Thesis--University of Oklahoma. / Includes bibliographical references (leaves 57-61).

The General Medical Council has emphasised the importance of teaching communication skills to medical undergraduates. A two year follow-up study was undertaken, therefore, to assess the possible short-term and long-term benefits of the participation of cancer patients in communication skills training. Two hundred and forty nine third year students in the academic years 1992-1993 and 1993-94 received communication skills training (9 hours) in small groups: half the students were taught with patients who had cancer and the other half with patients who had another diagnosis. Each student was required to make a videotaped interview. These recorded interviews were evaluated by a trained rater. In addition, students completed a pre-course and post-course Attitude Questionnaire to assess their knowledge of and attitudes toward cancer and its management. Of the 1992-93 cohort of third year students, a sample of 54 students participated in the follow-up evaluation in fifth year. Fifty four Attitude Questionnaires were satisfactorily completed. All of the 54 students made a videotaped interview with a gynaecological cancer patient in a standardised setting. Each interview was rated independently by two raters. Analyses of the third year video recordings revealed differences in interview performance between the two groups. Following the course, between-group analyses and with-in group analyses identified various attitudinal differences. Analyses of the fifth year video recordings revealed that the interview performance of both groups had improved since their third year. However, those students originally taught with cancer patients were more likely to assess the impact of the symptoms on the patient's life. In addition, between-group and within-group analyses of the attitudinal data showed that both groups had retained positive attitudes with regard to the psychosocial aspects of cancer. These findings have implications for training medical undergraduates in communication skills.

Diss. (sammanfattning) Linköping : Linköpings universitet, 2007. / Härtill 4 uppsatser.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.

Diss. (sammanfattning) Göteborg : Göteborgs universitet, 2007. / Härtill 4 uppsatser.

Se encuestó a los médicos titulados por tesis de las siete escuelas de Medicina de Lima en el 2011 de las siete escuelas de Medicina de Lima para conocer las características del proceso de titulación por tesis, sus motivaciones y sus percepciones sobre dicho proceso. Se incluyó 98 tesistas (87% del total), 99% realizó tesis observacionales y el 35% realizó la tesis de manera individual (solo un tesista) en grupo de tres. La principal motivación fue que era bueno para su currículo (94%). En aquella universidad donde la tesis es obligatoria se empezó antes la elección del tema y el asesor. La percepción de mayor y menor dificultad en el proceso fue la realización de los trámites administrativos (53%) y seleccionar a su asesor (11%), respectivamente. Se deben revisar los procesos y tiempos administrativos para que no dificulten la realización de tesis, puesto que la nueva Ley Universitaria obliga a la elaboración de tesis para titularse. / We surveyed physicians who obtained their medical degree with a thesis in 2011 from the seven medical schools in Lima to know the characteristics of the degree by thesis process, as well as participants’ motivations and perceptions of that process. We included 98 students who did a thesis (87% of total); 99% conducted observational thesis, 30% did so in groups of three. The main motivation was that it was good for their curriculum vitae (94%). At the university where the thesis is compulsory, the process began with the choice of topic and adviser. Perceived “greatest” and “least” difficulty in the process was the completion of administrative procedures (53%) and selection of their advisor (11%), respectively. Administrative timeliness and processes should be reviewed so as not to impede the completion of thesis, since the new University Act requires the completion of a thesis to graduate.

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No. of bitstreams: 1 Dissertação Fernando Mendonça.pdf: 2995559 bytes, checksum: d6d706f0d71822d6778e1ad38dbb4a20 (MD5) Previous issue date: 2018-02-24 / Introduction: The choice of a medical specialty and knowledge of the labor market are essential items for professional successfulness and the good functioning of the health services. Objective: To investigate the factors that influence the choice of specialty and the apprentice expectations on the issues that involve the effectiveness of practicing medicine and the labor market. Methodology: Standardized questionnaires on factors related to the choice of medical specialty were applied to medical students from the 9th to 12th periods at Jose do Rosario Vellano University – UNIFENAS, Campus Belo Horizonte. Results: 179 questionnaires were given, predominantly women (64.8%). Participants are from all regions of the country. 84.1% completed high school in private schools and the monthly family income was over R$9,000.00 in 69.9% of the students. The majority (84.4%) were involved in academic leagues; only a few (33.5%) did extracurricular internships or participated in some scientific research (25.7%). Choosing a medical specialty mostly occurred during the internship (37.4%) and most of the rejections occurred between the 2nd and 4th year of the course (39.1%). We highlight the number of students (21.2%) that already enters the school with a defined specialty. Most specialties chosen were pediatrics (16.2%) and surgery (14%) and the most rejected was also pediatrics (37.4%) and surgery (31.8%). The main factors identified as choice influences are: aptitude, work performance, satisfactory training in the specialty field and autonomy. When asked where they intended to practice their profession, they answered as follows: in a private office (79.9%), private hospital (73.7%) and public hospital (66.5%). Most students (52%) think they will work between 49 and 60 hours per week, with 3 different employers (50.8%); making more than R$20,000.00 (47.5%) after five years of practice. The majority (86%) imagine themselves working in shifts, on an average of 14.5 years. 82.7% of the students stated that at no point in their medical course, they had information on labor laws and 78.8% denied having received information about the labor market. 98.3% of the students would like the schools to offer more information on the medical specialties, labor market and labor laws. Conclusion: The medical student chooses his specialty for several factors, but he does not know the labor market. The school does not prepare graduates for the effective insertion in the professional world. / Introdução: A escolha da especialidade médica e os conhecimentos sobre o mercado de trabalho são fundamentais para o sucesso profissional e um bom funcionamento dos serviços de saúde. Objetivo: Investigar os fatores que influenciam a escolha da especialidade e expectativas do acadêmico sobre as questões que envolvem o efetivo exercício da medicina e o mercado de trabalho. Metodologia: Foram aplicados questionários padronizados sobre fatores relacionados à escolha da especialidade médica aos estudantes de medicina do 9º ao 12º período do Curso de Medicina da Universidade José do Rosário Vellano – UNIFENAS, Câmpus Belo Horizonte. Resultados: Foram aplicados 179 questionários, com público predominante de mulheres (64,8%). Os participantes são oriundos de todas as regiões do país. 84,1% concluíram o ensino médio em escolas particulares, e a renda mensal familiar era superior a R$ 9.000,00 em 69,9 % dos alunos. A maioria (84,4%) atuou em ligas acadêmicas; poucos (33,5%) realizaram estágios extracurriculares ou participaram de alguma pesquisa científica (25,7%). O momento de escolha das especialidades foi durante o internato (37,4%) e a maioria das rejeições ocorreu entre o 2º e 4º ano do curso (39,1%). Destaque para o percentual de alunos (21,2%) que já entram na escola com sua especialidade já definida. As mais escolhidas foram pediatria (16,2%) e cirurgia (14%). As mais rejeitadas também foram pediatria (37,4%) e cirurgia (31,8%). Os principais fatores apontados como influência na escolha: aptidão, forma de trabalho, rodízio satisfatório na especialidade e autonomia. Quando perguntados onde pretendem exercer sua profissão, responderam: consultório (79,9%), hospital privado (73,7%) e hospital público (66,5%). A maior parte dos alunos (52%) acha que vai trabalhar, por semana, entre 49 e 60 horas; com três vínculos de emprego (50,8%); ganhando, após cinco anos de formados, mais de R$ 20.000,00 (47,5%). A maioria (86%) se imagina trabalhando em plantões, por 14, 6 anos em média. 82,7% dos alunos afirmaram que, em nenhum momento do curso, tiveram informações sobre legislação trabalhista e 78,8% negam ter recebido informações sobre mercado de trabalho. 98,3% dos alunos gostariam que a faculdade ofertasse mais informações sobre especialidades médicas, mercado de trabalho e legislação trabalhista. Conclusão: O estudante de medicina escolhe sua especialidade por vários fatores, mas desconhece o mercado de trabalho. A escola não prepara o graduando para sua efetiva inserção no mundo profissional.

There is extensive research on the prevalence of college student engagement in risky sexual behaviors and its potentiating factors in college/university settings. However, there remains limited data and study on the use of campus health centers, as well as the patterns of how students seek sexual health care, its relationship to student gender identity, and student engagement in sexual risk behaviors. Despite literature surrounding student health centers and how students seek out medical care, the minimal data in the field regarding campus health center use, if and how students specifically seek out sexual health services, and how this collectively might vary across students with different gender identities, clearly indicate a need for further research on the experiences of students on college campuses in this regard. This dissertation is a secondary data analysis of the American College Health Association-National College Health Assessment III. This study’s specific aims were to: 1) describe key characteristics of students utilizing student health centers 2) describe if and how frequently college students are regularly seeking sexual health services; and 3) evaluate the relationship between a student’s gender identity and engagement in risky sexual behaviors. Drawing on a nationally representative sample of undergraduate students, analyses illustrated that students utilizing health services were primarily heterosexual female undergraduate students, with differing rates of utilization health services and sexual health services depending on race/ethnicity, year in school, and primary source of health insurance.The results confirmed that there are barriers to college student utilization of sexual health services, specifically for students who are non-heterosexual and transgender. Fewer students are seeking out their student health center and are seeking out care from services from other medical locations or may not be seeking out care at all. These findings highlight the need to ensure that student health centers on college campuses are inclusive of all students, regardless of gender identity. Given the important role that campus health center services play in promoting positive health outcomes and reducing sexual risk among its students, universities should consider efforts to increase student health center utilization, as it is a primary source of college student healthcare.

This study examines two groups -international and domestic students at Portland State University (PSU) - in terms of their motivations to seek university-health services, and their satisfaction with university-health services. The Theory of Motivated Information Management (W. A. Afifi & Weiner, 2004) served as the foundation for this study to examine the preferences of students in terms of the ways they seek information about their health concerns. Differences in international and domestic students' anxiety, efficacy, and satisfaction with physicians were supported. International students reported more anxiety than domestic students. Domestic students reported being more efficacious than international students when talking to a medical provider about a current medical issue. Also, international students reported higher satisfaction with a medical provider at their last university health services visit. First, subjects were asked if they currently have a medical concern for which they might consider consulting a physician at PSU health services. If this scenario applied, subjects were asked to rate a variety of possible, theoretically informed motivations for seeking medical information by consulting a physician, to test the Theory of Motivated Information Management. Second, subjects were asked if they have previously consulted a physician at PSU health services. If this scenario applied, subjects were asked to provide satisfaction ratings of the physician and staff. The results contribute to the understanding of information-seeking processes and support the theory's effectiveness in this situation, explaining where international and domestic students are significantly different in regard to their responses.

INTRODUÇÃO: A prevalência de depressão e ansiedade em estudantes de medicina tem proporção mundial significativa. Estudos sobre os fatores associados à esta prevalência são necessários para guiar as políticas institucionais de prevenção de doenças e promoção. O objetivo deste estudo foi avaliar a prevalência de sintomas de depressão e ansiedade em estudantes de medicina brasileiros e sua associação com fatores pessoais e institucionais. MÉTODOS: O desenho do estudo foi transversal e multicêntrico. Os dados foram coletados entre Agosto de 2011 e Agosto de 2012, por meio de questionário sociodemográfico, o Inventário de Depressão de Beck (IDB) e o Inventário de Ansiedade Traço-Estado (IDATE) em uma plataforma eletrônica (plataforma VERAS). Os fatores analisados em associação à prevalência de depressão e ansiedade foram: fatores pessoais (idade, sexo, condições de moradia e financeira) e fatores institucionais (anos do curso, natureza jurídica, localização e serviço de suporte). RESULTADOS: De 1.650 estudantes selecionados aleatoriamente, 1.350 (81,8%) responderam todos os questionários e foram incluídos no estudo. A prevalência de sintomas de depressão encontrada foi 41% (IDB > 9), ansiedade estado 81,7% e ansiedade traço 85,6% (IDATE > 33). Ocorreu uma correlação positiva entre os níveis de ansiedade estado (r=0,591, p < 0.001) e traço (r=0,718, p < 0.001) com os escores de depressão. Os sintomas de depressão e ansiedade foram associados positivamente com os fatores sexo feminino e localização da escola médica em capitais. Os estudantes com vulnerabilidade financeira tiveram maiores escores de ansiedade-estado, mas não ansiedade-traço e depressão. Em relação às condições de moradia, anos do curso e a natureza jurídica da escola, não foram encontras diferenças estatisticamente significantes. Os estudantes de medicina com níveis de sintomas de ansiedade e depressão mais elevados discordaram mais que seus pares com as afirmações \"Tenho acesso adequado a atendimento psicológico\" e \"Existe um bom programa de apoio para estudantes estressados\". CONCLUSÕES: A prevalência dos sintomas de depressão e ansiedade em estudantes de medicina brasileiros foi alta, principalmente em estudantes do sexo feminino e de escolas médicas localizadas em capitais. A vulnerabilidade financeira dos estudantes foi associada aos escores de ansiedade-estado e não ansiedade-traço nem depressão. A percepção do acesso ao apoio psicológico e programa de suporte foi mais negativa entre os estudantes com sintomas de depressão e ansiedade / BACKGROUND: The prevalence of depression and anxiety among medical students has significant proportions worldwide. Understanding of the factors associated with this prevalence is needed to guide institutional policies for disease prevention and health promotion. The aim of this study was to evaluate personal and training factors related to depression and anxiety prevalence of students from 22 Brazilian medical schools. METHODS: The study design is cross-sectional and multicenter with random sample of medical students from the six years of medical training. The data were collected between August 2011 to August 2012 by a electronic platform. The factors analyzed were students\' characteristics (sex, age, housing, financial inclusion programs) and Medical School\' characteristics (year of the medical program, school legal status, location and support service) in association with scores of Beck Depression Inventory (BDI) and State Trait Anxiety Inventory (STAI). RESULTS: Of 1,650 randomly selected students, 1,350 (81.8%) completed the study. The depressive symptoms prevalence was 41% (BDI > 9), state-anxiety 81.7% and trait-anxiety in 85.6% (STAI > 33). There was a positive relationship between levels of state (r=0,591, p < 0.001) and trait (r=0,718, p < 0.001) anxiety and depression scores. The depression and anxiety symptoms were positively associated with female sex and students from capital cities of both sexes. Scholarship students had higher state-anxiety but not trait-anxiety or depression. Medical students with higher levels of depression and anxiety symptoms disagreed more than their peers with the statements \"I have adequate access to psychological support\" and \"There is a good support system for students who get stressed\". CONCLUSIONS: The prevalence of depression and anxiety symptoms among Brazilian medical students were high and the main factors associated were female sex, school location and financial inclusion programs. Regarding to housing, legal status and years of the medical schools no significant difference was found. It is interesting that students with financial aid needs showed state-anxiety, but not depression and trait-anxiety symptoms. The perception of adequate support was more negative among students with depression and anxiety symptoms