No abstract

Objective: Primary Health Care is defined as, the health institutions and the produced services where diagnostic procedures and treatment of 95% of admitted patients are performed, besides referring patients to secondary and tertiary hospitals in certain circumstances and serving preventive health care. In this study we assess two-month patient profiles and develop recommendations based on the data obtained from our outpatient clinics in a tertiary hospital.Methods: This is a cross-sectional study in which 1708 patients whom were referred to a tertiary hospital family medicine outpatient clinic in Izmir between 1.11.2015 and 31.12.2015 were evaluated retrospectively. Age, gender, smoking behavior, admission requests, diagnoses, consultation, laboratory tests and prescription data of patients were obtained. Results:The mean age of patients enrolled in the study was 47.11±16.70 years and 545 (68.2%) patients were women. The average of application per patient was 1.5±1.2 to a family medicine outpatient clinic in a tertiary hospital. The most common admission was the demand for physical examination with 500 patients (62.6%). The most common complaints in the physical examination group were stomach related complaints (15%), abdominal pain (12.4%) and body pain (11.0%). Among the 500 patients, 398 (79.6%) were investigated by laboratory tests, 289 (57.8%) were prescribed, and 108 (21.6%) were referred to other clinics. The rheumatology clinic was the most commonly referred to with 22.2% (n:24) of patients. Conclusion:It is important to give an appropriate education during resident training and encourage continuing medical education about monitoring and management of chronic diseases, vaccines, child and pregnancy surveillance issues and other commonly observed complaints in order to provide quality primary care services.

Giriş: Palyatif bakım hastalarında en sık görülen ve belki de en önemli semptom, "ölümün kendisinden daha korkunç" olarak tanımlanan şiddetli ağrıdır. Çalışmamızda ağrı şikayeti olan kanser hastalarında palyatif ağrı tedavisinin etkinliğinin belirlenmesi amaçlandı.

Introduction: There are many quantitative studies on academic failure in the medical faculty. This study aimed to investigate the opinions of students who were having an academic failure in the medical school and to reveal the underlying causes. Methods: The study was designed as a qualitative research. The population of the study comprised of students failed while they were studying at the İzmir Katip Çelebi University Faculty of Medicine during the 2014-2015 academic year. Failure was defined as the repetition of a study year. Thus, phase 4 and 5 students were not included. The study sample was composed of medical students who failed at phase 1, 2, or 3, chosen by quota sampling. Data was collected using semi-structured questions asked by face-to-face interviews. The interviews were done between April-May 2016. A personal information form was used to collect data related to the students' socio-demographic, individual, and academic characteristics. Thematic analysis was used for data analysis. Results: After the interpretation was made by four researchers, the following themes were created: Opinions and beliefs of the students about the effects of faculty on academic success; attitudes, beliefs, and opinions on study behaviors; feelings and believes on becoming a medical doctor; and views about the impact of the social environment. It was determined that the most frequently mentioned factor by the students as the leading cause of their repetition of the class was an insufficient academic effort. Other remarkable topics were; students not benefiting from counseling services and not attending the lectures of instructors of whom they didn't like the way of presentation and lecturing. Conclusions: Introducing students about advisory services given by lecturers and providing advice from their experienced advisors especially to the students who repeat classes, can contribute to academic success. Training of lecturers on effective lecturing can contribute to academic achievement by increasing the attendance of students. Giving due importance to introduce the occupation from the early days of education can improve the motivation to learning.

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