House Officers Research Articles

TO WHAT EXTENT DOES SPIRITUALITY IN THE WORKPLACE AFFECT MEANINGFULNESS IN WORK? SELF-TRANSCENDENCE AND PERSON-ORGANIZATION FIT AS MEDIATOR

The goal of this research was to investigate and analyze the relationship between spirituality in the workplace and self-transcendence, Person-Organization Fit, and achieving meaningful work (Meaningful Work). This study's population consisted of employees of the Public Works and Public Housing Office of Bengkulu Province, with a planned sample size of 258 respondents using the census method. Structural Equation Modeling (SEM) is used in this study to test construct validity (convergent validity and discriminant validity) and reliability. Then, using SmartPLS 3.0, an explanation of statistical descriptions related to respondent profiles, hypothesis testing with path analysis, and testing of indirect effects are provided. According to the study's findings, spirituality in the workplace can increase a person's compatibility with their organization and self-transcendence. However, spirituality at work cannot increase work meaning. Meaning at work cannot be increased by self-transcendence, despite the fact that P-O fit can increase meaning at work. Self-transcendence cannot mediate the relationship between spirituality at work and increasing meaningfulness at work in the mediating relationship. This is inversely proportional to the P-O fit, which can act as a bridge between the influence of spirituality at work and meaningfulness at work.

The Future Career Choices of Pre-Registered House Officers and House Surgeons: a Multicenter Study

OBJECTIVES This study aimed to determine the future preferences of house officers when choosing a medical speciality. METHODOLOGY The cross-sectional study was conducted from January to June 2023 at three teaching hospitals in Abbottabad. 250 participants were selected as the study sample. The data was collected from house officers on a predesigned, self-structured written questionnaire. The data was analyzed using SPSS version 21. RESULTSOf 250 individuals, 224 met inclusive criteria; 65% (146) were male and 35% (78) were female. The mean age was 25 years ±1.01. The first preference of the house officer was medicine (44% (100), the second was surgery (31.5%) (70), and the third was obstetrics and gynaecology. Among medicine specialities, only 0.9% (02) opt endocrinology and gastroenterology, while among surgical specialities, 0.4% (01) opt urology and 0.9% (02) opt neurosurgery. 150 individuals (70%) planned residency in the future, among whom 47% (106) set a caveat for residency abroad. The most favourite place abroad was the UK, with 42% (45/106). 180 house officers (80%) are satisfied with their academic abilities. CONCLUSION The study revealed that house officers have no awareness of new specialities and are least interested in specialities like endocrinology, gastroenterology, neurosurgery, and urology. In contrast, no influence was noted toward specialities like haematology, public health and community medicine. Most students are satisfied with their medical education but plan to do their residency abroad.

Cat owners do not provide more reliable weight estimates for cats compared with veterinary professionals in an emergency setting.

The aim of the present study was to assess the accuracy of weight estimation in cats provided by pet owners, veterinary technicians, house officers (interns and residents) and attending clinicians in an emergency room (ER). An additional objective was to determine whether carrying the cat contributed to a more accurate weight estimate. A total of 72 cats presented to an ER and were enrolled in the study. Pet owners, veterinary technicians, house officers and attending clinicians were asked to record the cats' estimated weights on individual data collection cards. The actual weights of the cats were then obtained and compared with participants' estimations. There were no significant differences between weight estimates provided by pet owners, veterinary technicians, house officers and attending clinicians. Similarly, neither the length of experience of the veterinary staff nor carrying the cat had an effect on the provision of a more accurate weight estimate. Pet owners are no better at weight estimation of cats in the ER setting compared with veterinary professionals. Carrying the cat did not improve the accuracy of weight estimation among veterinary professionals. The mean cat weight of 4.9 kg could be used as an average cat weight in an emergency situation for an adult cat.

House Officers and Junior Residents’ formal and informal learning experience during their practical year compared to the national competency framework, a qualitative study

House Officers and Junior Residents’ formal and informal learning experience during their practical year compared to the national competency framework, a qualitative study

Exploring sleep duration and clinical reasoning process in resident physicians: a thematic analysis.

Connecting resident physician work hours and sleep deprivation to adverse outcomes has been difficult. Our study explores clinical reasoning rather than outcomes. Diagnostic errors are a leading cause of medical error and may result from deficits in clinical reasoning. We used simulated cases to explore relationships between sleep duration and diagnostic reasoning. Residents were recruited for a 2-month study (inpatient/outpatient). Each participant's sleep was tracked (sleep diary/actigraphy). At the end of each month, residents watched 2 brief simulated clinical encounters and performed "think alouds" of their clinical reasoning. In each session, 1 video was straightforward and the other video contained distracting contextual factors. Sessions were recorded, transcribed, and interpreted. We conducted a thematic analysis using a constant comparative approach. Themes were compared based on sleep duration and contextual factors. Residents (n = 17) slept more during outpatient compared with inpatient months (450.5 ± 7.13 vs 425.6 ± 10.78 hours, P = .02). We found the following diagnostic reasoning themes: uncertainty, disorganized knowledge, error, semantic incompetence, emotional content, and organized knowledge. Themes reflecting suboptimal clinical reasoning (disorganized knowledge, error, semantic incompetence, uncertainty) were observed more in cases with contextual factors (distractors). "Think alouds" from cases with contextual factors following sleep restriction had a greater number of themes concerning for problematic diagnostic reasoning. Residents obtained significantly more sleep during outpatient compared with inpatient months. Several negative clinical reasoning themes emerged with less sleep combined with cases containing contextual distractors. Our findings reinforce the importance of adequate sleep and supervision in house officers, particularly in cases with distracting elements. Collen J, Durning S, Berk J, Mang J, Alcover K, Jung E. Exploring sleep duration and clinical reasoning process in resident physicians: a thematic analysis. J Clin Sleep Med. 2024;20(8):1279-1289.

A Benchmark Survey of the Delivery of Clinical Education in Small Animal Primary-Care Clinical Programs Among Member Institutions of the American Association of Veterinary Medical Colleges.

While primary-care clinical rotations are well established and have been incorporated into veterinary colleges over the past 50 years, standardization of teaching small animal primary care across veterinary colleges is unknown. The purpose of this study was to explore and document variations and similarities in the delivery of small animal primary-care clinical education curricula among member programs of the American Association of Veterinary Medicine Colleges (AAVMC). A comprehensive, 114-question online survey was conducted, comprising seven sections, including Rotation Logistics; House Officers; Procedures Performed; Rounds; Spectrum of Care; Diversity, Equity, and Inclusion; Assessment; Leadership Roles; and Research. Of the 52 AAVMC institutions worldwide at the time of the survey, 69% (36/52) of programs responded, of which 86% (31/36) met inclusion criteria and were retained for analysis. Results revealed primary-care services report seeing a mean of 75.84 cases per week (median 70, range 20-180, SD 37.34, n = 29), which serve as educational experiences for veterinary students rotating through the service, including the practice of hands-on clinical skills (including surgical procedures), discussing "flexible treatment care options" with clients, and actively leading cases. Length and size of a primary-care rotation varied with a mean duration of 3 weeks (median 2, range 2-12, SD 2.02, n = 29) and mean of 10 students (median 8.5, range 5-36, SD 5.87, n = 28) per rotation. This study highlights the current state of primary-care veterinary clinical education and provides descriptive data that might serve as a basis to guide future development of primary-care curricula across clinical programs.

The Influence of Compensation, Competency, and Work Environment on Employee Performance with Work Engagement as a Moderating Variable at DPRKPP of Surabaya

This study aims to determine and analyze the effect of compensation (X1), Competence (X2), Work Environment (X3) and The Work Engagement (Z) on Employee performance (Y) of honorary employees at The Surabaya Public Housing, Settlement Area, and Land Services Office in 2023. The research population was 202 honorary employees of The Surabaya Public Housing, Settlement Area, and Land Services Office in 2023. This study uses aquantitative approach to analyze variables. This study uses primary data collected by distributing questionnaires. Based on the Slovin formula, a sample of 135 people was taken with a sampling technique using simple random sampling. The data analysis technique uses Partial Least Square with SmartPLS 3.0. The research results show that compensation has aneffect on employee performance. Competency has an effect on employee performance. The work environment has an effect on employee performance. The work engagement has aneffect on employee performance.

Analisis Pemenuhan Kebutuhan Ruang Terbuka Hijau Kota Medan

This research aims to analyze the area and percentage of green open space in Medan city, formulate the direction of recommendations and strategies to meet the needs of public green open space. This research is descriptive in nature using quantitative methods. The primary data of the research was obtained from 40 respondents consisting of the Medan City Environment Office, the Housing and Settlement Office of Cipta Karya and Spatial Planning and the Community. The results showed that green open space in Medan City has an area of 11642.90 Ha or 41.35% of the overall total in Medan City and there are 14 sub-districts that do not meet the established green open space requirements. The implication of this research contributes to the importance of urban planning practices. Strategies to increase the provision of green open space in Medan City can be achieved by applying a combination of intensification and extensification measures in the development of green open space.

Symmetrical peripheral gangrene: A rare case with unpredictable presentation and tragic outcome

Symmetrical peripheral gangrene (SPG) is a rare condition characterized by acute ischemic damage in multiple extremities without any obstruction or vasculitis in the supplying vessels. It commonly affects the toes, hands, scrotum, and earlobes, increasing the risk of limb amputation and significantly impacting the patient’s quality of life. The underlying vascular injury mechanism is disseminated intravascular coagulation, and SPG can manifest unpredictably in conditions associated with septic shock, low output states, vasospastic conditions, myeloproliferative disorders, or hyper viscosity syndrome. In this case study, a 19-year-old woman presented with bluish-black blisters on her feet and legs, accompanied by pain. The blisters gradually increased in size and burst, resulting in a watery discharge tinged with blood. Despite various investigations and treatments involving multiple departments, the patient ultimately succumbed to septic shock and passed away on June 13, 2023, as confirmed by a house officer and a senior resident.

Medical Trainees Abroad: Neglected Human Rights Considerations.

Medical trainees (applicants, students, and house officers) often engage in global health initiatives to enhance their own education through research and patient care. These endeavors may concomitantly prove of value to host nations in filling unmet clinical needs. At present, healthcare institutions generally focus on the safety of the trainee and the welfare of potential patients and research subjects when sanctioning such programs. The American medical community has historically afforded less consideration to the ethics of engagement by trainees from the United States in nations known for serious human rights transgressions. This essay examines the ethics of such endeavors and argues for increased consideration of these broader considerations when trainees engage in global health work abroad.

Challenges faced by final year dental students and house officers while performing endodontic treatment.

Objective: To identify the challenges faced by final year dental students and house officers while performing endodontic treatment. Study Design: Cross sectional study. Setting: Multicenter study. Setting: Involving Dental Colleges of Twin Cities Dental Hospitals of Islamabad and Rawalpindi including Islamabad Dental Hospital, Islamic International Dental Hospital, Pakistan Institute of Medical Sciences, Armed Forces Institute of Dentistry, Rawal Institute of Health Sciences and Margalla Institute of Health Sciences. Period: June 2023 to December 2023. Material & Methods: This cross sectional descriptive study was conducted on 263 participants. The inclusion criteria was final year dental students and house officers who had completed their mandatory rotation in endodontics department and performed root canal treatment with conventional methods. A structured questionnaire consisting of five sections containing patient management, access opening, working length determination, cleaning and shaping procedure and obturation was constructed. Google forms were sent to the participants after sample size was calculated with WHO calculator. Data was analyzed through Google forms. Results: The current study shows that majority of the participants faced difficulties in the patient management and obturation procedure. The overall most common difficulty encountered was rubber dam application (44.1%) followed by accessory GP bending during obturation (42%), apex locator use (39.4%), and canal orifice location (39.8%). Conclusion: The students and house officers are facing multiple difficulties in performing root canal treatment independently. Therefore there is a need to focus more on the training of students and house officers in their endodontic department rotation.

Can you name that tablet? A cross-sectional study on recognition of common urology medications.

Clinicians frequently rely on patients to accurately tell them what prescription medications and doses they are taking in outpatient visits. This information is essential to monitor the efficacy of a medication and to determine any adverse interactions. This study aimed to assess urologist and urology trainee's visual recognition of common urology medications. An online survey was distributed to urologists and urology trainees in Ireland. Images of 11 commonly prescribed urological medications were presented with free text options for answering. Information was gathered on respondent's role and experience. Data was analysed using STATA version 17. The survey had a 90% response rate from 50 distributions. Respondents' roles were consultant (31.1%), specialist registrar (33.3%), registrar (22.2%), senior house officer (11.1%) and intern (2.2%). Forty six percenthad more than six years urology experience. Average rate of correct responses was 39.4% ± 23.9. The most accurate group were consultants (46.1% ± 22.1), followed by specialist registrars (41.2% ± 24.9), registrars (39.1% ± 26.8), senior house officers (21.8% ± 10.4) and interns (9.1% ± 0). The most and least recognised medications were sildenafil (Viagra©) (84.4%) and fesoterodine (Toviaz©) (11.1%), respectively. Just 28.9% of respondents had previously handled any of the medications listed. Patients often do not reliably know their own medications other than to describe them or show an unpackaged tablet. Prescribing safety is paramount to ensuring patient safety and reducing the risk of adverse drug reactions. This study shows that even experienced clinicians do not recognise the medications they regularly prescribe, and decisions should not be made without accurate medication reconciliation.

Knowledge, Attitudes and Practices Regarding Use of Local Anaesthetics Among Non-Anaesthesia Healthcare Professionals at Mulago National Referral Hospital.

Local anaesthetics (LA) are commonly used in dental and surgical emergency wards by both anaesthesia professionals and non-anaesthesia professionals. Anecdotal evidence shows that non-anaesthesia health-care professionals do not monitor vital signs during the use of local anaesthesia, and there are no standard hospital guidelines on the use of LA and management of LA toxicity by non-anaesthesia professionals. This study sought to assess the knowledge, attitudes and practices regarding local anaesthetic use among non-anaesthesia health-care professionals at Mulago National Referral Hospital. This was a cross-sectional study that utilized a quantitative research approach. The sample size of the study was 43 non-anaesthesia healthcare professionals from the casualty and surgical outpatient wards and Mulago dental ward. Data was collected using a questionnaire and analyzed using STATA 15. Overall, 66.67% of the Specialist, 76.47% of the senior house officers, 100% of medical officers, and 80% of the clinical orthopedic house officers had unsatisfactory levels of knowledge in Mulago casualty and surgical outpatient wards. 20% of the specialist and 16.67% of the senior house officers had unsatisfactory levels of knowledge in Mulago dental ward. 87.5% of the non-anaesthesia health-care professionals do not give a test dose on a routine basis in Mulago casualty and surgical outpatient wards. A total of 63.64% of the non-anaesthesia healthcare professionals in Mulago dental ward do not sterilize the site of injection. Non-anaesthesia health-care professionals had unsatisfactory levels of knowledge, somewhat good practices, and negative attitudes toward LA use.

Pengaruh Motivasi Kerja dan Kompetensi Terhadap Kinerja Pegawai Pada Dinas Perumahan dan Kawasan Permukiman Provinsi Sumatera Selatan

The formulation of the problem in this study is that there is a phenomenon that occurs in the field that the housing and settlement area services of South Sumatra Province have problems such as minimal employee motivation due to demands to fulfill their rights and obligations as state civil servants, as well as a decreased level of enthusiasm so that it becomes an obstacle for the realization of the performance process in completing the work given. This study aims to determine the motivation and competence of the employees of the Department of Housing and Residential Areas of South Sumatra Province. Sampling of 53 respondents in this study using simple random sampling technique. The data analysis technique used multiple linear analysis with the help of the IBM SPSS 22 program. The results obtained both partially and simultaneously that work motivation and competence have a positive and significant effect on employee performance in the Housing and Settlement Area Office of South Sumatra Province.

Pengaruh Pengembangan Karir, Pendidikan Dan Pelatihan Kerja (Diklat) Dan Kedisplinan Terhadap Kinerja Pegawai

This research aims to determine the influence of Career Development, Education and Training (training) and Discipline on employee performance (case study at the Semarang City Housing and Settlement Area Office). This research uses a non-probability sampling technique using a saturated sample method. Data processing used the SPSS version 25 program. The population used in this research were civil servants at the housing and residential area services in the city of Semarang and the sample used was 150 respondents. The data in this study used Likert scale measurements, the data collection process was carried out using a questionnaire or manual paper for 150 respondents. The results of the analysis and discussion show that there is an influence. The results of this research show that there is a positive and significant influence between the variables Career Development, Education and Training (training) and Discipline on employee performance. The results of testing the coefficient of determination obtained a value of Adjusted R Square Adjusted R Square of 0.383 . So it can be concluded that the variables career development, education and training (training) and discipline influence employee performance by 38.3% while the remaining 61.7% comes from other variables outside the model which were not examined in this research.

Evaluation of the efficacy of shadowing house officer experience in surgical training

BackgroundThe shadowing house officer is an experiential learning activity that usually takes place within the final year clinical rotations of medical undergraduates. An exposure to a surgical intern is especially useful as the work extends to more practical aspects of ward work.ObjectiveWe assessed the impact of the shadowing house officer exprience during medical student clinical rotation on the surgical internship and to evaluate the challenges of the shadowing period.MethodsA descriptive cross-sectional survey was carried out among 108 surgical intern doctors in Sri Lanka via electronic media in 2023.ResultsOur study population consisted of 108 interns, with a response rate of 43.2%. This study demonstrates that on average a final year medical student undergoes a 4- day shadowing period in surgery which was considered by a majority to help in smooth transition to internship. 56% had a clear understanding about learning outcomes and less than half has had an induction session prior to commencement of shadowing. Official documentation, routine ward work, team work and communication skills were meaningfully experienced during shadowing. The main criticisms were inadequate breaks leading to exhaustion and missing out on important teaching activities. Another major concern was shadowing close to the final examination.ConclusionsSurgical shadowing house officer is an authentic work experience that intern doctors consider as important component in orientating the role of an intern. Introduction of shadowing at an earlier stage would be more beneficial and provide a broader view about the clinical set up to undergraduates.

Business Management's Inclusion in the Dental Curriculum: The Opinion of Abbasi Shaheed Hospital's Postgraduates and Dental Graduates

Background: The landscape of dental education has historically emphasized clinical expertise and patient care. However, the evolving healthcare environment necessitates a broader skill set for dental professionals, including business management capabilities. The integration of business management components into the dental curriculum has emerged as a pivotal area of focus, reflecting the need for dental practitioners to navigate the complexities of establishing and managing successful dental practices. Objective: This study aimed to explore the opinions of postgraduates and dental graduates from Abbasi Shaheed Hospital regarding the inclusion of business management in the dental curriculum, assessing their perceptions of its necessity and impact on their professional readiness. Methods: A cross-sectional, questionnaire-based study was conducted from December 2023 to January 2024 at Abbasi Shaheed Hospital. A purposive sampling technique was employed to select participants, including final year graduates, house officers, and postgraduate trainees, with a total of 183 respondents. The questionnaire, developed after a comprehensive literature review, comprised close-ended questions divided into three sections: demographic information, knowledge regarding opening and registration of new dental setups, and perceptions regarding business management. Data were analyzed using SPSS version 25. Results: The mean age of participants was 28.44±6.03 years, with a predominance of female respondents (72.1%). A significant proportion of participants (67.2%) were only slightly aware of the requirements for setting up a dental practice, and 50.8% were not aware at all of the procedure to register their practice in Pakistan. Regarding the inclusion of dental business management in the curriculum, 59% strongly agreed, and 31.1% agreed. Financial and business management skills were identified as primary barriers to starting a new dental practice. Conclusion: The findings highlight a strong consensus among dental professionals at Abbasi Shaheed Hospital on the need for integrating business management training into the dental curriculum. Such integration is crucial for preparing graduates to meet the challenges of modern dental practice, underscoring the importance of a comprehensive educational approach that includes both clinical and business management skills.

NIDA: Psilocybin mushroom seizures rose significantly

A National Institute on Drug Abuse (NIDA)‐funded study published in the journal Drug and Alcohol Dependence titled “National and Regional Trends in Seizures of Shrooms (Psilocybin) in the United States, 2017‐2022” reported a significant increase in law enforcement seizures of psilocybin mushrooms, also known as “magic mushrooms” or “shrooms,” in the United States from January 2017 to December 2022. The study is based on data from the White House Office of National Drug Control Policy's (ONDCP) High Intensity Drug Trafficking Areas (HIDTA) program, which tracks law enforcement seizures in hotspots across the country. Key findings include:

Eat glass and walk on fire, while managing a pandemic: Narratives of African American women who serve as senior housing officers.

Eat glass and walk on fire, while managing a pandemic: Narratives of African American women who serve as senior housing officers.

An insight into the clinical learning environment of dental institutes: a study in the twin cities of Pakistan.

To assess the perceptions of dental students regarding their clinical learning environment in an urban setting. This descriptive, cross-sectional survey was conducted from March 2020 to May 2021 after approval from the ethics review committee of Islamic International Dental College, Islamabad, Pakistan. It comprised of clinical year students, house officers and postgraduate trainees from 6 dental teaching hospitals of Rawalpindi and Islamabad. Data was collected using a pre-validated instrument assessing the dental clinical learning environment. Data was analysed using SPSS 24. Of the 1030 students approached, 561(54.4%) responded. Of them, 448(80%) were girls, 234(41.7%) were 3rd year students, 110(19.6%) were 4th year students, 120(21.4%) were house officers and 97(17.3%) were postgraduate trainees. Female students had a better patient attitude and were more confident in their abilities to keep up with their peers (p<0.05). The students were content with the performance of their clinical teachers, with a mean score of 70.99+/-16.0, while the lowest score of 54.67+/-22.9 was for clinical infrastructure and materials. Students of Islamabad pointed out the lack of clinical materials and maintenance of equipment but noted better research opportunities compared to their Rawalpindi counterparts (p<0.05). The clinical learning environment for Islamabad and Rawalpindi cities individually was good. Overall, students were satisfied with their clinical teachers, learning and training experience. Dental materials, infrastructure and maintenance factors scored the lowest.