MMed (Community Health), Faculty of Health Sciences, University of the Witwatersrand, 2009 / Introduction: This study sought to determine perceptions of registrars of their training on the Wits circuit as regards hospital, specialist and university support and their opinions on improving registrar MMed research output. Future career plans of registrars were also investigated. Methods: This was a cross-sectional study using self-administered questionnaires consisting of Likert scales and open-ended questions. The study population comprised registrars in four clinical specialties on the Wits training circuit. Results: Chris Hani Baragwanath Hospital received the lowest proportion of satisfactory responses for nursing support. Hospital management was considered unsatisfactory at three of the four hospitals. Specialist supervision was considered satisfactory although 70% (115/164) of registrars reported coping with situations beyond their expertise, which they attributed to specialists being off-site. Registrars reported insufficient time and a lack of qualified supervisors as barriers to undertaking research. Only 32% of respondents felt adequately prepared for independent practice. Most registrars intended to continue working in the public sector. Conclusions: Problems and recommendations identified by registrars could be used by the university to improve the registrar training experience.

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Thesis (Ph.D.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / The dissertation explores relationships between social mobility and tribal identification, based on observations made among a sample of medical trainees at the University of Ibadan (formerly, the University College, Ibadan) in Western Nigeria. The thirteen-month study was carried out during 1962-63. Data were collected on 270 Southern Nigerians entering medical training in the years 1952-1960. Material was taken from university records, personal observations, unstructured interviews, and formal interviews with a sub-sample of 103 trainees drawn from among graduates or potential graduates in the years 1960-1965. Social background characteristics were compared with performance in training. Based on the ability to sit for and to pass all parts of the standard Second M. B. and Final M.B.-B.S. examinations and to graduate in the minimum five-year training period, representatives of large triues (Ibos, Yorubas) had a significantly higher pass rate than representatives of small tribes (Binis, Ijaws, Efiks, Ibibios, and several smaller groups). Corrections for caliber and location of secondary schools attended showed no variations in this pattern. Nor was it possible to account for these differential performances in terms of examination procedures, faculty bias, degree of exposure of various groups historically to foreign impact, or feelings of social isolation during training. [TRUNCATED] / 2031-01-01

Legal liability of a physician in graduate medical training and its practical consequences Abstract From both legal as well as practical point of view, a physician in training (i.e. without specialist qualification for performing the medical profession of physician) finds himself in a unique position, differing from those of any other medical staff. Having completed a medical degree, a physician starts his journey towards obtaining an unrestricted license to practice medicine. However, up until a successful ending of his graduate training, he is required to practice medicine under direct or indirect supervision of an attending physician, with a sole exception of those procedures explicitly permitted to be done unsupervised. With regard to the above mentioned, the aim of this thesis is to deliver a complex picture analysing legal liability of a physician in graduate medical training. Further on, it aims to critically assess current legislation concerning this topic on the grounds of relevant case law as well as outcomes of a survey among physicians without specialist qualification for performing the medical profession of physician. First part of the thesis analyses mainly the legal framework a physician in training has to work in, i.e. Act. No. 95/2004 Coll. Following part of the thesis then covers the issue...

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Varying the delivery rate of audio-based text within web-based training increases the effectiveness of the learning process and improves retention when compared with a fixed audio-based text delivery rate. To answer this question, two groups of 20 participants and one group of 10 participants were tested using the Web-based Anatomy & Physiology course modules developed by Medsn, Inc. The control group received the static speed of 128 words per minute while the experimental group received the initial speed of 128 words per minute with the option to change the speed of the audio-based text. An additional experimental group received the initial speed of 148 words per minute also having the option to vary the speed of the audio-based text. A three way single variable Analysis of Variance (ANOVA) was utilized to examine speed of voice presentation differences. The results were significant, F (2, 47) = 4.67, p=0.014, ç2 = 0.166. The mean for the control group was (M = 7.2, SD = 1.69) with the experimental groups at, (M = 8.4, SD = 1.31) and with extra groups at (M = 8.6, SD = 1.26).

<p>This dissertation examines the influence of Keats's medical training and knowledge on his poems and letters, an influence that has usually been ignored or denied. While a fair amount of attention has been focused on the immediate biographical facts of Keats's five-year apprenticeship to the surgeon Thomas Hammond and his year of training at Guy's Hospital, very little has been paid to the influence of medical science on his thought; no comprehensive study of such influence has been attempted previously.</p> <p>As a certain amount of confusion still surrounds the details of Keats's personal experiences as a medical student, the first chapter examines the biographical facts of his training. In addition, it outlines the state of medical education in the early nineteenth century, generally in England and specifically at Guy's Hospital. The subsequent chapters trace the influence of Keats's medical knowledge on his thought, a single chapter being devoted to each of the subjects Keats studied as a medical student: chemistry, botany, anatomy and physiology, and pathology and medicine. In each case, specific images and metaphors, as well as broader ideas and attitudes, are examined in the poetry and correspondence.</p> <p>The chapter on chemistry examines the influence of chemical terms and concepts on Keats's ideas concerning artistic creativity and the workings of the imagination, as expressed in the letters. The chapter on botany deals with specific natural images of plants, trees, flowers, and vegetables in the poems, as well as with Keats's broader approach to the creative and destructive forces in nature. The chapter on anatomy and physiology examines the descriptions of the body, particularly of the brain, in the poetry and letters, as well as Keats's ideas on sensation and imagination, in light of his anatomical and physiological knowledge. The final chapter deals with the influence of Keats's knowledge of pathology and medicine on his understanding of his own illnesses and on his descriptions of the diseased states of his protagonists; in addition, it traces the development of his view of life, love, and creativity in metaphorical terms of disease and health, and examines his concept of the poet as a physician. Throughout, my purpose has been to enhance our understanding of the poetry.</p> / Thesis / Doctor of Philosophy (PhD)

No / Angiography is an important minimally invasive diagnostic procedure in endovascular interventions. Effective training for the procedure is expensive, time consuming and resource demanding. Realistic simulation has become a viable solution to addressing such challenges. However, much of previous work has been focused on software issues. In this paper, we present a novel hardware system-an interactive syringe device with haptics as an add-on hardware component to 3D VR angiography training simulator. Connected to a realistic 3D computer simulation environment, the hardware component provides injection haptic feedback effects for medical training. First, we present the design of corresponding novel electronic units consisting of many design modules. Second, we describe a curve fitting method to estimate injection dosage and injection speed of the contrast media based on voltage variation between the potentiometer to increase the realism of the simulated training. A stepper motor control method is developed to imitate the coronary pressure for force feedback of syringe. Experimental results show that the validity and feasibility of the new haptic syringe device for achieving good diffusion effects of contrast media in the simulation system. A user study experiment with medical doctors to assess the efficacy and realism of proposed simulator shows good outcomes. / National Natural Science Foundation of China (61402278), the Innovation Program of the Science and Technology Commission of Shanghai Municipality of China (16511101302), Research Program of Shanghai Engineering Research Center of Motion Picture Special Effects (16dz2251300)

The purpose of the present study was to assess: a) perceived stress, burnout, depression, and empathy at three time points in internal medicine residents, b) the role of gender and trait mindfulness in stress response during residency and c) to evaluate the impact these variables have on performance evaluations. Additionally, specific tasks of the residency that may contribute to the experience of stress and burnout were evaluated to test a model of job strain. Stress predicted subsequent burnout and depression. Burnout predicted subsequent depression, and stress mediated this relationship. Women reported higher mean levels of empathy and burnout than men. The exploratory measure of job strain was not significantly related to stress outcomes. The acting with awareness facet of mindfulness was negatively related to burnout and depression. Performance was both negatively and positively related to stress outcomes. The results are discussed within the context of the current literature.