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Exploring Internal Medicine Interns' Educational Experiences on Opioid Addiction: A Narrative Analysis.

Health Commun 2021 Jun 11:1-8. Epub 2021 Jun 11.

Department of Communication Studies, Indiana University-Purdue University.

Increased efforts to educate physicians on addiction are crucial based on widespread addiction rates and the ongoing opioid crisis. Physicians in the United States hesitate to adopt medication-assisted treatment (MAT) due to a lack of addiction education. For this study, we used a narrative framework to understand how internal medicine interns (first-year residents) recount their educational experiences on addiction during their medical school education and early residency. Read More

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Medication calculation skills of graduating nursing students within European context.

J Clin Nurs 2021 Jun 8. Epub 2021 Jun 8.

Department of Nursing Science, University of Turku, Turku, Finland.

Aim: The aim of this study is to evaluate the medication calculation skills of graduating nursing students in six European countries and analyse the associated factors.

Background: Medication calculation skills are fundamental to medication safety, which is a substantial part of patient safety. Previous studies have raised concerns about the medication calculation skills of nurses and nursing students. Read More

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Educational contribution of the College of the European School of Oncology to the Latin American Oncologists.

Future Oncol 2021 Jun 8. Epub 2021 Jun 8.

European School of Oncology, Via Turati 29, 20121, Milan, Italy.

The European School of Oncology (ESO) offers a wide range of educational activities in Europe, the Middle East and Latin America. International experts are invited to provide proper education in the diagnosis and treatment of patients with cancer according to a holistic model of care. This activity is currently structured in the ESO College (ESCO) through masterclasses in clinical oncology, international conferences, clinical training centers fellowship programs, certificate of competence and advanced studies, patients' advocacy events, e-learning sessions and medical students' courses in oncology. Read More

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Developing health promotional skills among medical undergraduates for tuberculosis patients: An innovative way to benefit students as well as patients.

J Educ Health Promot 2021 31;10:100. Epub 2021 Mar 31.

Department of Microbiology, Dr. Y S Parmar Government Medical College, Nahan, Himachal Pradesh, India.

Background: Involving medical undergraduate students in patients' health education will not only help in improving students' learning as well as professional and communication skills but also plays an important role in achieving better health outcome of patients. The aim of the study was to assess the impact of students led educational intervention regarding tuberculosis (TB) on their learning and on the patients' knowledge and attitude towards the disease.

Materials And Methods: One hundred medical undergraduates were included in the study. Read More

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The Economic Burden of Smoking-Attribution and Years of Life Lost due to Chronic Diseases in Mashhad, 2015-2016.

Int J Prev Med 2021 24;12:23. Epub 2021 Feb 24.

Tobacco Control Research Center (TCRC), Iranian Anti-tobacco Association, Iran University of Medical Sciences, Tehran.

Background: Tobacco smoking is one of the most preventable causes of mortality related to noncommunicable diseases (NCDs). This study aimed to estimate the direct economic burden and years of life lost (YLL) attributable to smoking in NCDs in Mashhad, 2015-2016.

Methods: Hospital-based data were utilized to calculate the economic burden of four selected diseases related to smoking. Read More

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February 2021

Frequency, setting and influential factors associated with pharmacy student-patient encounters involving spirituality and religiosity during advanced practice rotations.

Curr Pharm Teach Learn 2021 Jul 5;13(7):753-759. Epub 2021 Apr 5.

Department of Behavioral Sciences, Midwestern University College of Health Sciences, 555 31(st) Street, Downers Grove, IL 60515, United States. Electronic address:

Introduction: To identify (1) how often and in what settings pharmacy students include spirituality and religion and (2) what factors may influence how often students incorporate spirituality in patient care plans.

Methods: Fourth-year pharmacy students completed a questionnaire defining the frequency and setting of patient care activities that incorporated spiritual beliefs during advanced pharmacy practice experiences. Demographics, prior spirituality and health coursework, and self-identified measures of religiosity and spirituality were collected. Read More

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'Difficult Conversations with Patients'-A Modified Group Objective Structured Clinical Experience for Medical Students.

Int J Environ Res Public Health 2021 May 27;18(11). Epub 2021 May 27.

Department of Medical Education, Poznan University of Medical Sciences, 60-806 Poznan, Poland.

This study presents a modified Group Objective Structured Clinical Experience (GOSCE) focused on difficult conversations, in which, due to limited time and financial resources, only some students could actively participate in scenarios. We aimed to evaluate the intervention, including differences between them and observers. The intervention was organized for sixth-year medical students at a Polish medical university. Read More

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Does the hospitalization immersion experience improve medical students' understanding of patients' perspectives? A qualitative study.

Korean J Med Educ 2021 Jun 26;33(2):97-106. Epub 2021 May 26.

Medical Education, Department of Social Medical Sciences, Graduate School of Medicine, International University of Health and Welfare, Narita, Japan.

Purpose: Although many studies have assessed the impact of interventions to increase medical students' empathy by improving their understanding of patients' perspectives and feelings, the impact of hospitalization experiences remains unclear.

Methods: Fifth-year medical students at Kyushu University from 2009-2013 participated in a 2-day/1-night course to provide a hospitalization experience. After the course, participants answered an online, anonymous, open-ended questionnaire created by the authors. Read More

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Perspective matters: assessment of medical students' communication and interpersonal skills by simulated patients from the internal and external patient perspective.

GMS J Med Educ 2021 15;38(4):Doc82. Epub 2021 Apr 15.

Universitätsklinikum Hamburg-Eppendorf, III. Medizinische Klinik, Hamburg, Germany.

Communication and interpersonals skills are important qualities of professionalism in medicine. In medical curricula, they are usually acquired in communication trainings and assessed in OSCEs. Studies show correlations as well as differences between communication ratings of examiners and simulated patients. Read More

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Effects of Patient Sexual Orientation and Gender Identity on Medical Students' Decision-Making Regarding Pre-Exposure Prophylaxis (PrEP) for HIV Prevention: A Vignette-Based Study.

Sex Transm Dis 2021 May 29. Epub 2021 May 29.

Chicago Medical School, Rosalind Franklin University, North Chicago, IL, USA Department of Psychology, College of Health Professions, Rosalind Franklin University, North Chicago, IL, USA Section of Infectious Diseases and Global Health, Department of Medicine, The University of Chicago, Chicago, IL, USA College of Pharmacy, Rosalind Franklin University, North Chicago, IL, USA.

Introduction: Pre-exposure prophylaxis (PrEP) is a pillar of our national strategy to end the HIV epidemic. However, one of the largest obstacles to realizing the effectiveness of PrEP is expansion of prescription to all patients at risk for HIV. In this vignette-based study, we sought to investigate medical students' decision-making regarding PrEP by presenting fictional patients, all of whom had HIV risk-factors based on sexual behavior. Read More

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Medical students' preclinical service-learning experience and its effects on empathy in clinical training.

BMC Med Educ 2021 May 26;21(1):301. Epub 2021 May 26.

Department of Medical Humanities and Social Sciences, School of Medicine, College of Medicine, Chang Gung University, No.259, Wenhua 1st Rd., Guishan Dist., Taoyuan City, 33302, Taiwan, Republic of China.

Background: Service learning (SL) is an educational methodology presumed to help medical students be more empathetic and compassionate. We longitudinally investigated the level of empathy in medical students and how preclinical SL experience was related to their level of empathy in their clinical clerkships.

Methods: Our cohort comprised fifth-year medical students engaged in clerkships as part of a 7-year medical programme at one medical school in Taiwan. Read More

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The COVID-19 pandemic, heart and cardiovascular diseases: What we have learned.

Dent Med Probl 2021 May 26. Epub 2021 May 26.

Division of Pathophysiology, Department of Physiology and Pathophysiology, Wroclaw Medical University, Poland.

In 2020, the coronavirus disease 2019 (COVID-19) pandemic overwhelmed the world, temporarily paralyzing healthcare and economic systems. Until now, we have learned a lot about the symptoms, pathophysiology, and complications of the disease as well as about the laboratory findings concerning the disease, and we are rapidly acquiring new data on the influence of COVID-19 on other aspects of human health beside its effects on the respiratory system. Patients with co-existing cardiovascular diseases (CVD) are more frequently hospitalized, more likely to be treated in an intensive care unit (ICU) and have poorer prognoses. Read More

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"It's Always among Us. I Can't Act Like It's Not.": Women College Students' Perceptions of Physicians' Implicit Bias.

Health Commun 2021 May 26:1-11. Epub 2021 May 26.

Department of Communication, University of Missouri.

Physicians have an opportunity to provide accurate and timely information about sexual behavior to individuals in their care. However, many young people, and in particular college women, are reticent to talk to their physicians about sexual behavior. One explanation for this reticence may be the fact that physicians' implicit bias has the potential to denigrate communication between physicians and patients. Read More

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Simulated Patients for Competency-based Undergraduate Medical Education in Post COVID-19: A New Normal in India.

Indian Pediatr 2021 May 20. Epub 2021 May 20.

Department of Pharmacology, Christian Medical College, Ludhiana, Punjab.

The conventional medical curriculum in India needed more focus on explicit teaching and assessment of interpersonal and communication skills, professionalism, team-work and reflection for prevention and better management of increasing incidences of violence against doctors by building good doctor-patient relationships. Increasing number of seats in Indian medical colleges, decreasing hospital stay of patients, and decrease in faculty requirements will hamper adequate supervised authentic clinical experiences of undergraduates for developing clinical skills. The recent COVID-19 pandemic has led to a significant decrease in student-patient encounters. Read More

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A study of Chinese medical students' communication pattern in delivering bad news: an ethnographic discourse analysis approach.

Jack Pun

BMC Med Educ 2021 May 19;21(1):286. Epub 2021 May 19.

Department of English, City University of Hong Kong, 83, Tat Chee Avenue, Kowloon, Hong Kong SAR, China.

Background: Breaking bad news is inevitable for prospective doctors, it is important for medical students to learn how to humanely communicate devastating news to patients. This study explores the discourse strategies used by Chinese medical students when conducting critical conversations via role-play scenarios.

Methods: Fifty Year-6 medical students attending the 'Serious Illness Communication Module' were recruited from a local medical school in Hong Kong. Read More

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Paramedic students' confidence and satisfaction with clinical simulations of an emergency medical care programme in South Africa: A cross-sectional study.

Health SA 2021 28;26:1522. Epub 2021 Apr 28.

Department of Health Studies, Faculty of Human Sciences, University of South Africa, Pretoria, South Africa.

Background: There has been an increase in the use of clinical simulations as instructional tools in healthcare education. This is because of their role in ensuring patients' safety and quality-care provision.

Aim: This study investigated the paramedic students' satisfaction and self-confidence in the clinical simulation of an emergency medical care programme. Read More

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Blood donation among university students: practices, motivations, and barriers in Saudi Arabia.

Avicenna J Med 2021 Apr-Jun;11(2):70-76. Epub 2021 Apr 19.

Faculty of Medicine, Jazan University, Jazan, Kingdom of Saudi Arabia.

Context: Blood transfusion is an essential medical procedure conducted with various purposes to provide patients with blood needed. The procedure saves patients' lives, as blood cannot be manufactured artificially and can only be obtained from human blood sources.

Aims: To assess the awareness of, perceptions of, motivations regarding, and barriers to blood donation among a sample of Jazan University students in the Kingdom of Saudi Arabia (KSA). Read More

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Changes in physiotherapy students' beliefs and attitudes about low back pain through pre-registration training.

Arch Physiother 2021 May 17;11(1):13. Epub 2021 May 17.

Department of Physiotherapy, HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.

Background: Implementation of best-practice care for patients with low back pain (LBP) is an important issue. Physiotherapists' who hold unhelpful beliefs are less likely to adhere to guidelines and may negatively influence their patients' beliefs. Pre-registration education is critical in moving towards a biopsychosocial model of care. Read More

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Online medical services utilization evaluated through the lens of socioecological theory and the information-motivation-behavioral skills model: evidence from China.

Ann N Y Acad Sci 2021 May 13. Epub 2021 May 13.

School of Health Policy & Management, Nanjing Medical University, Nanjing, China.

Online medical services (OMS) have become increasingly advantageous, but there are still several barriers to utilization among patients. This study aims to explore the factors influencing OMS utilization (OMSU) for patients in micro-, meso-, and macrosystems based on socioecological theory (SET) and from the perspective of the information-motivation-behavioral skills (IMB) model. We selected 1065 participants through multistage stratified cluster random sampling in Jiangsu, China. Read More

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Medical students' experience with accessing medical records in Saudi Arabia: a descriptive study.

BMC Med Educ 2021 May 12;21(1):272. Epub 2021 May 12.

Medical Informatics and E-learning Unit, Medical Education Department, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.

Background: Medical students can enhance their knowledge by accessing patients' medical records and documenting patient care. This study assessed medical students' access to paper medical records and electronic health records (EHRs) in Saudi Arabia and compared students' experience of accessing paper medical records and EHR from their perspective.

Methods: This cross-sectional study enrolled second-year to intern medical students randomly from different medical colleges in Saudi Arabia. Read More

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Let's ask the patient - composition and validation of a questionnaire for patients' feedback to medical students.

BMC Med Educ 2021 May 10;21(1):269. Epub 2021 May 10.

Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden.

Background: Adequate communication and maintaining a patient-centered approach throughout patient encounters are important skills for medical students to develop. Feedback is often provided by clinical teachers. Patients are seldom asked to provide feedback to students that systematically addresses knowledge and skills regarding communication and patient-centeredness during an encounter. Read More

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Body image, internalized stigma and enacted stigma predict psychological distress in women with breast cancer: A serial mediation model.

J Adv Nurs 2021 May 10. Epub 2021 May 10.

Connective Tissue Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Aims: To investigate the roles of total stigma, enacted stigma, and internalized stigma in the prediction of psychological distress among breast cancer patients, and to evaluate the mediating effect of body image in this process.

Design: Cross-sectional.

Methods: Between Oct-2014 to May-2015, a cross-sectional study was conducted with participation of 223 patients from three cancer centres located in Tehran, Iran. Read More

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Factors Affecting Nursing Students' Practice of Medical Information Protection.

Comput Inform Nurs 2021 May 4. Epub 2021 May 4.

Author Affiliation: College of Nursing, Konyang University, Daejeon, South Korea.

Infringement of personal medical information can lead to psychological, social, and economic damages; legal repercussions; information abuse; and invasion of patients' privacy. This study identified the effects of nursing students' ethical inclination, knowledge, and perception on their medical information protection practice. Participants were third- and fourth-year students of one nursing college in a city in South Korea. Read More

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Knowledge and Attitude of Pharmacy Students toward People with Mental Illnesses and Help-Seeking: A Cross-Sectional Study from Saudi Arabia.

Saud Alsahali

Pharmacy (Basel) 2021 Apr 16;9(2). Epub 2021 Apr 16.

Department of Pharmacy Practice, Unaizah College of Pharmacy, Qassim University, Qassim 51911, Saudi Arabia.

People with mental illnesses (MIs) face several challenges in addition to their disease. People's negative views of those with MIs impact patients' decisions to seek professional help. The aims of this study were to assess pharmacy students' attitudes toward people with MIs and seeking help for mental health, as well as their knowledge about the causes of MIs. Read More

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Experiential Learning in a Gamified Pharmacy Simulation: A Qualitative Exploration Guided by Semantic Analysis.

Pharmacy (Basel) 2021 Apr 15;9(2). Epub 2021 Apr 15.

School of Pharmacy and Medical Sciences, Griffith University, Gold Coast, QLD 4222, Australia.

Experiential learning is an important component of pharmacist education and is primarily achieved through supervised placement or simulation. This study explored senior pharmacy students' experiential learning in an extended, immersive, gamified simulation, conducted as a capstone learning activity toward the end of their final year of study, consolidating all prior learning and preparing students for intern practice. The simulation aimed to enhance student confidence, competence and collaboration. Read More

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Nursing Students' Perception Levels of Spirituality and Spiritual Care in Turkey.

J Relig Health 2021 Apr 28. Epub 2021 Apr 28.

Department of Fundamentals of Nursing, Faculty of Health Sciences, Ahi Evran University, Kırşehir, 40100, Turkey.

The present study was conducted to determine nursing students' perception levels of spirituality and spiritual care and the factors affecting these levels. The study was carried out in the nursing faculty of a university located in eastern Turkey between April and June 2019. The study population was made up of students studying within a department of nursing (n = 1250), and involved a sample size of 420 students, determined by power analysis. Read More

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Introduction to Health Systems Science: Experiential Learning Through Patient Interviews in the Emergency Department.

AEM Educ Train 2021 Apr 11;5(2):e10512. Epub 2020 Aug 11.

UC Davis School of Medicine Sacramento CA USA.

Increased complexity in health care delivery is now a problem of national proportions. Traditional medical education fails to sufficiently prepare students for the realities of practicing medicine in the 21st century. To address this critical problem, health systems science (HSS), which focuses on the broader system of care, has emerged as the "third pillar" of undergraduate medical education complementing the basic and clinical sciences. Read More

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Students' Perspectives on Learning Practical Nursing Skills: A Focus Group Study in Norway.

Nurs Res Pract 2021 9;2021:8870394. Epub 2021 Apr 9.

Department of Health and Welfare, Ostfold University College, Postal Box Code 700, 1757 Halden, Norway.

Practical nursing skills are complex and involve technical, theoretical, and practical aspects, caring perspectives adjusted to both patient and circumstances, as well as ethical and moral considerations. Patients' length of stay in hospitals is decreasing, and more advanced patient treatment is conducted in primary healthcare settings. Hence, education and nursing skills need adjustment in line with the rapidly evolving field of practice. Read More

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The Kind Care Bundle: A Curriculum to Teach Medical Students the Behaviors of Kind, Compassionate Care.

MedEdPORTAL 2021 04 14;17:11141. Epub 2021 Apr 14.

Resident, Departments of Neurology, Brigham and Women's Hospital and Massachusetts General Hospital.

Introduction: Patients' hospital experiences can be adversely affected by clinicians' negative behaviors. Simple positive behaviors, however, can have a dramatic impact on patient-clinician relationships. Medical students starting clinical training are ideal educational targets for learning good behavioral habits that promote kind, compassionate care. Read More

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Healthcare student-patient relationship and the quality of the clinical learning environment - a cross-sectional study.

BMC Med Educ 2021 Apr 22;21(1):230. Epub 2021 Apr 22.

Novia University of Applied Sciences, Turku, Finland.

Background: Relationships with patients are seen as the core component of establishing the quality of patient-centred care and promoting patients' autonomy and relevant use of services. A clinical learning environment that emphasizes relationship-based healthcare is essential for encouraging future healthcare professionals to work in partnership with patients. There is also broad agreement that the insight of patients should be used actively in healthcare students' clinical learning. Read More

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