Medical Culture Research Articles

Patient-Centered Healthare as Part of Medical Corporate Culture

Patient-centered medicine is a relatively new model for planning, implementing, and evaluating healthcare services. It is based on mutually beneficial partnerships between healthcare providers, patients, and their families. However, the existing models of patient-centered healthcare have a number of disadvantages. The article introduces patient-centered healthcare as part of corporate culture adopted by various medical organizations. The authors developed a component model for the empirical study of patient-centered healthcare in terms of corporate culture. It involved five components, i.e., corporate culture, attitude to patient, attitude to work / professional image, adherence to ethical principles, and motivation. The model was tested using assessment methods developed by the authors, as well as using the Questionnaire of Professional Motivation by K. Zamfir as modified by A. A. Rean and the Mouton-Blake Corporate Culture Test. The sample involved 267 medical employees of urban medical organizations, Primorye Region. The respondents demonstrated a general understanding of patient-centered approach, which they interpreted as communication skills with patients. The dominant culture was that of task, which allowed medical staff to achieve their goals through collective decisions and mutual assistance. However, this mutual assistance was mandated to them due to the lack of personnel. The model demonstrated a good potential for yielding psychological and organizational technologies for training, support, and correction of patient-centered issues in medical organizations.

Incidence Of Insomnia, Anxiety, Depression, Overweight And Drug And Alcohol Use Among Medical Students

Introduction: The existence of a toxicity in medical culture caused by chronified stress in the exercise of the profession by demanding excellence in practice and the adoption of infallible knowledge. As a result, doctors and medical students have shown higher rates of psychological distress, burnout and diagnosed mental illness. Methodology: A questionnaire consisting of 11 questions about sleep quality, depression, anxiety, diet and exercise was carried out among medical students. A total of 83 medical students from 7 different Brazilian educational institutions answered the questionnaire. Objective: To Carry out a descriptive of a quantitative nature and exploratory research through a structured and pre-planned questionnaire with questions regarding the quality of sleep, anxiety, diet, depression, alcohol and drug consumption by medical students, in different periods of training.

Exploring Intercultural Dynamics in Medical English Education in China: an In-depth Analysis and Strategic Enhancement

With the continuous development of modern society, information transmission has become more rapid and convenient, which has gradually increased the economic exchanges among various countries in the world, and has also led to more frequent communication among political, cultural, medical and other fields between different regions. At the same time, the mutual penetration and integration between foreign medical culture spread through English and domestic traditional medical concepts have also put forward new demands for the cultivation of high-quality talents in China's medical field. Researchers have explored the cross-cultural complexity of Medical English Teaching (MET) in Chinese higher education institutions and its impact on global medical communication. With the increasing internationalization of healthcare services, English, as the main language of medical communication, is gaining prominence in education. In this broader context. The status of English in global medical education and its teaching in non-native English-speaking environments are facing great challenges, especially in China's higher education settings. Based on an in-depth analysis of the literature and empirical research, this study reveals cross-cultural barriers to MET practice and adopts a mixed-methods research design that combines both quantitative and qualitative methods of data collection and analysis in order to comprehensively examine the current status of MET in China. Special attention was paid to teachers' intercultural competence development, teaching method innovation, and course content adaptation. Based on this, the researcher proposes targeted strategies aimed at improving intercultural competence in MET, including strengthening teacher training, improving curriculum design, and promoting the integration of intercultural communication skills. The findings of the study not only provide insights into existing MET practices, but also offer constructive suggestions for future educational strategies and research directions. Through this study, we expect to contribute a valuable reference and guidance to the field of medical English education in China and globally.

Barriers to correct pronoun usage in healthcare settings

BackgroundUsing correct pronouns is an impactful way to establish affirming environments for transgender and nonbinary (TGNB) patients. However, physicians often report struggling with this.ObjectiveThis study set out to conduct an initial root cause analysis of factors contributing to medical students and physicians failing to use TGNB patients’ correct pronouns.MethodsA 10-item Qualtrics survey was sent to medical students, residents, and physicians practicing in Central Ohio. Participants were asked to describe perceived challenges or barriers colleagues have regarding correctly using TGNB patients’ correct pronouns. A directed content analysis of participant responses was performed utilizing a fishbone diagram root cause analysis tool as a basis for conceptualizing and categorizing barriers. All coding was completed by independent reviewers utilizing a consensus reconciliation methodology.ResultsOf 928 survey respondents, 763 met the study inclusion criteria, of which 453 provided analyzable responses. Of these 453, attendings with five or more years of practice (32.5%) and medical students (27.4%) made up the two largest demographic categories. 1.7% of respondents identified as transgender, nonbinary, and/or genderqueer, and 64% identified as heterosexual/straight. Five core barrier categories were identified: documentation, patient care, environment, knowledge, and individuals. Sub-categories were also identified, including lack of documentation, discomfort, medical culture, lack of standardization, prejudice, and assumptions.ConclusionThe study identifies important barriers to medical professionals correctly using TGNB patients’ pronouns. The root cause analysis conducted as part of this study demonstrates the necessity of multi-pronged, system-level interventions to support ensuring TGNB patients are addressed using the correct pronouns.

TCM diagnostics for injury prevention in Mid/Long-Distance runs

The middle and long-distance running event in the "College Students' Physical Health Standards" test has the effect of enhancing students' willpower, expressiveness, and social adaptability. However, injuries are highly likely to occur during the middle and long-distance running, which can cause physical harm and mental pressure to schools, teachers, parents, and students, and affect the authenticity of the test results. The "Four Diagnostic Methods" of Traditional Chinese Medicine (TCM) are treasures of our country's traditional medical culture. By utilizing the rich theories and experiences of TCM' s "Four Diagnostic Methods" to explore the hidden dangers that lead to sports injuries, it is possible to prevent injuries in middle and long-distance running at an early stage and reduce the occurrence of sports injuries.

‘Luxuries of the mind’: Contextualising Art Photography, Eroticism and History of Medicine in the Social tableaux vivants of Lejaren à Hiller's Sutures in Ancient Surgery (1920s–1940s)

Abstract In 1927 Lejaren à Hiller (1880–1969) produced a series of black and white art photographs entitled Sutures in Ancient Surgery evoking scenes from the distant past of surgery and medicine. Commissioned and distributed in North America by Davis & Geck, Inc. to promote sales of its surgical sutures (stitches), several depictions were erotic owing to the centrality and poses of nude female models. The first series appeared as ads in professional technical journals, then as packets assembled in paper portfolios distributed to doctors who were primarily men. The creation of Hiller's oeuvre in different forms over almost a century – journal advertisement, portfolio, book, exhibit, magazine features and textbook illustration – highlights his enduring broad appeal, although his work has since been subject to criticism because of its perceived sexism. At its root, Sutures was an advertising medium that connected a seller to a potential buyer. The content and presentation of the project also connected medicine present with medicine past, which also may have helped physicians to connect with the then blossoming field of medical history. The appeal Sutures may have had for a past male medical culture would not resonate with the more gender-inclusive and less overtly sexist medical profession of today, which also prompts discussion of the associations across art, obscenity, medicine and society. My reassessment of Hiller's work based on analysis of his artwork, contemporary interviews, published critiques, Hiller's own writings and DG company records extends previous analyses as it is more comprehensive in scope and also considers more fully works by Hiller antecedent to Sutures that probably greatly influenced it, such as photopoetry books, other advertising projects and his silent movie films.

Formation of Soviet Medical Care to Indigenous Minorities of Turukhansk Territory in the 1920s

Due to the specifics of its geographical and climatic location, historically formed disease structure, ethnic approach to the development of traditional medical culture, the North territories’ population possesses a range of characteristics significantly different from the national average. This determines a number of problems and contradictions in medicine. The research of medical care to indigenous minorities of Turukhansk Territory in the 1920s is chosen because of its poor study, as well as the peculiarities of social and economic life of the region and national policy of the Soviet government. The article investigates the early Soviet policy in the sphere of health protection of the indigenous minorities of Turukhansk Territory. It considers two interrelated issues: it characterizes ethnic and regional aspects of traditional medicine; it reveals peculiar traits of the developing Soviet medical care to the indigenous minorities. We conclude that during the period under study despite the lack of financing and medical personnel the forms of interaction with the indigenous minorities of Turukhansk Territory were searched for. Those concerned managed to change the peoples’ attitude to doctors and medical assistants, to involve them into the anti-infective vaccination and to start health education programme. However the problem of publicly accessible medical care was solved only in parts, since major changes in living conditions did not happen, an extensive network of health facilities available to the general public was not created. The article is designed for specialists in the sphere of national healthcare history and cultural life of peoples of the North.

A qualitative study of end-stage liver disease and liver transplant referral practices among primary care providers in nonurban America.

In rural America, the road to obtaining a liver transplant (LTX) often starts at the primary care provider's (PCP's) office. Patients with end-stage liver disease (ESLD) in rural communities experience lower rates of wait-listing and higher mortality. This study identifies issues related to the knowledge and perceptions of ESLD and LTX referral among PCPs in rural Kentucky (KY). The study protocol involved relying upon a semistructured outline to explore the knowledge, attitude, and perceptions of PCPs toward ESLD and LTX referral among PCPs in rural KY. Inductive thematic analysis was utilized to identify, analyze, and report themes. From the focus group interviews, three themes were identified: medical culture, gaps in knowledge, and bias against those with self-induced causes of ESLD. Each theme illuminated barriers to referral for transplant evaluation. Knowledge gaps, attitudes in medical culture, and biases surrounding ESLD and LTX referral exist in community medicine practice. This highlights the importance of education, resources, and facilitation of LTX referral processes for PCPs.

Obstetric violence and consent during pregnancy and childbirth: the Eighth Amendment and its impact on the Irish maternity system

ABSTRACT In the run up to the referendum on abortion in Ireland in 2018, women shared experiences of being denied abortion care through social media. The ‘In Her Shoes’ dataset is a collection of archived Facebook posts in which women shared their experiences of obstetric coercion, lack of information and lack of consent to medical procedures during pregnancy and childbirth. Using women’s testimonies from the In Her Shoes database (https://repository.dri.ie/catalog/wm11nd02p), this research will critically analyse these stories. The paper will analyse women’s experiences in maternity care pre-2018 before the constitutional change. The article includes experiences of being denied treatment because of their pregnancy, being forced to continue the pregnancy when there was a risk to the woman’s health, as well as a lack of information and lack of consent to medical procedures. The article puts women’s experiences at the forefront of the research and analyses their experiences within a medical narrative framework. It argues that the Eighth Amendment, not just denied abortion care, but contributed towards a medical culture in which the patient’s experience was not central to that care. Since the removal of the Eighth Amendment, we should move towards a patient-centered care approach to maternity care in Ireland.

“It creates a divide”: minoritized medical students’ perceptions of professional identity formation

Background: If the task of professional identity formation (PIF) is for the trainee to become acculturated to a specific set of professional values, trainees whose individual identities are already closely aligned with the hegemonic values of medicine might be expected to have an easier PIF process than those trainees who begin their acculturation with individual values that are quite different than the prevailing values in medicine. Method: The present cross-sectional qualitative study examines the PIF experience of 15 medical students who face a range of structural inequalities and cultural constraints in a rural, predominately white medical school setting. Results: Five themes emerged from interviews: 1) participants’ decision to enroll in medical school was substantially influenced by family and broader community; 2) participants' expectations about starting medical school were not met; 3) participants perceived they were different from other medical students and also from the stereotypical physician; 4) participants felt pressure to adjust their personal identity; and 5) participants drew from personal identities to cope with stress. Discussion: These qualitative findings suggest that many participants felt their identity was often an asset in connecting with patients. Concurrently, participants felt a responsibility to return to practice in their home communities, which may represent a uniqueburden. Furthermore, some felt pressure to compromise or change their individual identity to be successful in medical culture. The task for medical schools may be to help students view their identities as a unique advantage, rather than something they need to quell or minimize to be successful.

The new Italian Code of Medical Ethics

The presentation of the new Italian Code of Medical Deontology would require a broad and comparative consideration with the previous text issued by the National Federation of Medical Boards in 1978, to note the points of development in these ten years, in which new problems and new demands have emerged in the world of medical culture and science.

Successful implementation of interprofessional education: A pedagogical design perspective

Interprofessional collaboration (IPC) is crucial within healthcare teams that must provide safe and quality care to their patients. Competent professionals in this area offer better care and contribute to a medical culture where IPC and teamwork are valued. To become competent, they must be adequately trained. Unfortunately, the literature describes that collaboration training is uneven across professions. Interprofessional education (IPE) could fill this educational gap but remains challenging to implement. This article aims to present ten clear and concise considerations to implementing IPE initiatives successfully, following a well-described pedagogical designing process. After reading, the clinician-educator will be informed of the newest evidence in IPE as well as the common pitfalls to avoid. From the starting point of a recent synthesis article on IPE, several additional syntheses, analyses, and recommendations articles were consulted and synthesized. From that, the findings are organized according to the “ADDIE” model, a flexible methodology used in pedagogical design through iterative cycles in context. The phases of “ADDIE” are analysis, design, development, implementation, and evaluation. According to these phases, the considerations will be presented to allow the reader to apply them "step by step" in their educational planning process. Ten considerations are presented, from the needs analysis, stakeholders and Faculty involvement, composition of the design team, selection of students and types of learning activity, the role of reflexivity, training of facilitators, supervision, and the continuous improvement process. Taken together, these will contribute to highlighting the essential nature of training in collaboration in modern professionalizing programs.

From Research on TCM Images to Historiography of TCM Images——Comments on History of Chinese Image Culture: Medical Image Volume

Abstract Zhong Hua Tu Xiang Wen Hua Shi Yi Yao Tu Xiang Juan (《中华图像文化史•医药图像卷》History of Chinese Image Culture: Medical Image Volume) is a history of images of Chinese medicine. This work meticulously traces the evolution of Chinese medicine from the pre-Qin and Han dynasties through to the late Qing dynasty and the Republican era, utilizing a rich array of medical and non-medical images. Through detailed analysis and interpretation of these images, the volume reconstructs the developmental trajectory of traditional Chinese medicine (TCM) theories, while also revealing the impact of ideological, cultural, and societal contexts on medical culture and theoretical advancement. Zhong Hua Tu Xiang Wen Hua Shi Yi Yao Tu Xiang Juan has pushed the research of Chinese medical images from purely literary studies to a broader historical context, broadened the research object of Chinese medical history, and constructed a basic framework for the new research field of image medical history. The book not only facilitates a deeper understanding of TCM's historical and contemporary developments, but also holds significant value for scholars engaged in historical literature research or clinical practice, aiming to integrate historical insights.

Transforming Toxic Research Cultures: Protecting the Future of Medical Students and Early Career Researchers – Part I

Have you ever felt your passion for research slowly erode under the weight of unfair practices and relentless pressure to publish? Or been denied authorship credit for work you tirelessly contributed to? If so, you are not alone. This is the harsh reality for many medical students and early career researchers trapped in a “toxic research culture.” This hidden crisis undermines the integrity of medical research and jeopardizes the well-being and career prospects of those eager to advance science. Despite its prevalence, this issue remains shrouded in silence, propagating cycles of harm and hampering scientific progress. This editorial explores the evolution of medical research culture, defines the harmful practices that constitute a toxic environment, and highlights the vulnerability of junior researchers to such practices. Manifestations of toxicity, including bullying, harassment, and unethical authorship practices, are analyzed along with their detrimental impacts on mental health. Current policies and strategies for promoting a healthier research environment are discussed. We highlight the urgent need for reforms, including the promotion of whistleblowing without fear, diversifying leadership, revising evaluation criteria, and implementing educational interventions on research ethics as a preventive measure. Additionally, we explore the impact of fake mentors within academia, advising vigilance against individuals who exploit their roles for personal agendas rather than genuine mentorship. Through a call to action, we urge stakeholders and institutions to safeguard junior researchers and uphold the integrity of scientific research. IJMS plays a crucial role in this transformation by promoting mentorship, ethical practices, and accessible research.

Having a child with autism has enriched my life and the life of others

ABSTRACT The Media and Medical culture tend to view autism in a negative light. Pediatric training can often train pediatricians to concentrate on the negative aspects of autism when it should concentrate on finding resources for families and becoming comfortable with the population. The way the diagnosis is delivered to families can set the tone for how the family view the path that their autistic family member is about to take. We need to do better in communicating neurodiversity and its traits in a more positive light.

O literaturze mirakularnej, epilepsji i innych zagadnieniach poruszonych przez Elżbietę Nowosielską w książce pt. „Melancholia, szaleństwo i inne »choroby głowy« w Rzeczypospolitej w XVII i XVIII wieku”

For decades, the history of medicine, healing, medical culture, health, etc. has been fascinating researchers: historians, anthropologists, archaeologists, and doctors alike. Researchers in this field use source materials that have been known in science for a long time, often creating a questionnaire of issues and questions that no one has posed so far. Elżbieta Nowosielska’s publication, entitled „Melancholy, madness and other ‘headaches’ in the Polish-Lithuanian Commonwealth in the 17th and 18th centuries” (2021) belongs to this group of works. It is clear to anyone who has dealt with books of miracles and graces that, on the basis of the miraculous literature, if properly explored, E. Nowosielska would have come close to one of the goals outlined in the book’s introduction – a possibly complete picture of the approach to madness or melancholy. The author underestimated the effort made by Jowita Jagla, a researcher into the books of miracles and graces, and the votive offerings, who discusses issues related to epilepsy in her work, and disregarded several other texts. This does not speak very well of the search she carried out.

Thermal Culture as National Heritage Among the Algerian Population Case Study Hammam Debagh Guelma

The thermal culture in Algeria dates back to antiquity, the Romans were among the first to know the therapeuticbenefits of hot water springs in the region, Guelma is one of the Algerian cities which have natural hot springs, overfor centuries the thermal tradition has been perpetuated and has been integrated into the local medical culture. Theprofessional objective is to undertake an in-depth analysis of the thermal culture at Hammam Debagh, Guelma,capitalizing on its rich ancient heritage, and the attractiveness of the public in search of medical care, relaxation andleisure, thus highlighting the importance continues this age-old practice for health and well-being. A thoroughunderstanding of this tradition will help strengthen its attractiveness and promote its potential as a therapeutic andtourism resource.

English Translation Strategies for Pulse Diagnostic Terms in Tibetan Medicine: A Study from the Perspective of Transknowletology

Tibetan medicine plays a key role in China s traditional medicine system and has made vital contributions to safeguarding the lives and health of Tibetans. But, the translation of TM has lagged behind to some extent. With the help of Transknowletology, this article finds a new way to facilitate the international dissemination of Tibetan medical culture.

Associations between medical students' stress, academic burnout and moral courage efficacy.

Medical students, especially during the clinical years, are often exposed to breaches of safety and professionalism. These contradict personal and professional values exposing them to moral distress and to the dilemma of whether and how to act. Acting requires moral courage, i.e., overcoming fear to maintain one's core values and professional obligations. It includes speaking up and "doing the right thing" despite stressors and risks (e.g., humiliation). Acting morally courageously is difficult, and ways to enhance it are needed. Though moral courage efficacy, i.e., individuals' belief in their capability to act morally, might play a significant role, there is little empirical research on the factors contributing to students' moral courage efficacy. Therefore, this study examined the associations between perceived stress, academic burnout, and moral courage efficacy. A cross-sectional study among 239 medical students who completed self-reported questionnaires measuring perceived stress, academic burnout ('exhaustion,' 'cynicism,' 'reduced professional efficacy'), and moral courage efficacy (toward others' actions and toward self-actions). Data analysis via Pearson's correlations, regression-based PROCESS macro, and independent t-tests for group differences. The burnout dimension of 'reduced professional efficacy' mediated the association between perceived stress and moral courage efficacy toward others' actions. The burnout dimensions 'exhaustion' and 'reduced professional efficacy' mediated the association between perceived stress and moral courage efficacy toward self-actions. The results emphasize the importance of promoting medical students' well-being-in terms of stress and burnout-to enhance their moral courage efficacy. Medical education interventions should focus on improving medical students' professional efficacy since it affects both their moral courage efficacy toward others and their self-actions. This can help create a safer and more appropriate medical culture.

Developing a Community of Practice through Social Media to Facilitate Continuing Education of Medical Practitioners in Medical Research

The emergence of COVID-19 has highlighted the significance of research in medical practice, particularly in low- and middle-income countries (LMICs) like Indonesia, where healthcare challenges are prominent. Therefore, this study introduces Arcandcoresearch, a non-institutional-based virtual Community of Practice (vCoP), aiming to address the research capacity gaps among medical practitioners. This study aimed to understand the possibility of using several social media platforms (Instagram, YouTube, and WhatsApp) in the vCoP for continuing medical education of general practitioners regarding medical research. Through Instagram, the project has gained substantial follower growth (1003 followers within 19 months); most were 25-34 years old (69%). Within six months, 124 medical practitioners participated in five sharing sessions via Zoom meetings. All participants who completed the feedback form were satisfied with the content delivery of the sessions. The recorded sharing sessions were then uploaded to the YouTube channel. It already had 150 subscribers until September 2023, with 397 viewers for the videos uploaded in 2022. We facilitated participants to discuss any concerns related to medical research in the WhatsApp group, which already had 24 participants. These preliminary results highlight the potential of Arcandcoresearch to impact medical research culture positively in LMICs. The next steps should be conducting thorough program evaluations and developing strategies for sustaining virtual engagement.