Displaying publications 1 - 20 of 50 in total

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  1. Kuen CY
    Med J Malaysia, 1989 Jun;44(2):140-2.
    PMID: 2626121
    A survey showed only 27% of our house-officers know how to intubate. Ninety-two percent however recognise the alternative to intubation. On the whole, knowledge centering around intubation is generally lacking.
    Matched MeSH terms: Internship and Residency*
  2. Ng KH, Tan CH
    Korean J Radiol, 2023 Mar;24(3):177-179.
    PMID: 36788774 DOI: 10.3348/kjr.2022.1023
    Matched MeSH terms: Internship and Residency*
  3. Wong ZY, Daher AM, Pathirage K, Lim KG
    Med Teach, 2023 Jul;45(7):789.
    PMID: 36705016 DOI: 10.1080/0142159X.2023.2169119
    Matched MeSH terms: Internship and Residency*
  4. Azila NM, Tan NH, Tan CP
    Med Educ, 2006 Nov;40(11):1125.
    PMID: 17054624
    Matched MeSH terms: Internship and Residency*
  5. Germanov ES, Pierce SJ, Marshall AD, Hendrawan IG, Kefi A, Bejder L, et al.
    PeerJ, 2022;10:e13302.
    PMID: 35602898 DOI: 10.7717/peerj.13302
    BACKGROUND: The reef manta ray (Mobula alfredi) is a globally threatened species and an iconic tourist attraction for visitors to Indonesia's Komodo National Park (NP). In 2013, manta ray fishing was banned in Komodo NP and its surroundings, preceding the nationwide manta ray protection in 2014. Over a decade ago, a previous acoustic telemetry study demonstrated that reef manta rays had high fidelity to sites within the park, while more recent photo-identification data indicated that some individuals move up to 450 km elsewhere. Characterization of manta ray demographics, behavior, and a focused assessment on site use of popular tourism locations within the park is vital to assist the Komodo NP Management Authority formulate appropriate manta ray conservation and management policies.

    METHODS: This study uses a long-term library (MantaMatcher.org) of photo-identification data collected by researchers and citizen scientists to investigate manta ray demographics and habitat use within the park at four sites frequented by tour operators: Cauldron, Karang Makassar, Mawan, and Manta Alley. Residency and movements of manta rays were investigated with maximum likelihood analyses and Markov movement models.

    RESULTS: A total of 1,085 individual manta rays were identified from photographs dating from 2013 to 2018. In general, individual manta rays displayed a higher affinity to specific sites than others. The highest re-sighting probabilities came from the remote southern site, Manta Alley. Karang Makassar and Mawan are only ~5 km apart; however, manta rays displayed distinct site affinities. Exchange of individuals between Manta Alley and the two central sites (~35.5 km apart) occurred, particularly seasonally. More manta rays were recorded traveling from the south to the central area than vice versa. Female manta rays were more mobile than males. Similar demographic groups used Karang Makassar, Mawan, and Manta Alley for foraging, cleaning, cruising, or courtship activities. Conversely, a higher proportion of immature manta rays used the northern site, Cauldron, where foraging was commonly observed. Fishing gear-related injuries were noted on 56 individuals (~5%), and predatory injuries were present on 32 individuals (~3%). Tourism within the park increased from 2014 to 2017, with 34% more dive boats per survey at Karang Makassar and Mawan.

    DISCUSSION: The Komodo NP contains several distinct critical habitats for manta rays that encompass all demographics and accommodate seasonal manta ray movements. While the present study has not examined population trends, it does provide foundational data for such work. Continued research into manta ray abundance, long-range movements, and identifying and protecting other critical aggregation areas within the region is integral to securing the species' recovery. We provide management recommendations to limit undue pressure on manta rays and their critical habitats from tourism.

    Matched MeSH terms: Internship and Residency*
  6. Nah SA, Sanmugam A, Singaravel S, Zahari Z, Aziz DA
    J Pediatr Surg, 2023 Feb;58(2):299-304.
    PMID: 36404187 DOI: 10.1016/j.jpedsurg.2022.10.032
    BACKGROUND: A shortage of specialist paediatric surgeons in Malaysia led to establishment of a national postgraduate training programme in 2004. We aimed to identify sociodemographic factors impacting training experience, and to define pressure points during training to inform targeted trainee support strategies.

    METHODS: We conducted an anonymized online survey in June 2021 on all programme graduates. Participants were asked for sociodemographic data, both current and during training. Likert scale responses were required for questions regarding adequacy of support received for family, health and personal issues during training. A free text response question soliciting suggestions for programme improvement was included. Data are reported as median (range). Chi-square/Fisher's exact tests for categorical variables and Mann-Whitney U tests for continuous variables were used, with p<0.05 significance.

    RESULTS: Of 53 eligible participants, 52 (98%) responded, 24 (46%) were female. Marital status was similar between genders at entry, but female trainees were more likely to be unmarried on exit (p = 0.001), and less likely to have children while training (p = 0.017). Of the 6 female and 18 male trainees who had children while training, women were more likely to take parental leave (p = 0.01). The majority felt advice given regarding parental leave and managing training while having children were poor. In thematic analysis of free text answers, lack of hands-on experience was the most common concern.

    CONCLUSION: Factors related to marriage and parenthood significantly associate with gender amongst trainees in Malaysia despite both genders being well represented. Concerns regarding adequacy of hands-on training highlight the need for educational innovations such as simulation models.

    LEVEL OF STUDY: Level III.

    Matched MeSH terms: Internship and Residency*
  7. Mohajer S, Li Yoong T, Chan CM, Danaee M, Mazlum SR, Bagheri N
    BMC Med Educ, 2023 Feb 15;23(1):114.
    PMID: 36793032 DOI: 10.1186/s12909-023-04097-4
    BACKGROUND: Professional self-concept is one of the important outcomes of nursing professionalism. There is a lack of adequately planned curriculum may limit nursing students' practical knowledge, skills and professional self-concept in providing comprehensive geriatric-adult care and promoting nursing professionalism. Professional portfolio learning strategy has allowed nursing students to continue professional development and enhance nursing professionalism in professional clinical practice. However, there is little empirical evidence in nursing education to support the use of professional portfolios in blended learning modality among internship nursing students. Therefore, this study aims to examine the effect of the blended professional portfolio learning on professional self-concept among undergraduate nursing students during Geriatric-Adult internship.

    METHODS: A quasi-experimental study two-group pre-test post-test design. A total of 153 eligible senior undergraduate students completed the study (76 in the intervention group and 77 in the control group). They were recruited from two Bachelor of Sciences in Nursing (BSN) cohorts from nursing schools at Mashhad University of Medical Sciences (MUMS), in Iran, in January 2020. Randomization was undertaken at the level of school via a simple lottery method. The intervention group received the professional portfolio learning program as a holistic blended learning modality, though the control group received conventional learning during professional clinical practice. A demographic questionnaire and the Nurse Professional Self-concept questionnaire were used for data collection.

    RESULTS: The findings imply the effectiveness of the blended PPL program. Results of Generalized Estimating Equation (GEE) analysis was indicated significantly improved professional self-concept development and its dimensions (self-esteem, caring, staff relation, communication, knowledge, leadership) with high effect size. The results of the between-group comparison for professional self-concept and its dimensions at different time points (pre, post and follow up test) showed a significant difference between groups at post-test and follow up test (p  0.05).The results of within-group comparison for both control and intervention showed that there were significant differences in professional self-concept and for all its dimensions across the time from pre-test to post-test and follow-up (p internship practice. The data obtained from the present study can be useful for nursing education to evaluate and redesign a curriculum for development of nursing professionalism as a quality improvement process and groundwork to develop new models of teaching-learning and assessment.

    Matched MeSH terms: Internship and Residency*
  8. Arunachalam S, Pau A, Nadarajah VD, Babar MG, Samarasekera DD
    Eur J Dent Educ, 2023 May;27(2):332-342.
    PMID: 35484781 DOI: 10.1111/eje.12809
    OBJECTIVE: Entrustable professional activities (EPAs) are tasks that a person who is qualified or is in the process to be credentialed are allowed to engage. There are several levels of entrustment based on degrees of supervision assigned to each EPA. This paper aims to describe the process and outcome of creating EPAs; validate EPAs relevant to undergraduate dental training.

    METHODS: A draft set of EPA statements was developed based on the consensus of an expert panel. These were then mapped to the nationally determined minimum experience thresholds (clinical and procedural experiences/competencies) and aligned to task-based instructional strategy. The EPAs were validated to improve the relevance by using a criterion-based rubric.

    RESULTS: An end-to-end process workflow led to the development of an EPA-based educational framework to bridge the gaps in the curriculum. The process identified a total of 41 EPAs and out of which, 10 EPAs were notated as core EPAs and will be subjected to structured workplace-based assessment complying to the national standards. The validation exercise rated core EPAs with an overall score matching close to the cut-off of 4.07 (Equal rubric).

    CONCLUSION: The end-to-end process workflow provided the opportunity to elaborate a structured process for the development of EPAs for undergraduate dental education. As validation is a continuous process, feedback from implementation will inform the next steps.

    Matched MeSH terms: Internship and Residency*
  9. Annaswamy TM, Rizzo JR, Schnappinger A, Morgenroth DC, Engkasan JP, Ilieva E, et al.
    Am J Phys Med Rehabil, 2022 Jul 01;101(7 Suppl 1):S40-S44.
    PMID: 33852491 DOI: 10.1097/PHM.0000000000001752
    Although the physiatric community increasingly embraces evidence-based medicine (EBM), the current state of EBM training for trainees in physiatry is unclear. The purposes of this article are to report the results of the Association of Academic Physiatrists' surveys of physiatry residency programs in the United States, to discuss the implications of their findings, and to better delineate the "baseline" upon which sound and clear recommendations for systematic EBM training can be made. The two Association of Academic Physiatrists surveys of US physiatry residency programs reveal that most survey respondents report that they include EBM training in their programs that covers the five recommended steps of EBM core competencies. However, although most respondents reported using traditional pedagogic methods of training such as journal club, very few reported that their EBM training used a structured and systematic approach. Future work is needed to support and facilitate physiatry residency programs interested in adopting structured EBM training curricula that include recommended EBM core competencies and the evaluation of their impact.
    Matched MeSH terms: Internship and Residency*
  10. Fadzli F, Ramli NM
    Korean J Radiol, 2024 May;25(5):412-413.
    PMID: 38627877 DOI: 10.3348/kjr.2024.0111
    Matched MeSH terms: Internship and Residency
  11. Hunt EA, Cruz-Eng H, Bradshaw JH, Hodge M, Bortner T, Mulvey CL, et al.
    Resuscitation, 2015 Jan;86:1-5.
    PMID: 25457379 DOI: 10.1016/j.resuscitation.2014.10.007
    Observations of cardiopulmonary arrests (CPAs) reveal concerning patterns when clinicians identify a problem, (e.g. loss of pulse) but do not immediately initiate appropriate therapy (e.g. compressions) resulting in delays in life saving therapy.
    Matched MeSH terms: Internship and Residency/methods
  12. Madan SS, Pai DR
    Simul Healthc, 2014 Apr;9(2):127-35.
    PMID: 24096921 DOI: 10.1097/SIH.0b013e3182a86165
    Arthroscopy uses a completely different skill set compared with open orthopedic surgery. Hitherto, arthroscopy had not been given enough emphasis in the core orthopedic curricula. Simulation has been seen as an excellent way to teach the skills required in arthroscopy. The simulators used for arthroscopy training can be broadly classified into physical simulators such as cadavers, animals, models and box trainers, virtual-reality simulators, and hybrid simulators that combine virtual-reality simulation with physical components that allow real tactile feedback. The advantages and disadvantages of each of these types have been described in this article. The factors that determine skill acquisition using these simulators have been highlighted. In conclusion, simulation seems to be a valuable tool for arthroscopy training, although further studies are needed to state whether this translates into better operative skill on real patients.
    Matched MeSH terms: Internship and Residency/methods*
  13. Astuti EW, Suryani E, Rosalinna, Abdullah SKBF
    Enferm Clin, 2020 06;30 Suppl 5:28-33.
    PMID: 32713579 DOI: 10.1016/j.enfcli.2019.11.018
    OBJECTIVE: Health professionals are unable to solve the family problems. Practically, health professionals are encouraged to make collaboration. One effort to improve health professional readiness is by joining the interprofessional education (IPE). Poltekkes Kemenkes Surakarta is implementing one Team One Family-Community Internship Program Interprofessional Education and Collaboration (OTOF-CIPIPEC). This research aims to examine the effect of OTOF-CIPIPEC Implementation within the health students on readiness, teamwork, perception to the other professions and participants' satisfaction.

    METHOD: This research is a quasi-experimental design with a pre-post without control research approach. The research population covers all students registered joining OTOF CIPIPEC at Poltekkes Kemenkes Surakarta with a total number of 1061 of students. The samples are collected using a total sampling technique. The samples for this research are those registered joining the OTOF CIPIPEC at Poltekkes Kemenkes Surakarta meeting the inclusion and exclusion criteria with a total number of 1031 of students. This research utilizes the Readiness for Interprofessional Learning Scale (RIPLS) questionnaires as its measuring instruments. This study was conducted in Mojosongo sub-district, Jebres district, Surakarta. This research involves 38 Community Units (In Indonesia known as Rukun Warga/RW) with a total number of 1066 of family heads and the Sibela Community Health Center. The data are analyzed using the Wilcoxon test and multiple linear regression test.

    RESULT OF THE STUDY: The research results showed that there is a significant difference of readiness improvement, teamwork, and perception on other professions and satisfaction of the research subjects before and after joining OTOF-CIPIPEC (ρ<0.001). The average improvement scores of students' readiness, teamwork, perception, and satisfaction are 63.2%, 62.5%, 62.57%, and 113.04% respectively. The results of the multivariate analysis show that teamwork and perception significantly influence the students' readiness in their collaboration with the other professions (ρ<0.001) with the influence value of 0.93%.

    CONCLUSION: This research concludes that OTOF-CIPIPEC implementation may improve readiness, teamwork, and perception of other professions and students' satisfaction in interprofessional education (IPE).

    Matched MeSH terms: Internship and Residency*
  14. Alfonso CA, Michael MC, Elvira SD, Zakaria H, Kalayasiri R, Adlan ASA, et al.
    Psychiatr. Clin. North Am., 2018 06;41(2):305-318.
    PMID: 29739528 DOI: 10.1016/j.psc.2018.01.010
    Psychodynamic psychiatry remains a challenging subject to teach in underserved areas, where enthusiasm to learn is substantial. Besides logistical and psychiatric workforce shortcomings, sensible cultural adaptations to make psychodynamic psychiatry relevant outside of high-income countries require creative effort. Innovative pedagogical methods that include carefully crafted mentoring and incorporate videoconferencing in combination with site visits can be implemented through international collaborations. Emphasis on mentoring is essential to adequately train future psychodynamic psychotherapy supervisors. Examples of World Psychiatric Association initiatives in countries such as Indonesia, Iran, Malaysia, and Thailand are presented as possible models to emulate elsewhere.
    Matched MeSH terms: Internship and Residency/standards*
  15. Adibah Aishah Md Sahak, Sakeenah Mohd Reza, Melor Md Yunus
    MyJurnal
    The higher learning institution especially private college is growing day by day with the variation of
    course especially for the culinary art students. Culinary Arts is one area in Technical Vocational
    Education and Training (TVET) where students need to adapt the real-world working as a chef besides
    fundamental subject matter knowledge, techniques and hands-on skills for cooking in order to survive
    in the industry. The course syllabus of culinary art is patterned to provide a stage for students who want
    to be a chef in the future. This study is looking forward to find the importance of internship in Kolej
    Yayasan Pelajaran Johor towards culinary art students. The internship is gradually enhancing the
    student knowledge, confidence level and performance which enable them to be more confident when
    coming back from internship. This positive indication and feedback may affect towards students,
    lecturers, private institutional itself and Ministry of Higher Education.
    Matched MeSH terms: Internship and Residency
  16. Liam CK
    Family Physician, 1993;5:22-26.
    The knowledge of 16 medical officers and 21 house officers from the Department of Medicine regarding the technique of using the pressurised metered dose inhaler (MDI) was evaluated. The doctors were interviewed individually and each was requested to demonstrate the use of a placebo inhaler. Only 21.6% of the participants correctly performed all the ten steps considered to constitute correct inhalation technique. The most common mistake was failure to actuate the inhaler at the start of breathing in through the mouth. Although inhaler technique was better among the medical officers, all of whom claimed to have instructed patients on the use of pressurised MDIs, house officers who were also involved in patient instruction performed equally well. Unfortunately, doctors with inadequate technique had also instructed patients and this could be one of the causes of incorrect technique among patients. Key words: Correct technique, doctors, pressurised metered dose inhaler
    Matched MeSH terms: Internship and Residency
  17. Yadav H
    Med J Malaysia, 2002 Dec;57 Suppl E:94-8.
    PMID: 12733201
    Rural health training is an important element in the training of medical students in the University of Malaya. There is a need for the undergraduates to be familiar with the rural health infrastructure and to understand the social and economic aspects of the rural poor. The objective of the training is to make the students understand the problems faced by the poor in the rural areas so that when they practice in rural health areas, after graduation, they will understand the problems of the rural poor. They will have the knowledge of the diseases in the rural areas and also understand the community and the environmental factors that contribute to the disease. The training lasts' for 4 weeks, one week for lectures on health survey, two weeks for the field trip and one week of data analysis and presentation of their findings to an expert panel. During the field trip the students are divided into groups and they go to different parts of the country. Each group will do a field survey to find out the socio-demography, environmental, economic, nutritional and health problems in the village. In addition to the survey they also do a research project on any topic. The students also do social work, visit places of public health interest like the water treatment plant, sewage disposal, factory visits and others. Apart from technical skills in statistics and epidemiology, various other managerial skills like leadership, teamwork, communications and public relations are also learnt during the training. In conclusion this rural health training is an important aspect of the medical students training as it imparts several skills to them that are needed as a doctor.
    Matched MeSH terms: Internship and Residency
  18. Naicker AS, Vinoshn DK, Yuliawiratman BS, Alaga A, Kevin Ng WS, Naicker MS, et al.
    Med J Malaysia, 2021 03;76(2):183-189.
    PMID: 33742626
    INTRODUCTION: In recent years, many unresolved issues pertaining to house officers in Malaysia have led to a longer waiting time and a 'glut' of medical graduates with a surprising 20% dropout amongst those who join the housemanship programme. This appears to reflect the changing times, mindsets and work expectations of millennials who comprise this cohort reflecting a need to consider possibilities of career shifts especially so in these uncertain times. This study explores the perceptions, awareness and interest in alternative career options amongst recent graduates and house officers.

    MATERIALS AND METHODS: This was a study done between 2018 and 2019 using a questionnaire which was shared on various social platforms. Data analysis was done using Excel spreadsheet.

    RESULTS: A total of 450 house officers and 657 medical graduates responded. Expectedly 66.8% claimed lifelong passion whilst another 12.1% claimed family influence as their reason to do medicine. Most were aware of their career challenges and 40% of them were keen to consider career change and reskilling indicating a possible shift from traditional expectations of a medical career.

    CONCLUSION: Whilst medicine is often considered a true calling, current challenges will require mental and emotional flexibility to explore other career opportunities. Thus, engagement programmes should be directed at medical graduates and house officers to identify and support those open to career transitions. This will help address current issues of internship bottleneck and rising dropout rates amongst internees. Early career change engagements will give them insight into their true career goals whilst opening up opportunities for those who wish to change.

    Matched MeSH terms: Internship and Residency
  19. Asrin Gili, Abdul Said Ambotang
    MyJurnal
    Isu pengangguran graduan kesan daripada kepesatan perubahan pasaran buruh yang disebabkan oleh ketidaktentuan sosioekonomi, perubahan organisasi serta kemajuan teknologi telah mendapat perhatian bukan sahaja di Malaysia, bahkan juga di peringkat global. Isu yang sangat sinonim dengan kebolehgajian ini perlu ditangani oleh semua pihak termasuklah institusi pendidikan tinggi, pihak industri yang menawarkan kolaborasi latihan serta individu pelajar sendiri. Justeru itu, kajian ini bertujuan untuk mengenal pasti pengaruh pengalaman pembelajaran pelajar yang berkaitan dengan kualiti perkhidmatan institusi, kepuasan latihan industri, dan pembelajaran terarah kendiri (PTK) terhadap tanggapan kebolehgajian diri khususnya dalam kalangan pelajar kolej vokasional di Sabah, Malaysia. Antara teori dan model yang digunakan sebagai panduan kajian ialah Model SSPE (Students Self-Perceived Employability), Model HESQUAL, Model Kepuasan Internship dan Model PRO-SDL (Personal Responsibility Orientation of Self-Directed in Learning). Kajian kuantitatif yang mengaplikasikan kaedah tinjauan cross-sectional ini menggunakan satu set soal selidik berstruktur yang diadaptasi. Kajian rintis melibatkan 105 responden mendapati bahawa kesemua instrumen yang digunakan mempunyai kesahan dan kebolehpercayaan yang tinggi. Kajian ini diharap dapat membantu para pemegang taruh KV di semua peringkat khasnya di peringkat institusi, industri dan pelajar sendiri dalam menambah baik program pendidikan sekali gus memastikan matlamat serta objektif untuk meningkatkan kebolehgajian pelajar dapat dicapai dengan cemerlang melalui intervensi kualiti perkhidmatan, latihan industri dan gaya pembelajaran terarah kendiri.
    Matched MeSH terms: Internship and Residency
  20. Shakir Aizat Shahruddin, Pradheeksha Saseedaran, Aishah Salleh, Che Amira Ahmad Azmi, Nik Harriz Izwan Mohammad Alfaisal, Rusli Abdullah, et al.
    MyJurnal
    House officers who are suffering from stress, anxiety or depression are at risk of harm to themselves, colleagues and even patients, as well as affecting their livelihood. Objective: This
    study is aimed to find the prevalence of stress, anxiety and depression among house officers working
    in Kota Kinabalu, Sabah. Method: A cross-sectional study was done using a self-administered
    questionnaire containing socio-demographic factors and Depression, Anxiety and Stress Scale (DASS)
    21. Results: Prevalence of stress, anxiety and depression were 57.1%, 63.7%, and 42.9% respectively. Multiple logistic regression analysis found that house officers who thought of quitting Housemanship was associated with stress (adjusted OR = 3.64, 95% CI: (1.44, 9.20), p = 0.006), and depression (adjusted OR = 8.26, 95% CI: (2.96, 23.02), p < 0.001). House officers who perceives that they are bullied is associated with anxiety (adjusted OR = 4.16, 95% CI: (1.33, 13.07), p = 0.015). Work
    experience of the house officers in months have a protective effect to stress (adjusted OR = 0.92, 95%
    CI: (0.87, 0.97), p = 0.004), anxiety (adjusted OR = 0.93, 95% CI: (0.88, 0.98), p = 0.006) and
    depression (adjusted OR = 0.92, 95% CI: (0.87, 0.98), p = 0.006). Conclusion: The prevalence of
    stress, anxiety and depression among house officers in Kota Kinabalu, Sabah is high. Management
    should look into the findings and understand the importance of addressing this problem as it may
    affect patient care and safety, and the livelihood of house officers. Future studies identifying why
    house officers are thinking of quitting service and why they do feel that they are being bullied may be
    warranted.
    Matched MeSH terms: Internship and Residency
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