Experience Of Doctors Research Articles

A novel AI-based diagnostic model for pertussis pneumonia.

It is still very difficult to diagnose pertussis based on a doctor's experience. Our aim is to develop a model based on machine learning algorithms combined with biochemical blood tests to diagnose pertussis. A total of 295 patients with pertussis and 295 patients with non-pertussis lower respiratory infections between January 2022 and January 2023, matched for age and gender ratio, were included in our study. Patients underwent a reverse transcription polymerase chain reaction test for pertussis and other viruses. Univariate logistic regression analysis was used to screen for clinical and blood biochemical features associated with pertussis. The optimal features and 3 machine learning algorithms including K-nearest neighbor, support vector machine, and eXtreme Gradient Boosting (XGBoost) were used to develop diagnostic models. Using univariate logistic regression analysis, 18 out of the 27 features were considered optimal features associated with pertussis The XGBoost model was significantly superior to both the support vector machine model (Delong test, P = .01) and the K-nearest neighbor model (Delong test, P = .01), with the area under the receiver operating characteristic curve of 0.96 and an accuracy of 0.923. Our diagnostic model based on blood biochemical test results at admission and XGBoost algorithm can help doctors effectively diagnose pertussis.

From Dreaming to Forging Ahead ——Analysis of the Ideological and Political Elements of the Curriculum in the Growth Experience of the Four Masters in Jin and Yuan Dynasties

Chinese medicine is an important resource and excellent carrier for carrying out ideological and political education based on excellent traditional culture. From the experience of famous doctors of traditional Chinese medicine and the teaching of biographies, we can purify the purpose of practicing medicine, learn the way of refinement, understand the principle of fame, and practice the benevolence of doctors to effectively improve the quality of ideological and political education in the classroom from multiple angles and stages. Compared with the above four aspects, it points out that the growth experience of the four masters in the Jin and Yuan Dynasties is closely related to the spirit of "respecting and protecting life, saving the dying and healing the wounded, being willing to dedicate, and loving people without boundaries", analyzes the ideological and political elements of the curriculum with "cultural people, moral people, and medical talents" as the main body, and points out that the growth experience of the four masters in the Jin and Yuan Dynasties can enrich the basic knowledge of Chinese medicine and shape the soul of Chinese medicine literacy, Promote the profound skills of traditional Chinese medicine to carry out ideological and political education.

Experience as a physician attending to traffic accident victims in hospitals in Managua, Nicaragua

Introduction: Every 23 seconds a person dies from a traffic accident in the world, that is about 3756 deaths per day, with the consequent impact on relatives and health personnel. Doctors are part of the health team that is on the front line of care. Although this is part of their daily work, their feelings and emotions are deeply affected. There is a deficit of research of this type carried out by doctors.Methodology: Qualitative study, under the constructivist paradigm with a phenomenological approach. The objective was; explore the lived experience of doctors who treat victims of traffic accidents. The sample was intentional with five participating physicians . The phenomenological interview was used as an information collection technique and analyses were carried out according to Van Manen.Results: From the analysis, 15 codes were obtained inductively, which gave rise to 6 sub-themes: Impacts of Tragedies; Communication of bad news; Becoming of emotion; Coping; Narratives that endure and Resignation that in turn made up the 3 central themes: Body Lived in the impact, Time Lived in the here and after and Human Relations lived: between narratives and resignation.Conclusion: The study reveals that doctors are indirect victims of adverse events in the face of damage to the patient and their family in the face of a traffic accident. Constant monitoring of their psychological and emotional well-being, training communication strategies and improving patient-centered curricular programs are recommended. Extending the study to other specialties would enrich this understanding..

Enhancing the doctoral experience: factors influencing academic success and well-being of Ph.D. students in a cultural context

Enhancing the doctoral experience: factors influencing academic success and well-being of Ph.D. students in a cultural context

I See You: A Dual Testimonio of The Latina Doctoral Experience

This article is a dual testimonio of the doctoral experiences of two Latina doctoral candidates. It focuses on the context of the Hispanic community and the lack of Hispanic female representation in academia. It examines the influence of colonialism, sexism, racism, and socioeconomic disadvantages throughout their journey. These testimonios are a raw reflection of the struggle as a female, academic scholar, and human being within a boxed academic society.

Evaluating the interactions of Medical Doctors with chatbots based on large language models: Insights from a nationwide study in the Greek healthcare sector using ChatGPT

In this AI-focused era, researchers are delving into AI applications in healthcare, with ChatGPT being a primary focus. This Greek study involved 182 doctors from various regions, utilizing a custom web application connected to ChatGPT 4.0. Doctors from diverse departments and experience levels engaged with ChatGPT, which provided tailored responses. Over a month, data was collected using a form with a 1-to-5 rating scale. The results showed varying satisfaction levels across four criteria: clarity, response time, accuracy, and overall satisfaction. ChatGPT's response speed received high ratings (3.85/5.0), whereas clarity of information was moderately rated (3.43/5.0). A significant observation was the correlation between a doctor's experience and their satisfaction with ChatGPT. More experienced doctors (over 21 years) reported lower satisfaction (2.80–3.74/5.0) compared to their less experienced counterparts (3.43–4.20/5.0). At the medical field level, Internal Medicine showed higher satisfaction in evaluation criteria (ranging from 3.56 to 3.88), compared to other fields, while Psychiatry scored higher overall, with ratings from 3.63 to 5.00. The study also compared two departments: Urology and Internal Medicine, with the latter being more satisfied with the accuracy, and clarity of provided information, response time, and overall compared to Urology. These findings illuminate the specific needs of the health sector and highlight both the potential and areas for improvement in ChatGPT's provision of specialized medical information. Despite current limitations, ChatGPT, in its present version, offers a valuable resource to the medical community, signaling further advancements and potential integration into healthcare practices.

Vancomycin-Loaded Sol-Gel System for In Situ Coating of Artificial Bone to Prevent Surgical Site Infections.

Surgical site infections (SSIs) related to implants have always been a major challenge for clinical doctors and patients. Clinically, doctors may directly apply antibiotics into the wound to prevent SSIs. However, this strategy is strongly associated with experience of doctors on the amount and the location of antibiotics. Herein, an in situ constructable sol-gel system is developed containing antibiotics during surgical process and validated the efficacy against SSIs in beagles. The system involves chitosan (CS), β-glycerophosphate (β-GP) and vancomycin (VAN), which can be adsorbed onto porous hydroxyapatite (HA) and form VAN-CS/β-GP@HA hydrogel in a short time. The VAN concentration from VAN-CS/β-GP@HA hydrogel is higher than minimum inhibitory concentration (MIC) against Staphylococcus aureus (S. aureus) at the 21st day in vitro. In an in vivo canine model for the prevention of SSIs in the femoral condyle, VAN-CS/β-GP@HA exhibits excellent biocompatibility, antimicrobial properties, and promotion of bone healing. In all, the CS/β-GP instant sol-gel system is able to in situ encapsulate antibiotics and adhere on artificial bone implants during the surgery, effectively preventing SSIs related to implants.

Predicting the course of uveitis against the background of juvenile idiophatic arthritis when using topical therapy regimens. The results of mathematical modeling

BACKGROUND: Juvenile idiopathic arthritis is the most common rheumatic disease in children, and uveitis is its most destructive extra-articular manifestation. Despite the existence of Federal clinical guidelines for the management of these patients, their treatment is largely based on the experience of doctors and varies greatly even within the same country. AIM: The aim of the study is to find factors for predicting the course of uveitis and optimizing therapy. MATERIALS AND METHODS: The case histories of 150 children aged 1.5 to 17 years with active uveitis in the structure of juvenile arthritis were analyzed using multifactorial modeling (construction of classification trees). RESULTS: The fact of a significant influence of the time elapsed from the onset of rheumatic disease and uveitis until the start of therapy by genetically engineered medications (tumor necrosis factor alpha inhibitors) in treatment programs has been established. CONCLUSIONS: Thus, the inclusion of this factor into the group of controlling ones makes it possible to achieve inactive uveitis status after 1, 3, and 6 months in a higher percentage of cases. However, the obtained data still require additional clinical confirmation.

Enhancing doctoral learning through virtual communities of practice: an autoethnographic perspective

This article explores the role of virtual communities of practice in enhancing the doctoral experience, particularly in the contemporary digital era. The author emphasizes the multifaceted benefits, including elevating academic networking, optimizing knowledge management, and supporting the mental well-being of remote learners. The establishment of clear shared objectives, dynamic leadership, and a conducive environment for collaborative innovation are identified as key prerequisites for building successful virtual communities of practice. As remote doctoral education becomes more prevalent, virtual communities of practice not only facilitate academic engagement but also foster mutual support and advocacy among doctoral students. The researcher, as a final year PhD student employed autoethnography as a research method to offer an intimate and reflective exploration of her personal experiences within virtual communities of practice. This unique insider perspective adds depth to the discussion on elevating academic networking, optimizing knowledge management, and supporting the mental well-being of remote learners. Furthermore, her ongoing doctoral research focuses on the socialization process and the development of a sense of belonging among doctoral students. Motivated by her research topics, she commenced her doctoral studies during the epidemic and cultivated the practice of consistently maintaining a researcher’s reflection diary. This perspective article examines her diary, elucidating her experiences, opinions, and feelings. The researcher utilized a thematic approach to thoroughly analyze the author’s research diaries covering the period from December 2020 to August 2023. The article concludes by calling for further research into the professional identity development of doctoral students within virtual learning communities, exploring potential challenges and effective coping mechanisms to achieve inclusive practices in the complex and diverse digital era of academia.

THE LIVED EXPERIENCES OF MEDICAL PERSONNEL UNDERGOING IN VITRO FERTILIZATION: A SYSTEMATIC REVIEW

This study delves into unveiling the invisible burden of medical personnel undergoing in vitro fertilization, specifically focusing on Filipino nurses and doctors. The journey of undergoing IVF poses a unique and complex experience for these medical professionals, which remains largely unexplored, particularly within the context of the Philippines. Despite their medical expertise, they grapple with an invisible burden as they navigate demanding healthcare careers alongside the emotional, logistical, and financial challenges of IVF treatment. This qualitative research aims to illuminate this under-researched phenomenon by delving into the lived experiences of Filipino nurses and doctors undergoing IVF. By examining the emotional, logistical, professional, and personal dimensions of their journeys, this study seeks to provide insights into their coping strategies and challenges. Furthermore, it aims to empower other medical professionals considering IVF and inform the development of improved support systems within Filipino healthcare workplaces. Ultimately, this research has the potential to significantly impact both the medical profession and the lives of individuals facing infertility in the Philippines.

Impact of an End-User-Designed Education Bundle for Electronic Health Records System Education of House Officers.

Introduction The benefits of Electronic Health Records (EHR)use in clinical care are well documented. However, without proper education and training on EHR systems, clinicians may face challenges in utilizing these technological tools effectively. Suboptimal usage of EHR systems can affect productivity.This study assesses the effectiveness of an end-user-designed education bundle as a supplement to existing training in EHR training for house officers. Additionally, it evaluates the effectiveness of using non-conventional teaching modalities (i.e., short TikTok-style videos)to see how effective and accepted it was in comparison to traditional educational material. Methods A single-armed pre-post-study design consisting of 36 house officers was employed to evaluate the effectiveness of the intervention bundle. The bundle consists of a series of EHR tips and tricks as identified by experienced senior medical officers. The three components of the bundle are a handbook with consolidated tips and tricks, a long-form lecture video, and a series of TikTok-style videos. Distribution was done through healthcare collaborative platforms such as TigerConnect™ (Los Angeles,USA) and email. Results Participants found that the inclusion of our supplementary education bundle results in more effective training for EHR usage, with mean effectiveness with and without the educational bundle being 7.77 and 6.44, respectively (p < 0.001). There were also significant improvements in ease of finding information (7.67 vs 7.14, p = 0.016), performing general functions (7.50 vs 6.89, p = 0.0050), and overall efficiency (7.39 vs 6.92, p = 0.022). We also found TikTok-style videos were non-inferior to more traditional forms of education such as a handbook and traditional long-form lecture videos (p = 0.250). Conclusion An end-user-driven education bundle focusing on high-yield, advanced functions may be useful in enhancing the overall EHR system experience for junior doctors. Of note, TikTok-style videos may be no less effective than traditional methods of EHR teaching.

Is the NHS really cost-effective? A junior doctor's experience.

Is the NHS really cost-effective? A junior doctor's experience.

Barriers and future improvements of workplace-based learning in Korean medicine clinical clerkship: perspectives of graduates

BackgroundWorkplace-based learning (WPBL) has emerged as an essential practice in healthcare education. However, WPBL is rarely implemented in Korean medicine (KM) due to the passive attitude of teachers and possible violation of medical laws that limit the participation of trainees in medical treatment. In this study, we implemented WPBL in the clinical clerkship of Acupuncture and Moxibustion Medicine at a single College of KM and explored the barriers and future improvements of WPBL.MethodsThe WPBL was implemented from January to July 2019. During the clerkship, each senior student was assigned an inpatient at the university hospital. WPBL was conducted as follows: patient presentation by the supervisor, interaction with the patient at the bedside, preparation of medical records, oral case presentation, and discussion with feedback. The student performed a physical examination and review of systems as a clinical task. In addition, six doctors of KM who are currently practicing after three years of WPBL were interviewed in September 2022 to investigate the real-world effects and unmet needs of WPBL in their workplaces.ResultsTwo major themes identified from the interview were: “the experience of novice doctors of KM with KM practice” and “Current state of KM clinical education.” The five subcategories were: “Clinical competency priorities vary according to the KM workplace,” “Difficulties faced by doctors of KM immediately after graduation,” “WPBL experience of the interviewees,” “Necessary but difficult to implement real patient learning,” and “Unmet needs for clinical clerkship in KM.”ConclusionIt is essential to consider the unique characteristics of KM practice and the duties required in various workplaces for successful WPBL. We anticipate our study to be a starting point for improving the WPBL and addressing the unmet needs in KM clinical education.

Identity transitions, experiences, and agency: a collaborative autoethnography of Asian international TESOL doctoral students

ABSTRACT This research explored the identities and agency of Asian international TESOL doctoral students at a large Australian university, employing a sociocultural perspective and collaborative autoethnography with qualitative content analysis. The study revealed that these doctoral students navigated complex, co-evolving identities – including learner, early-career researcher, and academic – shaped by their prior professional and research experiences. It highlighted significant identity tensions influenced by the temporal dimensions of their experiences, where past and current identities, as well as imagined future selves, informed their academic decisions and coping strategies. This temporal interplay was conceptualised through Vygotsky’s concept of perezhivanie, reflecting how personal and situational factors coalesced to impact their academic trajectories. A conceptual model, informed by these findings, illustrated how identity and agency were mediated by personal experiences and situationally catalysed tensions. This study highlighted identities as significant and formative episodes in the doctoral learning experience, offering insights into the challenges and developmental trajectories of international doctoral students. It further substantiates the value of a sociocultural perspective for understanding and supporting the academic and professional growth of this cohort.

International doctoral students’ identity formulations through their orientations to their children’s languages as both stressors and assets

This study contributes to research on the doctoral experience of international students who are parents, and for whom the temporary experience of living elsewhere is both a challenge and a resource for all members of the family. The study investigated how a group of these students positioned themselves to their children’s English and home language during their study abroad. A group of 12 international doctoral students from one Australian university and one primary school teacher took part in the study. The doctoral students were from a number of non-anglophone countries. Membership Categorisation Analysis was used to examine the identity categories invoked during focus group discussions. The categories bilingual, student, parent, tutor and spouse, the category devices family, study, nationality/language, time and location, and the attributes responsibility and inadequacy that emerged in the analysis, suggest that language issues are important considerations for international students with families, and need focused attention.

AB069. SOH24AB_085. Leadership in healthcare: a nationally representative mixed methods analysis of the perceptions and experiences of non-consultant hospital doctors

AB069. SOH24AB_085. Leadership in healthcare: a nationally representative mixed methods analysis of the perceptions and experiences of non-consultant hospital doctors

Detection of Skin Disease by using Image Processing

There are many types and forms of skin diseases and have many causes, including internal ones related to hormones and body glands such as acne, or external related to air pollution or sensitivity to sunlight such as rashes. The skin disease may be contagious, such as scabies and lice, or it may not be contagious, such as drug allergy and rosacea, or it may be chronic, such as psoriasis and atopic eczema, or it may be rare, such as sweet syndrome and ofuji disease. The outlook of society, in general, reduces the importance of skin disease when it appears and it is preferable not to visit the doctor. Skin diseases are a major and worrying problem in societies due to their physical and psychological effects on patients. Detecting skin diseases at an early stage has an important role in treatment. The process of diagnosing and treating skin injury is related to the skill and experience of the specialist doctor. skin disease prediction by using a neural network based on image analysis. Diagnosis and prediction of skin disease take a very long process because it requires a patient’s history, physical examination, and proper laboratory diagnostic tests. st of such diagnosis is still limited and very expensive. So, image processing techniques help to build automated screening system for dermatology at an initial stage. The extraction of features plays a key role in helping to classify skin disease. proach works on the inputs of a color image. Then resize the of the image to extract features using pre trained convolutional neural network. After that classified feature using Multiclass SVM. Finally, the results are shown to the user, including the type.

Support without Status: Inequities in Student–Advisor Relational Dynamics between First-Generation and Continuing-Generation Doctoral Students

One of the most important developmental relationships in the doctoral student experience is that of the faculty advisor, and yet we know little about whether and how advisor relationships vary between first-generation and continuing-generation doctoral students. Drawing on qualitative interviews with 83 late-stage doctoral students in biological sciences, we explore differences in student perceptions of their relationships with advisors. Narratives reveal a continuum of relationship types, including strained, evolving, supportive, and equal. In equal relationships, doctoral students feel more like collegial partners working alongside their advisors. While continuing-generation and first-generation students are similarly represented among strained and evolving relationships, first-generation students rarely attain equal relationship status. The presented findings offer implications for understanding how inequality shapes student–advisor relationships, the role of collegiality in doctoral education’s hidden curriculum, and the supports needed to foster equity for first-generation students in graduate programs.

Girls in scrubs: An ethnographic exploration of the clinical learning environment.

Gender bias is an enduring issue in the medical profession despite women being more represented within medical schools and the health care workforce in numerous countries across the world. There have been frequent calls for further exploration of gender-based discriminations within medical education, owing to its lasting impact on student's professional development and career trajectories. This paper presents an ethnographic exploration of the experiences of female medical students and doctors in the clinical learning environment (CLE), aiming to disrupt the cycle of gender inequity in the clinical workplace. Our research field involved two teaching wards in a Scottish urban hospital, where 120 h of non-participant observations were conducted over 10months. Combining purposive and convenience sampling, we conducted 36 individual interviews with key informants, which included medical students, foundation doctors, postgraduate trainees, consultant supervisors, and other health care professionals such as nurses and pharmacists. Data was thematically analysed using Bourdieu's theory of social power reproduction. The research team brought diverse professional backgrounds and perspectives to the exploration of data on gendered encounters. Combining the observational and interview data, five themes were generated, which suggested gender-related differentials in social and cultural capital that the participants acquired in the CLE. Experiences of discriminatory behaviour and stereotypical thought processes impacted the female students' engagement and drive towards learning, implying an adverse influence on habitus. In contrast, the valuable influence of gendered role-models in building confidence and self-efficacy signified a positive transformation of habitus. The research participants displayed considerable internalisation of the gendered processes in the CLE that appeared to be linked to the transient nature of clinical placements. This research reveals that despite constituting the majority demographic of medical school, female students struggle to gain social and cultural capital. Gendered hierarchies that structure clinical workplaces disadvantage female students and doctors, and the differential experiences transform their habitus. Based on our theoretically informed investigation, we advocate for role-models given their positive impact on students' and doctors' habitus. Additionally, medical educators may consider extended clinical placements that provide opportunities for female students and early-career doctors to secure social and cultural capital through integrating better in health care teams and building meaningful interprofessional relationships.

Conveying the learning self to others: doctoral candidates conceptualising and communicating the complexion of development

PurposeHighly developed and agile learners who can clearly convey and call on their skills are sought in all walks of life. Diverse demand for these capacities has called attention to how the skills and knowledge gained during doctoral study can be conveyed, translated and leveraged in non-academic settings; however, the complex learning reality underneath doctoral development is challenging to convey.Design/methodology/approachThe data set for this particular analysis was obtained from 245 in-depth telephone interviews with PhD candidates collected prior to COVID-19. Candidates were asked about learning processes, challenges and changes, and both the questions and thematic analysis were guided by theories of doctoral development and transformational learning.FindingsFor many participants, learning and development were not familiar topics, while a small proportion deflected questions about learning altogether. One fifth of participants presented rich and lucid accounts of learning in which cognisance of complexity, metacognitive processes and transformational experiences were embedded and multiple avenues of development were in evidence. They were well-placed to convey the complexion of doctoral development. Candidates more deeply engaged in learning also commented more about changes they noticed in themselves. The most identified avenue of development was in understanding and approach to knowledge.Originality/valueCandidate communication about learning and development is an under-explored dimension of doctoral experience and skill that is relevant to advancing knowledge about doctoral development and illuminating graduate potential both within and outside academe. This must constitute a key element of the re-vitalisation of the doctorate post-pandemic. The salience of framing transferable skills within a learning development perspective is discussed.