BackgroundIn recent times, medical schools have committed to developing good communication and history taking skills in students. However, there remains an unresolved question as to which constitutes the best educational method. Our study aims to investigate whether the use of videotape recording is superior to verbal feedback alone in the teaching of clinical skills and the role of student self-assessment on history taking and communication skills.MethodsA randomized controlled trial was designed. The study was conducted with 52 of the Dokuz Eylul University Faculty of Medicine second year students. All students' performances of communication and history taking skills were assessed twice. Between these assessments, the study group had received both verbal and visual feedback by watching their video recordings on patient interview; the control group received only verbal feedback from the teacher.ResultsAlthough the self-assessment of the students did not change significantly, assessors' ratings increased significantly for videotaped interviews at the second time.ConclusionsFeedback based on videotaped interviews is superior to the feedback given solely based on the observation of assessors.
BackgroundChoosing the most appropriate family physician (FP) for the individual, plays a fundamental role in primary care. The aim of this study is to determine the selection criteria for the patients in choosing their family doctors and priority ranking of these criteria by using the multi-criteria decision-making method of the Analytic Hierarchy Process (AHP) model.MethodsThe study was planned and conducted in two phases. In the first phase, factors affecting the patients’ decisions were revealed with a qualitative research. In the next phase, the priorities of FP selection criteria were determined by using AHP model. Criteria were compared in pairs. 96 patient were asked to fill the information forms which contains comparison scores in the Family Health Centres.ResultsAccording to the analysis of focus group discussions FP selection criteria were congregated in to five groups: Individual Characteristics, Patient-Doctor relationship, Professional characteristics, the Setting, and Ethical Characteristics.For each of the 96 participants, comparison matrixes were formed based on the scores of their information forms. Of these, models of only 5 (5.2 %) of the participants were consistent, in other words, they have been able to score consistent ranking. The consistency ratios (CR) were found to be smaller than 0.10. Therefore the comparison matrix of this new model, which was formed based on the medians of scores only given by these 5 participants, was consistent (CR = 0.06 < 0.10).According to comparison results; with a 0.467 value-weight, the most important criterion for choosing a family physician is his/her ‘Professional characteristics’.ConclusionsSelection criteria for choosing a FP were put in a priority order by using AHP model. These criteria can be used as measures for selecting alternative FPs in further researches.
SRH issues are difficult to talk about and to discuss openly. A comprehensive approach seems to have some efficacy to overcome this problem and provide information on SRH. Young people benefit from educational programmes implemented in their own social environment particularly via the PE method.
Introduction: Although peer education is accepted as one of the most effective methods for sexual and reproductive health education, the feelings, thoughts and self-affection of peer educators are not very well known. Our aim is to investigate what it is like to be a peer educator. Methods: This phenomenological study was conducted in Izmir as a part of "Modern Stork Legends" project supported by the European Union. Two focus group interviews were made with 18 peer educators of the project. Data were analyzed with NVivo 8 BS software. Results: All of the students stated that they participate in the project "to enhance their knowledge" and "to inform their social circle". They are concerned about the tasks and expectations, and anxious about the subject of counseling. They think that anything related with sexuality is taboo in Turkey and it was also the same for them. They observed that, gender defined roles are reflected on students' behaviors and attitudes. Their tolerance in understanding of inhibitions and hesitations of their peers formed the basis of their success. They stated that working in this project helped them to overcome their prejudices and contributed their development in many ways. Conclusion: Peer educators internalize substantial amount of knowledge and gain self-confidence and important skills such as communication, problem solving and access to information.
Background and Objective. Reforming primary healthcare services has been the core agenda of health policies of the developing countries in accordance with the recommendations of the World Health Organization. In Turkey, the Transformation in Health Project brings along many changes in all aspects of primary health care services, such as organization and financing of services and employment of healthcare workers. The aim of this study was to determine the effects of health care reforms on primary care physicians working in Izmir. Material and Methods. A questionnaire and an anxiety scale were applied to a sample of primary care physicians in Izmir in 2007 and 2009. The questionnaire consisted of questions about demographic characteristics and expressions regarding the effect of reforms on physicians organized on a 7-point Likert scale. The State-Trait Anxiety Inventory was used as an anxiety scale. Results. The mean scores given by physicians working in family health centers were significantly higher than those of physicians working in public institutions. The score for “My responsibilities are well defined” statement given by physicians working in family health centers decreased significantly in the second survey. The necessity of reforms in the health care system and primary care health services was more significantly favored by physicians working in family health centers. Persistent anxiety of physicians working in community health centers was significantly higher in both surveys. Conclusions. Our study showed that health reforms had a substantial impact on work-related attitudes and anxieties of primary care physicians, and this effect was maintained over time.
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