Postgraduate Training Experience Research Articles

Experience and attitudes of general psychiatrists in Turkiye towards persons with intellectual disability/intellectual developmental disorders: a cross-sectional survey

Background The global burden of psychiatric care of intellectual disabilities/intellectual developmental disorders (IDD) remains unaddressed in general. The aim of this study was to explore the knowledge and attitudes of general adult psychiatry practitioners in Turkiye. Methods A self-administered cross-sectional survey was conducted to gather information regarding the medical and postgraduate training experiences, views, and attitudes towards IDD (n = 265). Results Among the respondents, 47.9% reported receiving some training on IDD in medical school, and 75.4% during residency training. Almost all respondents felt strongly that further specialty training would be beneficial. Majority of respondents indicated that they would be willing to see patients with IDD despite finding it difficult to diagnose/manage their co-occurring mental disorders. The most common mental health problem endorsed was ‘challenging behaviour’. The most prescribed psychotropic medication class was antipsychotics. Conclusions The results of the study highlight need for training, normalization, and enhancement of community inclusion in IDD.

Early-career school psychologists’ risk assessment self-efficacy: An Australian perspective

Assessment and management of youth suicide risk is a key role for school psychologists. However, prior research indicates that psychologists commonly lack confidence and feel unprepared when they graduated to conduct risk assessments. This qualitative study explored nine Victorian early-career school psychologists’ role in risk assessment, and their self-perceived preparedness, self-efficacy, postgraduate training experiences and methods used to assess risk. Results identified that the frequency of student suicidal ideation and acute mental health presentations exceeded participants’ expectations. Participants identified confidence in assessing risk, but less confidence in the follow-up actions. Participants reported employing comprehensive risk assessment practices and most received exposure to risk assessment during training. Key factors identified for building risk assessment preparedness and confidence were supervision, experience, professional development and research. As participants identified core risk assessment competencies that may require further coverage in curricula, these findings have important implications for universities to maximise graduates’ risk assessment preparedness.

Knowledge Attitudes Practice and Barriers toward Conducting Research in Emergency Residents

Background: In medical institutes, research is a significant part of postgraduate education. Only a small number of emergency residents were able to publish their study, though. According to reports, some of the barriers to conducting research include a lack of cash and time, inadequate infrastructure, inadequate research expertise and technique, and poor research beliefs.
 Objective: The purpose of this study was to assess the clinical residents' knowledge, attitudes, practices, and impediments to conducting research.
 Methods: The study was conducted in Riyadh, Saudi Arabia, and involved the King Saud Medical City (KSMC), King Salman Hospital, Aliman General Hospital, and Imam Abdulrahman Alfaisal Hospital. The research was a cross-sectional descriptive study. Data about residents was acquired between February 2023 and April 2023. In comparison to other hospitals, KSMC is a notable university hospital in Saudi Arabia with more years of postgraduate training experience. Only ambulatory emergency residents were recruited for this investigation. Data was gathered using a structured questionnaire that had been evaluated beforehand. The survey was modified from a verified survey created by Vodopivec et al. Many developing nations employ the tool for comparable surveys.
 Results: 124 residents participated in the study. The participant's background characteristics are displayed in Table 1. The participants' average age was 27. Over 30 was the age range for 69.3% of the participants. Men made up 71.7% of the participants. Only 22.1% of postgraduate students reported having such training. Additionally, 28% of them had publications, and 54.4% had some experience in research. Research training received during graduate studies had a greater favorable impact on research practice than research training received during undergraduate schooling (p 0.02).
 Conclusion: Although the participants had a favorable attitude toward research, their practice was insufficient due to their lack of understanding of it. The gap between a high level of optimism, limited research understanding, and scant research practice need to be filled. Perhaps by enhancing their expertise while pursuing graduate courses, this can be accomplished. To advance residents' knowledge and research practice, it is advised that they have access to improved financial support and research mentorship.

Prehospital medicine learning experience for pharmacy residents

AbstractPharmacist collaboration with medical directors and practitioners operating in the emergency medical services (EMS) system can improve overall care, optimize the medication formulary, and decrease medication‐related risk. However, to achieve this, pharmacists must have a fundamental understanding of the prehospital medicine environment. We describe a comprehensive prehospital medicine postgraduate training experience for postgraduate year two (PGY2) emergency medicine (EM) pharmacy residents. A detailed description of the prehospital medicine learning experience (LE) is provided that includes an immersive schedule with diverse EMS exposure, attendance at dedicated EMS‐specific medical resident conferences, didactic and self‐learning requirements, and a scholarly EMS project. Information regarding how this LE is organized and evaluated, as well as challenges and future directions are provided. Program success is highlighted with the reporting of 20 scholarly projects completed by PGY2 EM pharmacy residents from 2006 through 2022 in collaboration with EMS and the Division of Prehospital Medicine. A collaborative and immersive prehospital medicine LE for PGY2 EM pharmacy residents can be mutually beneficial for the training of the pharmacy resident, scholarly productivity supporting regional and statewide change, and EMS personnel.

Residency training experiences of residents with children: A phenomenological study

ABSTRACT Parenthood during postgraduate medical training has become an increasingly relevant topic in recent years. While previous research has attempted to explore the experiences of residents in a parenting role through surveys and limited qualitative studies, an in depth understanding of the postgraduate training experience of these parent residents has not been clearly described. The optimal means of supporting trainees completing residency while parenting remains unclear. The study aim was to develop a rich understanding of the residency training experience of residents in a parenting role. We conducted 15 semi-structured telephone interviews. Our study population included postgraduate trainees from 9 different programs from a large research-intensive university who were parents upon entry to residency or who became parents during residency training. Transcendental phenomenology was used as a qualitative research methodology, guided by life course theory. Thematic analysis of residents’ training experiences revealed the following themes: 1) challenges of being a parent with residency responsibilities; 2) work-life balance; 3) support systems; 4) impact on patient interactions; 5) impact on other interactions; and 6) unspoken expectations. Participants suggested actionable solutions to improve the training experience for residents in a parenting role, which included: 1) family-inclusive events; 2) scheduling flexibility; 3) support for fathers; and 4) optimizing support for breastfeeding mothers. Residents in a parenting role represent a unique postgraduate trainee population. Despite focus on resident wellness, challenges remain for individuals trying to navigate parenthood and residency. This data may be utilized to inform support and strategies to optimize the training experiences of these residents.

Frequency of Stillbirths in Obese Pregnant Women

Objective: To determine the frequency of stillbirths in obese pregnant women. Design of the Study: It’s a descriptive cross-sectional study. Study Settings: This study was carried out at Department of Obstetrics and Gynecology, Lady Reading Hospital Peshawar from January 2018 to July 2018. Material and Methods: In this study a total of 289 patients were observed. Detailed history was taken from each patient, period of gestation was calculated from 1st trimester scan, conducted by a person having at least 2 years post-graduate training experience in his/her respective field. Height/Weight measurements were done by the same standardized equipment’s for all enrolled patients and BMI calculation done by standard WHO formula before delivery. Baby after delivery was examined and looked for presence/absence of vital signs by the designated obstetrician. Outcome of pregnancy either alive or stillborn baby was recorded for each patient in order to fulfill the objective of study. To control bias and confounding, exclusion criteria had strictly followed. All the data was recorded on a pre-designed Proforma and subjected to analysis. Results of the Study: Our study shows that mean age of 28.87 +3.92 years Forty two percent patients were primi gravid and 58% patients were multi gravida. Forty three percent patients were primi para while 57% patients were multi para. Ninety percent babies were alive while 10% babies were still birth. Conclusion: Our study concludes that the frequency of still births was 10% in obese pregnant women. Keywords: still births, obese, pregnant women, primi para, WHO.

Between the specificity of Social Work and the loss of disciplinary boundaries: an interdisciplinary postgraduate training experience

This research presents an analysis of the academic experience of the Master in Qualitative Research Methodologies in Health, taught by the University of Atacama (Chile). The objective of the study is to first reflect conceptually regarding interdiscipline in the educational field, also reviewing the concepts of multidisciplinary and transdisciplinary, to later analyze the expression of interdiscipline in the professional training of Social Work in public universities in Chile. In this way, based on the previous conceptualizations, the Master in Qualitative Health Research Methodologies is particularly analyzed, which shows the complementarity of Social Work with the field of Health, and is presented as an element that contributes to overcome the lack of advanced human capital in the Atacama region. The analysis allows to indicate that this Magister is the first program within the country as an alternative of methodological specialization for people in the social and health area, through knowledge of health phenomena with a qualitative perspective. The study concludes that the interdisciplinary base of the Magister effectively expresses the linkage of different knowledge and practices, which allows predicting auspicious results of this postgraduate course, in addition to leaving challenges, advantages and projections of the Magister.

КАЧЕСТВО ОБРАЗОВАТЕЛЬНОГО ПРОЦЕССА В АСПИРАНТУРЕ

The innovative activity of the lecturer required an understanding of the content and means in a continuous system of preparation for professional activity at a university that integrates two functions – a lecturer and a researcher. The traditional training of postgraduate students is expressed by the predominance of its scientific component and the result in the form of a thesis. The reform of the Russian educational system made adjustments to postgraduate training as the third level of higher education. The results of research indicate a low quality of postgraduate students’ readiness to organize scientific search in the field of specific science. It is noted that postgraduate students studying in the field of “theory and methodology of professional education” acquire methodological competence by mastering a significant number of psychological and pedagogical disciplines and pedagogical practice during the first year of study, but experience difficulties in organizing scientific research due to unformed methodological competence. The article summarizes the experience of postgraduate training in the logic of the continuous development of professionalism in the system of intramural advanced training.

What I wish I'd learned as an orthodontic trainee: an online survey of British Orthodontic Society members concerning postgraduate training experiences.

Objective:To survey the opinion of recently qualified and established orthodontists on the perceived value of their training and to identify specific areas which which were considered to be deficient, adequately covered or focussed on excessively.Design:Descriptive cross-sectional surveySetting:Online electronic questionnaire.Participants:Members of the British Orthodontic Society (BOS).Methods:An electronic questionnaire was circulated to members of the BOS focusing on dental education history, and opinions concerning orthodontic teaching generally and specific clinical and non-clinical subjects. Information was also obtained in terms of possible need for improvement, modification or removal of teaching on focused academic and clinical aspects.Results:A total of 217 responses were received from 1080 emailed invitations resulting in a response rate of 20.1%. Respondents were generally satisfied with their training both in relation to theoretical, academic and practical aspects. However, training was regarded as deficient by some respondents in respect of temporary anchorage devices (38%), bonded retainers (6%), experience with lingual appliances (47%), removable aligners (44%), inter-proximal reduction (24%) and adult orthodontics (16%), working with therapists (32%), and NHS contracts (47%) and commissioning (47%).Conclusion:The overall satisfaction of BOS members with postgraduate orthodontic training is generally high, although both recently qualified and established practitioners emphasised the need for better exposure to training in specific practical aspects and practice management within the NHS.

GP Trainees experience of learning opportunities and support mechanisms on the GP training programme: a qualitative study.

This article was migrated. The article was marked as recommended. Background: General Practice (GP) is the cornerstone of the NHS and has faced workload and workforce issues for many years. Enabling GP trainees to successfully complete their training and become independent practitioners is crucial to addressing these challenges. There is limited previous research exploring the postgraduate training experience specific to General Practice. Aim: To explore GP Trainees' experience of learning opportunities and support available during the three-year vocational training programme in the Southampton GP Education Unit. Design and Setting: 15 semi structured interviews were undertaken December 2016-2018 with participants recruited from four cohorts. Telephone interviews lasting between 30-60 minutes were audio-recorded and transcribed verbatim; and analysed using inductive thematic analysis. Results and Conclusion: Two themes were identified as affecting the training experience: 'Developing clinical competence' and 'Sources of support'. Trainees perceived developing competencies relevant to General Practice was key. Busier hospital rotations with limited time for formal teaching were viewed less favourably. Trainers and peers were the main sources of support. Despite seeking a broad range of participants, interviewing trainees in difficulty was hard to achieve.

Exploration and reflection on the cultivation of scientific research ability of postgraduates in neurology department

The training of clinical theory and scientific research thinking is very important for postgraduates of neurology, however, of which, problems are existing, such as the low level of scientific research and the imperfect system. Based on the experience of postgraduate training in the hospital, the authors put forward some improving measures, specifically, to arouse the interest of scientific research, to build the scope of scientific research, to improve the comprehensive strength of personal scientific research, to establish the guarantee mechanism of scientific research and to perfect the system of graduation evaluation. Practice shows that these measures has promoted the enthusiasm and subjective initiative of neuroscience academic postgraduates for scientific research, improved the quality of postgraduate education, and formed a certain basic and clinical research output. Key words: Neuroscience; Academic postgraduate; Scientific research ability cultivation; Scientific research integrity; Scientific research evaluation system

The Impact of Postgraduate Health Technology Innovation Training: Outcomes of the Stanford Biodesign Fellowship

Stanford Biodesign launched its Innovation Fellowship in 2001 as a first-of-its kind postgraduate training experience for teaching biomedical technology innovators a need-driven process for developing medical technologies and delivering them to patients. Since then, many design-oriented educational programs have been initiated, yet the impact of this type of training remains poorly understood. This study measures the career focus, leadership trajectory, and productivity of 114 Biodesign Innovation Fellowship alumni based on survey data and public career information. It also compares alumni on certain publicly available metrics to finalists interviewed but not selected. Overall, 60% of alumni are employed in health technology in contrast to 35% of finalists interviewed but not selected. On leadership, 72% of alumni hold managerial or higher positions compared to 48% of the finalist group. A total of 67% of alumni reported that the fellowship had been “extremely beneficial” on their careers. As a measure of technology translation, more than 440,000 patients have been reached with technologies developed directly out of the Biodesign Innovation Fellowship, with another 1,000,000+ aided by solutions initiated by alumni after their training. This study suggests a positive impact of the fellowship program on the career focus, leadership, and productivity of its alumni.

Does dental undergraduate education and postgraduate training enable intention to provide inhalation sedation in primary dental care? A path analytical exploration.

To examine how quality standards of dental undergraduate education, postgraduate training and qualifications together with confidence and barriers could be utilised to predict intention to provide inhalation sedation. All 202 dentists working within primary dental care in NHS Highland were invited to participate. The measures in the questionnaire survey included demographic information, undergraduate education and postgraduate qualifications, current provision and access to sedation service, attitudes towards confidence, barriers and intention to provide inhalation sedation. A path analytical approach was employed to investigate the fit of collected data to the proposed mediational model. One hundred and nine dentists who completed the entire questionnaire participated (response rate of 54%). Seventy-six per cent of dentists reported receiving lectures in conscious sedation during their undergraduate education. Statistically significantly more Public Dental Service dentists compared with General Dental Service (GDS) dentists had postgraduate qualification and Continuing Professional Development training experience in conscious sedation. Only twenty-four per cent of the participants stated that they provided inhalation sedation to their patients. The findings indicated that PDS dentists had higher attitudinal scores towards inhalation sedation than GDS practitioners. The proposed model showed an excellent level of fit. A multigroup comparison test confirmed that the level of association between confidence in providing inhalation sedation and intention varied by group (GDS vs. PDS respondents). Public Dental Service respondents who showed extensive postgraduate training experience in inhalation sedation were more confident and likely to provide this service. The quality standards of dental undergraduate education, postgraduate qualifications and training together with improved confidence predicted primary care dentists' intention to provide inhalation sedation.

An International Medical Graduate’s Experience of Postgraduate Training in the United States

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We agree that as urologic workforce needs increase in a challenging graduate medical education environment, so too must the options for urologic education. High-quality private practices can greatly broaden the urologic postgraduate training experience. Editorial CommentUrologyVol. 81Issue 3PreviewThis is an interesting attempt to assess the efficacy and quality of training urology residents to perform transurethral laser prostate procedures in the semiacademic, private practice setting. This report attempts to address the question of whether residents can master the laser vaporization technique in this clinical setting. Full-Text PDF

The dental practitioner and child protection in Scotland

To identify from general dental practitioners: undergraduate and postgraduate training experience in child protection; numbers of suspected cases of child physical abuse; reasons for failing to report suspicious cases of child physical abuse; knowledge of local child protection protocols and procedures for referral. Postal questionnaires were sent to 500 randomly selected general dental practitioners in Scotland, with a further 200 sent to a random sample of the original 500 to increase response rate. Sixty-one per cent (306) of the original 500 questionnaires, and 35% (69) of the second random mail shot of 200 questionnaires were returned. Only 19% could remember any undergraduate training and 16% had been to a postgraduate lecture or seminar in child protection. Twenty-nine per cent of dentists had seen at least one suspicious case in their career. Only 8% of suspicious cases were referred on to the appropriate authorities. Reasons for failure to refer revealed that 11% were concerned about a negative impact on their practice, 34% feared family violence towards the child, 31% feared violence directed against them, and 48% feared litigation. Only 10% of dentists had been sent a copy of the local child protection guidelines on commencing work and only 15% had seen their Area Child Protection Committee (ACPC) Guidelines via any route. Due to lack of training or clear guidelines for dentists in Scotland, most practitioners were unsure what to do in the event of a suspicion of child abuse. Twenty-one per cent of dentists had encountered suspicious cases but failed to take any action. Dentists overwhelmingly requested appropriate training. This training should address dental competence in assessment of suspicious indicators and involve dentists in inter-agency child protection training.

Child protection in Scotland

Objectives To identify from general dental practitioners: undergraduate and postgraduate training experience in child protection; numbers of suspected cases of child physical abuse; reasons for failing to report suspicious cases of child physical abuse; knowledge of local child protection protocols and procedures for referral. Materials and methods Postal questionnaires to 500 randomly selected general dental practitioners in Scotland, with a further 200 sent to a random sample of the original 500 to increase response rate. Results Sixty-one per cent (306) of the original 500 questionnaires, and 35% (69) of the second random mail shot of 200 questionnaires were returned. Only 19% could remember any undergraduate training and 16% had been to a postgraduate lecture or seminar in child protection. Twenty-nine per cent of dentists had seen at least one suspicious case in their career. Only 8% of suspicious cases were referred on to the appropriate authorities. Reasons for failure to refer revealed that 11% were concerned about a negative impact on their practice, 34% feared family violence towards the child, 31% feared violence directed against them, and 48% feared litigation. Only 10% of dentists had been sent a copy of the local child protection guidelines on commencing work and only 15% had seen their Area Child Protection Committee (ACPC) Guidelines via any route. Conclusions Due to lack of training or clear guidelines for dentists in Scotland, most practitioners were unsure what to do in the event of a suspicion of child abuse. Twenty-one per cent of dentists had encountered suspicious cases but failed to take any action. Dentists overwhelmingly requested appropriate training. This training should address dental competence in assessment of suspicious indicators and involve dentists in inter-agency child protection training.

Sleep Medicine Practices, Training, and Attitudes

To determine attitudes and knowledge about sleep medicine among chest physicians. : Interactive survey of self-selected respondents. Interactive session at the 1998 American College of Chest Physicians (ACCP) annual meeting. Approximately 60 chest physicians. Interactive questions about the knowledge, training, attitudes, and practice of sleep medicine. Response rates demonstrated that 65% of respondents directed or were on the staff of a sleep laboratory, 18% had American Board of Sleep Medicine (ABSM) certification, and only 3% had completed formal sleep medicine training, and performance on test questions about sleep-disordered breathing was better than that on questions about "nonpulmonary" sleep disorders. We polled approximately 60 participants in an interactive session called "Issues in Sleep Medicine Education and Practice" at the ACCP annual meeting in October 1998. The group was well-credentialed, with about one third of participants being board-certified in pulmonary medicine and critical care medicine, and about 17% having passed the ABSM examination. About two thirds of the group spent < or = 25% of their time in the practice of sleep medicine, but > 30% directed sleep laboratories. Respondents thought that sleep training was better addressed in pulmonary fellowship training than in medical school or other postgraduate training experiences. Forty-three percent of the group had received training in sleep medicine as part of a pulmonary fellowship. About half of the sample thought that formal training should be required for eligibility to take the ABSM examination. When presented with two "nonpulmonary" sleep disorder cases, this well-trained and self-selected group did not perform very well. The findings suggest that pulmonologists are actively involved in the practice of sleep medicine and that they both need and desire formal training in sleep disorders during pulmonary fellowship training. Participants were actively involved in the practice of sleep medicine, most had trained informally, and performance on questions about nonpulmonary sleep disorders was not good.

In the Best of Families: Understanding Hypnosis Complications in Graduate and Post-Graduate Training Experiences

Unexpected, unwanted complications co-incident with the use of hypnosis can occur even to mental health professionals and in advanced hypnosis training. This article reports three such incidents, which occurred in the practice of a trained, licensed mental health professional, and university faculty member. Suggestions are provided for preventive practice, which may have reduced the risk of untoward aftereffects.

Clinical Education and Postgraduate Training Opportunities in Nephrology Pharmacy

All colleges of pharmacy in the United States were surveyed to assess the availability of didactic and clinical pharmacotherapy education in the field of nephrology. Forty-four of the 54 (81.5%) colleges with PharmD programs responded to the survey. Of these programs, 64% (28/44) teach nephrology as a separate module during the PharmD curriculum. The content of the nephrology curriculum varied from 2 lecture hours to 30 lecture hours. The pharmacokinetic concepts that relate to pharmacotherapeutic management of nephrology patients are taught in a separate nephrology course in only 9% of these 28 programs. In 57% of these PharmD programs, pharmacokinetic concepts inherent to nephrology are taught as part of a separate pharmacokinetic course. There are 34% of the programs that teach these pharmacokinetic principles in both the nephrology course and as part of a separate pharmacokinetic course. Of the 44 PharmD programs that responded to the survey, 23 (52%) have elective nephrology clerkships. Ten postgraduate training opportunities in nephrology are offered by nine individuals in association with eight colleges of pharmacy. Seven programs have a primary focus in nephrology, three residencies and four fellowships, while three programs identify nephrology as a secondary focus: one residency and two fellowships. An additional eight postgraduate training opportunities with a significant nephrology component were identified. Some of these transplantation residencies and fellowships provide a focused experience in renal transplantation while others include liver, lung, heart, and/or bone marrow experiences. The newest nephrology postgraduate educational opportunity is the American Society of Hospital Pharmacists (ASHP) Clinical Pharmacy Dialysis Service Traineeship Program, which was established in 1992. Implementation of the program was directed by the ASHP Research and Education Foundation with funding from Amgen, Inc. This postgraduate training experience is designed to prepare a pharmacist practitioner to establish and maintain a specialized service for the pharmacotherapeutic management of patients undergoing dialysis.