Medical education in Vietnam

Fan, Angela; Tran, D.T.; Kosik, Russell Oliver; Mandell, G. A.; Hsu, Hui-Chi; Chen, Y. S.

doi:10.3109/0142159x.2011.613499

Cited by 37 publications

(42 citation statements)

References 2 publications

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“…In Vietnam, PCPs are those who are general practitioners (GPs) (6 years medical doctors [MDs] having no further postgraduate training), 25 internists (INs) (MDs having postgraduate training in internal medicine), and family physicians (FPs) (MDs having postgraduate training in family medicine). 25 , 26 Participants were PCPs who attended the “family medicine training course” in either Tien Giang province or Ho Chi Minh City, or who worked in four district hospitals in Ho Chi Minh City (most of the doctors in outpatient department in district hospitals are PCPs and most of the services in outpatient department in hospitals even tertiary one are primary care services). 25 The printed questionnaires and informed consent forms were provided to participants in person and were returned after 1–7 days.…”

Section: Methodsmentioning

confidence: 99%

Implementation of GINA guidelines in asthma management by primary care physicians in Vietnam

Nguyen

et al. 2017

IJGM

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BackgroundAsthma control is suboptimal in Vietnam. Lack of knowledge of primary care physicians (PCPs) for asthma management may potentially be one of the causes.PurposeThe aim of this study was to assess the knowledge and practice of PCPs’ asthma management based on the Global Initiative for Asthma (GINA) guidelines (2015 update).MethodsA cross-sectional study with convenience sampling was conducted among PCPs in an urban and rural area of Vietnam using questionnaires related to asthma patients daily practice: use of spirometry and the asthma control test (ACT), prescription of asthma medications, and frequency of consultations. Five asthma case scenarios were also used to ask participants to classify GINA-defined levels of asthma control and to choose the initial or adjusted treatment options based on the current situation. All scenarios are common in Vietnam, ie, three cases for adults, one case for children, and one case for pregnant women.ResultsOf the 327 completed questionnaires, 201 questionnaires could be analyzed. Most PCPs consulted their asthma patients on a weekly to monthly basis. Approximately 50% used spirometry for asthma care and only 25% used ACT. For asthma treatment, oral short-acting beta agonists and oral steroids were still commonly used and long-acting beta agonists alone were prescribed by 70%. Regarding GINA-defined levels of asthma control, 24% of the responders had ≥50% of correct answers, 21% had no correct answers, 2% had all five correct answers, and 20–42% had a correct answer for each of the five questions. Regarding treatment choice, 22% had ≥50% of correct answers, 14% had a wrong answer for all nine questions, and no respondent had a correct answer for ≥8 questions.ConclusionThe percentage of PCPs in Vietnam who had implemented GINA 2015 was low. Some drugs with a high risk of side effects were still being prescribed. There is a need to improve both knowledge and daily practice. Additional studies should determine why these guidelines are not largely adopted by PCPs in Vietnam.

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Section: Methodsmentioning

confidence: 99%

Implementation of GINA guidelines in asthma management by primary care physicians in Vietnam

Nguyen

et al. 2017

IJGM

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“…In Vietnam, medical education has undergone changes toward a more student-centered approach (Fan et al, 2012). However, students' passivity in learning and a high prevalence of depression remain as emerging problems (Do & Tasanapradit, 2008).…”

Section: Purpose and Hypothesismentioning

confidence: 99%

The relationships between the use of self-regulated learning strategies and depression among medical students: An accelerated prospective cohort study

Nguyen

Laohasiriwong

Saengsuwan

et al. 2014

Psychology, Health & Medicine

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We conducted this study to determine the relationships between the use of self-regulated learning strategies (SRL) and depression scores among medical students. An accelerated prospective cohort study among 623 students at a public medical university in Vietnam was carried out during the academic year 2012-2013. The Depression, Anxiety and Stress Scales (21 items) was used to measure depression scores as the primary research outcome, and to measure anxiety and stress scores as the confounding variables. Fourteen SRL subscales including intrinsic/extrinsic goal orientation, task value, self-efficacy for learning, control of learning beliefs, rehearsal, elaboration, organization, critical thinking, meta-cognitive strategies, time and study environment, effort regulation, peer learning, and help seeking were measured using the Motivated Strategies for Learning Questionnaire. Data were collected at two points in time (once each semester). There were 744 responses at the first time (95.88%) and 623 at time two (drop-out rate of 16.26%). The generalized estimating equation was applied to identify any relationships between the use of each SRL subscale and depression scores at time 2, adjusting for the effects of depression at time 1, anxiety, stress, within cluster correlation, and potential demographic covariates. Separate multivariate GEE analysis indicated that all SRL subscales were significantly negatively associated with depression scores, except for extrinsic goal orientation and peer learning. Whereas full multivariate GEE analysis revealed that self-efficacyT1, help-seekingT1, time and study environmentT2 were found to be significantly negatively associated with depressionT2, adjusting for the effects of depressionT1, anxiety, stress, and demographic covariates. The results should be used to provide appropriate support for medical students to reduce depression.

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“…In recent years, the Asia-Pacific region has become a hotbed of activity in medical education (Chou, Chiu, Lai, Tsai & Tzeng, 2012;Fan et al, 2012;Bin Abdulrahman, Harden & Patrício, 2012;Samarasekera, Ooi, Yeo & Hooi, 2015). While much emphasis has been placed on improving standards in the scholarship of teaching (Zhang, Lee, Gruppen & Denian, 2013;E.…”

Section: Introductionmentioning

confidence: 99%

Trends of clarification purpose of medical education research in the Asia-Pacific region: A scoping review

Lim¹,

Tham²,

Adzahar³

et al. 2019

TAPS

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Background: In recent years, the Asia-Pacific region has become a hotbed of activity in medical education. Little is known about the progress in advancing the field through clarification research studies situated within a strong conceptual framework visa -vis descriptive ("What was done?") and justification ("Did it work?") research purposes. We aimed to determine the trend in clarification as opposed to descriptive and justification research purposes in the Asia-Pacific region over a 5-year period. Methods: We conducted a scoping review of original research abstracts presented at the 2008, 2010 and 2012 Asia Pacific Medical Education Conferences. All eligible abstracts were classified as descriptive, justification or clarification using the modified Cook (2008) research purpose framework. All abstracts were reviewed by two researchers, with disagreement resolved by consensus. We performed trended Chi-square tests followed by logistic regression adjusted for covariates, to determine the longitudinal trend in clarification studies.

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Medical education in Vietnam

Cited by 37 publications

References 2 publications

Implementation of GINA guidelines in asthma management by primary care physicians in Vietnam

Implementation of GINA guidelines in asthma management by primary care physicians in Vietnam

The relationships between the use of self-regulated learning strategies and depression among medical students: An accelerated prospective cohort study

Trends of clarification purpose of medical education research in the Asia-Pacific region: A scoping review

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