Nigerian Medical Students Research Articles

Usage and perception of electronic medical records (EMR) among medical students in southwestern Nigeria

BackgroundThe transformational potential of electronic medical records (EMRs) in global healthcare is evident, but their adoption in low- and middle-income countries, including Nigeria, remains low.ObjectiveThis study aimed to understand the perceptions of southwestern Nigerian medical students toward EMRs given the limited literature on this topic.MethodsA descriptive, cross-sectional online survey was conducted among 412 medical students from four institutions in southwestern Nigeria. Data on the students' demographics, exposure to, and perspectives on EMR was collected. Data was analyzed using R Version 3.6.1.ResultsMajority (79%) of respondents were in their clinical years. We found that 68.4% of the respondents had good perception (scores ≥ 16) about EMRs while 31.6% were deemed as having fair level of perception (scores < 16). Interestingly, 54.9% had never used an electronic medical record (EMR). Although 46.4% felt very comfortable with EMRs' postgraduation use, 16% felt very uncomfortable. Notably, 94.5% believed that health technology solutions could enhance Nigerian health outcomes. Furthermore, 81.8% felt that their medical education would benefit from greater EMR exposure, while 80.9% believed that EMRs are essential for adequate patient care. Males exhibited significantly more EMR experience and more positive attitudes toward EMRs. However, there was no significant association between the level of study, location of medical school, and respondents' experience or perceptions of EMRs.ConclusionMore than half of students surveyed reported that they have never used EMRs. Despite this, many students felt comfortable with the idea of using EMRs in their future practice. Observed gender differences in EMR use and attitudes highlight the need for targeted strategies to prepare all students, regardless of gender, for the digital transition in healthcare.

Perceived Barriers to Pursuing a Career in Neurosurgery in Nigeria: A Cross-Sectional Survey of Nigerian Medical Students and Unspecialized Physicians

Nigeria has an inadequate number of neurosurgeons to meet the population's demand for neurosurgical care. Furthermore, few Nigerian neurosurgeons are female. This study sought to evaluate perceived barriers to pursuing neurosurgery among Nigerian trainees. A 60-question survey was distributed electronically to medical students at the College of Medicine, University of Ibadan, and unspecialized intern physicians at the University College Hospital, Ibadan, Nigeria. Participation was voluntary. One hundred fifty-seven respondents participated in the survey. A greater proportion of males indicated an interest in neurosurgery than females (40% vs. 18%, P= 0.010). Over 75% of respondents identified decreased family and personal time, long work hours, and limited access to maternity or paternity leave as potential barriers to neurosurgery, with no differences by gender. Respondents overall saw being female and low-income as disadvantageous to pursuing neurosurgery in Nigeria. Although they universally viewed research as important in neurosurgery, 59% of respondents reported inadequate access to research opportunities; this did not vary by gender. However, 65% of female respondents reported that having a female neurosurgery mentor would increase their interest in neurosurgery (vs. 37% of males, P= 0.001). Nigerian medical trainees perceived the time commitment of neurosurgery as a major barrier to pursuing the specialty. Regardless of gender, they also reported low exposure to neurosurgery and inadequate access to research and mentorship opportunities. However, we found that enhanced female representation among neurosurgery mentors and improved work-life balance could increase interest in neurosurgery and help expand Nigeria's neurosurgical workforce.

Sleep patterns and quality among Nigerian medical students: A cross-sectional study.

Adequate sleep is crucial for individuals' well-being and cognitive functioning. However, medical students face unique challenges that disrupt their sleep patterns, such as a rigorous curriculum, long study hours, and high-stress levels. Understanding the sleep patterns and quality among medical students in Nigeria is important to develop targeted interventions and support their overall well-being. This study involved 802 medical students from 3 medical schools in Southwest Nigeria. Participants completed an online questionnaire that collected data on their demographic characteristics, sleep patterns and self-reported sleep quality. Descriptive statistics and correlation analysis were used to analyze the data and identify patterns and associations. Most participants were female (56.9%), with the highest representation from the UNILORIN (65.5%). The average reported sleep duration was 5.74 hours per night, indicating insufficient sleep. Irregular bedtimes and wake-up times were commonly reported. A significant proportion of students consumed coffee late at night (27.1%) and used medication to induce sleep (24.3%). Sleep patterns and behaviors, such as snoring (36.1%) and nocturnal eating (57.6%), were reported. Overall, participants reported satisfactory (28.3%) or poor (29.7%) sleep quality. Correlation analysis revealed significant associations between sleep patterns, sleep quality, academic performance, and other sleep-related factors. The study identified insufficient sleep duration, irregular bedtimes, late-night coffee consumption, and poor sleep quality. These findings emphasize the need for interventions and strategies to promote healthy sleep habits among medical students, which can positively impact their overall health and academic performance.

Validity and Reliability of the Negative Acts Questionnaire-Revised among Nigerian Medical Students

BACKGROUND: The Negative Acts Questionnaire-Revised (NAQ-R) is used globally to assess workplace bullying. However, its validity and reliability have not been assessed among Nigerians. Aim: This study assessed the validity and reliability of the Negative Acts Questionnaire-Revised among medical students at the University of Calabar, Nigeria. METHOD: A cross-sectional study was conducted at the University of Calabar. All 123 students in the fifth-year class were approached for participation. The Negative Acts Questionnaire-Revised (NAQ-R) and General Health Questionnaire (GHQ-12) were administered concurrently. Data were analysed using IBM SPSS version 23. RESULT: We recruited 119 participants (response rate, 96.74%). Most were males [68, 57.1%] and unmarried [114, 95.8%]. The mean age of the sample was 25.2 (SD=3.2). Probable mental disorder was identified in 52 (43.7%) students, while 64 (53.8%) and 25 (21.0%) were classified as occasionally bullied or bullied, respectively. The correlation between the NAQ-R and the GHQ-12 was 0.47 (p&lt;0.0001). The NAQ-R demonstrated high reliability (Cronbach's Alpha = 0.92). Logistic regression indicated that students experiencing occasional bullying were over three times more likely to screen positive on the GHQ-12 (OR: 3.58, 95% CI: 1.27 - 10.12). Furthermore, those regularly bullied were about ten times more likely to screen positively on the GHQ-12 compared to students who did not report bullying (OR: 9.78, 95% CI: 2.77 - 34.44, p &lt; 0.05). CONCLUSION: The Negative Acts Questionnaire-Revised is a potentially useful measure of workplace bullying among Nigerians.

Perceptions of Nigerian medical students regarding their preparedness for precision medicine: a cross-sectional survey in Lagos, Nigeria

BackgroundAdvances in precision medicine in Nigeria suggest improving genomics education and competency among healthcare practitioners to facilitate clinical translation. Due to the scarcity of research in this area, this study aimed to assess Nigerian medical students’ perceptions about their preparedness to integrate precision medicine into their future clinical practice.MethodsThis was an institution-based cross-sectional study of medicine and surgery students in their clinical years attending the two fully accredited colleges of medicine in Lagos, Nigeria, between April and October 2022 using an adapted tool administered via Google Forms. The survey assessed their awareness, perceptions about knowledge, ability, and attitudes toward precision medicine, ethical concerns, and perceptions about their education in precision medicine. Multivariate linear regression models were used to assess factors associated with students’ perceptions of their knowledge, ability, and attitudes.ResultsA total of 300 students completed the questionnaires with a response rate of 40%. Awareness of genomic medicine terminology was high (92.0%). Responses to knowledge and ability questions revealed notable gaps, however, respondents had positive attitude scores overall. Higher medical school year was independently associated with lower knowledge (ptrend = 0.003) and ability (ptrend = 0.005) scores, and knowledge score was independently associated with a higher ability score (β: 0.76 95%CI: 0.67, 0.84; p < 0.001). Attitude scores significantly increased with increasing medical school year (ptrend = 0.04). The respondents mostly indicated concerns about government and corporate bodies’ misuse of genomic data (35.7%) and the widening of socioeconomic disparities (34.0%). Although 65.0% of the respondents thought it important to learn about precision medicine, only 11.3% felt that their education had adequately prepared them for precision medicine, knew who to ask questions regarding genomic testing (10.7%), and felt their professors had encouraged the use of precision medicine (10.3%).ConclusionDespite high awareness of precision medicine terminology and overall positive attitudes, our findings highlight gaps in knowledge and ability to integrate genomics into the care of patients and a need to improve precision medicine education among Nigerian medical students.

The role of Nigerian medical students in the HIV response: lessons from the COVID-19 pandemic

Background: With the advent of the COVID-19 pandemic, this study seeks to understand how medical students’ involvement in the HIV response during the COVID-19 pandemic – as well as before and after it – has influenced their decision to specialise in HIV care and their participation in HIV-related activities in the future. Method: Quantitative and qualitative approaches were utilised among medical students from Ambrose Alli University in their fourth, fifth and sixth years of study respectively. Data from this study was analysed using the SPSS version 21 module for descriptive statistics. Results: Medical students were more involved in community-based HIV awareness campaigns (48.6%) during the pre-COVID era, but then became more involved in online awareness campaigns (55%). Only 8.6% were involved in HIV research and evaluation activities. Over 31.2% of respondents were interested in specialising in HIV-related fields, with 23.6% attributing their decision to the COVID-19 pandemic. 92.3% of the respondents were of the opinion that medical students need to become more involved in HIV-related activities. There was statistical significance between the year of study of respondents and awareness of HIV-related activities (p < 0.007). Focused discussions revealed that all students felt that medical students should be more involved in HIV-related activities. Conclusion: Our results suggest that the COVID-19 pandemic marginally boosted the number of medical students involved in online awareness campaigns for HIV and AIDs, but there was decreased involvement in community campaigns and participation in community HIV testing. The impact of these findings on the lives of people living with HIV needs further investigation.

An evaluation of basic life support training among medical students in Southwest Nigeria: A web-based study

Basic Life Support (BLS) is considered a lifesaving measure and sound knowledge is expected among health professionals. Studies conducted among medical doctors and students in many developing countries show deficiencies in knowledge and practice of essential BLS skills. This study assessed the awareness, knowledge, perception, practice, accessibility and barriers to BLS training amongst medical students in South-Western Nigeria, exposing skill gaps and training challenges to inform appropriate solutions. This was a cross-sectional descriptive e-survey involving 2nd - 6th year medical students enrolled in 12 regional medical schools. Overall, 553 responses were received over a 3-month period from November 2020 to January 2021 and analyzed using IBM-SPSS 26. Of the 553 respondents, 79.2% were aware of BLS however only 160 (29%) respondents had good knowledge of BLS principles. Increasing age, higher level of study, prior BLS training and being enrolled in College of Medicine, University of Lagos (CMUL) were significantly associated with a higher knowledge score (p<0.05). Majority (99.5%) considered BLS training necessary however, only 51.3% had prior training. Increased level of study correlated with prior BLS training (p<0.05) alongside higher BLS uptake by respondents from CMUL (26.7%) and College of Medicine, University of Ibadan (20.9%) compared to respondents from other schools (p<0.05). Only 35.4% had ever done Cardiopulmonary Resuscitation. Most respondents reported no confidence in performing BLS (67.1%) or in using an Automated External Defibrillator (85.7%). Unavailability of training opportunities in state (35%), town (42%) and cost (27%) were major barriers to BLS training identified. Despite a high level of awareness of BLS training, knowledge of BLS principles and its practice is poor among Nigerian medical students, reflecting a need to integrate stand-alone/structured BLS trainings into the medical curriculum to increase participation and accessibility by medical students.

5613191 KNOWLEDGE, ATTITUDE, PRACTICE OF GENOTYPE SCREENING AMONG UNDERGRADUATES MEDICAL STUDENTS IN THE UNIVERSITY OF ABUJA

Background: Sickle cell disease remains the most common life threatening genetic disorder worldwide. Globally about 312,000 children are born each year with sickle cell disease (SCD), half of which are from Nigeria1,2,4,5,7,8. The prevalence of sickle cell anaemia (SS) in Nigeria is estimated to be 20 per 1000 and 25% of the population have sickle trait (AS)2,6,9,10,11. Medical students in Nigeria are key in the future management of sickle cell disease. Therefore, it is important to understand what training in SCD is given to medical students in Nigeria and to identify any important knowledge gaps which may improve training curricula. Method: A student survey was conducted at the College of Health Sciences, University of Abuja in the Federal Capital Territory of Nigeria (FCT) in the 2021/2022 academic year. At this University, all students undergo comprehensive medical tests before admission, which include genotype screening. All medical students were eligible to complete the survey and which was advertised through year group social platforms. Data were collected using a self-administered questionnaire through Google form, after the respondent indicated their consent. The questions focused on knowledge of the disease and attitude towards genotype screening, and whether the student had undergone screening and were aware of their status. Results: In the academic year of 2021/2022 there were a total number of 374 medical students from year one to year six of these 150 (40%) completed the survey. Survey respondents included similar numbers of males and females, with a mean age of 23.7 years and were from all years of study. All the respondents had heard about sickle cell disease and 85% stated that they had attended courses which covered Sickle cell disease topics (from 63% in 1st year of study rising to over 90% by year 3). A very high proportion knew that Sickle cell disease trait can be transmitted from both parents to offspring (95%), and 90% knew that SCD can affect anyone and can occur when both parents are carriers of the Sickle gene. Fewer students (79%) knew that SCD can be diagnosed at birth. Knowledge of common symptoms for sickle cell patients was variable, while most knew that one of the most common complaints was pain in the limbs (92%), only 23% were aware that yellow eyes is also a common symptom, and 10 students (7%) incorrectly identified skin rashes as a common symptom. A total of 93% of students had been genotype-screened for SCD, and attitudes towards genotype screening, was generally positive. Most agreed that genotype screening can help prevent SCD and that pre-conception genotype screening is important. Of those who had been screened and knew their status, 68.6% were AA (adult haemoglobin without any haemoglobin disorder), 28.6% were AS (had the sickle cell trait) and 2.9% were SS (sickle cell anaemia). Conclusion: Over 90% respondents knew their sickle cell status (Hb genotype) and 2.9% had SCD (HbSS), and 29% had sickle cell trait (HbAS) consistent with the national burden in Nigeria. Reassuringly, medical students had a good knowledge of and attitude towards SCD irrespective of their year of study. Although identifying symptoms, which may be important in diagnosis, could be improved. Given that almost half of the global burden of SCD is in Nigeria, this study reflects the importance of ensuring adequate health education towards sickle cell disease among Nigerian medical students.

A content analysis of two african medical schools' antibiotic stewardship curricula.

Antibiotics are precious substances that have saved millions of lives since their discovery, resulting in significant advances in modern medicine. However, antibiotic resistance and a slowdown in the discovery of new antibiotics with novel mechanisms of action are affecting the sustainability of antibiotics. The objective of this study was to describe the content of South African and Nigerian medical students' curricula with respect to prudent antimicrobial prescribing. A content analysis framework was used to identify, describe, and count the keywords, key phrases, and sentences relevant to the teaching of prudent antimicrobial prescribing in the complete curricula content of two African countries' medical schools. The courses are taught in the Graduate Entry Medical Programme (GEMP) curriculum (years 3-6) of the South African medical school and years 4-6 of the Nigerian medical school. The frequency of keywords/key phrases relevant to prudent antibiotic prescribing such as antimicrobial stewardship, mechanisms of bacterial resistance, and principles of antibiotic therapy was determined. The two curricula reviewed were found to be different. While the South African medical school uses an integrated curriculum in the GEMP (a stream where candidates with undergraduate degrees are enrolled into the 3rd year of medical school and spend 4 years), the Nigerian medical school operates a traditional (discipline based) curriculum from MBBS 1-6. A greater number of keywords and key phrases were found in the South African curriculum compared to the Nigerian curriculum in relation to prudent antibiotic prescribing and antimicrobial stewardship. The key phrase "antimicrobial stewardship" or "antibiotic stewardship" was absent in the Nigerian curriculum but appeared four times in the South African curriculum. The findings of this curriculum review suggest a need for revision of the medical curricula of the two countries, to one that will better prepare learners for antimicrobial stewardship.

Assessment of sleep knowledge among medical and dental students in a Nigerian tertiary institution: a cross-sectional study.

Sleep medicine is a rapidly growing field of Medicine globally. However, studies are lacking on the knowledge of Nigerian medical and dental students on sleep and the different types of sleep disorders. Thus, we assessed the knowledge, interest and awareness of Nigerian medical and dental students about sleep medicine. We also determined the factors associated with sleep knowledge among the medical and dental students. We conducted this cross-sectional study from June to September 2021, among medical students at the Obafemi Awolowo University, Ile-Ife, Nigeria. The students' knowledge of sleep was assessed with the Assessment of Sleep Knowledge in Medical Education (ASKME) survey. The participants were classified as having low or high scores based on the proportion who gave a correct answer to 60% of the questions. Among the 488 students who completed the questionnaire, there was a male preponderance (55%). About three-quarters of the respondents (376, 77%) had a low sleep knowledge score. Age, year of study, and awareness about sleep medicine were the predictors of sleep knowledge. A significant proportion of the medical students had poor sleep knowledge scores. There is a need to incorporate teaching sleep medicine in the curriculum of medical students early in their training.

Assessment of Undergraduate Medical Students Knowledge and Awareness of Fibromyalgia

BACKGROUND&#x0D; Despite the increasing prevalence of fibromyalgia, there has been little or no attention to its diagnosis and treatment in the undergraduate medical curriculum. This study intended to assess the knowledge and awareness of fibromyalgia among undergraduate medical students in Nigeria.&#x0D; METHODS&#x0D; This was a cross-sectional, descriptive survey conducted from September to December 2021. A total of 175 clinical students participated in the survey. The questionnaire comprised sociodemographic data and questions related to fibromyalgia. A scoring system was developed to stratify knowledge of fibromyalgia into very low, low, average, high, and very high. The level of significance was set at P &lt; 0.05.&#x0D; RESULTS&#x0D; Responses were obtained from 175 clinical students with a mean age of 25.14 ± 3.21 years. Most of the participants (38.3 %) had low fibromyalgia knowledge levels. The main sources of information on fibromyalgia were clinical postings (47.1 %) and the internet (37.1 %). Widespread pain (84.6 %), fatigue (74.9 %), sleep disturbance (73.7 %), and joint pain (69.1 %) were the most selected symptoms. About a third (32.6 %) did not know any diagnostic criteria for fibromyalgia. Physical exercise (80.0 %), NSAIDs (77.1%), and prednisolone (66.9 %) were the most selected treatment options. Age (p = 0.045), gender (p = 0.019), class level (p = 0.002), and current clinical posting (p = 0.032) were significantly associated with fibromyalgia knowledge levels.&#x0D; CONCLUSIONS&#x0D; This study revealed inadequate fibromyalgia knowledge among Nigerian medical students. This highlights the need to improve the undergraduate medical curriculum to bridge the knowledge gap.

Coping strategies of Nigerian medical students during the COVID-19 pandemic.

This study assessed the coping strategies of Nigerian medical students during the COVID-19 pandemic. We conducted an online descriptive cross-sectional study among medical and dental students attending three of the largest Colleges of Medicine in the Southwestern zone of Nigeria. Our study involved students across the pre-clinical and clinical levels of the three Colleges of Medicine. We selected the respondents through a purposive sampling technique and disseminated questionnaires applied using an online survey platform (Google forms https://forms.gle/19yfEzehJKwsme759). A total of 1010 participants out of 2404 eligible students completed the questionnaires accurately, giving a response rate of 42%. The Brief-COPE questionnaire assessed the participants' coping strategies (approach and avoidant) during the COVID-19 pandemic. We conducted a bivariate analysis using the chi-square test and multiple regression analysis (p< 0.05) to determine the predictors of avoidant coping strategies. Respondents mean age was 21.8±2.9 years, results were presented as Odds Ratios(OR) at 95% confidence intervals(CI). About 95% of respondents employed an approach coping strategy, while the minority(5%) adopted an avoidant coping strategy. Females were three times more likely to employ an avoidant coping strategy (OR=3.32 (95% CI 1.67-6.21) compared to male students. This study reveals that the majority of the respondents employed an approach coping strategy towards the COVID-19 pandemic. Females were more likely to employ an avoidant coping strategy. We recommend gender-specific programs to help medical students cope with the COVID-19 pandemic. No External Funding.

Perspectives of medical students on simulation-based training: the Nigerian experience.

simulation-based education (SBE) is becoming more prevalent in higher education. However, little is known of the perceptions of medical students towards this training approach. The objective of this study was to explore the perceptions of Nigerian medical students on manikin-based and virtual simulation training. in January 2019, a paper-based 25-item survey on simulation-based training was administered to a convenience sample of 120 medical students in the 4th year (400 level) and final year (600 level). Data were analysed using descriptive statistics, Pearson´s chi square, and the Fisher´s Exact test. a total of 95 surveys were completed (RR 79%). Respondents were mostly 21-30 years 95 (81%) and about half were female 60 (51%). Under half of 600 level students 22 (38%) reported receiving simulation-based training in Basic Life Support. A lack of curriculum 27 (28%), instructors trained in simulation education 31 (33%) and funding 52 (55%) were perceived as challenges to manikin-based simulation. Lack of awareness was the greatest single challenge to online simulation 50 (53%). A majority of medical students 181 (96%) owned smartphones, but only 3% (n=3) of respondents had experienced a virtual reality (VR) simulation. If facilities were available, 99% of respondents would recommend the use of online simulation. there is an opportunity for increased exposure to simulation-based training during undergraduate medical education in Nigeria. Instruction in simulation methods for clinical lecturers in medical schools would increase awareness of the potential advantages of simulation-based training and access for medical students to simulation education.

A descriptive study of mental health and burnout among Nigerian medical students.

Increasing attention is being paid to medical students' mental wellbeing globally due in part to their exposure to stressors inherent in medical education and the numerous reports of elevated rates of mental health conditions in this population. This study aimed to identify stressors and determine prevalence rates of psychiatric morbidity, substance use and burnout in a sample of Nigerian medical students. In a cross-sectional online survey, 505 medical students from 25 Nigerian medical schools completed a socio-demographic questionnaire, short version of the General Health Questionnaire (GHQ-12), the CAGE questionnaire and the Oldenburg Burnout Inventory (OLBI). The most commonly reported sources of stress were study (75.6%), money (52.3%) and relationships (30.1%). Nine students (1.8%) had received a mental health diagnosis prior to medical school but this number had increased to 29 (5.7%) whilst in medical school, with the majority being cases of anxiety and depressive disorders. The prevalence of psychological distress was 54.5%, but <5% of affected students had received any help for their mental health conditions. Twenty five students (5%) met criteria for problematic alcohol use and 6% had used cannabis. The proportions of students who met criteria for disengagement and exhaustion domains of the OLBI were 84.6% and 77.0% respectively. The prevalence of psychological distress and burnout is high among medical students. Interventions for medical students' well-being should be tailored to their needs and should target risk factors related to personal, organisational and medical school academic structure attributes.

Emergency medicine as a career: Knowledge, attitudes and predictors in Nigerian medical students.

IntroductionDespite the high burden of deaths from emergency conditions in Nigeria, there are no formal emergency medicine (EM) residency programs in the country. Due to the absence of training programs in the country, we hypothesised that there may be a lack of awareness of these benefits of specialised emergency care among medical students and also a lack of interest in it. In this study, we assessed the knowledge and attitude of Nigerian medical students towards EM specialty and their willingness to undergo EM training.MethodsOnline surveys were shared among medical students in six selected medical schools, one in each of the six geo-political zones in Nigeria. The surveys were designed to assess the knowledge of, attitude towards, and interest in EM residency programs. A total of 439 responses were received and analysed using Epi Info 7 analytical software.ResultsAmong the 439 respondents, the average knowledge score was 27.5%. Thirty-three percent (CI 28%-37%) of all the respondents had good knowledge about the availability of and opportunities in EM. Good knowledge was determined by a score of >50% on the knowledge portion of the survey, 97%% (CI 96%-99%) of the respondents felt that EM training program should be established in Nigeria and 20.5% % (CI 17%-25%) of the respondents were interested in pursuing EM as a specialty of choice.ConclusionOur research showed that there is a low level of knowledge about EM residency training programs among Nigerian medical students. This is likely secondary to the current absence of these programs in Nigeria. Almost all of the respondents felt that an EM training program should be established and a substantial number of medical students indicated an interest in pursuing the specialty.

Knowledge, Perception, and Use of Medical Applications Among Health Professions’ Students in a Nigerian University

Background: Harnessing the potentials of applications (apps) for clinical training and practice has turned into the focal point of innovation. Objectives: The current study was aimed to determine knowledge, perception, and medical apps use among medical students of a Nigerian University. Methods: In this cross-sectional study, 320 medical students (193 males and 127 females) are participated, with a response rate of 90.9%. The face and content validity was determined by a pilot test on obtained information about knowledge, perception, and use of medical applications, as well as socio-demographic characteristics. Descriptive and inferential statistics were used to analyze the data. Alpha level was set at P &lt; 0.05. Results: The 12-months and point prevalence of smartphone ownership and using smartphone-based medical apps were 90% and 81.9%; and 65.9% and 50.9%, respectively. There was a high level of knowledge (81.9%), and positive perception (80%) about medical apps use. Knowledge of medical apps usage was significantly associated with each of age (χ2 = 30.541, P = 0.001) and academic levels (χ2 = 19.270, P = 0.001). A significant association was found between the perception of medical apps and age (χ2 = 13.554, P = 0.004). Also, there was a significant association between current use of medical apps and each of age (χ2 = 12.018, P = 0.007) and academic levels (χ2 =11.297, P = 0.002). Conclusions: Although smartphone ownership was high among Nigerian medical students, their usage of smartphone-based medical apps was moderate. Being of younger age and higher level of study are major contributors to a high level of knowledge and positive perception about medical apps use.

Medical education in Nigeria and migration: a mixed-methods study of how the perception of quality influences migration decision making

This article was migrated. The article was marked as recommended. Medical education in Nigeria faces numerous challenges and problems; a lack of a coherent admission policy, inadequate funding, poor planning, and erosion of values have led to a general perception of low standards and quality. In the face of these, questions arise as to their influence on medical students' aspirations and intentions to migrate after graduation. This study uses a sequential mixed-method design to examine the extent to which the perceptions of the quality of medical education in Nigeria affect the aspirations and plans of Nigerian medical students to migrate after graduation. 211 final year students (out of a potential 580) participated in a survey; aged between 20 and 45. While the survey showed that the students perceived medical education to be of sufficiently good quality across a spectrum of variables, interview respondents described a dysfunctional medical education that failed to meet their aspirations. The perception of a declining standard in medical training is a major issue for Nigerian medical students and graduates. The inability to halt the decline in the quality of medical training in Nigeria, therefore, leaves many medical students and graduates feeling inadequately trained, and inadvertently feeds their desires and aspirations to migrate abroad after graduation.

2023. Antimicrobial Resistance and Stewardship Knowledge and Perception among Medical and Pharmacy Students in Nigeria

BackgroundNigeria is the most populous country in Africa and has high rates of antimicrobial resistance (AMR). The practice of antimicrobial stewardship in Nigerian hospitals is very limited and the subject is rarely included in undergraduate medical and pharmacy curriculums. To further acceptance and implementation of antimicrobial stewardship programs (ASP) in Nigeria health system, baseline measurements of the knowledge and perceptions held by graduating medical and pharmacy students was deemed essential. This study evaluated the knowledge and perceptions of a cohort of Nigerian medical and pharmacy students in concepts of AMR and ASP.MethodsThis was a cross-sectional questionnaire-based study of final year medical and pharmacy students from the two largest schools in the southeastern region of Nigeria. A previously published 20-items questionnaire measuring knowledge and perceptions toward AMR and ASP was adopted for the study. Results were expressed as frequencies and percentages.ResultsCompleted questionnaires were received from 79.3% (361 of 455 students), over half (60%) were male, and mostly between 22 and 25 years old (68.7%). More pharmacy students had formal training on ASP compared with medical students (41.3% vs. 27.5%, P < 0.05). Pharmacy students (n = 84.3% and 90.5%) were significantly more knowledgeable of factors that promote the spread of AMR and interventions to combat resistance than medical students (n = 73.9% and 82.3%), P < 0.05, respectively. Interestingly, 23.3% of medical students thought pharmacists should lead ASP teams, while 5.8% of pharmacy students thought doctors should lead ASP. However, both held poor perceptions of each other’s roles in the ASP team.ConclusionKnowledge of AMR and ASP among medical and pharmacy students in Nigeria is lacking. Inter-professional collaboration to change perceptions and drive ASP in urgently needed.Disclosures All authors: No reported disclosures.

Stature Prediction using Shoe Print Dimensions of an Adult Nigerian Population

This study aimed to derive predictive equations for stature estimation using shoe print dimensions of adult Nigerian medical students in the University of Lagos. A sample of 230 volunteers (100 males and 130 females) of Nigerian parentage, aged 18 – 36 years comprised this cross-sectional study. Stature and 460 bi-lateral shoe prints were obtained from the participants using a stadiometer and ink pads. Data analysis was performed using SPSS version 20. Sexual dimorphism in stature and shoe print dimensions were found to be highly significant (p < 0.05), with the males having greater values than the females. Paired t test revealed statistically significant bi-lateral differences in shoe print dimensions for the females and the pooled sample (p < 0.05). The right shoe print length (RSPL) exhibited the highest correlation with stature in the males, females and the pooled sample, with values of 0.483, 0.607 and 0.772, respectively. The shoe print breadths in the males, females and the pooled sample were significantly correlated with stature, except the left shoe print breadth (LSPB) in the females (r = 0.148). This study has demonstrated that shoe print dimensions are significantly correlated with stature, with the shoe print length showing more reliability in stature prediction than the shoe print breadth.

Sociodemographic correlates and symptoms of depression, anxiety and stress among a sample of nigerian medical students

Introduction: Previous studies have shown that medical students globally experience various degrees of psychopathologies such as depression, anxiety, and stress while in medical school. Objective: This study aimed at assessing the symptoms of depression, anxiety, and stress in a sample of Nigerian medical students. Materials and Methods: A cross-sectional and descriptive design was adopted for this study. A total of 240 medical students from the second to sixth years studying at the Lagos State University College of Medicine, Lagos, Nigeria were invited to participate in the study. They completed a proforma form that collected their sociodemographic variables and short version of the Depression Anxiety and Stress Scale. Results: A total of 240 medical students participated in the study. The age range was between 25 and 34 years, (mean 25 years; SD = 4.5); 120 (50%) were females and only 9 (3.75%) were married while a large majority of the participants 229 (95.4%) were single. A small number of the participants 9 (3.8%) and 34 (14.2%) smoked cigarettes and consumed alcohol, respectively. The DASS analysis showed that 15 (6.3%), 23 (9.5%), and 148 (61.6%) experienced symptoms of depression, anxiety, and stress, respectively. Conclusion: The study demonstrated that Nigerian medical students also manifested with various symptoms of psychopathology. Nigerian medical students should be taught stress and change management strategies to assist them to cope with the stressful nature of medical training.