO

This study sought to explore the perspective of medical faculty on the mental health of their students. This qualitative study based on a focus group is part of a longitudinal research that studied the mental health of Brazilian students. One group was conducted with faculty employed at a medical school. Topics discussed covered the concept of mental health and medical education. Six professors participated in one group. The mental health of medical students is a construct that encompasses emotional aspects, ability to solve problems and multiple facets of a human being, according to the participants. Artistic practices, moments of socialization and leisure were perceived as stimulating students' good mental health. Excessive demands generate competitiveness and the teacher's expectation of the student's good performance based on their own experience can harm the student's mental health. Participants also highlighted that a pedagogical reformulation that makes sense for the student's learning process is necessary to update traditional curricula. Medical students' mental health is influenced by experiences and exchanges during the medical school, mainly between professor and student, understood as necessary and inherent to the process of becoming physician. The findings of this study show the need for curriculum changes in the medical education process and updating teacher training for good practices that reinforce good mental health.


Este estudio buscó explorar la perspectiva de los profesores de medicina sobre la salud mental de sus estudiantes. Este estudio cualitativo basado en un grupo focal es parte de una investigación longitudinal que estudió la salud mental de estudiantes brasileños. Un grupo se llevó a cabo con profesores empleados en una escuela de medicina. Los temas tratados abarcaron el concepto de salud mental y educación médica. Seis docentes participaron en un grupo. La salud mental de los estudiantes de medicina es un constructo que abarca aspectos emocionales, capacidad de resolución de problemas y múltiples facetas del ser humano, según los participantes. Las prácticas artísticas, los momentos de socialización y el ocio fueron percibidos como estimulantes de la buena salud mental de los estudiantes. Las exigencias excesivas generan competitividad y la expectativa del docente sobre el buen desempeño del estudiante basándose en su propia experiencia puede perjudicar la salud mental del estudiante. Los participantes también resaltaron que es necesaria una reformulación pedagógica que tenga sentido para el proceso de aprendizaje del estudiante para actualizar los currículos tradicionales. La salud mental de los estudiantes de medicina está influenciada por las experiencias y los intercambios durante la carrera de medicina, principalmente entre profesor y estudiante, entendidos como necesarios e inherentes al proceso de convertirse en médico. Los hallazgos de este estudio muestran la necesidad de cambios curriculares en el proceso de formación médica y de actualización de la formación docente hacia buenas prácticas que refuercen la buena salud mental.


Este estudo buscou explorar a perspectiva dos docentes de medicina sobre a saúde mental de seus alunos. Este estudo qualitativo baseado em grupo focal faz parte de uma pesquisa longitudinal que estudou a saúde mental de estudantes brasileiros. Um grupo foi conduzido com professores empregados em uma faculdade de medicina. Os temas discutidos abrangeram o conceito de saúde mental e educação médica. Seis professores participaram de um grupo. A saúde mental dos estudantes de medicina é um construto que engloba aspectos emocionais, capacidade de resolução de problemas e múltiplas facetas do ser humano, segundo os participantes. As práticas artísticas, os momentos de socialização e de lazer foram percebidos como estimuladores da boa saúde mental dos estudantes. Exigências excessivas geram competitividade e a expectativa do professor pelo bom desempenho do aluno com base na própria experiência pode prejudicar a saúde mental do aluno. Os participantes destacaram também que é necessária uma reformulação pedagógica que faça sentido para o processo de aprendizagem do aluno para atualizar os currículos tradicionais. A saúde mental dos estudantes de medicina é influenciada pelas experiências e trocas durante o curso de medicina, principalmente entre professor e aluno, entendidas como necessárias e inerentes ao processo de tornar-se médico. Os achados deste estudo mostram a necessidade de mudanças curriculares no processo de formação médica e de atualização da formação docente para boas práticas que reforcem a boa saúde mental.


Assuntos
Humanos , Percepção Social , Estudantes de Medicina/psicologia , Saúde Mental , Docentes de Medicina , Brasil , Estudos Longitudinais , Grupos Focais , Pesquisa Qualitativa
2.
BMC Med Educ ; 24(1): 1081, 2024 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-39354556

RESUMO

BACKGROUND: Virtual simulation experiment is a vital component of higher education digitalization, emerging from the deep integration of specialty disciplines and information technology. Chinese universities have invested heavily in the construction of virtual simulation experiment projects, and the number of projects is considerably large. However, the popularity and effectiveness of these projects are not satisfactory. As an important index to measure the teaching quality, analyzing the influencing factors and mediating effects of learning satisfaction of virtual simulation experiment is an effective entry point to improve the quality and efficiency of virtual simulation experiment teaching and improve the learning effect. METHODS: This study used quantitative research methods. The research sample includes 538 students from various levels of higher education institutions such as Nanjing University, Nantong University, Nanjing Medical University, and Jiangsu University, covering 11 majors. They started to study the virtual simulation experiment course for one academic year in September 2023 and conducted a questionnaire survey at the end of the course. The questionnaire survey involved four aspects, mainly from the student dimension, course dimension, the technical dimension, and the embodied dimension to evaluate the learning satisfaction of the virtual simulation experiment course. The data were analyzed using SPSS and AMOS. RESULTS: According to the results of the structural equation modeling (SEM), all of the student dimension (learning motivation {ß = 0.658,p < 0.001} and task value {ß = 0.339,p < 0.001}), course dimension (course content {ß = 0.275,p < 0.001}, course flexibility {ß = 0.052,p < 0.002}, and course quality {ß = 0.635,p < 0.001}), technical dimension (interface design {ß = 0.445,p < 0.001}, interaction design {ß = 0.151,p < 0.001}, technical adaptability {ß = 0.225,p < 0.001}, and technical reliability y{ß = 0.140,p < 0.001}), and embodied dimension (social presence {ß = 0.270,p < 0.001} and spatial presence {ß = 0.689,p < 0.001}) have positive effects on improving the learning satisfaction of virtual simulation experiments. Meanwhile, the technical dimension exhibited a mediating effect in the influence of embodied dimension on learning satisfaction. CONCLUSIONS: To enhance the learning effectiveness of virtual simulation experiments, we can put forward the strategies from four dimensions including students, course, technical, and embodied to specifically address learning satisfaction. This approach would provide directional guidance for the development of medical virtual simulation experiments.


Assuntos
Satisfação Pessoal , Treinamento por Simulação , Humanos , China , Masculino , Feminino , Realidade Virtual , Aprendizagem , Inquéritos e Questionários , Estudantes de Medicina/psicologia , Adulto Jovem
3.
JNMA J Nepal Med Assoc ; 62(272): 282-283, 2024 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-39356852

RESUMO

ABSTRACT: Medical Student Syndrome and imposter syndrome are rampant in the medical profession, especially among young medical students. Medical Student Syndrome, also known as the third-year syndrome is a hypochondriacal concern in inexperienced medical students regarding the disease they are studying. Usually, it arises as a result of incomplete knowledge about the disease and regular exposure to new information about diseases. Imposter syndrome, on the other hand, refers to the behavioral pattern where medical students doubt their abilities and are constantly afraid of being exposed as a fraud. Imposter syndrome might occur due to unrealistic expectations in this highly competitive medical profession.


Assuntos
Estudantes de Medicina , Humanos , Estudantes de Medicina/psicologia , Hipocondríase/diagnóstico , Hipocondríase/psicologia , Autoimagem , Comportamento Obsessivo/psicologia , Transtornos Fóbicos/psicologia , Transtornos Fóbicos/diagnóstico , Transtornos de Ansiedade
4.
JNMA J Nepal Med Assoc ; 62(274): 414-415, 2024 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-39356864

RESUMO

ABSTRACT: Extracurricular activities (ECAs) in the field of medicine can be research related and non-research related activities that allows students to develop skills to be a good doctor in the future. Building a curriculum vitae, becoming a team player, managing stress, building good communication skills and good academics highlights the value of extracurricular activities. Challenges like time constraints, and resource limitation hinders the participation which needs to be addressed to encourage the medical students to take part in extracurricular activities.


Assuntos
Estudantes de Medicina , Humanos , Estudantes de Medicina/psicologia , Currículo , Educação de Graduação em Medicina/métodos , Educação de Graduação em Medicina/organização & administração , Atividades de Lazer
5.
JNMA J Nepal Med Assoc ; 62(274): 358-362, 2024 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-39356867

RESUMO

INTRODUCTION: Problem-based learning is a student-centered learning method. Assessing students' understanding, settled way of thinking and interpretation towards problem-based learning is essential. The objective of the study was to understand the attitude and perception of preclinicalM.B.B.S. students about problem-based learning. METHODS: A descriptive cross-sectional study was conducted from July 5, 2023 to September 4, 2023 for the duration of two months after duly approval from Institutional Review Committee (Protocol No: IRC-LMC-04/Q-23). First and second year M.B.B.S. students who had good experience of attending problem-based learning sessions in integrated basic science subjects were included in the study. Fifteen close-ended questions related to attitude and perceptions were designed in Google Form. The responses were taken on five point Likert scale ranging from strongly disagree (1), disagree (2), neutral (3), agree (4), and strongly agree (5). Data were expressed as frequency and percentage. RESULTS: Among 164 participants, 92 (56.09%) strongly agreed and 67 (40.87%) agreed that problem based learning enhances self-directed learning on the topic. Similarly, 103 (62.80%) strongly agreed and 59 (35.98%) agreed that problem based learning improves communication skills. Likewise, 78(47.57%) agreed and 53 (32.32%) strongly agreed that this learning method improves confidence in decision-making. Moreover, 89 (54.28%) agreed and 58 (35.36%) strongly agreed that tutors motivate students to learn themselves through problem based learning. CONCLUSIONS: Majority of the students have positive attitude and good perception towards problem based learning. This method helps in generating skills like communication skills, group discussion, constructive critical reasoning, decision-making.


Assuntos
Educação de Graduação em Medicina , Aprendizagem Baseada em Problemas , Estudantes de Medicina , Humanos , Nepal , Estudos Transversais , Estudantes de Medicina/psicologia , Aprendizagem Baseada em Problemas/métodos , Educação de Graduação em Medicina/métodos , Masculino , Feminino , Atitude do Pessoal de Saúde , Inquéritos e Questionários , Adulto Jovem , Autoaprendizagem como Assunto , Atitude
6.
JNMA J Nepal Med Assoc ; 62(273): 350-352, 2024 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-39356874

RESUMO

ABSTRACT: There comes a great responsibility to make patients feel better with the title of doctor. Often we meet certain moral and ethical dilemmas that cannot be solved by our medical textbook alone. It requires a certain assistance which can only be provided by medical ethics. Medical ethics is the guiding moral that guides Health Care Workers to provide a holistic approach while treating a patient. Medical ethics is the soul that can not only prevent future dilemmas but can overall make a healthcare worker 'feel' and have empathy for the patient. From the story of Paul and the true life stories of patients we encountered during our visit to the Leprosy center, we got a sense of empathy. Ethical practice and empathy are the pillars that can play a vital role in the rapidly increasing level of violence against the Health care professionals. So it is an emerging need to have medical ethics as a part of the curriculum among medical students.


Assuntos
Empatia , Ética Médica , Humanos , Empatia/ética , Faculdades de Medicina/ética , Currículo , Relações Médico-Paciente/ética , Estudantes de Medicina/psicologia
8.
BMC Med Educ ; 24(1): 982, 2024 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-39256674

RESUMO

BACKGROUND: The COVID 19 lockdown created a shift in medical education from the traditional physical classroom to online learning. OBJECTIVES: To explore the lived experiences of students in various years of medical education attending a medical college in Chennai, India. METHODS: In this qualitative exploration of lived experiences we conducted 4 focus group discussions among students of the four years in the medical college with the help of a checklist. We recorded the interviews, transcribed them and performed a thematic content analysis. RESULTS: There was a gendered impact of the lockdown on the online learning experiences with women students finding it challenging to attend classes balancing their gender roles of performing household chores. Online learning offered some advantages in the form of increased participation and engagement due to the partial anonymity. The greatest disadvantage of online learning was lack of clinical learning experience. The students resorted to fabricating case studies for discussion, which some students found useful and some commented that it can never replace real life clinical discussions. A generational gap between adoption of technology between the senior professors and the students hampered the online learning. Online assessments were challenging, and many students resorted to cheating in these exams. CONCLUSIONS: Though online learning offers several advantages, it has serious limitations in offering the clinical learning experience. While planning adoption of online learning into routine medical education adequate time must be set aside for real life clinical exposure in addition to the online lectures and demonstrations for conceptual understanding.


Assuntos
COVID-19 , Educação a Distância , Grupos Focais , Estudantes de Medicina , Humanos , Estudantes de Medicina/psicologia , Feminino , COVID-19/epidemiologia , Masculino , Índia , Pesquisa Qualitativa , SARS-CoV-2 , Educação de Graduação em Medicina/métodos , Adulto , Adulto Jovem , Educação Médica/métodos
9.
BMC Med Educ ; 24(1): 985, 2024 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-39256777

RESUMO

BACKGROUND: This research explores the perspectives and attitudes of university students in health sciences towards aging and older adults. Given the intricate interplay of factors influencing attitudes toward aging, coupled with the demographic shift in Turkey from a youthful to an aging population, the study aims to discern how a cohort of university students perceives the aging process. METHODS: Employing a mixed-methods research strategy, which enhances the depth of data interpretation, the study utilized a questionnaire for quantitative data collection. Additionally, qualitative insights were gathered through a metaphor stem-completion item appended to the questionnaire and semi-structured interviews with students. The participants were selected from the Health Sciences Faculty and School of Medicine at a Turkish university. RESULTS: The study revealed that participating students generally hold positive attitudes and demonstrate respect towards older adults. However, they also associate old age with negative aspects such as loss of autonomy and a constant need for assistance. Furthermore, older individuals are perceived as emotionally challenging and challenging to work with, irrespective of the nature and duration of interactions during their academic programs. These findings suggest a potential pathologizing perspective towards aging adults among health science students, who are prospective health professionals. CONCLUSIONS: This paper discusses the implications of the study and offers insights for program coordinators, curriculum designers, and faculty members in health sciences. The results underscore the necessity for a heightened emphasis on gerontology-related subjects within health science curricula. This emphasis is crucial for cultivating a comprehensive understanding among students of the social, psychological, cognitive, and biological changes associated with aging.


Assuntos
Envelhecimento , Atitude do Pessoal de Saúde , Estudantes de Ciências da Saúde , Humanos , Masculino , Feminino , Envelhecimento/psicologia , Turquia , Estudantes de Ciências da Saúde/psicologia , Adulto Jovem , Adulto , Inquéritos e Questionários , Estudantes de Medicina/psicologia , Idoso , Pesquisa Qualitativa
10.
F1000Res ; 13: 273, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39257449

RESUMO

The impact of learning enjoyment on motivation, enthusiasm, and overall learning experiences is significant. Previous studies, lacking an unbiased tool for measuring enjoyment and confronting various influencing factors, produced conflicting results regarding enjoyment levels in different instructional methods. Hence, we developed a learning enjoyment scale for evaluating both active and passive educational activities. We applied the developed scale to 112 first-year medical and dental students to assess their enjoyment during didactic physiology lectures and explored possible associated factors. Within this data note, we present students' responses to the developed LES. The LES encompasses six dimensions: knowledge, comprehension, application, analysis, concentration, and enjoyment. Students provided ratings for each dimension on a five-point Likert scale, spanning from 1 (strongly disagree) to 5 (strongly agree). The cumulative scores across the six dimensions range from a minimum of 6 to a maximum of 30. These total scores can be categorized as excellent (> 24), acceptable (18-24), or low (< 18). The second section of the dataset examines specific factors influencing overall enjoyment, such as teacher proficiency, topic difficulty, active student participation, objectives fulfillment, low stress levels, and self-perceived acquisition of skills. In addition to objective measurement of students' enjoyment level, the LES can be utilized for quantitative cross-comparisons between different teaching activities. By employing this dataset, we will undertake an analysis to determine the internal consistency of the Learning Enjoyment Scale (LES), with the anticipation that the outcomes will be published in another venue.


Assuntos
Aprendizagem , Humanos , Feminino , Masculino , Estudantes de Medicina/psicologia , Estudantes de Odontologia/psicologia , Inquéritos e Questionários , Prazer , Adulto Jovem
11.
BMC Med Educ ; 24(1): 993, 2024 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-39261852

RESUMO

Merhavy et al.'s study on the impact of lecture playback speeds on concentration and memory is valuable as it is one of the few studies on how different playback speeds may affect medical students' learning. However, despite the novelty of this study, some limitations concerning its methodological rigor, including statistical analyses, lack of evaluation of confounders, unclear characteristics of participants, and lack of a true control group, need to be considered in the interpretation of findings.


Assuntos
Memória , Estudantes de Medicina , Humanos , Estudantes de Medicina/psicologia , Aprendizagem , Atenção , Educação de Graduação em Medicina , Ensino
12.
BMC Med Educ ; 24(1): 976, 2024 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-39252067

RESUMO

BACKGROUND: Empathy is an essential core competency for future doctors. Unfortunately, the medical curriculum is infamously known to burn out aspiring doctors, which may potentially lead to a decline in empathy among medical students. This research was planned to understand the evolution of empathic approaches among students across the curriculum using the Interpersonal reactivity index (IRI) as a benchmark at the Royal College of Surgeons in Ireland - Medical University of Bahrain (RCSI-MUB) and University of Sharjah (UoS). METHODS: We adopted a cross-sectional design and administered an online survey to the medical students of RCSI-MUB and UoS using a modified version of the IRI along with its three subscales of empathic concern (EC), perspective taking (PT), and personal distress (PD). To identify intra- and inter-institutional variations in empathy scores, the Analysis of Variance (ANOVA) was performed separately for each institution and with both institutions combined. A two-way ANOVA was conducted for the comparison between years and institutions. For the subscale analysis of EC, PT, and PD, we used one-way ANOVA for significant differences between years at both institutions. For the gender-effect analysis, t-test was performed to examine the differences in total IRI scores at both institutions combined and at each institution separately. Additionally, an Analysis of Covariance (ANCOVA) was done to identify the influence of gender on empathy scores. RESULTS: A total of 140 students from both institutions participated in this study. We found a fluctuating pattern of empathy scores without a clear trend across the years. The sub-scales of EC, PD, and PT across academic years at both institutions showed significant differences within the EC at RCSI-MUB (p = 0.003). No significant differences were identified across other years from both institutions. There were significant differences between empathy scores from RCSI-MUB and UoS for EC (p = 0.011). Additionally, a pronounced interaction effect between year and institution was observed for PT (p = 0.032). The gender-wise analysis showed that female students had higher empathy scores than males (p = 0.004). The ANCOVA for IRI score results revealed a p-value of 0.023, indicating that gender plays a crucial role in empathy levels among medical students. The ANCOVA results revealed a p-value of 0.022 in the EC subscale. CONCLUSION: Our study unveiled intricate patterns in empathy development among medical students across years and genders at RCSI-MUB and UoS. These congruences and dissimilarities in empathy scores signal a subjective understanding of empathy by medical students. The disparities in understanding may encourage medical educators to embed empathy in standard medical curricula for better healthcare outcomes.


Assuntos
Empatia , Estudantes de Medicina , Humanos , Estudantes de Medicina/psicologia , Estudos Transversais , Masculino , Feminino , Barein , Currículo , Educação de Graduação em Medicina , Adulto Jovem , Inquéritos e Questionários , Adulto , Relações Interpessoais , Irlanda
13.
J Prof Nurs ; 54: 106-112, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39266078

RESUMO

BACKGROUND: Role-modeling videos portray how to complete a task or behave in a situation. As posited by Social Learning Theory and the Model of Transformational Learning, role-modeling videos used in the Catalyzing Relationships at the End-of-Life Program (CAREol Program©) were developed to engage and transform student learning. PURPOSE: The purpose of the study was to understand how role-modeling videos about difficult family relationships at the end of life enhance preparation of nursing and medical students for clinical practice. METHODS: A descriptive qualitative analysis was used to explore the understanding of 156 nursing and medical students' knowledge of end-of-life care expressed through journal reflections after experiencing a role-modeling video. RESULTS: Four themes emerged from the qualitative descriptive analysis: comfort, communication, time together, and forgiveness/reconciliation. CONCLUSION: Through the lens of Social Learning Theory and the Model of Transformational Learning, students learn about the importance of comfort, communication, time together, and forgiveness in family relationships at the end of life.


Assuntos
Estudantes de Enfermagem , Assistência Terminal , Humanos , Estudantes de Enfermagem/psicologia , Estudantes de Medicina/psicologia , Pesquisa Qualitativa , Gravação em Vídeo , Comunicação , Feminino , Masculino , Desempenho de Papéis , Bacharelado em Enfermagem
14.
BMC Med Educ ; 24(1): 994, 2024 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-39267024

RESUMO

BACKGROUND: Breaking bad news is one of the most difficult aspects of communication in medicine. The objective of this study was to assess the relevance of a novel active learning course on breaking bad news for fifth-year students. METHODS: Students were divided into two groups: Group 1, the intervention group, participated in a multidisciplinary formative discussion workshop on breaking bad news with videos, discussions with a pluri-professional team, and concluding with the development of a guide on good practice in breaking bad news through collective intelligence; Group 2, the control group, received no additional training besides conventional university course. The relevance of discussion-group-based active training was assessed in a summative objective structured clinical examination (OSCE) station particularly through the students' communication skills. RESULTS: Thirty-one students were included: 17 in Group 1 and 14 in Group 2. The mean (range) score in the OSCE was significantly higher in Group 1 than in Group 2 (10.49 out of 15 (7; 13) vs. 7.80 (4.75; 12.5), respectively; p = 0.0007). The proportion of students assessed by the evaluator to have received additional training in breaking bad news was 88.2% (15 of the 17) in Group 1 and 21.4% (3 of the 14) in Group 2 (p = 0.001). The intergroup differences in the Rosenberg Self-Esteem Scale and Jefferson Scale of Empathy scores were not significant, and both scores were not correlated with the students' self-assessed score for success in the OSCE. CONCLUSION: Compared to the conventional course, this new active learning method for breaking bad news was associated with a significantly higher score in a summative OSCE. A longer-term validation study is needed to confirm these exploratory data.


Assuntos
Relações Médico-Paciente , Aprendizagem Baseada em Problemas , Estudantes de Medicina , Revelação da Verdade , Humanos , Estudantes de Medicina/psicologia , Feminino , Masculino , Comunicação , Educação de Graduação em Medicina/métodos , Avaliação Educacional , Competência Clínica
15.
Can Med Educ J ; 15(4): 56-62, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39310308

RESUMO

Introduction: Near peer mentorship (NPM) programs can help support medical students' well-being. Most studies, however, have not accounted for students' underlying motives to mentor, nor focused on clinical skills development and teaching. These limitations represent opportunities to better understand what motivates medical student mentors, and how to support their autonomous motivation, clinical development, and well-being. Methods: Informed by self-determination theory (SDT), we collected data from a group of medical student mentors involved in a NPM program at the University of Saskatchewan called PULSE. We then used correlation and regression to assess the relationship between students' autonomous motivation towards mentoring, perceived competence in teaching the clinical material, and psychological well-being. Results: In line with our hypotheses, autonomous motivation towards mentoring (identified motivation in particular) was associated with higher perceived competence in clinical teaching, which in turn was associated with greater psychological well-being. Conclusions: Why medical students choose to mentor in NPM programs appears to have important implications for their clinical confidence and overall well-being. Findings are discussed in terms of designing NPM programs that support student growth and wellness in Canadian medical education.


Introduction: Les programmes de mentorat par les pairs peuvent contribuer au bien-être des étudiants en médecine. Cependant, la plupart des études n'ont pas pris en compte les motivations sous-jacentes des étudiants à devenir mentor, ni ne se sont concentrées sur le développement des compétences cliniques et l'enseignement. Ces limites ouvrent des perspectives pour mieux comprendre ce qui motive les étudiants en médecine mentors, et comment soutenir leur motivation autonome, leur développement clinique et leur bien-être. Méthodes: En nous appuyant sur la théorie de l'autodétermination, nous avons recueilli des données auprès d'un groupe d'étudiants en médecine mentors participant à un programme de mentorat par les pairs à l'Université de la Saskatchewan appelé PULSE. Nous avons ensuite eu recours à la corrélation et la régression pour évaluer la relation entre la motivation autonome des étudiants envers le mentorat, leur perception de leur compétence dans l'enseignement clinique et leur bien-être psychologique. Résultats: Conformément à nos hypothèses, la motivation autonome envers le mentorat (la motivation identifiée en particulier) a été associée à une plus grande compétence perçue dans l'enseignement clinique, qui à son tour a été associée à un plus grand bien-être psychologique. Conclusions: Les raisons pour lesquelles les étudiants en médecine choisissent d'être mentors dans les programmes de mentorat par les pairs semblent avoir des implications importantes pour leur confiance en clinique et leur bien-être général. Les résultats sont discutés en termes de conception de programmes de mentorat par les pairs qui soutiennent la progression et le bien-être des étudiants dans le secteur de l'enseignement de la médecine au Canada.


Assuntos
Mentores , Motivação , Estudantes de Medicina , Humanos , Estudantes de Medicina/psicologia , Projetos Piloto , Mentores/psicologia , Masculino , Feminino , Tutoria , Autonomia Pessoal , Adulto , Adulto Jovem , Competência Clínica , Educação de Graduação em Medicina , Grupo Associado , Bem-Estar Psicológico
16.
Can Med Educ J ; 15(4): 124-126, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39310312

RESUMO

Thriving Together, a workshop for first year medical students, addresses crucial aspects of class culture early into medical school. Through small group discussions, this student-led event creates a safe space for open dialogue and self-reflection. Participants gain valuable insights into classmates' perspectives and how to foster communication, empathy, and improved class cultures. These lessons are likely to transfer into future practice through enhanced conflict-resolution and relationship-building skills, contributing to higher-quality patient care. Because Thriving Together can readily be adopted elsewhere, we encourage other medical schools to conduct similar workshops to help in addressing an otherwise neglected aspect of medical education.


S'épanouir ensemble, un atelier destiné aux étudiants en première année de médecine, aborde les aspects cruciaux de la culture de classe dès le début des études de médecine. Grâce à des discussions en petits groupes, cet événement organisé par les étudiants crée un espace sûr pour un dialogue ouvert et une auto-réflexion. Les participants acquièrent des connaissances précieuses sur les perspectives de leurs camarades de classe et sur la manière de favoriser la communication, l'empathie et l'amélioration de la culture de classe. Ces leçons sont susceptibles d'être transférées dans la pratique future grâce à l'amélioration des compétences en matière de résolution des conflits et d'établissement de relations, contribuant ainsi à des soins de meilleure qualité pour les patients. Comme S'épanouir ensemble peut facilement être adopté ailleurs, nous encourageons d'autres facultés de médecine à organiser des ateliers similaires pour aider à aborder un aspect autrement négligé de l'enseignement médical.


Assuntos
Faculdades de Medicina , Humanos , Faculdades de Medicina/organização & administração , Estudantes de Medicina/psicologia , Educação de Graduação em Medicina/métodos , Empatia , Comunicação , Educação/métodos , Cultura Organizacional
18.
Can Med Educ J ; 15(4): 76-92, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39310320

RESUMO

Background/Objective: Medical students experience increased rates of burnout and mental illness compared to the general population. Yet, it is unclear to what extent North American medical schools have adopted formal wellbeing curricula. We sought to establish prevailing themes of existing wellbeing educational interventions to identify opportunities for further curricular development. Methods: We conducted a scoping review of the literature to identify wellbeing education programs implemented for undergraduate medical students across North America. We searched four comprehensive databases and grey literature and only included published original research. Two independent researchers screened all papers, with a third resolving disagreements. Two researchers conducted the data extraction using a continuously refined template, with a third researcher resolving any discrepancies. Results: We identified 3996 articles in the initial search of which 30 met inclusion criteria and were included for further analysis. The most common types of interventions were mindfulness and meditation practices. 27 studies found that their wellbeing sessions contributed to positive wellbeing outcomes of learners. Conclusions: Our review identified that there are few wellbeing curricular initiatives that have been evaluated and published in the literature. Additionally, the methodology and rigour of wellbeing curriculum evaluation to date leaves significant room for improvement. The existing literature does suggest that the adoption of a wellbeing curriculum has the potential to improve outcomes for medical students. These findings can be used to assist the development of a validated wellbeing curricular framework for wellbeing initiatives. However, while such a curriculum may represent an effective tool in enhancing medical trainee wellbeing, it cannot effect change in isolation; lasting and meaningful change will require concurrent shifts within the broader systemic framework and cultural fabric of the medical education system.


Contexte/Objectif: Les étudiants en médecine connaissent des taux plus élevés d'épuisement professionnel et de maladie mentale que la population générale. Pourtant, on ne sait pas exactement dans quelle mesure les facultés de médecine nord-américaines ont adopté un curriculum formel sur le bien-être. Nous avons cherché à établir les thèmes dominants des interventions éducatives existantes en matière de bien-être afin d'identifier les possibilités de développement curriculaire. Méthodes: Nous avons procédé à un examen approfondi de la littérature à la recherche de programmes de formation en matière de bien-être mis en œuvre pour les étudiants en médecine de niveau prédoctoral en Amérique du Nord. Nous avons interrogé quatre bases de données exhaustives et la littérature grise et n'avons retenu que les recherches originales publiées. Deux chercheurs indépendants ont examiné tous les articles, un troisième étant chargé de résoudre les éventuels désaccords. Deux chercheurs ont procédé à l'extraction des données en suivant un modèle prédéterminé qui a été affiné de façon itérative, un troisième chercheur étant chargé de résoudre les éventuelles divergences. Résultats: Nous avons identifié 3996 articles lors de la recherche initiale, dont 30 répondaient aux critères d'inclusion et ont été retenus pour une analyse plus approfondie. Les types d'interventions les plus courants étaient les pratiques de pleine conscience et de méditation. Au total, 27 études ont montré que leurs sessions de bien-être contribuaient à des résultats positifs quant au bien-être des apprenants. Conclusions: Notre revue de la littérature actuelle a révélé que peu d'initiatives curriculaires en matière de bien-être ont été évaluées et publiées dans la littérature. En outre, la méthodologie et la rigueur de l'évaluation des curriculum sur le bien-être à ce jour laissent une grande place à l'amélioration. La littérature existante suggère que l'adoption d'un curriculum sur le bien-être peut améliorer les résultats des étudiants en médecine. Ces résultats peuvent être utilisés pour aider au développement d'un cadre validé de curriculum sur le bien-être pour les initiatives dans ce domaine.


Assuntos
Currículo , Faculdades de Medicina , Humanos , América do Norte , Faculdades de Medicina/organização & administração , Educação de Graduação em Medicina , Esgotamento Profissional/psicologia , Esgotamento Profissional/prevenção & controle , Estudantes de Medicina/psicologia , Estudantes de Medicina/estatística & dados numéricos , Atenção Plena
19.
Can Med Educ J ; 15(4): 1-4, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39310328
20.
MedEdPORTAL ; 20: 11438, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39310914

RESUMO

Introduction: Research has shown the importance of diversity in improving patient care. Medical students from backgrounds underrepresented in medicine (UIM) face unique challenges, including minority tax, stereotype threat, and expectations to be the sole representative of their identity group. Mentors must be aware of these challenges and develop skills to address them. Methods: We designed a 90-minute workshop about the challenges UIM students encounter in medical school and best practices in mentorship. Target audience and facilitators were undergraduate medical educators. Three videos and questions for case-based facilitated small-group discussion with medical school faculty and administrators were included. Using a retrospective pre-post design, we elicited participants' confidence level in recognizing and addressing issues UIM students may experience and plans to apply skills gained in the workshop. Results: Workshop participants (N = 57) reported a mean increase in confidence rating of 20-26 points out of 100 for recognizing, identifying, and applying skills related to optimal UIM mentorship (mean confidence: 53-60 preworkshop, 79-81 postworkshop). Participants also reported a mean of 82 in readiness to apply skills learned. Participants rated the workshop a 4.6 in overall helpfulness on a 5-point Likert scale (1 = not helpful, 5 = extremely helpful). Discussion: Health care professionals working with UIM medical students have an essential role in mentorship and support. This workshop provides a structured forum to discuss challenges and build awareness, comfort, and skills regarding engaging in meaningful discussions about race and the experiences of medical students, even when identities are incongruent.


Assuntos
Educação de Graduação em Medicina , Mentores , Grupos Minoritários , Estudantes de Medicina , Humanos , Estudantes de Medicina/estatística & dados numéricos , Estudantes de Medicina/psicologia , Educação de Graduação em Medicina/métodos , Estudos Retrospectivos , Diversidade Cultural , Educação/métodos , Masculino , Feminino
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