Journal of Education and Health Promotion

Developing a module for early clinical exposure: Experience of five years

. Pananghat A. Kumar; . Sumitra Govindarajan; . Sudha Ramalingam; . Prasanna N. Kumar

Volume 13, Issue 2 , February 2023, , Pages 1-6

Abstract

BACKGROUND: Preclinical students often fail to appreciate the clinical relevance of basic sciencesduring the first year of undergraduate medical training, leading them to lose interest ... Read More BACKGROUND: Preclinical students often fail to appreciate the clinical relevance of basic sciencesduring the first year of undergraduate medical training, leading them to lose interest in the subject,and preventing them from achieving the desired goals. In order to rectify this gap in the curriculum,Medical Council of India (MCI) in 2011 published a document announcing curricular strategiesincluding Early Clinical Exposure (ECE) to effectively modify the Indian system of education. Lackof proper guidance prevented many institutions from implementing ECE. Since our institution hadrun a similar program of “Clinical Observership” as early as 2001, we were able to implement ECEin an efficient way.MATERIALS AND METHODS: Early clinical exposure was implemented as a structured program,with the participation of 10 clinical departments since 2013. Feedback from the students, soon afterECE and also from the batch of CRRIs, who had undergone this program while they were preclinicalstudents amply support the effectiveness of ECE in its contents and methods of implementation.Manual content analysis was performed on open comments. After reading the responses, they werebroken down to meaning units, and these were then condensed. The condensed meaning unitswere labeled with codes. The codes were grouped into categories. Themes were derived from thecategories.RESULTS: Out of the 70 CRRIs, 52 responded to the questionnaire. All the CRRIs except one saidthat ECE was very helpful during their clinical postings and internship period. They suggested thatthe number of hours of posting should be increased and also reiterated the fact that a greater numberof clinical departments could be included in the program. Though the beneficial effects were felt inall the domains of learning, the most remarkable impact was felt in the affective domain, whereinchanges are not easy to come by.DISCUSSION: Recently, National Medical Council has come out with plans of including ECE inthe syllabus with strict time schedule. It is felt that the faculty will find our experience of running theprogram for the past five years helpful in implementing this program, for the fullest benefit of thepreclinical students.

Effective components of teachers’ professionalism in viewpoints of various stakeholders

. Fatemeh Keshmiri; . Sara Jambarsang; . Amir Houshang Mehrparvar

Volume 13, Issue 1 , January 2023, , Pages 1-8

Abstract

BACKGROUND: The teacher must conduct educational responsibilities in the best way by observingthe ethical principles to meet students’ educational needs. The aim of the study ... Read More BACKGROUND: The teacher must conduct educational responsibilities in the best way by observingthe ethical principles to meet students’ educational needs. The aim of the study was to investigate themain factors of professionalism among faculty members from the viewpoints of various stakeholdersincluding learners, peers, and educational officials, as well as the components were assessed fromthe viewpoints of the stakeholders.MATERIALS AND METHODS: This was a descriptive analytical study conducted in two phases. Inthe first phase, a questionnaire was developed and validated to assess the professional behaviorof faculty members. In the second phase, the evaluation of the teachers’ professional behavior wasdone from the viewpoint of various stakeholders, including learners, middle and senior educationmanagers and peers. The participants were faculty members from 10 schools enrolled in the studyby census (n = 427). To extract the factors that constitute professional behavior in faculty members,exploratory factor analysis was used. Data were summarized using descriptive indices (mean,standard deviation, and percent). Exploratory factor analysis (EFA) was used to extract the factorsthat constitute professional behavior in faculty members. Data was analyzed by using SPSSsoftware (version 23.0).RESULTS: In the first phase, the questionnaire with 11 items was developed. The validity and reliabilityof the tool was confirmed. The mean (SD) of the faculty members’ scores was 4.54(±0.34), with aminimum score of 2.33 and a maximum score of 5.00. The highest scores of faculty members werereported in the items of “altruism to colleagues and students” and the lowest scores were relatedto “feedback seeking and feedback acceptance”. Professional behavior was categorized under twodomains: accountability to professional duties and adherence to professional values. Fifty percentof the participants followed the adherence to professional values (P = 0.22), but less than 50% ofthe individuals followed the adherence to professional duties significantly (P = 0.002).CONCLUSION: The results of the present study showed that adherence to professional duties was lowin faculty members. Assessment of individuals’ adherence in these two domains showed that facultymembers’ compliance in the domain of accountability to professional duties was significantly lower.

Factors influencing professionalism among nurse educators: A qualitative study

. Bharat Pareek; . Kiran Batra

Volume 12, Issue 8 , September 2022, , Pages 1-8

Abstract

BACKGROUND: Nurse educators require to exhibit specialized behaviors that demonstrate the beliefsof the nursing profession. The aim of the study is to explore the factors influencing ... Read More

Mini clinical evaluation exercise (Mini‑CEX): A tool for assessment of residents in department of surgery

. Pooja Batra; . Ravi Batra; . Niket Verma; . Pradeep Bokariya; . Shreyak Garg; . Sneha Yadav

Volume 12, Issue 7 , August 2022, , Pages 1-6

Abstract

BACKGROUND: The mini‑clinical evaluation exercise (mini‑CEX) is a formative assessment tooldesigned to provide feedback on skills essential to good medical care by observing an ... Read More BACKGROUND: The mini‑clinical evaluation exercise (mini‑CEX) is a formative assessment tooldesigned to provide feedback on skills essential to good medical care by observing an actual clinicalencounter. However, the bigger advantage of mini‑CEX is the structured feedback that it provides tothe students as well as the faculty, thus helping them to make better decisions.MATERIALS AND METHODS: This study was a cross‑sectional observational study. Sixteen surgeryresidents volunteered for participation and five professors conducted sessions; hence, 80 mini‑CEXencounters. Seven core clinical skill assessments were done, and the performance was rated ona 9‑point scale (grouped into unsatisfactory, satisfactory, and superior). Immediate feedback tothe residents was given by the faculty. Delayed feedback from faculty and residents regarding theperception of mini‑CEX was taken. Statistical analysis was done using SPSS version 20 and analysisof variance (ANOVA) for inferential statistics.RESULTS: As planned, 80 (100%) mini‑CEX encounters were conducted. Surgery residents showedimprovement that was statistically significant in the competencies of medical interviewing skills,physical examination skills, humanistic qualities/professionalism, and counseling skills. Most of thefaculty (80%) were able to identify the gaps in the knowledge of students and areas of improvementfor their teaching. However, 60% of the faculty felt that it required more effort than traditional methods.The mean time taken by the assessor for observation and feedback to residents was 12.51 minand 5.68 min, respectively. The mean scores of evaluator satisfaction and resident satisfaction withmini‑CEX sessions were 6.04 and 7.49, respectively.CONCLUSIONS: Mini‑CEX improves the learning environment in residency and also leads toimprovement in medical interviewing skills, physical examination skills, humanistic qualities/professionalism, and counseling skills. It is done in the actual patient encounter and hence preparesthe resident better for dealing with patients in the future.

Testing adaptation and psychometric properties of survey instrument for students’ perspectives on e‑professionalism and social media in Iranian students: Corona crisis and medical education

. Leili Mosalanejad; . Saeed Abdollahifard

Volume 12, Issue 1 , January 2022, , Pages 1-9

Abstract

BACKGROUND: The use of social networks in the field of education has also accelerated andhas become a powerful source of learning for transformation and empowerment in various fields.This ... Read More

Effectiveness of ethics case based on blended learning approaches on medical students’ learning: A quasi‑experimental study

. Atefeh Karamzadeh; . Leili Mosalanejad; . Leila Bazrafkan

Volume 11, Issue 8 , September 2021, , Pages 1-7

Abstract

BACKGROUND: The use of active teaching methods in ethics education, instead of being merelyteacher centred, can lead students to problem‑solving in a practical way. Therefore, this ... Read More BACKGROUND: The use of active teaching methods in ethics education, instead of being merelyteacher centred, can lead students to problem‑solving in a practical way. Therefore, this study wasconducted with the aim of comprehensive medical ethics education based on educational approachesand the effect of this approach on students’ learning and moral reasoning skills.MATERIALS AND METHODS: This quasi‑experimental intervention study was performed on seventyphysiopathology medical students who had taken the medical ethics course. The students’ educationalprogram included teaching theoretical concept of medical ethics, discussing ethical cases and clinicalreasoning in class, and then discussing in forum environment and individual assignments in thelearning management system (LMS) system and completing the portfolio. Student evaluation wasassociated students’ knowledge, attitu de, and moral reasoning skills and learning. A comprehensiveprogram including forum participation, individual assignments in LMS, theory and objective structuredclinical examination (OSCE) tests, and portfolio completion was used to evaluation of students. Thestudents’ learning was compared to students of the previous year, which was conducted through atraditional teacher‑centered method. Data analysis was conducted using IBM® SPSS® Statistics 21at two levels of descriptive statistics and analytic statistics.RESULTS: The results showed that there was a significant difference between the mean learning ofstudents compared with traditional class (P < 0.05). Furthermore, comparison of students’ practicalscores through the OSCE test showed its impact on changing students’ knowledge, attitude, andperformance in moral reasoning.CONCLUSION: According to research findings, it seems that the mentioned model is one of theimportant and new issues as a suitable method of teaching medical ethics. Furthermore, it can besuitable model in other medical courses. The more research in multicentral may be need to assessother effects on students’ learning indicators.

Development and validation of a questionnaire for professionalism in cyber users in medical sciences in Iran

. Leili Mosalanejad; . Saeed Abdollahifard

Volume 11, Issue 2 , February 2021, , Pages 1-9

Abstract

BACKGROUND: Considering the importance of virtual professionalism and professional ethicsin medical sciences, and the necessity to pay attention to this issue and its impact on medicalprofessionalism, ... Read More

E‑professionalism in medical sciences: A Hybrid Concept Analysis

. Leili Mosalanejad; . Mansoor Tafvisi; . Nahid Zarifsanaiey

Volume 11, Issue 2 , February 2021, , Pages 1-10

Abstract

BACKGROUND: Professionalism is one of the most important and vital concepts in the medicalsciences. With the rapid growth of e‑learning in the medical sciences in the past few years, ... Read More

An interesting result of a qualitative research: Academic exhaustion barrier to professionalism in medical students

. Zohrehsadat Mirmoghtadaie; . Soleiman Ahmady; . Noushin Kohan; . Tayebeh Rakhshani

Volume 10, Issue 8 , August 2020, , Pages 1-7

Abstract

INTRODUCTION: Professionalism is an important measure of the efficacy of the medical education.Some studies showed that dominant values changed during clinical education, and some negativevalues ... Read More

Preclerkship medical students’ perceptions of medical professionalism in the College of Medicine-University of Sharjah: A vision to sustain success in medical education

. Mohamed Elhassan Abdalla; . Nihar Ranjan Dash; . Sarra Shorbagi; . Mohamed H. Ahmed

Volume 10, Issue 5 , May 2020, , Pages 1-8

Abstract

INTRODUCTION: Professionalism is an essential theme in both undergraduate and postgraduatemedical education. The current study aimed to assess the preclerkship medical students’ ... Read More

A modified tool for “reflective practice” in medical education: Adaptation of the REFLECT rubric in Persian

. Saeideh Daryazadeh; . Nikoo Yamani; . Payman Adibi

Volume 10, Issue 1 , January 2020, , Pages 1-7

Abstract

CONTEXT: Reflection is a learnable process that enhances long‑life learning, clinical decision‑making,and can foster empathy and professionalism. One of the methods for teaching ... Read More

Obstacles of professional behavior among medical trainees: A qualitative study from Iran (2018)

. Neda Yavari; . Fariba Asghari; . Zahra Shahvari; . Saharnaz Nedjat; . Bagher Larijani

Volume 9, Issue 10 , October 2019, , Pages 1-11

Abstract

INTRODUCTION: Despite all efforts that have been made to promote professional behavior amongmedical trainees, unfortunately, reports from medical schools around the world confirm the ... Read More

Volume 13 (2023)

Volume 12 (2022)

Volume 11 (2021)

Volume 10 (2020)

Volume 9 (2019)

Volume 8 (2018)

Volume 7 (2017)

Volume 6 (2016)

Volume 5 (2015)

Volume 4 (2014)

Volume 3 (2013)

Volume 2 (2012)

Volume 1 (1900)

Keywords = professionalism

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