Young Doctors Research Articles

Awareness and Knowledge Regarding Infant and Young Child Feeding (IYCF) Practice among House Officers Versus General Practitioner

Aim: To compare the awareness and knowledge regarding IYCF practice among House Officers versus general practitioner Study Design: Cross sectional comparative study Place and duration of study: Pediatric Department LUMHS from January 2018 to June 2018 Methodology: A total of 200 doctors were selected with non-probability purposive sampling technique and divided equally in Group A (House Officers and Group B (General Practitioner) for our convenience. A total of 100 fresh medical graduates (House Officers) and 100 general practitioner of at least 3 years’ experience were included in the study. A structured questionnaire was use to collect the information regarding awareness of IYCF. Two groups were compared by using Chi square test and p value <0.05 was considered statistically significant. Results: A total of 200 participants were divided in two groups, Group A consist of 100 house officers and Group B 100 general practitioner. Thirty questions were asked from each participants and response rate was 100%. For one question both groups answered 100%, for 27 questions house officers gave correct answers as compared to general practitioner, while for 2 questions general practitioner answers correctly then the house officers. Conclusion: Fresh Doctors (House officers had better knowledge regarding the IYCF practice as compared to General Practitioner. General Practitioner should be trained for IYCF and it should be a part of curriculum of final years MBBS students. Keywords: IYCF, General Practitioners, Mother feeding, Young doctors

Psychological burden of the COVID-19 pandemic 6 months after the outbreak - the voice of the young doctors' generation: An international survey.

Psychological burden of the COVID-19 pandemic 6 months after the outbreak - the voice of the young doctors' generation: An international survey.

Immediate Psychological Impact among ENT-HNS doctors during the second wave of COVID-19 havoc in Nepal

Background and Objectives: The priority after the outbreak of COVID-19 pandemic has been treating cases and counting the number of fatalities. But mental health impact has been neglected, even though evidence show that frontline health care workers are at risk of mental health issues in such situations. This study aimed to determine the status of anxiety among ENT-HNS doctors and the associated factors in Nepal during the second wave of COVID-19 havoc in Nepal.
 Material and Methods: This is a web-based cross-sectional study carried out from 1st May to 31st May 2021. The study participants: ENT-HNS consultants and residents, were approached for the study through different social media, and data was collected through an app-based self-administered questionnaire. The anxiety level was measured using the GAD-7 scale, and the chi-square test was applied to study the factors associated with anxiety.
 Results: Among sixty-two participating ENT-HNS doctors, 33.9% already had contracted COVID-19, and 77.4% had mild to severe anxiety. Just below half (45.2%) of the participants worked in COVID-dedicated hospitals and treated patients every working day. None of the respondents could comply with social distance at their workplace, and 75.8% believed they lacked sufficient personal protection equipment (PPE). The potential aerosol-generating procedures like epistaxis management, tracheostomy, and flexible endoscopy were regarded as the highest risk of viral transmission by 35.5%, 30.6%, and 21.0% of respondents, respectively. The young doctors, female doctors, and residents were more likely to be anxious than their counterparts. The ENT-HNS doctors who had lost a family member, close relatives, or colleague were seven times more likely to have anxiety.
 Conclusion: The ENT-HNS doctors are neither immune to the COVID-19 infection nor the anxiety. They must have access to required PPE as well as psychosocial support to prevent anxiety. Early identification and timely intervention at the institutional level are vital to maintaining a well-staffed workforce during a pandemic like COVID-19.

Effect of phone call distraction on the performance of medical students in an OSCE

BackgroundThe usage of smartphones in the daily clinical routine is an essential aspect however it seems that they also present an important distractor that needs to be evaluated. The aim of this prospective study was the evaluation of the influence of phone calls as distractors on the performance levels of medical students during an objective structured clinical examination (OSCE), simulating the normal clinical practice.MethodsAs the goal of an OSCE presents the examination of clinical skills of medical students in a realistic setting, more than 100 students recruited from the university hospital of Cologne participated in either OSCE I or II. During the OSCE I intravenous cannulation was simulated while OSCE II simulated an acute abdominal pain station. Participants had to perform each of these stations under two circumstances: a normal simulated OSCE and an OSCE station with phone call distraction. Their performance during both simulations was then evaluated.ResultsIn OSCE I students achieved significantly more points in the intravenous cannulation station if they were not distracted by phone calls (M=6.44 vs M=5.95). In OSCE II students achieved significantly more points in the acute abdominal pain station if they were not distracted by phone calls (M=7.59 vs M=6.84). While comparing only those students that completed both stations in OSCE I/II participating students achieved significantly more points in both OSCE I and II if they were not distracted by phone calls.ConclusionThe presented data shows that phone call distraction decreases the performance level of medical students during an OSCE station. Therefore, it is an indicator that distraction especially for younger doctors should be held to a minimum. On a second note distraction should be integrated in the medical education system as it plays an important role in clinical routine.

Gender differences in response to medical red packets (Hongbao, monetary gifts): a questionnaire study on young doctors in China

BackgroundThe acceptance of informal payments by doctors is usually viewed as unethical behavior. However, in China, such behavior is a common practice. In this study, we focus on the gender differences in accepting red packets (informal payments) by young doctors in China.MethodsA total of 413 young doctors were selected for the study, all of whom were grouped by gender. The questionnaire was designed to include general demographic characteristics, whether they had ever been offered red packets, whether they had ever accepted red packets, the reasons for accepting red packets and so on. Wilcoxon rank-sum test, Pearson’s chi-squared test, univariable and multi-variable logistic regressions were used for all analyses by Stata 17.0 SE and p-value < 0.05 was considered statistically significant.ResultsCompared to women, men were more likely to be offered red packets (69.5% [180/259] vs.53.9% [83/154]), and the odds ratio (OR) was statistically significant after adjusting for age, education, position and geographical areas (adjusted OR 1.81, p = 0.012). In terms of the question of whether or not they had accepted red packets, more male doctors answered “yes” compared to female doctors (33.3% [60/180] vs.15.7% [13/83], adjusted OR 2.80, p = 0.004). However, among those who had accepted red packets, we found that only 42.0% [25/60] of male doctors considered that it was normal to accept such red packets, compared to 85.0% [11/13] of women (adjusted OR 12.01, p = 0.023).ConclusionThe study revealed that Chinese patients and their families were more likely to offer red packets to male doctors. Secondly, among doctors who had been offered red packets, male doctors were more likely to accept red packets than female doctors. In addition, among doctors who had accepted red packets, female doctors were more likely to believe that it was not morally wrong to accept such red packets.

Metabolic Syndrome and Its Associated Factors Among Faculty Members in a Tertiary Care Teaching Hospital, Puducherry: A Cross-Sectional Analytical Study.

Background: Settings-based approach has received lot of attention under WHO renewed strategy of health promotion. It advocates regular screening/health check-ups of employees to maintain a healthy workplace. This study aimed to assess prevalence of metabolic syndrome (MetS) among faculty members and its association with selected sociodemographic, behavioral and biochemical parameters, and to determine the 10-year fatal or nonfatal cardiovascular risk using WHO-ISH risk chart. Methodology: A cross-sectional study was conducted among 252 teaching faculty members using standardized international protocols to measure behavioral risk factors (smoking, alcohol consumption, diet pattern, physical activity, sleep, and stress), physical characteristics (weight, height, waist and hip circumferences, and blood pressure), and biochemical parameters (fasting glucose and lipid profile). Risk factor profiling was done using WHO/ISH risk prediction chart. Results: Among 252 participants (males: 172 and females: 80), 58 (24.1%) were with MetS. Prevalence was higher in males (24.6%) than females (22.6%). The younger doctors (≤40 years) had lesser prevalence of MetS compared with the elderly (>40 years) doctors (20.3% vs. 26%). Age and diet pattern were found to be independently associated with MetS. The risk of having a cardiovascular event in 10 years was <5% (low risk) for 87.5% of study participants. Conclusion: Although we included doctors who are probably the most health-conscious population, we have found that one in four have a chance of having MetS. There is a need for periodic screening program and lifestyle modification strategies to control the burden of MetS among doctors.

Use of Cognitive Enhancers by Portuguese Medical Students: Do Academic Challenges Matter?

Nonmedical use of prescription drugs and other substances for cognitive enhancement in the academic environment has been documented in several studies. However, the prevalence among Portuguese university students is unknown. We aimed to assess the prevalence and academic contexts of the use of cognitive enhancers of a sample of Portuguese medical students. An online questionnaire about the use of cognitive enhancers was completed by 1156 participants, who were either medical students (group 1) or newly qualified physicians applying for the Portuguese medical licensing exam (group 2). Coffee was the most frequently used substance for cognitive enhancement purposes in both groups, whereas nonmedical use of prescription drugs for cognitive enhancement was lower in undergraduate students (5%) and higher in licensing exam applicants (14%). Methylphenidate (35%) and modafinil (10%) were the most consumed prescription substances and they were mainly used to enhance attention (83%) and memory (44%). Use of prescription drugs for cognitive enhancement was mainly associated with studying for medical school exams and the medical licensing exam. Most prescription drugs for cognitive enhancement were obtained through medical prescription (54%). These results show a low consumption of prescription drugs for cognitive enhancement by Portuguese medical students. Licensing exam applicants show a higher consumption of almost every substance included in this study, which might be explained by the crucial role of the exam in defining their future career path and desire by students to improve the cognitive skills that determine exam success. Studying drugtaking behaviors in medical students and young doctors is relevant for public health and medical education, since they will soon be in charge of drugs prescription. Therefore, ethical and medical concerns raised by off label consumption of prescription drugs for cognitive enhancement purposes must be openly addressed.

Visualized simulative surgery in preoperative planning for proximal femoral varus osteotomy of DDH

PurposeTo assess the preoperative planning of visualized simulative surgery (VSS) and clinical outcomes based on computer-aided design (CAD) and 3D reconstruction for proximal femoral varus osteotomy of DDH.MethodsA total of 31 consecutive patients (23 females and 8 males) with DDH who underwent proximal femoral varus osteotomy were retrospectively reviewed between June 2014 and July 2018. Patients were divided into conventional group (n = 15) and VSS group (n = 16) according to different surgical methods. In VSS group, 16 consecutive patients who underwent proximal femoral varus osteotomy were evaluated preoperatively with the aid of VSS. The VSS steps included morphological evaluation of DDH, simulated reconstruction of proximal femoral varus osteotomy, and the implantation of locking compression pediatric hip plate (LCP-PHP). Meanwhile, the osteotomy degrees, surgery time, and radiation exposure were compared between the two groups.ResultsThe average follow-up time was 33.5 months (range, 24 to 46 months). The varus angle for proximal femoral varus osteotomy was 24.2 ± 1.1° in VSS group and 25.1 ± 1.0° in conventional group (P = 0.4974). The surgery time was 31.0 ± 4.5 mins in VSS group and 48.2 ± 7.3 mins in conventional group, while radiography was 5.0 ± 1.5 times in VSS group and 8.3 ± 2.4 times in conventional group. There was a statistical significance in surgery time and radiography (P < 0.0001) when compared with the conventional group.ConclusionThe VSS can greatly decrease surgery time and radiation exposure for proximal femoral varus osteotomy, which could also be a tool to train young doctors to improve surgical skills and academic communication.

A Personal History of Cystinosis by Dr. Jerry Schneider.

Cystinosis is a rare lysosomal storage disease that is tightly linked with the name of the American physician and scientist Dr. Jerry Schneider. Dr. Schneider (1937–2021) received his medical degree from Northwestern University, followed by a pediatrics residency at Johns Hopkins University and a fellowship in inherited disorders of metabolism. He started to work on cystinosis in J. Seegmiller’s laboratory at the National Institutes of Health (NIH) and subsequently moved to the UC San Diego School of Medicine, where he devoted his entire career to people suffering from this devastating lysosomal storage disorder. In 1967, Dr. Schneider’s seminal Science paper ‘Increased cystine in leukocytes from individuals homozygous and heterozygous for cystinosis’ opened a new era of research towards understanding the pathogenesis and finding treatments for cystinosis patients. His tremendous contribution transformed cystinosis from a fatal disorder of childhood to a treatable chronic disease, with a new generation of cystinosis patients being now in their 40th and 50th years. Dr. Schneider wrote a fascinating ‘Personal History of Cystinosis’ highlighting the major milestones of cystinosis research. Unfortunately, he passed away before this manuscript could be published. Fifty-five years after his first paper on cystinosis, the ‘Personal History of Cystinosis’ by Dr. Schneider is a tribute to his pioneering discoveries in the field and an inspiration for young doctors and scientists who have taken over the torch of cystinosis research towards finding a cure for cystinosis.

Communication skills training for medical residents: Enhancing a psychosocial approach of patient care.

One of the issues that has increasingly become relevant to medical practice is the ability to communicate well with patients. Better communication results in better care for the patient, as well as greater satisfaction for the physician. For this reason, the aim of this study was to assess the efficacy of a communication skills training program for medical residents (MR). Eighty-six MR underwent a 6-month training program in three phases: a 12-h theory and practice workshop, a period of real practice, and a 4-h workshop in which the most challenging scenarios were role played with an actress. In each phase (T0, T1, and T2), participants' beliefs about their competence in caring for patients' psychosocial aspects and their self-confidence in communication skills were assessed. No differences were found between T0 and T1 in participants' beliefs of self-competence in psychosocial care. However, this competence significantly improved after completion of the entire program. Only 7 of the 12 areas explored in communication skills significantly improved between T0 and T1. However, after T2 completion, significant improvements were observed in all 12 areas. The research results highlight the usefulness and importance of training young doctors to foster their psychosocial approach to patient care and improve their confidence in their own communication skills. The results also show the appropriateness of the structure of the training: the key features of the programme were the follow-up of the participants in three phases over 6 months, and a focus on the needs of the residents and the resolution of difficult clinical cases, with the support of an actress. Therefore, the training presented in this study may become a guide for other trainings in other contexts with similar objectives.

Impact of social media on medical education; A comparative study on students and teachers of Bolan Medical College Quetta

To examine the purpose of social media among students and teachers, to evaluate the impact of social media on learning of medical education and to asses that how social media could be used more effectively for learning purpose. Result: The result displayed that the most used application by anyone is Facebook (54%) followed by WhatsApp (31%), Instagram (11%) and YouTube(4%). These young doctors although were connected with the social media; however, it had a bad influence on their physical and mental health (n= 20). The results indicate that the usage of social media often is not considered as a positive way to engage in spending their time (n= 14) while it was satisfactorily for some (n=9) and anexcellent way to learn for other (n=6). Nevertheless, there was no significant evidence observed as per the hypothesis (p &gt; 0.05)

Black Women Watchers

Black Women Watchers Wendy M. Thompson (bio) I remember the first time I went into labor. It was as though I was being forced to dance to a new choreography. The pain gripped and twisted the whole of my body, my lower back folding inward, my five-foot body contorting to music only I could hear, moving on a stage only I could access. Each sudden lightning strike of pain reminded me that in that moment, my body was not my own but was shared by the small thing—a girl, they told me, who might have a congenital anomaly, so we were on high alert—pushing inside. My mother, who had given birth multiple times without anesthesia, reminded me of her mother, who had also given birth multiple (nine) times without anesthesia in a foreign country, and told me I was not the first woman to go into labor. She said this to me while panicked and driving to a hospital in Fremont at night, where I had intentionally chosen a young Asian American female doctor and knew that there would be Black female medical staff present, among many other nurses of color who would at the very least, see me and attend to my body. Unlike in the videos and manuals I was given by the birthing center, there was no defining marker between the beginning of real labor and the moment when pain arrived to fight me for my body. There was no breaking of water. There was no voice outside of me that gently guided me into the golden meadow of motherhood. Just sharp violent pains that, if I were to describe it to a counselor later, had no color, no smell, and weren't even five minutes apart. I barely remember standing in front of two panicked male front desk staff with swollen legs and feet, wearing a loose-flowing housedress while I struggled to pull my driver's license out of my wallet. One of the staff [End Page 165] members, a young Chinese man, ran—literally, ran!—to get me a wheelchair and quickly wheeled me up to my room. Then someone helped me onto the bed before leaving me alone. Everything that came after that, the breathing, the rotating nursing staff, the pushing, the family members who stopped by, the white female doctor who came in to get my signature in the event that I died during delivery, ran together like watching a movie in fast-forward. Everything except for the Black nurse who I never saw at first but who came to me after I let out what I can only now describe as a wild animal sound. Alone in a room on the labor and delivery floor in this hospital, a cry was heard through my open door by another Black woman, a nurse, who wasn't even assigned to me but was conveniently (or divinely) right outside my room and who I would never see again during the rest of my stay at the hospital. I will never forget how she came in, looked at me, and immediately said, "Don't worry, honey. I'm going to go call the anesthesiologist to come right now." No need to explain on a scale of one to ten. No need to prove my pain according to a white man's threshold. Just a matter-of-fact acknowledgment that a baby was coming, her mama was in great pain, and there needed to be some immediate action taken. With a little sugar on top. Honey. ________ I thought about this birthing experience and the traumatic one that would follow seven years later in Minnesota after reading a post made by writer Kiese Laymon on social media on January 4, 2021. Kiese wrote: My mother had major spine surgery. It was terrifying. She's still trying to recover. When she finally woke up, all she could talk about was this Haitian nurse who told her it would be okay because there would be a Black resident in the operation room watching. We talked more and she made it clear that even if she would have had a Black surgeon, she really wanted a...

Stress among doctors doing residency: a cross sectional study at a tertiary care hospital in Vijayapura, Karnataka

Background: Young budding doctors doing residency is a very stressful period. There is growing concern about stress in doctors working in hospitals. So, this study was carried out to study the proportion of stress and associated factors influencing stress among resident doctors at a tertiary care hospital in Vijayapura, Karnataka.Methods: A cross-sectional study was conducted in BLDE (Deemed to be University), Shri B. M. Patil medical college, hospital and research centre, Vijayapura from July 2019 to December 2019. The perceived stress scale, 10-item self report questionnaire was used to assess the level of stress. analysis was done using SPSS 16. Results: A total of 207 post graduate residents were interviewed.90% of postgraduate students responded and all were above the age of 24 years. 52.7% were males and 47.3% were females. Of all postgraduates 91.3% were Hindu, 5.3% were Muslim by religion. Our study has revealed more stress among 2nd year resident doctors.Conclusions: Fixed duty hours, counselling and social support can help in improving the physical and mental well-being of these young doctors, who are an integral part of the health care system. Stress should be evaluated to get better future health consultants.

The Interest and Exam Preferences for Postgraguation of Medical Graduates from a Private Medical College in Lahore who have Completed their one year House Job in 2020

Objective of study: To study the interest and postgraduate exam preferences adopted by young doctors who have successfully completed their one-year house job in May 2020, who graduated from a private medical college of Lahore Place and duration: The data of doctors was collected from records of Akhter Saeed Medical and Dental college Lahore, who had completed their one-year house job from May 2019 to May 2020. Study design: It was a cross sectional survey. Non-probability conventional sample was used. The data was analyzed by SPSS-25 and presented in forms of tables, bar charts and pie charts. Materials&amp; methods: The data of 121 students is collected from college and hospital records who graduated in 2019, started their house job in May 2019 and completed in May 2020. The students who were fail in final professional exam or were not able to complete their house job due to any reason were excluded from study. Each student was contacted in person and required information was collected after verification of their names and roll numbers with their consent. Close ended same set of questions were asked from each student. Data was collected and analyzed by SPSS 25. Results: Total 121 young doctors were included in our study, 81 (66.9%) females and 40 (33.1%) males. Out of theses 63 (52.1%) responded and 58 (47.9%) didn’t. The unviability of getting response was either lack of consent to respond or change of contact numbers. Regarding marital status 32 (50.8%) were unmarried [19 (30.16%) females, 13 (20.63%) males] and 31 (49.2%) were married [20 (31.75%) females ,11 (17.64%) males]. Forty-nine 49 (77.78%) medical graduates actually perused their career and went for some post graduate exams whereas 14 (22.22%) only planned and didn’t appear in any exam after completion of one year house job. Among doctors who responded, eleven 11 (17.5%) young doctors [9 (14.29%) females ,2 (3.17%) males], successfully started their residency after FCPS part l examination, twenty-one 21 (33.3%) were waiting for their induction after passing their FCPS part l exam [13(20.63%) females, 8(12.70%) males], eight 8(12.70%) went for PLAB exam [5 (7.93%) females 3 (4.76%) males] and seven 7 (11.1%) attempted part l exam [5(7.93%) females ,3 (4.76%) males] but not declared successful. The other options perused by doctors for postgraduation were MCPS dermatology 1(0.8%), two years diploma radiology 1 (0.8%), M Phil biochemistry 1 (0.8%), exam of Australian medical council 1 (0.8%) and STEPs 1 (0.8%). There were eleven 11 (17.5%) doctors [5 (7.93%) females ,6 (9.52%) males] who didn’t appear in any exams. The top four favourite specialties preferred by graduates of Akhtar Saeed Medical college were medicine 19 (15.7%), surgery 10 (8.3%), gynecology 7 (5.8%) and anesthesia 3 (2.5%). The remaining were radiology 2 (1.7%), ENT 2 (1.7%), eye 1 (0.8%) and cardiology 1 (0.8%). Conclusion: It was an encouraging, reassuring and promising trend that young graduates from a private medical college pursue postgraduate qualification timely. Most students were females and majority preferred clinical over basic sciences for postgraduation. These young doctors should be guided and trained in those subjects which face shortfall in specialists. The data can help to find job opportunities in Pakistan to avoid brain drain. Keyword: Medical graduates, post-graduation, doctors.

Classification of fissured tongue images using deep neural networks.

BACKGROUND: Tongue inspection is vital in traditional Chinese medicine. Fissured tongue is an important feature in tongue diagnosis, and primarily corresponds to three Chinese medicine syndromes: syndrome-related hotness, blood deficiency, and insufficiency of the spleen. Diagnosis of the syndrome is significantly affected by the experience of clinicians, and it is difficult for young doctors to perform accurate diagnoses.OBJECTIVE: The syndrome not only depends on the local features based on fissured regions but also on the global features of the whole tongue; therefore, a syndrome diagnosis framework combining the global and local features of a fissured tongue image was developed in the present study to achieve a quantitative and objective diagnosis.METHODS: First, we detected the fissured region of a tongue image using a single-shot multibox detector. Second, we extracted the global and local features from a whole tongue image and a fissured region using TongueNet (developed in-house). Third, we developed a classifier to determine the final syndrome.RESULTS: Based on an experiment involving 721 fissured tongue images, we discovered that TongueNet affords better feature extraction. The accuracy of TongueNet was 4% ( 0.05) and 3% ( 0.05) higher than that of InceptionV3 and ResNet18, respectively, for whole tongue images. Meanwhile, at local fissured regions, the accuracy of TongueNet was 3% ( 0.05) higher than that of InceptionV3 and equal to that of ResNet18. Finally, the fusion features outperformed the global and local features with a 78% accuracy.CONCLUSIONS: Our findings indicate that TongueNet designed with batch normalization and dropout is more suitable for uncomplicated images than InceptionV3 and ResNet18. In addition, compared with the global features, the fusion features supplement the detailed information of the fissures and improve classification accuracy.

General Surgery and Surgery: Textbooks for Training Foreign Medical Students

The most important thing in education is the development of future doctor is method of preliminary diagnosis of any disease, including surgical. The previously used textbooks on surgery has been described mainly the clinical manifestations of diseases and their treatment techniques, without clarifying the principles and preliminary diagnosis capabilities for students. After medical education the doctors of the general medical practice tasks determinations basic requirements of scope of knowledge and practical skills for graduating student of institute of higher education of IV level of accreditation: goal-directed methodical algorithm of questioning of the patient (getting anamnesis), physical examination, substantiation of provisional diagnosis, determinate algorithm of additional methods of investigations with analysis of received results, differential diagnosis, forming clinical diagnosis, substantiation of treatment program and it’s realization. In the future the young doctor can work not only the doctor of family medicine, but also the expert of other directions, for example - the surgeon. For preparation to practical workies application textbook “General Surgery” for students 2-3 years education and textbooks “General Surgery” and “Surgery” for 2-6 years education English language foreign students and including information on methods and principles of forming of preliminary diagnosis, differential diagnosis, clinical diagnosis and treatment of surgical patients (Ed: Bereznytskyy, Zakharash, Mishalov, Shidlovskyj, 2016, 2019).

The Psychological Impact of the Tertiary Hospital Reappraisal on Resident Doctors in the Post-pandemic Era: A Cross-sectional Study in Ningbo

ParticipantsCompetent resident doctor were expected to help the patients, advance medical knowledge, and promote public health. The time and effort necessary for residents to devote to standarized training is extensive. Anxiety and depression can negatively affect professional development and work efficacy. The study aimed to assess the psychosocial effects of the hospital reappraisal during the post-pandemic era of COVID-19 and analyze potential risk factors leading to their symptoms of anxiety and depression.MethodIn March 2021, the “Questionnaire Star” electronic questionnaire system was used to collect data. A total of 96 resident doctors from the affiliated hospital of the medical school of Ningbo University were invited to complete the questionnaires.ResultsAccording to our study, the prevalence of symptoms of anxiety and depression in the resident doctors in the institution was 61.5 and 59.4%, respectively. The residents who were worried about clinical skills tend to have anxiety symptoms under online education (OR = 3.436, 95%CI: 1.122–10.526). Compared with participants who were assigned by other hospitals, social trainees (OR: 7.579, 95%CI: 1.747–32.885), and full-time masters (OR: 5.448, 95% CI: 1.586–18.722) were more likely to have anxiety symptoms. Participants without a labor contract (OR = 3.257, 95% CI: 1.052–10.101) had a high risk of depression symptoms. Participants who spent more time learning the details prepared for the tertiary hospital reappraisal were significantly more likely to develop anxiety and depressive symptoms.ConclusionThis study suggested that the tertiary hospital reappraisal program has an impact on the high incidence of anxiety and depression of the young resident doctors during the post-pandemic era of the COVID-19 in Ningbo.

Advocacy training for young family doctors in primary mental health care: a report and global call to action.

Advocacy training for young family doctors in primary mental health care: a report and global call to action.

Patient’s Satisfaction With Dental Treatment Provided By Undergraduate Students Of The College Of Dentistry

Backgrounds: The patient’s satisfaction is considered as a direct measure to assess the performance of clinicians and the clinics.The present study was, therefore, conducted to evaluate the level of patients’ satisfaction with treatment services provided by undergraduate students at the College of Dentistry, King Saud University. The main purpose of this investigation was to explore opportunities for further improvement in the BDS program as well as undergraduate dental care training at the College. Methods: Patients’ feedback was sought through cross-sectional research wherein a specialized questionnaire was circulated among all undergraduate clinics located at male and female campuses of the college. A total of 3200 survey forms were distributed among patients who were treated in the undergraduate clinics. The supervisors were requested to clarify any questions or ambiguity encountered by their patients in filling in the survey forms. The questionnaire consisted of 19 questions addressing all aspects of the patients’ care. Five-point Likert scale varying from 'strongly agree' to 'strongly disagree' was used to evaluate the feedback. The data were subjected to statistical analysis using Statistical Package for the Social Sciences software version 21 (SPSS Inc., Chicago, IL) Results: The 2558 patients participated in the present investigations representing 80% of the total population. The highest level of patient's satisfaction was observed for preparedness, knowledge, and helpfulness of the young doctors by 88.97% of patients (n=2048). Only 9.6% (n=221) and 1.31% (n=33) patients attributed moderate and low levels of satisfaction to this question, respectively. Likewise, 86.78% (n=1963) patients were found highly pleased with the young doctors who explained all procedures before and during their treatment. The percentage of patients with a moderate and minimal level of satisfaction to this attribute was 11.67% (n=264) and 1.55% (n=35), respectively. The lowest satisfaction was observed concerning waiting time, followed by the comfort of the waiting room and knowledge of young dentists about the accurate estimation of expenses incurred in case some material was required wherein 61.44% (n=1388), 63.75% (n=1486) and 77.91% (n=1552) patients associated high satisfaction level, respectively. In fact, these questions proved as areas for further improvement. Conclusions: Results of the present investigations provided benchmark data to map and compare patients’ satisfaction with their treatment in undergraduate dental clinics. Most patients in the present investigations were found satisfied with the quality and standard of care provided to them in the undergraduate clinics. The survey results further reported that most patients had trust in the knowledge, capabilities, and skills of the undergraduate dental students. However, they showed dissatisfaction over waiting time, comfort in the waiting rooms and students’ knowledge about the accurate estimation of correct expenses concerning the dental materials required for treatment procedures.

TRAINING AND PRACTICE-CENTRIC METHOD OF PROFESSOR SULYMA

The paper is concerned with the current state of doctors’ training methodologies. Problems of teaching the discipline were identified: inability to memorize the amount of theoretical material, the ineffectiveness of methodological techniques for practical training, amount of new training centers. It has been proven that these faults are risky for mastering learning skills. The method of «see - repeat»preferred by coachers is not a panacea for the effective educational process during various medical interventions. Particular attention is paid to the psychological borders of young doctors in the recollection of new information that is needed to be improved. Objective. Build an innovative methodological strategy that requires a combination: high quality of theoretical medical knowledge and practical skills. Results. Among modern pedagogical techniques, the most profitable is the method of Peyton, which became the base of «Professor’s Sulyma training». Detailed instruction of the author's teaching strategy is suggested in the report. This way of education is based on neurobiological research and divided into 10 stages, which are theoretically and methodically described. The authors approbated training and paid attention to its effectiveness. Conclusions. «Professor’s Sulyma training» is a method that allows practicing any valuable skills in different medical areas