Classes Of Medical Students Research Articles

Studying the effectiveness of self-directed education in learning and teaching the otolaryngology module in an integrated-based curriculum

IntroductionSelf-learning is a learning process in which students harvest the enterprise, to express their learning goals, choose assets for learning, practice learning strategies, and assess the outcomes achieved. Many forms of self-learning were introduced in integrative medical curricula such as Team-based learning (TBL) and Problem-based learning (PBL). This study aims to evaluate self-learning in the otolaryngology module and determine the type of self-learning that students prefer and which of these types has a stronger impact on achieving the educational objectives of the module. Material and methodsA cross-sectional study was done on the 270 students of studied the otolaryngology module in three consecutive years representing the whole class of the fifth-year medical students along three consecutive years. A Likert scale questionnaire was distributed to measure the students’ satisfaction with the current teaching and learning. ResultsThe obtained results revealed higher students ‘satisfaction with TBL than other modalities supported by high achievement in TBL-related questions. In addition, there is a significant difference between TBL and PBL (p = .00044). No significant differences were obtained either between TBL and CBL (p = .16570) or between TBL and Seminar presentation (p = .16570). In addition, no significant correlations were obtained between PBL and CBL (p = .34677), between PBL and seminar presentation (p = .46496), and between CBL and seminar (p = .99967). ConclusionThe results showed that the highest students’ satisfaction was towards TBL compared to other educational methods. These results encourage clinical educators to insert and implement TBL in most of the integrative curriculum modules, especially that of the clinical years.

Medical students' perspective on the United States Medical Licensing Examination (USMLE) Step 1 transition to Pass/Fail

Background The transition of the United States Medical Licensing Exam: Step 1 to Pass/Fail (P/F), from scored, caused uncertainty about students’ preparedness and wellbeing related to the exam. Comparison of study behavior and results, before and after the P/F transition can provide insights for the medical curriculum and student support. The aim of this study is to evaluate students’ perceptions of their efforts in Step 1 preparation, as compared to cohort performances to determine the impact of the transition of Step 1 to P/F on medical students. Methods Data from four cohorts of second-year medical students (Class of 2022–25, N = 204) were collected from their dedicated Step 1 self-study block. Student study regiments, aggregate practice test results, Step 1 pass rates and post-block self-reported surveys were analyzed qualitatively to compare student effort and outcomes for scores and P/F cohorts. Results Analysis of practice exam averages across the four student cohorts demonstrates a potentially slower and less rigorous start to Step 1 self-studying during the dedicated preparation block for the cohorts that took the P/F Step 1 exam format as compared to the previous cohorts that prepared for a scored Step 1 exam. Similarly, self-reported study regiments decreased in the median number of hours/day and number of weeks of study for the cohorts with P/F Step 1 exam. There was also a slight shift in the type of study resources used, between the two groups, with the scored group using more traditional board preparation resources. Conclusions The P/F transition of the Step 1 exam may lead to reduced student preparedness and may require adjustments in the resources and support provided by institutions.

The Correlation Between the Level of Depression and Religious Coping Among Medical Students Class of 2020 Universitas Airlangga

Introduction: Medical students are at risk of developing depression due to their demanding workload and high expectations, which can impact their academic performance and cognitive function. To prevent severe complications, students must prioritize resources for mental health support, namely religious coping as a coping mechanism. Objective: The aim of this study is proof the correlation between depression levels and religious coping in medical students class of 2020 Universitas Airlangga Methods: This research is an observational analytic study with a cross-sectional design, and random sampling was used as a sampling method, totaling to 90 subjects. Variables used were religious coping and level of depression. The data was then analysed and prevalence, correlation coefficient and p-value were acquired. The research result would be considered significant if p <0.05. Result: Out of 90 students, 32 people (35.6%) are found to have a PHQ score more than 10, indicating depression. Severity was found mostly have moderate depression, which consisted of 12 people (13.3%). For religious coping, 84 people (93.3%) use positive religious coping, and 6 people (6.7%) use negative religious coping. The level of depression correlates with religious coping with a Pearson correlation of -0.450, indicating a negative correlation with a p-value less than 0.001. Conclusion: The prevalence of depression among medical students class of 2020 Universitas Airlangga is 35.6%. Level of depression in found to significantly correlates with religious coping with an opposing direction of correlation.

Medical students' perspective on the United States Medical Licensing Examination (USMLE) Step 1 transition to Pass/Fail

Background The transition of the United States Medical Licensing Exam: Step 1 to Pass/Fail (P/F), from scored, caused uncertainty about students’ preparedness and wellbeing related to the exam. Comparison of study behavior and results, before and after the P/F transition can provide insights for the medical curriculum and student support. Methods Data from four cohorts of second-year medical students (Class of 2022–25, N = 204) were collected from their dedicated Step 1 self-study block. Student study regiments, aggregate practice test results, Step 1 pass rates and post-block self-reported surveys were analyzed. Results Analysis of practice exam averages across the four student cohorts demonstrates a potentially slower and less rigorous start to Step 1 self-studying during the dedicated preparation block for the cohorts that took the P/F Step 1 exam format as compared to the previous cohorts that prepared for a scored Step 1 exam. Similarly, self-reported study regiments decreased in the median number of hours/day and number of weeks of study for the cohorts with P/F Step 1 exam. There was also a slight shift in the type of study resources used, between the two groups, with the scored group using more traditional board preparation resources. Conclusions The P/F transition of the Step 1 exam may lead to reduced student preparedness and may require adjustments in the resources and support provided by institutions.

Systems approach in planetary health education for medical students: a mixed methods study

BackgroundIntroducing students to the "planetary health lenses" perspective is crucial. Comprehensive strategies for teaching this perspective are lacking, especially in the domains of "interconnection within nature (IWN)" and "systems thinking/complexity." There is also a scarcity of studies assessing medical students' opinions on planetary health and evaluating teaching strategies.ObjectiveTo understand Brazilian medical students' perceptions and knowledge of planetary health (PH) and evaluate the application of the educational material "Patient and Clinic through the Lens of Planetary Health," which addresses "IWN" and "complexity" through the sociological lens of Actor-Network Theory, in an integrative course at a medical school in Brazil.MethodsA mixed-methods, quasi-experimental design involving two medical student classes during 2022/2023. Participants completed a questionnaire on sociodemographic data; pre- and post-intervention closed-ended questions about perceptions related to PH, and an open-ended questionnaire on experience and learning. Each student group presented a portfolio under the planetary health lenses regarding a real patient, developing a network diagram that described the social network involving both human and non-human actors with which this person is interconnected. The cohorts participated in "IWN" activities: a contemplative trail or reflection on belonging to the planet.ResultsNinety-six students and 9 professors participated. The majority of students (66.7%) reported significant or extremely significant learning from the sessions. There was an increase in perception of the need for physicians to incorporate PH into their clinical practice (p = 0.002; r = 0.46) and an intensification of the sense of interconnection with the environment (p = 0.003; r = 0.46). There was a gain in knowledge about how many diseases were related to PH (p < 0.02 for all 13 listed diseases). The majority (83%) found the sessions relevant or highly relevant and commented on their impact, both professionally and personally.ConclusionsTeaching PH in a medical school allowed students to learn from the patient's perspective, considering psychosocial and environmental determinants, about the intrinsic interdependence between population's health and PH. This strategy made a significant contribution by proposing pioneering didactics and offering valuable insights into the challenges and nuances of teaching PH.

PROPORTION AND CHARACTERISTIC OF MYOGENIC LOW BACK PAIN IN UNDERGRADUATE MEDICAL STUDENTS OF UDAYANA UNIVERSITY CLASS OF 2020

&#x0D; &#x0D; &#x0D; Myogenic low back pain is one type of low back pain that is common but often undiagnosed. Medical students are packed with lecture and study activities so they are more at risk of experiencing low back pain. This study is to determine the proportion, characteristics of sufferers and characteristics of myogenic low back pain in medical students at Udayana University class of 2020. This study is a descriptive cross-sectional study with a sample size of 90 people who meet the inclusion criteria. Sampling using consecutive sampling method. Data collection by filling out an online questionnaire via Google Form and checking the presence of MPS through palpation by a neurology resident. Data analysis was performed using SPSS version 25. The proportion of myogenic low back pain sufferers in medical student class of 2020, Udayana University was 26.7%. The characteristics of the majority of sufferers were 20 years old (41.7%), female (70.8%), normal BMI (91.7%), occasional exercise (62.5%), sitting duration ?4 hours (95.8%), and hunched sitting position (75%). The characteristics of myogenic low back pain were mostly acute (62.5%), pain was felt gradually (62.5%), and the pain scale was mild (54.2%). Respondents mostly chose non-pharmacological therapy by lying down or stretching (95.8%). Out of the 90 respondents who were included in the inclusion criteria in this study, there were 24 (26.7%) respondents who experienced myogenic low back pain with different characteristics from previous studies. Further research with a larger population and causal relationship studies needs to be done to find out the exact cause of myogenic low back pain and how to avoid it.&#x0D; &#x0D; &#x0D;

Introduction to Tobacco Cessation and Motivational Interviewing: Evaluation of a Lecture and Case-Based Learning Activity for Medical Students.

Introduction Despite the fact that tobacco use continues to have significant public health impacts, most healthcare providers are notadequately trained to counsel patients on their tobacco use or to provide cessation resources. Although all healthcare providers have a role in providing tobacco cessation assistance, physicians and advanced practice providers are generally the only practitioners able to furnish tobacco cessation medications and bill insurance for their cessation services. Therefore, ensuring these practitioners are properly trained to offer tobacco cessation to their patients is critical to addressing this public health threat. In line with this goal, this study outlines the curriculum evaluation for an innovative student-facilitated tobacco cessation activity for medical students. Methods A lecture and case-based learning activity was created and piloted with a class of first-year medical students. The activity was facilitated by fourth-year medical students. Students took a pre-session survey to establish baseline experience and beliefs and a post-session survey to ascertain their confidence in applying what was covered in the session. Descriptive statistics were utilized to analyze the data. Results One hundred and twenty-eight students completed both surveys. Prior to the activity, students reported low levels of confidence in their ability to counsel patients and knowledge of cessation resources. Following the activity, more than 90% reported improvement in their ability to assess a patient's willingness to quit and counsel those ready to quit. Greater than 80% reported an improvement in their ability to counsel patients not ready to quit and to establish a quit plan. More than 90% of students reported that the session increased their self-efficacy in helping patients quit and that it was worth their time, with 96% committing to increasing their tobacco cessation efforts with their patients. Discussion Students valued the training and almost all reported that it increased their ability to help patients quit smoking. The use of student-facilitated case-based learning provided both an opportunity for students to practice cessation techniques and a low-stakes introduction to the OSCE format without the need for extensive faculty resources. Although this session was run with first-year medical students, the curriculum presented can be used for residents, nurses, and other healthcare professionals.

The Relationship between Religious Coping and Resilience in Universitas Airlangga Medical Students Class of 2020 in Pandemic Time

Introductions: During the COVID-19 epidemic, college students were expected to adjust to varied daily routines, resulting in pressure and bad emotional sensations in each individual. This situation necessitates college students’ attempts to better their survival through coping. Religion is one coping mechanism that may be used to help pupils reduce stress. The presence of resilience is another characteristic that can overcome any challenges. Coping is used to deal with stress caused by challenges, and spirituality is regarded as one part of developing excellent resilience. Objectives: Researchers decided to undertake a study to see whether there is a relationship between religious coping and resilience in the Faculty of Medicine, Universitas Airlangga students class of 2020 during a pandemic. Methods: This cross-sectional observational analytic study collects primary data using two questionnaire instruments, BRIEF RCOPE and Growth-Focused Resilience. Non-random sampling was used to collect samples from 208 Faculty of Medicine, Airlangga University students class of 2020. The Chi-Square Test was used to examine the data using the SPSS version 21 tool. Results: The p-value (sig) was 0.000 (0.05), indicating a significant connection between religious coping characteristics and resilience variables. Religious coping has been shown to be one of the variables affecting and associated with resilience; effective coping will lead to good growth and vice versa. Conclusions: It is possible to infer a substantial association between religious coping and resilience among the Faculty of Medicine, Universitas Airlangga students class of 2020.

Gambaran Burnout Akademik Mahasiswa Kedokteran Universitas Airlangga Angkatan 2021

A heavy academic burden puts medical students at a higher risk of experiencing academic burnout when compared to the general population. Academic burnout is a term used to describe emotional reactions in the form of fatigue, depersonalization, and decreased self-efficacy in students. This study aims to determine the description of academic burnout in Airlangga University medical students class of 2021. This study used an observational analytic study design with a cross-sectional research design to determine the description of academic burnout in medical study program students. This research was conducted at the Faculty of Medicine, Airlangga University in February–May 2023. Measurement of the level of academic burnout in students was carried out using an online school burnout inventory questionnaire via gform. Respondents who took part in the study amounted to 93 respondents with the majority of respondents 60 students (64.5%) were female and 33 students (35.5%) were male, the age of the respondents was 17-21 years. The most common category of academic burnout found in low category of academic burnout represented by 30 students (32.3%), 8 students (8.6%) with very low academic burnout, 28 students (30.1%) with medium academic burnout, 22 students (23.7%) with high academic burnout, and 5 students (5.4%) with very high academic burnout.

Efektifitas Penggunaan Gel Aloe Vera Dalam Peyembuhan Kulit Berjerawat (Acne Vulgaris) Pada Mahasiswa Kedokteran Universitas Muhammadiyah Sumatera Utara Angkatan 2019

Introduction: acne vulgaris is included in the disease that can heal itself (self-limited disease). Found in all age groups, which is chronic inflammation of the pilosebaceous follicles. The cause of acne vulgaris is multifactorial with clinical features in the form of blackheads, papules, pustules, nodules and cysts. Aloe Vera is a fugsional plant because all parts can be utilized. The part of aloe vera that is cut there is mucus in the form of a gel can stimulate the formation of epidermal tissue and help the skin regeneration process. This study aims to determine the Effectiveness of Aloe Vera Gel in Healing Acne Skin (Acne Vulgaris) in Muhammadiyah North Sumatra Medical Students Class of 2019. Method: Involving 30 respondents who have acne vulgaris. It is a one-group observation experimental study Pretest-Posttes Design. The examination of the degree of acne vulgaris is assessed based on the criteria of the Indonesia Acne Expert Meeting (IAEM). The collected data were analyzed using the Wilcoxon test. Results: From the characteristics of respondents based on sex, dominated by women, namely 22 respondents (73.3%) compared to 8 respondents (26.7%). The majority of mild degrees were 18 respondents (60%), followed by moderate acne 12 respondents (40%). In the first use, there were data results, namely as many as 18 respondents (60%) had mild acne levels, while 12 respondents (40%) had moderate acne levels. In the second use, 18 respondents (60%) had mild skin, while 12 respondents (40%) had moderate skin. In the third use, it can be seen from the results of the data, namely skin that experienced moderate degrees to 7 respondents (23.3%), while 23 respondents (76.7%) still had skin with mild degrees. Conclusion: There is a significant effectiveness of aloe vera gel in healing acne prone skin in Medical Students of the University of Muhammadiyah North Sumatra, Class of 2019.

Block-based teaching method based on cybernetics: a trial with 115 Chinese undergraduate medical students

BackgroundClass attendance is important for academic performance. Personal interactions between teachers and students are difficult in large classes; the number of medical undergraduate students in China ranges from dozens to over 100. It is important for teachers to control the teaching process to improve student attendance and participation.MethodsTwo classes of fourth-year undergraduate medical students, with each class comprising 115 students, participated in the study. One class, the trial group, was taught by the block-based teaching method based on cybernetics. This study was conducted with three of the courses in the Introduction to Oncology subject, and the trial group’s courses included several blocks. Each block had a test paper that the students responded to immediately in class using the Internet. The teacher obtained feedback from the students when the rate of correct responses to block-test questions was less than 90%. The teacher adjusted the teaching in the following blocks according to the feedback information. The other class, the control group, was taught using the traditional lecture-based teaching method.ResultsThe average attendance in the trial group was 104/115 (90.43%), and that in the control group was 83/115 (72.17%) (p = 0.0003). The teacher adjusted the teaching three times in the radiotherapy course owing to the complex ideas. After feedback, information on chemotherapy for the upper body was adjusted once, as was that on chemotherapy for the lower body, owing to students’ attitudes. The average total score of the trial group was 86.06 ± 17.46 and that of the control group was 80.38 ± 6.97 (p = 0.041). Questionnaire I showed that the trial group students’ attendance and participation were better than in the control group. Questionnaire II showed that the block-based teaching method based on cybernetics was approved by the students.ConclusionsThe block-based teaching method based on cybernetics used in medical classes with large numbers of Chinese undergraduate students had positive effects.

The US Supreme Court and Affirmative Action: The Negative Impact on the Physician Workforce

PurposeMaintaining admissions of underrepresented students to medical schools is essential to securing a diverse health care workforce. Empirical evidence indicates that minority patients may prefer practitioners of their own race. The recent US Supreme Court decision concerning affirmative action makes this goal more difficult, but medical schools can still work within the language of the law to redouble their efforts to seat a diverse class of medical students. MethodsWe examined the literature correlating the availability of minority physicians and the health outcomes of the patients they serve. We also examined the literature on race-conscious policies of medical schools intended to address the shortage of minority physicians considering the benefits achieved through a diverse field of health care workers. We also examined the law and the recent US Supreme Court opinion, including the application of equal protection principles, to suggest strategies to seat a diverse class of students within the scope of the law. FindingsInstitutions have maintained the status quo of disparate distributions of professions by race through structural biases that also limit access to medical schools. The new US Supreme Court decision is expected to exacerbate this disparity unless medical schools engage in admissions protocols that actively solicit the character and unique abilities that each of the applicants can offer to contribute to the medical school and the health care profession. ImplicationsThe new US Supreme Court mandate is likely to create challenges for medical schools in their efforts to recruit and seat minority applicants. The mandate provides little discussion, suggesting a lack of understanding of the downstream public health consequences to patients if medical school applicants are denied the benefits of race-conscious admissions policies. Nevertheless, the language of the US Supreme Court's opinion may provide a viable path forward, at least with respect to medical schools where the need for a diverse pool of health care practitioners is particularly compelling.

Relationship between Physical Activity with Sleep Quality in The Pandemi Time of Yarsi University Students Class of 2020 and The Review According to The Islamic Point of View

Sleep is one of the basic human needs, meaning that humans naturally need sleep as a daily necessity. Sleep quality is influenced by many things, one of which is physical activity. The Covid-19 pandemic has made students spend a lot of time at home which allows them not to do physical activity. This study aims to determine the relationship between physical activity and sleep quality of students at the medical faculty of YARSI University. This research is a correlational study with a cross sectional design. The population of this study were YARSI University medical faculty students class of 2020. The sampling technique was purposive sampling. The total sample is 142 students. Physical activity instruments using the Global Physical Activity Questionnaire and the Pittsburgh Quality Sleep Index as sleep quality instruments. Data analysis using Chi Square with a confidence level of 95%. The results of the chi square analysis obtained a value (p) = 0.013 and Odd Ratio (OR) = 3.097. These results indicate that there is a significant relationship (p&lt;0.05) between physical activity and sleep quality. Subjects who are active in physical activity have the opportunity to get good quality sleep 3,097 times higher than subjects who are not active.

The Influence of Anxiety Levels Facing Medical Exams to Urinary Incontinence in YARSI University Medical Students Class of 2019 and 2020, and A Review Through Islamic Perspectives

Background: Urinary incontinence is the involuntary excretion of urine at any given condition. Medical exams experienced by medical students could induce anxiety, which could lead to urinary incontinence. Through an Islamic viewpoint, individuals suffering from urinary incontinence are constantly unclean and require certain ways to practice worship. This study aims to determine the relationship between anxiety levels and age; anxiety levels and gender; the correlation between anxiety levels and urinary incontinence; identifying anxiety levels; and the severity of urinary incontinence symptoms within YARSI University Medical Students Class of 2019 and 2020, as well as how to pray and ablute for individuals with urinary incontinence.Method: This study is qualitative research done as an analytical observational study with cross-sectional study design. The research instrument used the Urogenital Distress Inventory questionnaire (UDI-6) and the Hamilton Anxiety Rating Scale (HARS). The research was conducted on YARSI University Medical Students Class of 2019 and 2020 with a sample size of 209 participants. Data analysis utilized Kruskal Wallis, Kolmogorov-Smirnov, and Spearman Correlation statistical tests.Results: The level of anxiety experienced by most students is a mild level of anxiety. The highest severity of urinary incontinence symptoms was experienced by students with moderate to severe anxiety levels. No significant relationship was found between age and gender with anxiety levels. There is a positive correlation with moderate strength between the level of anxiety and urinary incontinence.Conclusion: No relationship was found between anxiety levels facing medical exams with age nor gender and a positive correlation with moderate strength was found between anxiety levels medical exams and urinary incontinence within YARSI University Medical Students Class of 2019 and 2020.

Medical Student Enrollment in a Voluntary Medical Innovation Course.

There is an increasing need for medical innovators to help address the growing challenges within health care. Despite this, the rate of adoption of new medical innovation programs at the United States (US) medical schools has been slow. Existing literature explaining this slow rate of adoption is scant. We examined the rate of student enrollment in a voluntary medical innovation course during an unscheduled summer at our institution and the educational backgrounds of these enrollees. This mixed qualitative and quantitative survey study comprised consecutive surveys quantifying a two-stage sign-up process for a voluntary summer medical innovation course for Medical Doctorate (MD) candidates at the David Geffen School of Medicine. After a "General interest" survey, interested students completed an "Enrollment" survey to indicate enrollment, educational background, and open-ended comment about motivations for enrollment. Surveys were administered electronically via email listservs. Statistical methods included chi squared testing with statistical significance defined as p < 0.05. A total of 12% of UCLA Class of 2024 expressed an interest in participation in the program, and 10.3% ultimately enrolled. Enrollees were motivated primarily by the opportunity to learn about medical innovation (72%) and also shadow (28%). Enrollees were similar in undergraduate degrees and majors to the general medical student class and US MD candidate population. A lack of medical student willingness to participate may not underlie the observed slow rate of adoption of medical innovation programs at US MD programs given the observed high voluntary enrollment rate. Enrollee educational background did not differ significantly from non-enrollees or the broader US MD candidate population. Educators should be encouraged by these data to explore student willingness to participate in medical innovation education at their institutions.

The Relationship between Stress Levels and Insomnia Levels in Students of the Faculty of Medicine, Indonesian Muslim University

The incidence of stress continues to increase over time, students in their activities cannot be separated from stress. If someone feels anxiety, and anxiety is more likely to cause sleep disturbances, the most common sleep disorder among students is insomnia. This research aimed to determine the relationship between stress levels and insomnia levels in medical students class 2018, 2019, and 2020 Indonesian Muslim universities. This study is a descriptive analytic study with a cross-sectional design. Samples were taken by total sampling. Data were collected using the Depression Axiety Stress Scale (DASS) questionnaire and the Jakarta Biological Psychiatry Study Group questionnaire- Insomnia Rating Scale (KSPBJ-IRS). This research took place in December 2021-January 2022. Based on result from 527 respondents there were 254 or 42.8% normal people (not stressed), 69 or 12.1% mild stress, 112 or 19.6% moderate stress, 66 or 11.5% severe stress, and 80 or 14 ,0% experienced severe stress. As for insomnia, 161 or 28.1% of respondents had no complaints of insomnia, 257 or 44.9% had mild insomnia, 134 or 23.4% had moderate insomnia, 20 or 3.5% of respondents had severe insomnia. From the results of the correlation test, it was found that a strong positive relationship was indicated by a significant value of p &lt; 0.000 and r = 0.706, because the p value was &lt; 0.005 and the r value was positive and located between 0.60-0.799. There is a significant relationship between stress levels and insomnia levels in students of the Faculty of Medicine, Class of 2018, 2019, and 2020, Universitas Muslim Indonesia

Description of The Effect of The Covid-19 Pandemic on The Sleep of Yarsi University Medical Students Class of 2020 and 2021 and It's Review from Islamic Perspective

The current Covid-19 pandemic causes psychosocial problems such as stress, worry, anxiety, depressive symptoms, and sleep disturbances. College students are one of the populations affected by this pandemic. In recent months, students have changed their routine due to the COVID-19 pandemic allowing students to adjust their study hours as they no longer have to attend the usual morning classes in the classroom. All of these changes to learning systems and schedules are additional factors in sleep problems, and affect performance. The purpose of this study was to describe the influence of the Covid-19 pandemic on sleep patterns of Yarsi University Medical Students Batch 2020 and 2021. The type of research that will be used in this study is an analytical survey research. The population in this study were all students of the Faculty of Medicine, YARSI University, class of 2020, totaling 211 students and class of 2021, totaling 146 students. This study used univariate and bivariate analysis methods. The results of the study show that students affected by the COVID-19 pandemic have poor sleep patterns. In the Islamic view, sleep can restore energy, with regular sleep patterns and good quality sleep will affect the health of the body. This shows that according to Islamic rules sleep is an important activity for humans to keep the body healthy

Comparison of Changes in Speciality Choices and Future Career Plans between Public and Private Medical Students Over Five Years of Medical Studies.

This study aimed to compare medical students' satisfaction with their choice of the medical field in their fifth year to their first year of MBBS and to compare speciality choices and career plans between public and private medical students. It was an online survey conducted from December 2020 to April 2021. Two consecutive classes of final-year medical students from five medical schools (2 public and 3 private) were included. They were asked about their satisfaction with the medical profession, intentions to practice abroad, intended speciality, and career plans in the final year and the first year of medical school via a 24-item semi-structured pre-piloted questionnaire. Of 468 responses (34.41% response rate), 331 (70.7%) were females. There was a significant change (p = 0.002) in the intention of students to practice abroad, however, no significant change (p=0.11) in their satisfaction with the medical profession was observed. Key Words: Career choices, Medical students, Medical schools, Personal satisfaction, Pakistan.

Usage of the online platform teams for organizing independent work during practical classes of medical faculty students

The article analyzes the advantages and disadvantages of distance learning in the modern educational process, as well as the conditions for optimal quality organization of independent work of medical faculty students in practical classes. The article formulates the main requirements for creating tasks for the Forms application of the Microsoft Teams online platform, the implementation of which contributes not only to the reproductive recreation of knowledge but also to the development of the ability to analyze, think, draw conclusions and use one's knowledge in practice.

The Dobbs Decision and Its Geographical Effect on Future Physician Training [ID: 1380882

INTRODUCTION: The United States is experiencing a physician shortage, particularly in rural and lower socioeconomic status regions. The Dobbs v Jackson Women's Health decision puts individual state health care access at the forefront of future physician's decisions on where to train and practice medicine. This study assesses how access to abortion care is changing where medical students choose to apply to residency. METHODS: This study surveyed third- and fourth-year U.S. medical students applying into U.S. residency programs from August 6, 2022, to October 22, 2022. Participants were selected via convenience sampling through social media and direct outreach to U.S. medical school admissions offices, medical student class presidents, and medical student organizations. 494 complete responses were analyzed. RESULTS: The majority (77.0%) of respondents across all medical specialties reported that access to abortion care, or lack thereof, affects the location of residency programs to which they apply. Over half (58.1%) of respondents said they are unlikely to apply to a residency program located in a state with abortion restrictions. The sample represented students applying to many specialties, with obstetrics and gynecology applicants comprising 21.6% of the sample. CONCLUSION: This study found that the majority of third- and fourth-year medical students' residency choices, across all specialties, are influenced by state abortion laws. Future physicians are choosing where to attend residency based on state abortion policies, indicating that access to abortion care is changing the landscape of medical practice, and has the potential to shift the geographical makeup of health care.