What distinguishes a competent doctor in  medical education?

Santos, Paulo; Alves, Luís Alberto Marques; Simões, José Augusto Rodrigues

doi:10.5116/ijme.595f.b2ad

Cited by 7 publications

(4 citation statements)

References 12 publications

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“…One advanced explanation is the contact of students mainly with severely ill patients in the emergency rooms and in the hospital stay, and less with outpatient consultation, where the prognosis is better and many times keeping a perfectly normal day life [ 46 ]. Moreover, it is possible that there is a lack of skills in this issue, making important to improve competences of the teachers and trainers through specific training programmes [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Stigma about mental disease in Portuguese medical students: a cross-sectional study

2021

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Background The stigma about mental diseases is common in the population and also in medical students, where it may condition their future practice and the way they deal with these patients. Aim To evaluate and characterize the stigma on mental diseases in Portuguese sixth-year medical students, based on a clinical scenario of a classmate suffering from a mental disorder. Methods Observational cross-sectional study, involving sixth-year students of all Portuguese medical schools. We applied an online self-response questionnaire, using the Portuguese version of the Attribution Questionnaire AQ-9, and a vignette of a classmate colleague, presenting mental illness symptoms. Stigma scores were calculated. We used logistic regression to estimate the effect of social determinants on stigma pattern, and we analysed the correlation between 9 variables evaluated by the AQ-9 and total stigma. Results A total of 501 participants were included for analysis (69.5% females, median age of 24 years old). Medical students were available to help in the proposed clinical scenario (6.93/9.00; 95%CI:6.77–7.10), if necessary using coercion for treatment (3.85; 95%CI:3.63–4.07), because they felt pity (6.86; 95%CI:6.67–7.06) and they perceived some kind of dangerousness (4.06; 95%CI:3.84–4.28). Stigma was lower in students having a personal history of mental illness (OR:0.498; 95%CI:0.324–0.767; p = 0.002) and in those with positive familial history (OR: 0.691; 95%CI:0.485–0.986; p = 0.041). Conclusion Our results show the importance of implementing anti-stigma education, to improve medical students’ attitudes towards peers living with mental diseases.

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Section: Discussionmentioning

confidence: 99%

Stigma about mental disease in Portuguese medical students: a cross-sectional study

2021

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“…Health services and providers benefit from that better perception of the health status, reducing the number of unnecessary visits, and promoting better satisfaction indexes. However, to be successful in teaching patients, providers must be trained in how to do it, which necessitates the introduction of educational programmes for this group as well (36) . The need for formal education about sleep programmes is crucial for empowering health providers for the recognition and evaluation of sleep disturbances, choosing appropriate interventions, and providing effective support to families (23) .…”

Section: Discussionmentioning

confidence: 99%

Parental education and better sleep in infants: a systematic review

Vieira¹,

Santos²,

Santos³

2020

Pediatr Med Rodz

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The first year of the child's life can be overwhelming. One of the major problems faced by parents relates to the infant's crying and sleeping habits, potentially leading to exhaustion, with implications for their health. Information is crucial, so our aim was to assess the relevance and impact of parental education on children's sleep problems in the first year of life. To this end, we conducted a systematic review, using as keywords references to "parental education, " "parenting, " "sleep hygiene, " "infant, " and "newborn, " looking for original articles published over the past 10 years in English and Portuguese. We found nine original articles. Results suggest that preventive intervention improves infants' sleep quality. Parental education programmes included infant sleep patterns, parental behaviour, and strategies facilitating self-soothing. Placing down the infant while still awake, and minimising parental responsiveness by active extinction and graduated extinction techniques, were shown to be the most successful strategies. Cognitive-behavioural interventions proved to improve both parents' and infants' symptoms. Incorporating formal parental education into children's sleeping pattern and parents' behaviours in children's health routines in regular medical practice is a cost-effective strategy for increasing the empowerment of families to deal with the problem.

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“…In this sense, the presence of residents in all health centres should be encouraged, as a mean to balance the quality. Of course, we know that although medical education and training are an ethical and deontological duty of all, [17] not everyone is available to do it or even prepared for it [18]. However, even there will always be one main host institution, it is possible that residents circulate by other health centres in the same region or not, with gains for their own training and for the health outcomes in general.…”

Section: Discussionmentioning

confidence: 99%

Impact of the primary care residents on the productivity of the ambulatory health centres in Portugal: a cross-sectional study

Reis¹,

Envia

Santos

2022

BMC Med Educ

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Background The presence of residents in Primary Care health centres may influence their operational results. Aim To examine the relationship between the presence of residents and the results of the evaluation in Portuguese Primary Care Health Centres. Methods We conduct a cross-sectional study, comparing the results achieved by the mainland Portuguese Primary Care Health Centres measured by the Global Performance Index (Índice de desempenho global – IDG) by the presence of General & Family Medicine residents in training. Analysis took into consideration the distribution by region and typology of the health centres. Results We evaluated 906 units, 55.7% involved in the training of General & Family Medicine residence. The presence of residents was associated with higher Global Performance Index values (77.3 vs 57.6; p < 0.001). The higher difference was found in the less developed Personalized Health Care Units and in the region of Lisbon and Tagus Valley. Conclusion The presence of residents in training is a contributing factor in the productivity of the Primary Health Care facilities. It may model the asymmetry in the performance of Portuguese Health Centres.

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What distinguishes a competent doctor in medical education?

Cited by 7 publications

References 12 publications

Stigma about mental disease in Portuguese medical students: a cross-sectional study

Stigma about mental disease in Portuguese medical students: a cross-sectional study

Parental education and better sleep in infants: a systematic review

Impact of the primary care residents on the productivity of the ambulatory health centres in Portugal: a cross-sectional study

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