Psychiatric advanced directives (PADs) are utilized by mental health patients to direct their psychiatric care including assigning surrogates for medical decision-making, listing preferred inpatient psychiatric/treating facilities, preferred medication regimens to stabilize acute psychiatric condition and to facilitate the patient's overall interaction with the mental health system. This article reviews the rationale behind PADs, how they can be utilized to reduce the need for de-escalation techniques, restraints and chemical anxiolysis by partnering with patients in the delivery of their care. This paper will also briefly address some of the practical limitations that Emergency Physicians and allied health care providers might face in attempting to honor PADs including the inability to admit to preferred facilities due to staff shortages or other issues associated with the global COVID-19 pandemic. The following core competencies are addressed in this article: Patient care, Interpersonal and communication skills, and Systems-based practice.
{"title":"Choose your own adventure: Psychiatric advanced directives coming soon to an ED near you","authors":"N. Moukaddam, V. Tucci","doi":"10.4103/IJAM.IJAM_22_21","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_22_21","url":null,"abstract":"Psychiatric advanced directives (PADs) are utilized by mental health patients to direct their psychiatric care including assigning surrogates for medical decision-making, listing preferred inpatient psychiatric/treating facilities, preferred medication regimens to stabilize acute psychiatric condition and to facilitate the patient's overall interaction with the mental health system. This article reviews the rationale behind PADs, how they can be utilized to reduce the need for de-escalation techniques, restraints and chemical anxiolysis by partnering with patients in the delivery of their care. This paper will also briefly address some of the practical limitations that Emergency Physicians and allied health care providers might face in attempting to honor PADs including the inability to admit to preferred facilities due to staff shortages or other issues associated with the global COVID-19 pandemic. The following core competencies are addressed in this article: Patient care, Interpersonal and communication skills, and Systems-based practice.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 1","pages":"181 - 184"},"PeriodicalIF":0.6,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44532464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.4103/IJAM.IJAM_141_20
Smitha S. Bhat
Background: Undergraduate students find the correct sequence & method of eliciting clinical signs is ambiguous, leading to confusion & reluctance to demonstrate. The 3-term posting is the introduction to clinical skills & it is essential that bedside teaching is organized & delivered well. Studies have shown that a structured clinical training improves students' examination skills. This study aimed to estimate the difference in competence in basic physical examination in students taught by checklist-based training and those taught by standard clinical teaching. Materials and Methods: This was a randomized crossover trial conducted on 3 term MBBS students posted to medicine. Checklists for general physical examination (GPE) and vital sign examination were framed, piloted. Students were divided in to control & test groups by simple randomization. In phase 1, the control group learnt measurement of vital signs by standard clinical teaching in the units. The test group learned using checklist-based demonstration. In phase 2, the groups were interchanged and GPE was taught by checklist method in the test group .Skills were assessed by OSCE after each training. OSCE scores between control & test groups were compared and analysed. Results: Students showed significantly higher scores when GPE was taught by checklist-based method (Test 1.49, control 0.6. P – 0.000). There was no significant difference in OSCE scores in vital sign examination (Test – 1.15, Control 1.19 P – 0.378). Students found the checklist-based method systematic and easy to remember Conclusion: Checklist-based training improves student clinical learning in GPE, though not in vital sign examination. The following core competencies are addressed in this article: Medical knowledge, Patient care, Practice-based learning and improvement.
背景:大学生发现临床症状引出的正确顺序和方法不明确，导致困惑和不愿展示。三个学期的实习是临床技能的介绍，床边教学的组织和交付是至关重要的。研究表明，结构化的临床训练可以提高学生的考试技能。摘要本研究旨在探讨以检查表教学法教学之学生与临床标准教学法教学之学生基本体格检查能力之差异。材料和方法:这是一项随机交叉试验，对3名MBBS学期在校生进行了研究。制定并试行了一般体格检查和生命体征检查清单。采用简单随机法将学生分为对照组和试验组。在第一阶段，对照组通过单位的标准临床教学学习生命体征的测量。测试组使用基于检查表的演示进行学习。第二阶段，两组互换，试验组采用检查表法进行GPE教学，每次培训后由欧安组织进行技能评估。对照组和实验组之间的OSCE评分进行比较和分析。结果:采用清单教学法进行GPE教学的学生成绩显著提高(Test 1.49, control 0.6)。P - 0.000)。两组生命体征检查的OSCE评分差异无统计学意义(Test - 1.15, Control - 1.19 P - 0.378)。结论:基于核对表的训练对GPE学生的临床学习有促进作用，但对生命体征检查没有促进作用。本文讨论了以下核心能力:医学知识、患者护理、基于实践的学习和改进。
{"title":"Checklist-based training for essential clinical skills in 3 term MBBS students","authors":"Smitha S. Bhat","doi":"10.4103/IJAM.IJAM_141_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_141_20","url":null,"abstract":"Background: Undergraduate students find the correct sequence & method of eliciting clinical signs is ambiguous, leading to confusion & reluctance to demonstrate. The 3-term posting is the introduction to clinical skills & it is essential that bedside teaching is organized & delivered well. Studies have shown that a structured clinical training improves students' examination skills. This study aimed to estimate the difference in competence in basic physical examination in students taught by checklist-based training and those taught by standard clinical teaching. Materials and Methods: This was a randomized crossover trial conducted on 3 term MBBS students posted to medicine. Checklists for general physical examination (GPE) and vital sign examination were framed, piloted. Students were divided in to control & test groups by simple randomization. In phase 1, the control group learnt measurement of vital signs by standard clinical teaching in the units. The test group learned using checklist-based demonstration. In phase 2, the groups were interchanged and GPE was taught by checklist method in the test group .Skills were assessed by OSCE after each training. OSCE scores between control & test groups were compared and analysed. Results: Students showed significantly higher scores when GPE was taught by checklist-based method (Test 1.49, control 0.6. P – 0.000). There was no significant difference in OSCE scores in vital sign examination (Test – 1.15, Control 1.19 P – 0.378). Students found the checklist-based method systematic and easy to remember Conclusion: Checklist-based training improves student clinical learning in GPE, though not in vital sign examination. The following core competencies are addressed in this article: Medical knowledge, Patient care, Practice-based learning and improvement.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 1","pages":"150 - 155"},"PeriodicalIF":0.6,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44373888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.4103/IJAM.IJAM_131_20
R. Anil, B. Kumar, S. Srikanth, N. Priyadarisini, P. Janakiraman, M. Devivaraprasad, P. Subramaniyan, C. Nagaraj
Introduction: COVID-19 is an ongoing pandemic and a global public health crisis. India has been setting up multiple strategies to contain this pandemic. Active community-level surveillance is a vital strategy to prevent, control, and manage the outbreak of COVID-19. This study explores the perspectives and describes budding doctors' field experience who worked in the community surveillance activity during the pandemic. Materials and Methods: We used a mixed-method research design wherein 67 medical interns of a tertiary care teaching institute participated in the COVID-19 pandemic surveillance activity were included in the study. Their field experience, perspectives, and opinions were captured using pretested questionnaires, participants' interviews, and focused group discussions. Results: More than one-third of medical interns (41.8%) felt that the government could better handle the surveillance process, while around two-thirds (65.6%) were satisfied with their work. Notably, 40 (59%) were not happy/clear with the training and orientation on the job before engaging in surveillance activity. A majority of 47 (70.1%) interns reported inadequate personal protective equipment, which raised the fear of transmission. While they felt that surveillance provided health services close to the community and addressed the public's pandemic concerns, they said the lack of basic training, an inadequate workforce, and resources were detrimental to the response. Conclusions: This pandemic has exposed the naive interns to the community health surveillance process's ground realities. This experience has changed their perception of the profession and given them the impetus to become a future workforce. Strength, weaknesses, opportunities, and threats analysis of the surveillance process provided vital inputs to act and prepare for future public health emergencies. The following core competencies are addressed in this article: Practice-based learning and improvement, Systems-based practice, Interpersonal and communication skills, and Professionalism.
{"title":"Community surveillance of COVID-19 pandemic: Perspectives and experiences of medical trainees using mixed-methods research design","authors":"R. Anil, B. Kumar, S. Srikanth, N. Priyadarisini, P. Janakiraman, M. Devivaraprasad, P. Subramaniyan, C. Nagaraj","doi":"10.4103/IJAM.IJAM_131_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_131_20","url":null,"abstract":"Introduction: COVID-19 is an ongoing pandemic and a global public health crisis. India has been setting up multiple strategies to contain this pandemic. Active community-level surveillance is a vital strategy to prevent, control, and manage the outbreak of COVID-19. This study explores the perspectives and describes budding doctors' field experience who worked in the community surveillance activity during the pandemic. Materials and Methods: We used a mixed-method research design wherein 67 medical interns of a tertiary care teaching institute participated in the COVID-19 pandemic surveillance activity were included in the study. Their field experience, perspectives, and opinions were captured using pretested questionnaires, participants' interviews, and focused group discussions. Results: More than one-third of medical interns (41.8%) felt that the government could better handle the surveillance process, while around two-thirds (65.6%) were satisfied with their work. Notably, 40 (59%) were not happy/clear with the training and orientation on the job before engaging in surveillance activity. A majority of 47 (70.1%) interns reported inadequate personal protective equipment, which raised the fear of transmission. While they felt that surveillance provided health services close to the community and addressed the public's pandemic concerns, they said the lack of basic training, an inadequate workforce, and resources were detrimental to the response. Conclusions: This pandemic has exposed the naive interns to the community health surveillance process's ground realities. This experience has changed their perception of the profession and given them the impetus to become a future workforce. Strength, weaknesses, opportunities, and threats analysis of the surveillance process provided vital inputs to act and prepare for future public health emergencies. The following core competencies are addressed in this article: Practice-based learning and improvement, Systems-based practice, Interpersonal and communication skills, and Professionalism.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 1","pages":"99 - 106"},"PeriodicalIF":0.6,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44599594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.4103/IJAM.IJAM_105_20
A. Ghogare, Swapnil Aloney, M. Spoorthy, Pradeep S Patil, R. Ambad, A. Bele
Introduction: Because of the rapid global spread, coronavirus disease 2019 (COVID-19) has caused a state of an emergency situation. Postgraduate (PG) health sciences students (HSSs) are the frontline healthcare workers who are susceptible to psychological issues like depression, anxiety and stress during such stressful pandemic period. The objective of this study was to assess the relationship between the psychological issues such as depression, anxiety and stress and the level of resilience among PG HSSs during the COVID-19 pandemic. Materials and Methods: The present cross-sectional online survey was conducted by the department of Psychiatry of tertiary health care center from Maharashtra state of India over a 10 days period (from April 15, 2020 to April 24, 2020), with a sample size of 195 which was calculated by using the formula of sample size calculation for the cross-sectional study design. Data were collected using the purposive sampling method from the PG HSSs. Data were recorded from the study participants in an online structured questionnaire prepared for the study using the sociodemographic details and the two scales namely Depression, Anxiety, and Stress Scale-21 item (DASS-21) and Brief Resilience Scale (BRS). DASS-21 scale was used to assess the presence and severity of depression, anxiety, and stress, while BRS scale was used to assess the level of resilience among the PG HSSs. Data were collected and analyzed using the SPSS software version 15.0, Fisher's exact test, and Pearson's correlation test. Results: Prevalence of depression, anxiety, and stress were 43.1%, 68.7%, and 11.3%, respectively. There was a high positive correlation between all three subscales of DASS-21 (depression, anxiety, and stress subscales). On BRS, 2 (1.0%) study participants had high resilience, 120 (61.5%) had normal resilience, and 73 (37.5%) Conclusion: Study concluded that significant proportion of PG HSSs had psychological impact of COVID-19 in the form of depression, anxiety and stress. Programs such as timely evaluation of mental health status and stress management to address these psychological issues should be a priority. In long terms, increasing the resilience of PG HSSs can have protective value against the psychological issues during the stressful events of infectious disease outbreaks like COVID-19 pandemic. The following core competencies are addressed in this article: Medical knowledge, Patient care, Professionalism, Practice based learning and improvement.
{"title":"A cross-sectional online survey of relationship between the psychological impact of coronavirus disease 2019 and the resilience among postgraduate health sciences students from Maharashtra, India","authors":"A. Ghogare, Swapnil Aloney, M. Spoorthy, Pradeep S Patil, R. Ambad, A. Bele","doi":"10.4103/IJAM.IJAM_105_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_105_20","url":null,"abstract":"Introduction: Because of the rapid global spread, coronavirus disease 2019 (COVID-19) has caused a state of an emergency situation. Postgraduate (PG) health sciences students (HSSs) are the frontline healthcare workers who are susceptible to psychological issues like depression, anxiety and stress during such stressful pandemic period. The objective of this study was to assess the relationship between the psychological issues such as depression, anxiety and stress and the level of resilience among PG HSSs during the COVID-19 pandemic. Materials and Methods: The present cross-sectional online survey was conducted by the department of Psychiatry of tertiary health care center from Maharashtra state of India over a 10 days period (from April 15, 2020 to April 24, 2020), with a sample size of 195 which was calculated by using the formula of sample size calculation for the cross-sectional study design. Data were collected using the purposive sampling method from the PG HSSs. Data were recorded from the study participants in an online structured questionnaire prepared for the study using the sociodemographic details and the two scales namely Depression, Anxiety, and Stress Scale-21 item (DASS-21) and Brief Resilience Scale (BRS). DASS-21 scale was used to assess the presence and severity of depression, anxiety, and stress, while BRS scale was used to assess the level of resilience among the PG HSSs. Data were collected and analyzed using the SPSS software version 15.0, Fisher's exact test, and Pearson's correlation test. Results: Prevalence of depression, anxiety, and stress were 43.1%, 68.7%, and 11.3%, respectively. There was a high positive correlation between all three subscales of DASS-21 (depression, anxiety, and stress subscales). On BRS, 2 (1.0%) study participants had high resilience, 120 (61.5%) had normal resilience, and 73 (37.5%) Conclusion: Study concluded that significant proportion of PG HSSs had psychological impact of COVID-19 in the form of depression, anxiety and stress. Programs such as timely evaluation of mental health status and stress management to address these psychological issues should be a priority. In long terms, increasing the resilience of PG HSSs can have protective value against the psychological issues during the stressful events of infectious disease outbreaks like COVID-19 pandemic. The following core competencies are addressed in this article: Medical knowledge, Patient care, Professionalism, Practice based learning and improvement.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 1","pages":"89 - 98"},"PeriodicalIF":0.6,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45473748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elisabeth Paul, Melissa Wilson, Laurel Erickson-Parsons, S. Desai, R. Carneiro, N. Belman
{"title":"What's new in academic international medicine? Highlighting the importance of diversity, inclusion, and equity","authors":"Elisabeth Paul, Melissa Wilson, Laurel Erickson-Parsons, S. Desai, R. Carneiro, N. Belman","doi":"10.4103/ijam.ijam_81_21","DOIUrl":"https://doi.org/10.4103/ijam.ijam_81_21","url":null,"abstract":"","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 1","pages":"73 - 78"},"PeriodicalIF":0.6,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49366979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.4103/IJAM.IJAM_103_20
Joanna P Fernandes, D. Hazra, C. Jyothirmayi, K. Abhilash
Introduction: Adolescence is the transitional stage of physical and psychological changes that occur from puberty to adulthood, and disruption in growth at this stage can have long-lasting effects. Our main aim was to profile these injuries treated in the emergency department (ED) and describe the etiology, patterns, and outcomes in such patients. Materials and Methods: We conducted a retrospective descriptive analysis of these victims who presented to us from January 2017 to December 2018. Among key factors studied were patient demographics, mechanism of trauma, injury severity, hospital admission status. In addition to descriptive statistics, we utilized univariate and multivariate analyses to help elucidate factors associated with severe injuries. Results: The data for a total of 693 patients were analyzed. Among these, 84.5% were male. The mean age was 17.2 ± 1.33 years. Based on their hemodynamic stability, the majority were triaged as priority 2 (49.6%). The most common causes of trauma were road traffic accidents (RTAs) (63.3%), followed by sports related injury (13.7%). Two-wheeler-related incidents accounted for 82.5% of RTA-related injuries. Extremities, face, and head were injured in 51.3%, 25.8%, and 13.5%, respectively. New injury severity score of more than 14 was noted in 82 (13.2%) cases. Approximately half of the study population, 374 (54%), were discharged stable from the ED, whereas 254 (37%) were admitted with 194 (28%) requiring major surgical intervention. Conclusions: Most of the traumas related to adolescents are RTAs, followed by sports-related injuries. Male gender and pedestrian-related injuries are independent predictors for high severity of injuries. The following core competencies are addressed in this article: Patient care, Systems-based practice, Medical knowledge, Practice-based learning and improvement.
{"title":"Adolescent trauma: Patterns and outcomes","authors":"Joanna P Fernandes, D. Hazra, C. Jyothirmayi, K. Abhilash","doi":"10.4103/IJAM.IJAM_103_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_103_20","url":null,"abstract":"Introduction: Adolescence is the transitional stage of physical and psychological changes that occur from puberty to adulthood, and disruption in growth at this stage can have long-lasting effects. Our main aim was to profile these injuries treated in the emergency department (ED) and describe the etiology, patterns, and outcomes in such patients. Materials and Methods: We conducted a retrospective descriptive analysis of these victims who presented to us from January 2017 to December 2018. Among key factors studied were patient demographics, mechanism of trauma, injury severity, hospital admission status. In addition to descriptive statistics, we utilized univariate and multivariate analyses to help elucidate factors associated with severe injuries. Results: The data for a total of 693 patients were analyzed. Among these, 84.5% were male. The mean age was 17.2 ± 1.33 years. Based on their hemodynamic stability, the majority were triaged as priority 2 (49.6%). The most common causes of trauma were road traffic accidents (RTAs) (63.3%), followed by sports related injury (13.7%). Two-wheeler-related incidents accounted for 82.5% of RTA-related injuries. Extremities, face, and head were injured in 51.3%, 25.8%, and 13.5%, respectively. New injury severity score of more than 14 was noted in 82 (13.2%) cases. Approximately half of the study population, 374 (54%), were discharged stable from the ED, whereas 254 (37%) were admitted with 194 (28%) requiring major surgical intervention. Conclusions: Most of the traumas related to adolescents are RTAs, followed by sports-related injuries. Male gender and pedestrian-related injuries are independent predictors for high severity of injuries. The following core competencies are addressed in this article: Patient care, Systems-based practice, Medical knowledge, Practice-based learning and improvement.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 1","pages":"126 - 131"},"PeriodicalIF":0.6,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48857262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.4103/IJAM.IJAM_169_20
M. Ben-Omran
{"title":"Clinical decision support and tele-mentorship as interventions for dissatisfaction and disengagement in intensive care unit training: The case of Libya","authors":"M. Ben-Omran","doi":"10.4103/IJAM.IJAM_169_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_169_20","url":null,"abstract":"","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 1","pages":"132 - 133"},"PeriodicalIF":0.6,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45428256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Sannathimmappa, Vinod Nambiar, R. Aravindakshan
Introduction: Antimicrobial resistance (AMR) is a major global health problem, which is mainly promoted by injudicious antibiotic usage. The main strategy to control AMR is to emphasize the appropriate use of antibiotics, which can be achieved by creating awareness about AMR, changing the attitude of medical students who are the future prescribers. This study aimed to evaluate the knowledge and attitude of fifth-year medical students regarding antibiotic use and AMR. Materials and Methods: A descriptive cross-sectional study was conducted among 125 fifth-year medical students of the College of Medicine and Health Sciences, Sohar. A self-administered questionnaire was used to assess the knowledge and attitude regarding antibiotic use and AMR. The data were statistically analyzed and expressed as numbers and percentages. Results: Of 125 participants, the majority (>90%) were aware of AMR and its global impact. Nearly three in four knew that antibiotics are used to treat bacterial infection. However, most of the students had lacunae in their knowledge regarding contributing factors and consequences of AMR. A minority of students lack the right attitude toward rational antibiotic usage and adequate infection control practices. The majority of them were unaware of strict guidelines pertaining to judicious antibiotic usage and adequate infection control policies implemented in hospitals, as recommended by the World Health Organization. Conclusion: The results of our study reflect lacunae in students' knowledge regarding antibiotic usage and AMR. Therefore, there is a need for an implementation of effective medical curricula to improve medical students' knowledge regarding AMR and the appropriate use of antibiotics. The following core competencies are addressed in this article: Patient care, Medical knowledge, Professionalism, Systems-based practice, Practice-based learning and improvement, Interpersonal and communication skills.
{"title":"A cross-sectional study to evaluate the knowledge and attitude of medical students concerning antibiotic usage and antimicrobial resistance","authors":"M. Sannathimmappa, Vinod Nambiar, R. Aravindakshan","doi":"10.4103/IJAM.IJAM_57_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_57_20","url":null,"abstract":"Introduction: Antimicrobial resistance (AMR) is a major global health problem, which is mainly promoted by injudicious antibiotic usage. The main strategy to control AMR is to emphasize the appropriate use of antibiotics, which can be achieved by creating awareness about AMR, changing the attitude of medical students who are the future prescribers. This study aimed to evaluate the knowledge and attitude of fifth-year medical students regarding antibiotic use and AMR. Materials and Methods: A descriptive cross-sectional study was conducted among 125 fifth-year medical students of the College of Medicine and Health Sciences, Sohar. A self-administered questionnaire was used to assess the knowledge and attitude regarding antibiotic use and AMR. The data were statistically analyzed and expressed as numbers and percentages. Results: Of 125 participants, the majority (>90%) were aware of AMR and its global impact. Nearly three in four knew that antibiotics are used to treat bacterial infection. However, most of the students had lacunae in their knowledge regarding contributing factors and consequences of AMR. A minority of students lack the right attitude toward rational antibiotic usage and adequate infection control practices. The majority of them were unaware of strict guidelines pertaining to judicious antibiotic usage and adequate infection control policies implemented in hospitals, as recommended by the World Health Organization. Conclusion: The results of our study reflect lacunae in students' knowledge regarding antibiotic usage and AMR. Therefore, there is a need for an implementation of effective medical curricula to improve medical students' knowledge regarding AMR and the appropriate use of antibiotics. The following core competencies are addressed in this article: Patient care, Medical knowledge, Professionalism, Systems-based practice, Practice-based learning and improvement, Interpersonal and communication skills.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 1","pages":"113 - 119"},"PeriodicalIF":0.6,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43064435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.4103/2455-5568.319805
{"title":"Annual disclosure of content contributions to the International Journal of Academic Medicine by Editorial Board members","authors":"","doi":"10.4103/2455-5568.319805","DOIUrl":"https://doi.org/10.4103/2455-5568.319805","url":null,"abstract":"","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 1","pages":"134 - 134"},"PeriodicalIF":0.6,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43797506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.4103/IJAM.IJAM_109_20
N. Moukaddam, V. Tucci
{"title":"Can the Hippocratic Oath survive medicine becoming healthcare?","authors":"N. Moukaddam, V. Tucci","doi":"10.4103/IJAM.IJAM_109_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_109_20","url":null,"abstract":"","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 12","pages":"79 - 80"},"PeriodicalIF":0.6,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41268819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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