Professional Doctorate Research Articles

“We can work on this”: exploring supervisor approaches to feedback in the context of writing for a professional doctorate

Purpose This paper aims to show how an Academic Literacies lens can contribute to a deeper understanding of writing for a professional doctorate (PD) by focusing both on the language of supervisors’ written feedback and on student and supervisor perspectives on feedback throughout Year 1 (Y1). Design/methodology/approach Firstly, written feedback summaries on formative assessments across two Y1 cohorts on a UK PD programme were analysed thematically to identify patterns in feedback practices. Secondly, two longitudinal, detailed student/supervisor case studies were developed, drawing on multiple data sources. Findings Supervisors’ written feedback enacted an encouraging dialogue around assessed writing, discursively constructing a sense of solidarity on the doctoral journey, focusing on the “long view”. Case study analysis, however, revealed tensions centred around jarring discontinuities in students’ feedback experience as they transitioned from formative to summative assessment at the end of Y1. Research limitations/implications The paper demonstrates that an Academic Literacies approach can offer valuable insights into the specific, situated context of writing for a distance learning PD and makes the case for greater attention to writing in contexts of partly taught doctorates. Practical implications Findings suggest that PD programmes should work towards providing continuity of feedback experience, through supervisor and examiner training and through assessment arrangements which support students to navigate challenging transitions between formative and summative phases of assessment. Originality/value This paper reports on an innovative research design which combined a textual “snapshot” of supervisory feedback, paying close attention to language, with detailed longitudinal case studies exploring perspectives on feedback over time. It contributes to doctoral writing research by throwing light on the relatively underexplored domain of writing in the taught phase of the PD. It contributes to doctoral education studies by highlighting the central role of feedback on writing in shaping the experience of PD researchers.

LIVER ULTRASOUND IMAGING LESION DETECTION BASED ON YOLO

The liver is a silent organ with no pain-sensing nerves. When the body's functions begin to appear abnormal, it may have entered the trilogy of liver diseases: "hepatitis, cirrhosis, and liver cancer." An abdominal ultrasound is a powerful tool for checking liver health. With the rapid development of ultrasound technology, ultrasound machines are gradually developing in the direction of miniaturization and cheapness, transforming from hospital-specific equipment to home medical equipment. However, ultrasound diagnosis requires professional knowledge, which has also become the threshold for the popularization of ultrasound diagnosis. This article uses artificial intelligence and machine learning technology to take the liver ultrasound images marked by professional doctors as a data set. After training of image object detection model YOLO, it can be used to detect tumors, hepatic hemangioma, radiofrequency cautery, abscess and metastatic, the accuracy can reach 98%.

Discharge against medical advice in rural and remote emergency departments: views of healthcare providers.

The aim of the study was to explore, in one remote hospital, emergency department healthcare providers' experience and perceptions of the factors surrounding a patient's decision to discharge against medical advice (DAMA). The secondary objective was to gain insight into staff experiences of the current protocols for managing DAMA cases and explore their recommendations for reducing DAMA incidence. This was a cross-sectional study involving a survey and semi-structured interviews exploring healthcare providers' (n=19) perceptions of factors perceived to be influencing DAMA, current practice for managing DAMA and recommendations for practice improvements. Health professionals (doctors, nurses, Aboriginal Health Workers) all worked in the emergency department of a remote community hospital, Queensland, Australia. Responses relating to influencing factors for DAMA were provided on a three-point rating scale from 'no influence/little influence' to 'very strong influence'. DAMA management protocol responses were a three-point rating scale from 'rarely/never' to 'always'. Semi-structured interviews were conducted after the survey and explored participants' perceptions in greater detail and current DAMA management protocol. Feedback from the total of 19 participants across the professions presented four prominent yet interconnected themes: patient, culture, health service and health provider, and health literacy and education-related factors. Factors that were perceived to have a strong influence on DAMA events included alcohol and drug abuse (100%), a lack of culturally sensitive healthcare services (94.7%), and family commitments or obligations (89.5%). Healthcare provider recommendations for preventing DAMA presented themes of right communication, culturally safe care (right place, right time) and the right staff to support DAMA prevention. The healthcare providers described the pivotal role the Indigenous Liaison Officer (ILO) plays and the importance of this position being filled. DAMA is a multifaceted issue, influenced by both personal and hospital system-related factors. Participants agreed that the presence of ILO and/or Aboriginal Health Workers in the emergency department may reduce DAMA occurrences for Indigenous Australians who are disproportionately represented in DAMA rates, particularly in rural and remote regions of Australia.

Healthcare professionals' perceptions of digital care in clinical practice for patients with non-cardiac chest pain

Abstract Background Healthcare professionals’ attitudes and perceptions of digital care are crucial for successful introduction of a new digital form of treatment in the workplace. Purpose This study aimed to describe healthcare professionals’ perceptions of digital care in clinical practice for patients with non-cardiac chest pain. Methods A qualitative descriptive study design with individual semi-structured interviews, analyzed using inductive thematic analysis based on Braun and Clarke (2006). Study data were collected by individual digital (15) and face-to-face (2) interviews with licensed healthcare professionals (doctors and nurses) working in emergency care or cardiology. Results The results illustrate healthcare professionals’ perceptions of digital care within clinical settings in emergency and cardiology care for patients with non-cardiac chest pain. Four themes and eleven subthemes were identified. The first theme "New ground to walk on" describes healthcare professionals' experiences of digital care. The second theme: "A challenge to current healthcare system" depicts how digital care was seen as a challenge for the current healthcare system. The third theme: "Digital care has its potential" shows that a majority believed healthcare can gain valuable insights from embracing digital care. The last theme: "Prerequisites for use in clinical practice" describes factors that can facilitate the adoption of digital care in clinical practice. Conclusions The findings delineate the diverse knowledge and experiences of healthcare professionals in digital care. The perception of digital care ranged from skepticism to trust, illustrating challenges in implementing digital solutions in clinical care. Healthcare professionals expressed concerns about potential errors, the reliability of digital solutions, and concerns regarding resistance to change among colleagues. Nevertheless, they also recognized benefits and identified several factors that can facilitate the implementation of digital care into clinical practice and expressed cautious trust in digital care.

Literacy and Attitude Toward Suicide Among Doctors and Nurses: A Cross-Sectional Comparative Study.

Introduction Globally, suicide remains a major public health problem and is the second most common cause of death in the 15-45 years age group. Awareness about suicide and the attitude of healthcare professionals regarding suicide are crucial factors determining the care for suicidal behaviors. The present study aimed to compare suicide literacy and attitude towardsuicide between doctors and nurses and to explore the association between suicide literacy and attitude toward suicide. Methods A cross-sectional comparison study was conducted between doctors and nurses in a tertiary healthcare center in southern India. The demographic characteristics and work and suicide care experience were recorded using a semi-structured proforma. Literacy of Suicide Scale - Short Form (LOSS-SF) and Attitude Toward Suicide Questionnaire (ATTS) were used to assess the awareness about suicidal behaviors and attitudes towardsuicide, respectively. Appropriate statistical tests were used to compare the outcome measures between doctors and nurses with the statistical significance set at p ≤ 0.05. Results A total of 600 healthcare professionals (doctors (n=300) and nurses (n=300)) were included. The doctors were older, had longer work experience, and demonstrated better suicide literacy, yet harbored more negative attitudes towardsuicide than nurses. Among doctors, increasing levels of suicide literacy were negatively correlated with positive attitudes towardsuicide. Among nurses, increasing age was negatively correlated with healthy attitudes towardsuicide. Conclusion Doctors had better awareness of suicidal behaviors yet displayed negative attitudes towardpeople with suicidal behaviors. Despite having less suicide awareness, nurses exhibited positive attitudes towardsuicide. Suicide literacy and attitudes towardsuicide can have complex relationships mediated by multiple factors.

Exploring the ‘learner journey’ of students undertaking a professional doctorate in Wales

ABSTRACT This paper reflects on the delivery of Professional Doctorate programmes from a sample of educational (EdD) and sustainable built environment (DSBE) practitioners at a Welsh University in the United Kingdom (UK). The paper explores the ‘learner journey’ of a sample of Professional Doctorate students as they navigate their studies during COVID-19 pandemic. A qualitative approach was adopted, and semi-structured questionnaires were used to collect data from students on the EdD and DSBE pathways. A thematic analysis was conducted, and the data presented explored how students have navigated their respective pathways and change projects across various modules, during their ‘learning journey’ and how successful they perceive that journey to be, in relation to a range of factors. The findings from this paper provide a unique insight into the experiences of Professional Doctorate students during a period of significant upheaval. Recommendations are provided for supervisors of Professional Doctorates, Higher Education Managers, as well as Policy Makers in supporting Professional Doctorate students during the studies. Best practice is highlighted with regard to practice-based approaches and demonstrates the differences across two academic disciplines. The use of agile digital and online learning in response to the COVID-19 pandemic further suggests an ongoing model for leadership in Higher Education.

Perception of Health Care Providers Regarding Kangaroo Care

BackgroundKangaroo care has been recommended by different guidelines for its positive impact on both babies and mothers. However, some clinicians may find Kangaroo hug an added burden to their clinical duties, and some others may find it a way of support for their patients. The perception of clinicians towards Kangaroo hugs is still controversial, especially in the Gulf area. ObjectiveThis study aims to explore the perception and attitude of healthcare providers towards Kangaroo care in Saudi Arabia. MethodsThis is a cross-sectional study, the study included a self-administered questionnaire for healthcare providers about the definition and benefit of kangaroo care. ResultsSixty-six healthcare professionals participated in this study. There was a non-significant difference between scores over different variables. However, professionals in the neonatal department showed higher scores compared to the pediatrics department; females showed a higher score than males, younger participants had a higher score, while doctors showed a higher score than nurses. Additionally, healthcare professionals had an exceptionally good perception of kangaroo care, where the average score for the whole group was 10.39±1.38. The score ranged between 6 and 13. Only 1.5% of the participants got a score of 6, while 4.5% got a score of 13. The mode for perception score was 11, with 36.4% of the participants got this score. ConclusionThe perception of healthcare professionals (doctors and nurses) in both neonatology and pediatrics departments in Saudi Arabia showed to be good and comparable to other countries.

Symptomatology of posttraumatic stress and burnout associated with aggressions suffered by primary care health professionals. A transversal study.

To know the incidence of aggressions in Primary Care, and to determine the psychological symptoms that may accompany these experiences. A transversal study was carried out in North-Eastern Spain, in 2022. 207 participants (60.9% women, mean age 48.8 years), primary care professionals (nurses and doctors), responded to Questionnaire of Sociodemographic and Occupational variables, List of Aggressions, General Health Questionnaire, Posttraumatic Stress Disorder Checklist, and Maslach Burnout Inventory. 57.49% had suffered aggressions in the last year (44.4% threats, 55.1% insults and 18.4% physical aggressions). They showed more psychological symptoms than those who had not been assaulted: re-experiencing, avoidance, distancing, emotional or cognitive disturbances and hypervigilance, as well as to emotional exhaustion, depersonalization and low personal realization. Although no statistically significant differences were found in terms of the number of victims with respect to gender, men showed more symptoms of trauma. The data show the increase of violent episodes in Primary Care. Although the attacks perpetrated in this sector do not usually present the magnitude required for the diagnosis of post-traumatic stress, many of its symptoms were manifested in those who had suffered violence. Likewise, a relationship was found between aggression and burnout. The need to have post-incident protocols is evident, raising awareness among professionals about the importance of reporting episodes, as well as designing and implementing prevention plans. The damage generated by these behaviors does not only affect nurses and doctors, but, indirectly, all users of the health system.

Creating a shared vision of preparing scholarly practitioners: an EdD faculty collaborative autoethnography

PurposeIn this collaborative autoethnographic study, four faculty members in a US-based Doctor of Education (EdD) program reflected individually and collectively in the authors’ community of practice through reflective journaling, self-reflection and discussion sessions to analyze the individual stories critically. This study aims to examine the influence of the authors’ involvement with an EdD program on the academic approaches to teaching, research and mentoring EdD students.Design/methodology/approachProfessional practice doctorates have emerged in response to the growing need for practitioners to use evidence for continuous improvement. Although the literature has highlighted faculty members as change agents redefining the EdD as a professional practice doctorate, minimal research has explored how their involvement in such design work may affect their academic practices.FindingsThe authors perceived the involvement with the EdD program as transforming the faculty practices in five ways (i.e. shifting the epistemologies, embracing practice-based pedagogies, engaging in practice-based research, mentoring scholarly practitioners and intentional community building) and creating a shared vision of preparing scholarly practitioners.Originality/valueThe authors draw implications for redesigning EdD programs through participation in a faculty community of practice, prompting faculty to shift their practices to better support scholarly practitioners and affecting their identity as teachers, mentors and program developers.

The Role of Social Support and Sleep Quality in the Psychological Well-Being of Nurses and Doctors.

Social support enhances the development of adaptive strategies to cope with difficulties, which may affect psychological well-being. Sleep quality has been highlighted as having a relevant role in psychological well-being. The present study aimed to analyse the role of social support and sleep quality in the psychological well-being of health professionals (nurses and doctors) compared to the general population. The sample comprised 466 adults aged between 18 and 75 (M = 43.4; SD = 10.8), of which 272 were the general population and 194 nurses and doctors. Data were collected through a Sociodemographic Questionnaire, the Multidimensional Scale of Perceived Social Support, the Pittsburgh Sleep Quality Index, and the Psychological Well-Being Manifestation Measure Scale. Nurses presented less balance (also doctors), sociability and happiness than other professionals. Less significant sociability was observed in nurses compared with doctors. The results also allowed us to observe the positive role of social support from significant others on social involvement and sociability and the positive role of the family in self-esteem. Social support from friends played a positive role in all dimensions of psychological well-being. Males had a higher prevalence of psychological well-being. Other professionals and sleep quality show high levels of psychological well-being in all dimensions. Data discussion highlights the role of social support, sleep, and sex and the implications of health professions (nurses and doctors) on psychological well-being.

Strategies for the Development of Physiotherapy in Iran from the Point of View of Physiotherapy Graduates: A Qualitative Study of the Content Analysis Type

Background: Despite the direct access to clients in physiotherapy worldwide, Iran has yet to achieve significant improvements in the educational standards and professional responsibilities of physiotherapists. Currently, Iranian physiotherapists do not have direct access to patients. This study aims to present solutions for the professional development of physiotherapy, based on the perspectives of scholars in this field. Methods: This qualitative content analysis study explored the experiences of 12 physiotherapy scholars from three levels of study (bachelor’s, master’s, and doctorate) through structured and semi-in-depth face-to-face interviews. Data analysis was conducted concurrently with data collection using Granheim and Ludman’s content analysis method. Results: The identified potential solutions include continuous review of the curriculum, strengthening clinical education, elevation of the basic level of physiotherapy education to a professional doctorate or master’s degree, post-graduation competency assessment, revision of educational priorities, establishing a strong presence in hospital and community departments, preventing the influence and interference of other disciplines, raising public awareness of the capabilities and potential of the profession, and paying greater attention to professional ethics. Conclusion: In the absence of entry-level general doctor of physiotherapy and direct access to patients, the quality of physiotherapy services will not improve, leading to suboptimal health outcomes for clients and consequent waste of time and financial resources for both patients and insurance providers.

COVID again? Health workers’ burnout and turnover intentions: possible impacts of coronavirus-induced anxiety and first-level servant leaders

PurposeBuilding on social exchange and leader-member exchange theories, this paper aims to propose a model of the impact of coronavirus-induced anxiety on health-care professionals’ burnout and turnover intention through the mediation role of servant leadership.Design/methodology/approachThis model was examined by adopting partial least square-based structural equation modeling using data collected from 271 health professionals (doctors, nurses, midwives and analysts) from Turkey.FindingsThe findings of the research illustrate that coronavirus-induced anxiety is positively associated with burnout and turnover intention. Furthermore, servant leadership mediates the relationship between coronavirus-induced anxiety, burnout and turnover intention. Yet, according to factor loadings, the mediating role of servant leadership is not strong (β : 0.035 and 0.053, respectively).Research limitations/implicationsFirst, this study targeted the health-care professionals from Turkey. Therefore, this population may not be able to provide general information on the topic. Thus, this study suggests that the subject be addressed in other populations as well. Second, the data were self-reported by the participants. Although common method bias and social desirability bias were not an issue in this study, it should be known that the results are based on the subjective judgments of the participants. Third, this study was limited to investigating the mediating role of servant leadership only.Practical implicationsThis study gives much beneficial information to both administrators and organizations by mirroring highly stressed workers’ inside throughout statistically results. Hence, it is assumed that the findings will help leaders to cope with several difficult situations, especially in crisis moments. As the chaotic circumstances occurred, achieving organizational goals became more and more difficult. To do this, some leaders play critical roles for members like servant leaders by contributing uniquely spiritual dimensions.Social implicationsStruggling with the COVID-19 pandemic has aggravated the health-care professionals’ existing mental health and has loaded more agitation on them. According to Mozes (2021), suicide cases among nurses have doubled the number of women in the general population. Thus, leaders should do something to lower those ratios. This study points out that servant leaders could break down those unwanted issues by decreasing burnout and turnover intention rates of health workers. Barbuto and Wheeler (2006) highlighted this situation by creating a dimension called “The Natural Desire to Serve Others.”Originality/valueTo the best of the authors’ knowledge, to date, this study is the first to examine the mediating role of servant leadership in the effect of coronavirus-induced anxiety on burnout and turnover intention. Furthermore, this research reveals that servant leadership may play a role in avoiding burnout and turnover intention in the health sector.

Effect of Healthcare Professionals’ Knowledge and Attitude Towards Reporting Adverse Drug Reaction (ADR) in Military and Paramilitary Hospitals in Enugu, Nigeria

The study evaluated the effect of healthcare professionals (HCPs) on knowledge and attitude towards reporting adverse drug reactions (ADRs) in military and paramilitary hospitals in Enugu, Nigeria. The purpose of the study was to determine if the level of knowledge and attitude has any significant effect on reporting ADRs. Data were collected through the use of questionnaires from the healthcare professionals (Doctors, Pharmacists, and Nurses) because of the position they occupy in the implementation of pharmacovigilance procedures. The technique employed in the data analysis is regression and the following results were obtained: the level of knowledge of HCPs on pharmacovigilance had a P- value of 0.027 < 0.05 while HCPs attitude had p-value of 0.010 < 0.05. Hence, the study concludes that knowledge level and attitude significantly affect ADR reporting. The following recommendations were made in line the findings: the need to improve training programs across all strata of HCPs as a means of updating their knowledge of pharmacovigilance and ADR reporting procedures. Similarly, it is important to develop a culture of ADR Reporting amongst healthcare professionals in these hospitals; by raising the recognition of the importance of reporting both tolerable and moderate ADRs as well as previously unknown or severe ADRs, this strategy aims to promote a culture of ADR reporting.

Sistem Informasi Layanan Konsultasi Kesehatan Mental Berbasis Website

Providing adequate accessibility to mental health services is a significant challenge in improving community well-being. The lack of accessibility to existing mental health services is a major problem that needs to be addressed. To overcome these problems, this research focuses on developing a web-based system using the waterfall method and utilizing Node.js and Express.js technologies. The developed system aims to increase the accessibility of mental health consultation services, allowing users to consult with professional doctors flexibly, wherever and whenever they need it. In the development of this system, special attention was paid to the scheduling and payment process. The system successfully implements features that allow users to easily schedule consultations with notifications sent after successful scheduling. In addition, the system also provides integrated payment facilities, so that users can easily pay consultation fees online. The system evaluation results show that the implementation of the waterfall method in the development of this web system provides satisfactory results, with key functions such as scheduling and payment running well. System users reported a positive experience in using this system, with accessibility and ease of use.

Implementation of Islamic Values in Strengthening Doctor's Professionalism for Students of Medical Faculty, Universitas Muslim Indonesia

Objectives: In this study the application of section 2 of the Islamic Discipline of Medicine, including tahsinul qiraah (Holy Quran) Al-Fatihah, memorizing verses and selected prayers as well as behavior showing Islamic adab to patients served by medical students with the criteria of being served for 2 x 24 hours was observed. Methods: This was a descriptive study, using quantitative data. A total of 24 medical students were sampled. The assessment form for the first and second components used summative assessment by listening to the reading of Al-Fatihah and memorization of selected verses by paying attention to the makhrajul letters and tajwid. Then for the third component, a questionnaire method was used which was filled in by the patient and his family. The aim of conveying the success from this program is to show that a person undergoing medical education who is known to be very busy with activities can also carry out da'wah during their schedule and still continue to study religious knowledge to apply in daily life. Results: In the tahsinul qiraah component of Holy Qur’an Al-Fatihah there are 71% in the Mumtaz category and 29% in the ahsan category. In the memorization component and selected verses, there were 75% in the mumtaz category and 25% in the ahsan category. In the behavioral component showing Islamic adab to patients, there are 58% who often do it and 42% who sometimes do it. These behaviors include greeting patients and their accompanying families, showing friendliness and sincerity such as shaking the patient's hand, stroking the back, stroking the head, and etc. Conclusion: In the three aspects of assessment, two components have been achieved well, are Tahsin Al-Fatihah and memorizing selected surah such as verses on the creation and development of human life, worship and health, meal and beverage, but Islamic etiquette in medical services can be improved.International Journal of Human and Health Sciences Supplementary Issue 01: 2024 Page: S61

An Evaluation Method of Dental Treatment Quality Combined with Deep Learning and Multi-index Decomposition

ABSTRACT Dentists judge that the quality of dental treatment for each patient is very time-consuming and inefficient, lacks quantitative evaluation criteria, and is easy to cause errors. At the same time, the traditional method of extracting tooth and root canal image features based on experience is difficult to accurately extract the tooth area and root canal filling area, resulting in low accuracy of tooth and root canal segmentation, which in turn affects the accuracy of tooth treatment quality evaluation. In this paper, a deep learning convolutional neural network is used to segment the root canal filling area, tooth boundary, and the boundary between tooth and soft tissue for the real patient ‘s root canal treatment and filling image. Finally, the segmented image is quantitatively evaluated according to the multi-evaluation index of professional doctors. The experimental results show that the intelligent evaluation method of dental treatment quality combined with deep learning and multi-index decomposition proposed in this paper not only unifies the evaluation criteria of dental treatment quality but also the therapeutic effect of quantitative scoring can effectively improve the work efficiency of doctors, which has reference significance for the application of artificial intelligence in the medical field.

The Impact of Hidden Curriculum in Clinical Learning Environment: Exploring Resident’s Perceptions

Objective: To explore and identify residents' perceptions regarding the hidden curriculum in dermatology practice and make it explicit. Study Design: Phenomenology Qualitative study. Place and Duration of Study: Department of Dermatology, Pak Emirates Military Hospital, Rawalpindi Pakistan Aug to Oct 2021. Methodology: Data was gathered from one focus group discussion and five face-to-face semi-structured interviews and analyzed by thematic analysis of the generated themes. Results: Residents described a hierarchical and competitive atmosphere in the department. Positive and negative role models were identified. Organized teaching and approachable seniors were appreciated, whereas favouritism and a lack of empathy were undervalued. Conclusion: This study highlights the hidden curriculum in dermatology and attempts to recognize its important aspects. A continuous effort should be made to unravel it and align its positive aspects with the formal curriculum. This will lead to ethical and professional doctors and better health care.

Students’ Perception about the Influence of Medical Education on Medical Students in Anatomy Department

Introduction: Medical education has both positive and negative impact on the medical student. Initially the subject of anatomy and later other disciplines create mental and emotional stress for many students. Nevertheless, medical education is imperative in developing highly professional doctors. Aims and Objectives: This research is aimed to study the effect of medical education on the personality and behavior of 2nd year medical students in Anatomy Department. Place and Duration of study: This study was conducted at the Anatomy Department of Azra Naheed Medical College Lahore (Dec 2022-March 2023). Material and Methods: This cross-sectional study was conducted on 62 medical students 2nd year MBBS An electronic google form was developed which consisted of 20 questions to study the student’s perception about influence of medical education. The form was posted in the official class Whatsapp group. To avoid potential contamination bias, google form was designed so that one participant could fill the form once by using only email ID assigned by medical college administration. Data was collected and analyzed by Python programming language (Version: 3.10), Pandas and Scikit- learn. Results: Recent research showed that 87% of medical students felt that medical education has great impact on their personality moreover 80% students realized that they became emotionally intelligent during life in medical college. 95% of students agreed that a lot of stress is induced by medical education in their lives and 80% students raised the bad impact of medical education such as health issues and improper routine life. 75.8% of students thought that education in medical college polished their personality. Moreover 79% of students felt that medical education has a positive impact on their life. Conclusion: It was concluded that medical education has positive and negative effects on the personality of medical students. It is the students’ perception that their mental, physical & social health is badly affected. Medical students feel that empathy, humanity, dignity & emotional intelligence are the positive changes in their personality. The role of faculty members is also appreciated by the students.

Exploring Medical Professionalism amongst Postgraduate Trainees of Bolan Medical Complex Hospital Quetta

Introduction: The traditional educational system has concentrated on cognition acquisition and skills essential for physician practice. However, medical educationists are focusing more on good professional doctors now, having a cognitive foundation to work alongside their social roles as a physician-to-be. Aims and Objectives: To assess medical professionalism amongst postgraduate trainees at Bolan Medical Complex Hospital, Quetta. Place and Duration of study: Bolan Medical Complex Hospital, Quetta during February 2024. Material and Methods: A cross-sectional study was conducted to determine professionalism utilizing a pre-validated questionnaire termed Professionalism Assessment Tool (PAT) from 47 Postgraduates (PGs) of the Neurosurgery, General Medicine, and Psychiatry departments. Data was entered and analyzed using SPSS version 29 was used to calculate frequencies and percentages. The chi-square test was utilized to evaluate the association between professional years and items. A p-value of ? 0.05 is considered significant. Results: All 18 PGs from the psychiatry department, 23/36 (64%) from General Medicine, and all 6 from Neurosurgery filled out the questionnaire. 55.3%(n=25/47) were above 25 years of age, The majority were males (n=31, 66%) and 34% females, 36% (n=17/47) PGs were from 1st year of training. Item no 1 and 5 of Domain I and Domain 3 present the highest percentage score (52.4%) respectively. Highly statistically significant results (p-<0.001) were obtained between professional years of training and items 4, 6, 1, and 3 of Domain 2, 3, and 4. Conclusion: PGs followed feedback to improve and meet their learning goals. PGs understood their professional responsibilities and felt qualified to finish assignments to the highest standard reliably and courteously. They were aware of the benefits of working in teams, and they took feedback to help reach their learning goals.

Professional doctorates reconciling academic and professional knowledge: towards a diffractive re-reading

ABSTRACT This paper explores the different epistemologies that define the Professional Doctorate, paying close attention to how Postgraduate Researchers (PGRs) doing a Professional Doctorate reconcile academic and professional knowledge. Through a narrative exploration of the literature published since the first UK Professional Doctorates were awarded in 2000, the paper situates the Professional Doctorate within the confluence of the workplace, the profession and the university. From this stance, the paper explores distinct knowledge terrains between knowledge generated by Professional Doctorates in the context of application and knowledge generated in the context of disciplinary laws applied to sites of practice. The purpose of this discussion is to understand if, how and to what extent Professional Doctorates reconcile competing knowledge terrains. This study draws towards two broad conclusions. The first conclusion suggests that in the literature identified, the distinction between academic and professional epistemologies has little resonance. Instead of the dichotomous knowledge generated in the context of practice in contrast to knowledge generated in the context of disciplinary laws, Professional Doctorates were ensconced within several competing epistemologies. The literature identified focuses on impact and identity, concepts the study employs as lenses to guide a discussion. The paper thus views the process of reconciliation first through the lens of impact and then through the lens of identity. The investigation then draws a second conclusion: The epistemic landscape occupied by the Professional Doctorate is involved in a reconciliation of more significance that the putative academic and professional binary. The paper is compelled towards a diffractive re-reading of this academic-professional knowledge tension. This new reading allows a full recognition of both difference and mutual entanglement between knowledge generated in the context of practice and knowledge generated in the context of disciplinary laws.