Background: Formal assessment could ensure all junior doctors receive feedback about their performance in the workplace early in their career, essential for professional development. Aim: . This study was aimed to analyze the situation of performance appraisal system of intern doctors in different medical college hospitals of Bangladesh.Method: This descriptive, cross-sectional study was carried out at 9 medical college hospitals(4 govt. and 5 non govt.) for a period of one year(July2016-June 2017) among 52 teachers and 445 intern doctors. Convenience sampling technique was administered. Data were collected by using self administered semi structured questionnaire. Data analysis were done using SPSS version 19.0 software.Results: The study revealed that the medical college hospitals under this study had mostly satisfactory internship training facilities. About 56% interns responded negatively about the utilization of logbook in each major discipline rotation. Around 54% of them responded negatively about the practice of performance appraisal system in their institute About 42.3% of teachers were not satisfied with the current practice of performance appraisal system of interns in their institute. However 27.5% teachers said that they arranged assessment always and 27.5% said that most of the time they arranged assessment for interns. About 35.5% interns blamed lack of interest of teachers about assessment of interns but 40% of teachers said work overload is the most important among the barriers in implementing appraisal system for interns. Around 42.1% interns suggested that existing logbook should be properly used and 48.9% of them suggested that the entire training should be under close supervision of the supervisors. Majority of the teachers were in favor of assessing interns on regular work along with formal assessment, they suggested regular morning session, ward round and bedside teaching should be ensured for the improvement of the standard of training.Conclusions: Proper utilization of logbook, successful implementation of performance appraisal system with feedback, active monitoring committee for the interns were recommended by the study.Bangladesh Journal of Medical Education Vol.9(1) 2018: 14-17
Background: Gynecological problems and health care-seeking behavior of postmenopausal women vary among populations and societies. Few data are available about times and types of gynecological problems of postmenopausal women and health care-seeking behavior, socio-demographic and reproductive factors among rural women of Bangladesh.Objectives: The present study was conducted to find out the prevalence of gynecological problems, to identify socio-demographic factors and to identify the health care seeking-behavior of rural postmenopausal women.Materials and Methods: This cross-sectional study was conducted in women aged 50−70 years. A purposive sampling technique was used to retrieve data from 252 postmenopausal women from 3 villages of Savar Upazilla of Dhaka, Bangladesh.Results: The mean age of our study population was 57.27 ± 6.08 years, and the mean menopausal age was 48.20 ± 3.226 years. Regarding prevalence of gynecological problems, 28% had vaginal dryness, 5% had per vaginal bleeding, 9% had urinary problems, and 4% had something coming down per vagina. For primary treatment, 43% went to pharmacy, 29% went to private chamber or private clinic, and only 22% went to government hospitals for their general health problems. Some significant association was found between age of marriage, number of fertility and gynecological problems.Conclusion: Further studies are needed with a larger sample size to identify different life style, diet, and socio-cultural characteristics and to better understand the health care-seeking behavior of women of rural communities.J Enam Med Col 2018; 8(3): 135-138
This descriptive type of cross sectional study was carried out to observe the hospital educational environment of selected postgraduate medical institutes of Bangladesh. Study period was from July 2016 to June 2017.Sample size was 289 postgraduate clinical students of various course (MD, FCPS & Diploma) and 20 clinical teachers of 10 selected postgraduate medical institutes of Bangladesh. Convenience sampling technique was adopted. Data collection was done with self-administered semi-structured questionnaire using Postgraduate Hospital Educational Environment Measurement (PHEEM) inventory and by In-depth interview of teachers. Three subscales of PHEEM are students' perceptions about 'role autonomy', students' perceptions about quality of teaching and students' perceptions about social support. In-depth interview of the clinical teachers was undertaken to explore the training facilities in the selected postgraduate medical institutes of Bangladesh. Study result revealed total PHEEM score was110.08.Mean score of subscales of PHEEM were 34.51, 36.29 and 26.28 for 'role autonomy', quality of teaching and social support respectively. All these values indicates that the students' perception were in the right or positive direction. Analysis of individual items had shown mean score of most of the individual item were 2-3 that indicated the aspects of the climate that could be enhanced. There were few items that had mean score 2 or less than 2 that indicated the problematic areas of hospital educational environment. In-depth interview of the teachers revealed that there was also some problematic issues on postgraduate training facilities like work overload, lack of proper monitoring or supervision of training, inadequate library, internet, ICU and investigation facilities etc. Study recommended that significant attention should be paid in the problematic areas (lack of supervised training, heavy work load of student, lack of library facility etc.) as well as improvement needed on several areas of hospital educational environment of postgraduate medical institutes of Bangladesh.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.