Graduate Medical Students Research Articles

Research on Mechanisms for Cultivating Innovation and Entrepreneurship Abilities of Medical Graduate Students in the Context of Innovation and Entrepreneurship Competitions: A Case Study of Youjiang Medical University for Nationalities

Research on Mechanisms for Cultivating Innovation and Entrepreneurship Abilities of Medical Graduate Students in the Context of Innovation and Entrepreneurship Competitions: A Case Study of Youjiang Medical University for Nationalities

American Society of Nephrology Kidney Tutored Research and Education for Kidney Scholars (TREKS) Program: A 10-Year Interim Analysis.

In response to decreasing numbers of individuals entering into nephrology fellowships, the American Society of Nephrology launched Kidney Tutored Research and Education for Kidney Scholars (TREKS) to stimulate interest in nephrology among medical students, graduate students, and postdoctoral fellows. The program combines a 1-week intensive exposure to kidney physiology with a longitudinal mentorship program at the participants' home institutions. Ten years in, an analysis was conducted to assess its effectiveness. We surveyed participants to assess their opinions regarding nephrology before and after the course and followed them longitudinally to determine their career choices. TREKS applicants who were not selected to participate were used as a comparison group. Three hundred eighty-one people participated in the program, and 242 completed the survey. After TREKS, both medical students and graduate students showed increased interest in nephrology, with rank scores of 5.6±0.2 before to 7.5±0.1 after the course for medical students (mean±SD, n =189, P = 0.001) and 7.3±0.3 to 8.7±0.3 ( n =53, P = 0.001) for graduate students. In long-term follow-up, TREKS medical students chose a nephrology pipeline residency at a higher rate than medical students overall (57% versus 31%, P = 0.01) and TREKS applicants who did not participate (47% versus 31%, P = 0.04). Nephrology fellowship rates for these groups exceeded the general population but did not significantly differ between TREKS participants and applicants. Doctor of Philosophy students and postdoctoral TREKS participants had a higher rate of participation in nephrology research compared with TREKS applicants (66% versus 30%, P = 0.01). In summary, the American Society of Nephrology Kidney TREKS program has demonstrated that it can increase interest in nephrology in the short term and increase the number of individuals going into nephrology careers. This long-term effect is most evident in Doctor of Philosophy students and postdoctoral participants. Further study is needed to assess the impact of TREKS on enrollment in nephrology fellowship programs.

IJCM_182A: Behavioural risk factors among under graduate medical students in North Kerala

Background: The World Health Organisation highlights that 60% of the morbidity and mortality from non communicable diseases are linked to lifestyle behavioural patterns .Primary risk factors include high fat and low fibre diet, lack of exercise, prolonged screen time, insufficient sleep, and the adoption of new habit and addictions. Since medical students are particularly prone to these risk factors, it is crucial to evaluate their lifestyle behaviours, recognising their role as future healthcare providers Objectives: 1. To assess anthropometric risk factors among the study population. 2. To assess the behavioural risk factors among the study population. Methodology: A cross sectional study was undertaken involving 150 undergraduate medical students in a private medical student in a private medical college. Data was collected through self administered questionnaire containing demographic details of the students, life style factors like diet, physical activity, screen time, habits and addictions. Data collected was entered into excel and analysed using SPSS 25. Results: Mean age of the study population was 22.3 (±1.5) years. Majority of the study participants were females (72.2%). Out of150 participants, 94.4% adhere to a non-vegetarian diet in which 15% reported daily consumption of soft drinks and 29% consume junk food daily. The participants who were overweight was found to be 33.4% in which 38.8% of the subjects are physically inactive and 22.2% reported inadequate sleep. Around 60 % of the participants use mobile phone most of the time. Conclusion: Behavioural risk factors such as unhealthy diet, inadequate sleep pattern, physical inactivity were prevalent among the undergraduate medical students.

Investigating LGBTQ affirmative attitudes and needs for better practice among Hungarian healthcare professionals

AbstractIntroduction: LGBTQ (lesbian, gay, bisexual, transgender, queer) people often do not seek health care and do not identify as LGBTQ people because of fear of judgment, stereotyping, and discrimination by health professionals. All of this is a particularly worrying phenomenon, because various mental difficulties, risky behaviors, and certain types of somatic and psychosomatic diseases may appear in a higher proportion among them.Objectives Attitudes related to LGBTQ people were examined in several areas in Hungary. Most of our data comes from psychologists, however, a comprehensive examination of health professionals’ attitudes towards LGBTQ people has not yet been carried out.MethodsIn a cross-sectional online survey, we ask healthcare professionals (medical doctors, nurses, other graduate healthcare professionals and medical university students) to fill out our questionnaire. The participants complete the Modern Homonegativity Scale and the Lesbian, Gay, Bisexual and Transgender Clinical Skills Development Scale.Results We assume that the majority of Hungarian healthcare professionals have a neutral or positive attitude towards LGBTQ people, but they struggle with a significant lack of affirmative skills. We will present our results in detail in the presentation of the symposium.ConclusionsThere is an urgent need to provide the appropriate affirmative knowledge material to Hungarian healthcare workers.Disclosure of InterestNone Declared

Mental health status and substance abuse among medical students in Karaikal, Puducherry, India.

Mental health disorders and substance abuse are prevalent issues that significantly impact individuals and societies. Medical students are particularly vulnerable due to the intense pressures and challenges inherent in medical education. This current investigation aims to explore the mental health status and patterns of substance abuse among medical students, identifying associated factors and potential interventions. A cross-sectional study was executed with 421 undergraduate and post graduate medical students from a tertiary care centre. Multivariate logistic regression was used to determine the factors associated with psychological distress and substance abuse. Substance abuse was reported by 21.4% of participants, while 20.7% experienced psychological distress. There was a statistically significant association between substance abuse and psychological distress (p=0.005). Factors associated with psychological distress included sleep deprivation (Adjusted OR: 24.8, p=0.001), whereas factors associated with substance abuse included male gender (Adjusted OR: 2.3, p=0.001), older age, staying with friends (Adjusted OR: 1.8, p=0.04) and sleep deprivation abuse (OR: 2.0, p=0.01). This study highlights a significant occurrence of psychological distress and substance abuse among medical students. Interventions to improve mental health and reduce substance abuse among medical students should consider these associated factors, emphasizing the importance of sleep hygiene, stress management and supportive environments.

Relations among coping style, and depression and anxiety symptoms in medical graduate students: a transdiagnostic network analysis

Relations among coping style, and depression and anxiety symptoms in medical graduate students: a transdiagnostic network analysis

Understanding decision curve analysis in clinical prediction model research.

Many medical graduate students lack a thorough understanding of decision curve analysis (DCA), a valuable tool in clinical research for evaluating diagnostic models. This article elucidates the concept and process of DCA through the lens of clinical research practices, exemplified by its application in diagnosing liver cancer using serum alpha-fetoprotein levels and radiomics indices. It covers the calculation of probability thresholds, computation of net benefits for each threshold, construction of decision curves, and comparison of decision curves from different models to identify the one offering the highest net benefit. The paper provides a detailed explanation of DCA, including the creation and comparison of decision curves, and discusses the relationship and differences between decision curves and receiver operating characteristic curves. It highlights the superiority of decision curves in supporting clinical decision-making processes. By clarifying the concept of DCA and highlighting its benefits in clinical decisionmaking, this article has improved researchers' comprehension of how DCA is applied and interpreted, thereby enhancing the quality of research in the medical field.

A study on knowledge, attitude and practices towards research among medical post graduate students

Background: Research is crucial for the scientific progress of the health of individuals and communities. Understanding the concept of evidence-based medicine needs strong research knowledge. Research assures understanding of the subject and improves the knowledge of the students. This study was aimed to assess the level of knowledge, attitude and practices among medical post graduate students and to study the sociodemographic factors. And to determine the association of knowledge with various sociodemographic factors. Methods: An analytical cross-sectional study conducted during a period of two months among the medical post graduate students studying in a private medical college. Knowledge, attitude and practice were assessed by using self- administered questionnaire among 117 post graduate students. Likert scale was used to assess the knowledge component. Results: Among 117 study subjects 47% were first year 27.4% were second year and 25.6% were third year among which the overall adequate knowledge was 86.3%, positive attitude was 95.7% and good practices according to the study scale was only 29.1%. Level of knowledge and practices were found to be having significant association with the academic year studying in (p value <0.05). Conclusions: The post graduate students had adequate knowledge and positive attitude but had poor practices towards research. Adequate research helps to bridge the gaps in research and help the future generations in developing new interventions.

A mixed methods, longitudinal study: characterizing the differences in engagement and perceived learning of medical students in online and in-person team-based learning classes.

The rapid transition to online delivery of medical curriculum has facilitated the continuation of medical education during the COVID-19 pandemic. Whilst active learning approaches, including Team-Based Learning (TBL), are generally more supportive of the learner's needs during such transition, it remains elusive how different learning environments affect a learner's motivation, engagement, and perceived learning over a prolonged period. We leveraged on Self-Determination Theory (SDT) and key learners' characteristics to explore the levels of student's engagement and perceived learning in two TBL learning environments, online and in-person, over an extended period. We hypothesize that students' self-reported perceptions of engagement and learning will be lower in online compared to in-person TBL classes. This is a mixed methods study with 49 preclinical graduate medical students completing the same questionnaire twice for each learning environment, online TBL and in-person TBL, over an eight-month period. Quantitative data were collected on learners' characteristics, basic psychological needs satisfaction, motivation, student's engagement and perceived learning. The final questionnaire also explored participants' perception on which learning environment better supported their learning. We found that autonomy support, perceived competence and needs satisfaction, and perceived learning were higher in-person than online. Additionally, most learners felt that in-person TBL was better for learning, as the concepts of learning space and the community of practice were mediated by being in-person. TBL, being an active instructional method, can maintain students' engagement because it supports many aspects of SDT constructs and perceived learning. However, online TBL is unable to fully support the students' needs and perceived learning. Hence, we strongly advocate for any in-person opportunities to be included in a course, as in-person classes best supports students' engagement and perceived learning.

Knowledge, perceptions and practices towards blood donation among undergraduate medical students in an upcountry Ugandan university: A mixed methods study

ABSTRACT Background Due to the different factors affecting the maintenance of a constant supply of human blood in health facilities, this study aimed at exploring the knowledge, perceptions, and practices towards blood donation among under graduate medical students at Busitema University Faculty of Health Sciences (BUFHS). Methods Using a convergent parallel mixed methods study design, 384 students were recruited into the study. Questionnaires and focused group discussions were used to collect the data. Stata version 15.0 and thematic analysis were used to analyze quantitative and qualitative data respectively. Results Of the respondents, 151 (39.4%) had ever donated blood and 50.4% had good knowledge about blood donation. The commonest motivating factor towards blood donation was “to save someone’s life”. Factors associated with practices towards blood donation included: religion, year 2 of study and prior blood donation history. Being Jehovah’s Witness reduced the willingness to donate blood by 88% compared to other religions. Thematic analysis revealed four themes namely; students’ experiences and thoughts, driving forces to donate blood, fears and misconceptions, and suggestions to increase blood donors. Conclusion The proportion of undergraduate medical students who had adequate level of knowledge about blood donation was moderately high, however, some of their perceptions towards it were unconventional. To ensure safe and adequate blood supply, design of strategies and tailored programs that promote blood donation is highly recommended..

Competency in electrocardiogram interpretation among medical interns and residents of internal medicine and ER residents

Background: For both undergraduate and graduate medical students, understanding how to interpret an ECG is essential. It has been demonstrated that accurate ECG interpretation influences the course of care for several acute cardiovascular emergencies, such as acute myocardial infarction, arrhythmias, and cardiac arrest patients. Aim: This study aims to assess the Competency in Electrocardiogram Interpretation Among Medical interns and Residents of Internal Medicine and ER residents. Methods: A descriptive cross-sectional study was conducted including intern medical students at Taif University and IM and ER residents who are actively doing residency training programs in Taif Hospitals including (King Abdul-Aziz Specialist Hospital, Al-Hada Armed Forces Hospital, and King Faisal Hospital). The survey was conducted from November 01, 2022, to November 30, 2023. ECGs were selected from the ECG textbooks and ECG web blogs and will be reviewed by two cardiologists. After the ECG strip selection, the reviewed structured questionnaires were distributed to the survey participants. Results: A total of 163 medical interns and residents were included. Exact 79 (48.5%) aged less than 25 years and 84 (51.5%) aged 25 years or more with a mean age of 25.1 ± 3.2 years old. A total of 88 (54%) were females. Overall ECG competency level among medical interns and internal medicine and ER residents. A total of 59 (36.2%) had an overall high competency level with ECG, 79 (48.5%) had moderate ECG competency, and 25 (15.3%) had a low competency level. The overall competency score ranged from 1 to 10 with a mean score of 6.6 ± 1.9 points out of 10. Receiving training and having an ACLS course was significantly associated with competence level (P< 0.05). Conclusion: In conclusion, the current study showed that medical interns and residents in Taif showed an average competence level regarding ECG interpretation with higher competence e among those who were trained and received ACLS courses.

A Study of IKH Algorithm for Civic Education Strategies of Graduate Medical Students in Information Age

Abstract In this paper, we use the krill swarm optimization algorithm to optimize the optimization-seeking ability of the projection-seeking analysis model and construct the IKH-PP model. Evaluation indexes of ideological and political education strategies are built from seven dimensions, such as moral quality and political performance, and the index values are standardized using the extreme value normalization method. Create and enhance the projection indicator function, sort based on the projection value size, and determine the advantages and disadvantages of various samples. Taking psychology as the perspective, efforts were made to explore a collaborative educational path for psychological counseling and ideological education for medical students using the psychological perspective. The results showed that 50% of the 600 medical students at University Z chose “realization of ideal pursuit,” and they were generally more positive and progressive. However, only 48 of them expressed that they were very concerned about current affairs and that their political awareness still needed to be improved. Before and after the collaborative psychological counseling and political education interventions, there were statistically significant differences between Group I and Group II in the G3/F3 dimension (P=0.047, 0.008) and the G11/F11 dimension (P=0.022, 0.034), which were statistically significant or not. There were statistically significant differences in the overall access to Civics and all dimensions of Civics among medical students of different genders (P<0.05), grades (P<0.001), and political profiles (P<0.05) students.

Reform and Implementation of Teaching Management for Medical Graduate Students

Reform and Implementation of Teaching Management for Medical Graduate Students

Research and Practice of an Innovative Education Model for Medical Graduate Students Driven by Big Data and Artificial Intelligence

Research and Practice of an Innovative Education Model for Medical Graduate Students Driven by Big Data and Artificial Intelligence

Mental Health Assessment of Medical Students in Tanta University: A Cross Sectional Study

Background: Mental health disorders are common in university students, where the most common of them include substance abuse, anxiety, and mood disorders. College students are in a transitory age that’s accompanied by various stressors and during which diverse mental health problems usually appear for the 1st time.
 Objective: To assess presence of mental health disorders among under graduate medical students.
 Methods: 2900 students were invited to complete a survey that was built on Microsoft form app provided by information technology unit and directed to medical students in mentioned grads individually. An e-mail has been sent to each student's academic official e-mail which was provided to students in the first three academic years. Email included GHQ-28 form associated with phrases fostering involvement in the study and assuring anonymity.
 Results: The response rate for the GHQ-28 survey was 25.9% of emailed students completing the questionnaire. The mean GHQ-28 score of 13.78 is considerably higher than general population norms.
 Conclusion: The majority of students (88.16%) scored above the threshold for psychological morbidity and were considered as a possible case indicating elevated psychological distress in this student sample.

Graduate Medical Students’ Mental Health Concerns During COVID-19 Pandemic

Graduate Medical Students’ Mental Health Concerns During COVID-19 Pandemic

Relationship Of Burnout with Screen Time In Under Graduate Medical Students

Introduction: Burnout, in the context of medical education, is a state of physical, emotional, and mental exhaustion, often accompanied by a diminished sense of personal accomplishment. Burnout may adversely affect the well-being and motivation of medical students consequently resulting in compromised academic performance.
 Aim and Objectives: The present study aims to explore the correlation of screen time with burnout and its subtypes including overload, neglect and lack of development.
 Place and Duration of Study: The present cross-sectional study was conducted at Shifa College of Medicine from September 2019-February 2021.
 Material & Methods: The present study included a total of 284 students from the first year to the final year using convenience purposive sampling. The students who provided written informed consent were enrolled in the study.These participants completed a structured questionnaire, which included various demographic variables and information regarding students' screen time, specifically for academic purposes and leisure activities. To evaluate burnout, the study utilized the "Burnout Clinical Subtype Questionnaire" (BCSQ), which has been adapted for student use (BCSQ-12- SS).The data was entered & analyzed using SPSS version 23, a p-value of ?0.05 was considered significant.
 Results: The mean age of participants of the study was 20.56±1.73 years. The correlation analysis showed a significant correlation of neglect, lack of development and total burnout score with screen time for non-educational purposes in medical students with a p-value of 0.022, 0.009 and 0.009 respectively. Screen time for educational purposes hada significant correlation with the overload domain of burnout; r=0.157 (p=0.039). Students with self-perception of bad health had a significant correlation of screen time for non-educational purposes with total burnout score; r=0.234(p=0.04). Scores of total burnout and subtypes of overload, neglect and lack of development were significantly lower in students with self-perception of good health.
 Conclusion: The present study reveals a significant correlation between screen time among medical students and burnout, highlighting the potential impact on both physical and mental health.

Observing and Assessing Competence in Evidence-Based Medicine in Graduating Medical Students: A 5-Year Multi-Institution Report.

Observing and Assessing Competence in Evidence-Based Medicine in Graduating Medical Students: A 5-Year Multi-Institution Report.

Graphic Novels and Comics in Undergraduate and Graduate Medical Students Education: A Scoping Review.

There is an increasing use of graphic novels and comics (GnCs) in medical education, especially-but not only-to provide students with a vicarious learning experience in some areas of clinical medicine (palliative care, difficult communication, and rare diseases). This scoping review aimed to answer questions about how GnCs are used, the theories underlying their use, and the learning outcomes. Twenty-nine articles were selected from bibliographic databases and analyzed. A thematic analysis revealed four many themes: learning outcomes, students' reactions, theories and methods, and use of GnCs as vicarious learning. GnCs can support the achievement of cognitive outcomes, as well as soft skills and professionalism. The reactions were engagement and amusement, but drawing comics was also perceived as a protected space to express concerns. GnCs proved to be a possible way to provide a vicarious experience for learning. We found two classes of theories on the use of GnCs: psychological theories based on the dual concurrent coding of text and images and semiotics theories on the interpretation of signs. All the studies but two were single arm and observational, quantitative, qualitative, or mixed. These results suggest that further high-quality research on the use of GnC in medical training is worthwhile.

The Efficacy of Utilizing the Anatomage Table as a Supplementary Educational Resource in Osteology Instruction for First-Year Medical Students.

Introduction Osteology is the detailed study of the structure of the bones. This study assesses the effectiveness of employing the 3D visualization tool Anatomage table as a learning adjunct to osteology training in first-year medical students bypost-test evaluations related to the humerus, radius, and ulna bones. Method This study was conducted in first-year medical graduate students in the Department of Anatomy, All India Institute of Medical Science (AIIMS), Raipur, India. Students included in the study were divided into two groups by simple random sampling after voluntary consent. The study group students, Group A, were taught osteology by traditional teaching and visualizing bone with a tool, an Anatomage table. The control group (Group B) is for traditional teaching. The study involved demonstrating each group's humerus, radius, and ulna bones, with sessions lasting 60 minutes. After each topic, a post-test was administered. A total of 94 students for the test for the humerus bone, 98 students for the radius bones, and 85 students for the ulna bones responded to the post-test conducted after sessions. Descriptive statistics were assessed using mean and standard deviation. Independent sample t-tests compare the mean marks obtained post-test by two groups of students. Results The results indicated that students in Group A scored higher mean marks than their counterparts in Group B across all three bone post-tests, but the significance of the differences varied. For humerus, mean marks obtained by students of Group A (Anatomage table teaching) (mean±SD: 4.00±1.10) were higher than those of Group B (traditional teaching) (mean±SD: 3.63± 1.36). Still, we do not observe a statistically significant difference in mean marks of students of Group A vs. students of Group B(P=0.166,P>0.05). For radius,we observe statistically higher mean marks among students of Group A (mean±SD: 3.72±0.944) compared to students of Group B (mean±SD: 3.22±1.08) (P=0.021, P<0.05). Similarly, for ulna, we observe higher mean marks for Group A (mean±SD: 3.18.00±1.55) as compared to Group B (mean±SD: 3.13±1.21) but do not observe a statistically significant difference in mean marks of students of Group A vs. students ofGroup B(P=0.875, P>.05). Conclusion Including the Anatomage table for visualization during osteology sessions yielded benefits for all three sessions. Future studies could employ more extensive and diverse samples to validate the findings further and incorporate qualitative methods to gain insights into students' perceptions of both teaching methods.