Medical Education - Science topic

The concept of patient-centeredness involves empowering patients to take an active role in their care and necessitates that healthcare professionals possess strong communication skills and effectively address patient needs. Additionally, the approach prioritize physical comfort and emotional well-being, as well as respect for patient and family preferences, values, cultural traditions, and socioeconomic conditions.What is the role of Patient-centeredness in Developing Medical Education Curriculums?

The current paradigm of Medicine and the health concept urgently requests a qualitative shift in light of the epistemological change of medical science. To date, medicine is applied and taught with a wrong mechanistic and deterministic approach that the progress of basic science has overcome by revealing the interaction between subjective- biological-environmental variables and the teleonomy of human nature. To date, this epistemology is necessary for the right approach to the patient, which cannot be only reduced to a bio-technological approach, confounding tools with the person-centered clinical work, which can be avoided by teaching the Person-centered clinical method, the result of the epistemological revolution of medical science.

Person-centered medicine teaching, interactionism, and teleonomy must be introduced in all Medical schools that to date risk being closed only in a bio-technological paradigm, when to date, empathy, person-diagnosis, and the interactionist multidimensional resource-centered clinical method since 1999 taught at the Milan School of Medicine of Ambrosiana University, allow saving suffering, drugs, and hospital admissions.

In order to accelerate the Medicine paradigm shift, the Milan School of Medicine of Ambrosiana University and the World Health Committee, under the patronage of the European Parliament, and the Pontifical Academy of Science promoted two world Congresses in streaming

THE PARADIGM CHANGE OF MEDICINE: THE EPISTEMOLOGICAL AND SCIENTIFIC BASIS OF PERSON-CENTERED MEDICINE

21-22 June 2023

PERSON-CENTERED MEDICINE: THE PARADIGM CHANGE IN MEDICAL SCIENCE AND MEDICAL EDUCATION

23 June 2023

The two Congresses, after those of 2017 and 2021, further confirmed the change of paradigm of Medicine introduced by Ambrosiana University in 1999. (www.healthparadigmchange.it)

Currently there is an urgent need for an adaptation of medical education to the Person-Centered Medicine paradigm and the Persn-centered clinical method

The Milan Medical School of Ambrosiana University, which first introduced in 1999 the new paradigm that changed also in 2011 the current concept of health , since 2003 has promoted in Italy a master’s degree in Person-Centered Medicine and since 2009 an international program and a PHD (www.unambro.it), of which the Summer School is part.

In 2023 the Summer School is held from 4 to 9 September 2023 in the beautiful Viareggio, ( Italy-Toscana) "The pearl of the Tyrrhenian Sea", with the collaboration of the province of Lucca.

What are your views in response to this question in the wake of the recent explosion of interest in AI and machine learning?

This is the feeling of many medical students at all levels. We have to think of ways of improving medical education and evaluation. A fearfull doctor is not the best person to treat his patients. I think it is time at all times to conquer this overwhelming feeling.

After the revolutionary indeterminist and teleonomic change of Medicine occurred thanks to the person-centered shift of basic sciences, in physiology, psychoendocrinoneuroimmunology , psychophysiology, neurobiology, synthesized by the birth in 1999 of the Person-centered Medicine paradigm , the curriculum of the Doctors must be changed.

The paradigm shift of medical education will be formally established in Congress

PERSON-CENTERED MEDICINE : THE PARADIGM CHANGE IN MEDICAL SCIENCE AND MEDICAL EDUCATION

with the patronage of the Pontifical Academy of Sciences, at the Pontifical Academy of Sciences (Holy See-Vatican State) on 24 June 2023.

The Conference is particularly dedicated to the principals of the School of Medicine and the world leaders of Medical Education and the International Health and Medical Organizations

We also inform that the World Congress in streaming (open to all investigators and clinicians also as individuals) has been postponed to 21-22-23 June

THE CHANGING PARADIGM OF MEDICINE: THE EPISTEMOLOGICAL AND SCIENTIFIC BASIS OF PERSON-CENTRED MEDICINE

Information about both conferences can be found on the University’s websites: www.unambro.it and www.healthparadigmchange.it (registration forms and abstracts)

we hope in your presence

Giuseppe R.Brera

Call for Papers

We invite academics and clinicians in medicine and professional health educators to submit their work on this exciting topic.

I was wondering if you would care to share your thoughts on the new innovation ChatGPT

Thank you

Regards,

Yawar

On 21-22-23 June 2023, the Milan Medical School of Ambrosiana University promoted an International Conference in streaming, on the subject:

This conference is aimed to underscore the urgent need for overcoming Medicine's current wrong and obsolete deterministic-mechanistic-biological paradigm based on the linear causality toward the assumption in Medical Education, Clinics, and Public Health of the right indeterministic person-centered paradigm of human nature, Medicine, medical science, and health.

Call for papers on the following topics:

EPISTEMOLOGY AND MEDICINE, ALLOSTASIS PHYSIOLOGY, EPIGENETICS PSYCHO-NEURO-ENDOCRINE-IMMUNOLOGY, PSYCHOPHYSIOLOGY, NEUROBIOLOGY, MEDICAL ETHICS, PERSON-CENTERED MEDICINE, PERSON-CENTERED HEALTH, PERSON-CENTERED PSYCHIATRY, MEDICAL EDUCATION, WHO and HEALTH DEFINITION, SOCIAL PSYCHIATRY

If you have an interactionist approach to behavior and affectivity quality, PNEI, neuromodulation, and epigenetics you are welcome.

Deadline: June 10, 2023

Registration and abstract forms on

Giuseppe R.Brera

Rector of Ambrosiana University

Director of the Milan School of Medicine

In most contexts, the terms alternative medicine, complementary medicine, integrative medicine, holistic medicine, natural medicine, and unconventional medicine are almost synonymous.

The unwritten, unplanned content that makes up the hidden curriculum has its influence on medical students, both positively and negatively. It is crucial for both professional and emotional development, but uncovering hidden curriculum could boost doctors' efficiency

Brain Tumor Imaging Protocol will reduce variability and increase accuracy in determining progression and response of investigational therapies.

In the pictures below, with the FFT and DFT methods and the PCA phase recovery, which is common in optical microscopes, I obtained the magnetic resonance imaging (MRI) phase of the human brain tumor and the phase obtained.

Can the process be performed on MRI without prescribing Jumpstarting Drugs (JBTDDC)?

I am here to suggest to include patients stories in medical curriculum. Case studies are already included, but data. It lacks the realistic picture and imagination of real patients and settings. These stories would reflect the humanistic side and develops empathy and sympathy, values and sincerity in dealing with patients. Technical attitudes are controlling medical professions. Stories are there on media, but the suggestion here is to be a part of medical studies and exams. It can be an art and a science that needs to develop over the coming years. To be useful it should follow rules and plans and to be away from distraction and fiction. I am inviting for a discussion, in case you think it is relevant and useful.

I am interested in the scoring guide for the ASKME (Assessing Sleep Knowledge in Medical Education) survey. In addition to the correct answers, I am also interested in how the different questions are divided into the categories. Thanks!

I need an article that explains magnetotactic bacteria production in detail

and tools that I need

Kaplan books, text books, first asid?

Applications of bioinformatics in medicine is a key factor in technological advancement in the field of modern medical technologies.

Please reply

I invite you to the discussion

Thank you very much

Best wishes

What are different avenues and scopes of qualitative research in medical education?

What can be the potential area of qualitative research in medical education technology?

I'm just starting my medical school, and I'm wondering where could I'm able to get free and genuine medical journals online? Anyone could share links? :)

suggest some indexed journals with low publication charges that publish medical education related research projects

Besides Hyperreflective Foci (HRF), there are some dots are known as hard exudates or lipid-laden macrophages (especially in DME) in OCT images. How can we find out which dots are just HRF?

For instance, I attached one DME image.

Thanks

How to improve learning in any field?

According to Dawson and colleagues (2007), some surgical faculty identified some shortcoming of knowledge and skills. Example of these include the choice of catheter, balloon , and stent size. Adequate placing of the sheath was also identified as an issue in training residents.

What do vascular surgical residents struggle most with in their surgical education and training? Do vascular surgical residents and attendings believe that their medical education should be changed from the current standards?

Dawson and colleagues (2007)

https://pubmed.ncbi.nlm.nih.gov/17210400/

Please, share your experience. Thank you

I am searching for studies that developed validated tools (e.g questionnaire) to assess the effectiveness of online mentoring program. I am interested in studies that developed questionnaire to assess the mentors and students experience and satisfaction.

I am open also for any studies for evaluation of distance learning experience.

Thank you

The journal of "Health Professions Education" is published by Elsevier and is a leading journal in the field. The journal is peer-reviewed under the responsibility of AMEEMR: the Association for Medical Education in the Eastern Mediterranean Region. The journal aims to be an open forum for sharing new empirical findings and new ideas in the emerging field of health professions education. In addition, it focuses on three areas that are underdeveloped in this field. The journal's editor-In-Chief is Professor Henk Schmidt. Read recently published articles https://www.journals.elsevier.com/health-professions-education

If you have questions about submitting your work, check the author's guidelines or place your question in this discussion.

What is eigenfactor score? Please discuss it...

A young patient attempted suicide by taking 63 tabs of carbamazepine 200 mg. she was managed with CRRT - CVVH and discharged 10 days later well and couscous.

data supporting the use of hemodialysis in managing carbamazepine poisoning is increasing, so I am not sure if it is worth publishing or not ( if it has a chance to get accepted for publishing)

These days, people are discussing about pro-environmental and protective notions in their life all over the world. It seems this level of consideration should be navigated to a sustainable path. What do you think about it?

The plagiarism which we are checking with the help of Turnitin software counts the similarity of usual English words even helping verbs and proverbs. If the similarity of specific terminology is counted instead of the entire usual English Sentences?

Since technology has seemed to extensively pervade virtually every facet of medicine, do you feel that students of medicine (MD or MBBS) should be better equipped with knowledge and skills in mathematics, physics, biomedical image processing (to better process medical images for diagnostics and surgical planning), biomedical signal processing (for better analysis of bioelectrical signals, e.g. EEG, EKG, EMG), and basic computer science?

Care to discuss?

Can someone explain cohen's d test, in a simple way, please?

It is kindly requested to elaborate it for medical students in simple words.

Hello dear researchers

I have an opportunity to have a series of interview with great Iranian scientists from all over the world on my social media account.

I am listing the possible questions that I can ask!

If you were me, what were the questions that you wanted to ask!?

Please help me with your nice ideas!

At least one semester has passed since the Covid-9 pandemia appeared worldwide. Many residency programs have stopped or reduced significantly their clinical and surgical training activities due to the known risks of exposure and contagion with SARS-CoV-2 virus. What has happened and what is going to happen to specialties medical education?

I'm currently looking for a tool to do a quantitative study that measures the relationship between the entrepreneur's characteristics and medical education. The tool might be on the teacher perspective or student perspective. I'm looking for a validated tool that I could use (preferably free) in this study.

Various models like Apprenticeship model, BID model, Koen's Model, One Minute Preceptor (OMP), 4C/ID model etc have been previously utilized for surgical resident's training. Dynamics of student learning and resident learning, however, in operating room are significantly different. Which models of learning are appropriate for medical student's learning in Operating Room and why?

We are trying to establish the role of structured learning process of a medical graduate in Operating Room (OR) setting and trying to analyze the potential role of various models being currently used for surgical resident training in OR-based learning of a medical student.

You can also record your response in this survey below:

https://docs.google.com/forms/d/e/1FAIpQLSdaCpSUb4YymJlouF5qTJKD-DJVm8RjOjONFstE79KMlYC6dA/viewform

This can take your time but eventually it would be productive one.

There is a huge gap between medical expectations and engineering delivery, what you say?

How should the Performance Evaluation in Medical Education be?

Can a Guideline be prepared in Performance Evaluation in Medical Education?

The assessment of clinical competence is becoming increasingly complex. Increased faculty workload, discontent with traditional methods of clinical skill assessment have led to the formation of new models of performance assessments.

Based on the changes, we need to documented guidelines.

We developed a checklist to assess videos of team training and I want to calculate interrater-reliability.

But I can't find any literature with recommendations for the best count of raters and best count of (in my case) videos.

Currently, we use 6 raters and 9 videos.

Are there any recommendations? Thnx

We found significantly improved research outcomes subsequent to a curricular change at the Mayo Medical School that permitted pre-clinical flexible time for students. 

Is it obvious that VR can help medical education? Yes.

Then why are so many academic institutions resistant to implement this technology?

I would like to personally extend an offer to demonstrate hands on to any medical school interested and give a live demo opportunity to anyone in this sphere to learn about this technology.

I will travel anywhere in the world to promote this know how. It’s a rising tides float all boats equation. The VR community is in its diapers stage.

lets collaborate! Please see our progress on www.vral.ca and email me hmaresky@vral.ca

Would you like to participate in the "Assessment and Evaluation in Medical Education" book writing project by contributing a chapter?

The chapters list is shown below. The yellow coloured chapters are already written by experts in the field.

If you have anything to write from this list, you can reply here. Also, you can suggest different chapters. This is a non-profit project that will share your expertise and make important contributions to medical science.

We - an international consortium - are currently working on an EC-funded project to develop a longitudinal curriculum for clinical reasoning. Therefore, we are interested in how clinical reasoning is taught at the moment and how you think it could be done in an ideal world.

More information about the project at www.did-act.eu

Thanks for sharing your experience and ideas!

My focus is teacher preparation, primarily at the K12 level, but I have recently been thrust into a curriculum development position with a college of veterinary medicine. I am looking for seminal works dealing with classroom practices, teaching philosophies, etc. at the graduate and professional school level.

There have been improvements in 3-D rendering and augmented reality systems for gaming. Are these applicable to or feasible for online learning and medical training? The only part lacking is haptic feedback for which there was already a project completed at MIT for a virtual keyboard (I'm still waiting on that open source promise).

Although it is widely accepted that early involvement in research has many advantages for medical students, there is a controversy regarding whether students are actually getting enough research opportunities. Which are the main barriers towards conducting research for an undergraduate student and how could the involvement rates be improved?

I would like to open this discussion and kindly invite you to make comments reflecting your opinion on this topic.

Thank you for your consideration,

Best regards,

Eleftherios

How can we improve the academic qualification after PhD? are there any major degree options? if yes then what kind and what are possible prospects?

Problem-based learning (PBL) is the most significant innovation in education for the profession for many years . Some argue that it is the most important development since the move of professional training into educational institutions

How to apply test of significance of differences of percentages? There are some online calculators available, but are they reliable?

What is the difference between public health and population health sciences? Please don't share links in reply. Comments in your own words will be appreciated.

Please state its steps or introduce a good article if you know

Interprofessional education is important for healthcare system as it is a team work. Looking for ideas / methods which are effective in improving interprofessional skills in healthcare education.

Hi all dear researchers

I like to share with you a Ted talk, Rishi Manchanda: What makes us get sick? Look upstream http://go.ted.com/mCVXmw .

I want to know your concerns and your solution for such issues as first line responsive, as a producer of knowledge,... .

I know that you are doing your best.

With best wishes.

- I am currently doing a research that mainly tests the influence of problem-based learning system on self-directed learning readiness of medical students. Two groups of medical students (PBL, nonPBL) will be identified and their SDLR will be measured. I think that unpaired t-test is most appropriate for such issue, am I right?

Also, in the same research, I am going to correlate SDLR to the academic year of the participants, and in this case, three groups (year 1, 3, 5) will be identified. I think that ANOVA and post hoc are most appropriate, am I right?

Also, I am going to correlate SDLR with academic performance (grades), but I'm not sure which is most appropriate, Pearson's r maybe?

hopefully someone answers soon.

Thanks in advance.

The Critical Incident Technique (or CIT) is a set of procedures used for collecting direct observations of human behavior that have critical significance and meet methodically defined criteria. These observations are then kept track of as incidents, which are then used to solve practical problems and develop broad psychological principles. A critical incident can be described as one that makes a contribution—either positively or negatively—to an activity or phenomenon. Critical incidents can be gathered in various ways, but typically respondents are asked to tell a story about an experience they have had.

I would like to know the process of establishing new high diploma health programs? Ex health education, quality Management etc.?

I am planning to do a research project to determine the cerebral hemisphere preferences for information processing during learning among pre-clinical medical students. what is the best questionnaire/instrument to determine it? during literature search i found SOLAT (style of learning and thinking tool) being used for determining the hemispheric preferences. i want some useful input from the scholars.

Asking for a friend ;)

(That friend is me, I'm talking about my research as a clinician (nursing) scientist)

In the Western world, many of the lectures for medical students and trainee doctors are conducted online. Are we excluding certain important aspects of face to face medical education by adhering to this? What is the appropriate balance between face to face and online training?

Many people use lenses in order to experience different eye color & also instead of glasses and etc.

It is important to bring lenses out of the eye ,daily otherwise side effects happen like dry eye disease.

So these lenses can be useful.

Is it possible?

Does rote learning establish a better foundation for medical student education than case scenarios from the beginning?

Students often complain of lack of context in case scenario learning. They say it often only becomes clearer in later years.

Is there still an initial role for rote learning, to set a foundation and then to move to case studies?

What do colleagues think?

Regards

Dear all,

I am developing a learning module and next is to work on the validation. I've seen some works that use Content Validity Index (i think it's more utilized in questionnaire validation) to measure content validity, but I wonder is there a specific index for module?

During clinical consultation doctors and nurses interview patients about their medical history. But, patients are usually not prepared for the clinical consultation. In theory, if patients administer their medical history on a computer/tablet before their appointment with the doctor or nurse, then they should be prompted and prepared for the medical history interview. This is one of the hypothetical advantages of patient-administered computerized history taking systems/automated medical history taking systems. What quantitative and/or qualitative factors measures exist that would assess if patients are prepared for the medical history interview?

I'm actually interested in identifying doctor-patient communication and non-communication measures that would determine if a group of patients who took an electronic medical history questionnaire were more prepared for a clinical consultation compared to a group that didn't take the electronic history questionnaire.

Is the duration of Residency training of Nigerian doctors adequate, prolonged or inadequate?

Any studies to prove that long duration of training correlate with a higher quality of the resultant specialists ?

According to Kuhn, a paradigm change in science, that means an epistemological change, requests the agreement of the scientific community, like it is arrived with the institution of quantum physics. In medicine a new paradigm of Medical Science has been proposed and applied in Medical Education in 1998 at the Milan School of Medicine , with the introduction of Person Centered Clinical Method and after the presentation of the new person centered interactionist and teleological health paradigm in 2005 ,presented at WHO (by invitation) in 2011 along with Person Centered Medicine, Medical Education change the paradigm change has been formalized on 13-14-15 October in Milan along with the presentation of “La Charte Mondiale de la Santé-the World Health Charter”.

The person-centered paradigm change of Medicine,Health, Medical Education and research corresponds to re-birth of clinics like a discipline addressed to discover the individuality of the patient in a disease and not the opposite, reducing him/her to an abstract theory. To date it is impossible because the same basic sciences , neurobiology, physiology, psycho-neuro- immune-endocrinology (PNEI) , already at experimental level, evidenced the end of a mechanistic , deterministic paradigm in Medical Science and the birth o f a person centered one (Person Centered Medicine) , that discriminates biological reactions, whose variability is determined by the person’s existential choices (life style and quality) from biological constants , responsible of biological life, according the Relativity Theory of Biological Reactions (1996)

I invite you to read the e-book “ Medical Science and Health Paradigm Change” and to give your “YES or NOT” about this paradigm change determinant for the destiny of Medicine , Medical Science and Medical Education, reformulating in a new way the epistemological principles of medicine, clinical method and clinical supervision

You can download the e-book from Research Gate:

And , if you agree ,to fulfill the agreement form or download it from www.healthparadigmchange.it sending it to secretariat@healthparadigmchange.it

And to read some other info on Person Centered Medicine on www.unambro.it

Thank you

Giuseppe R.Brera

How much you know about biomedical waste? Is it not necessary to include this in Environmental Science subject which is a compulsory subject in most of universities at graduate level study.

Is it not a good idea to include practical in EVS or project like plantation of tress and other contributions of students for controlling environmental pollution. This will create a sense of responsibility towards environment.

Hi,

I'm doing a preliminary research on the use of design thinking methods in medical education. So far, I have found the following design track offered by Sidney Kimmel Medical College: http://www.jefferson.edu/university/jmc/students/college_within_college/design.html

Does anyone know any other practical cases or research studies on this matter?

Many thanks

Baki

According to psychological research, permanent anxiety with adrenaline secretion damages DNA and causes abnormalities. Can this be scientifically verifiable?

Dear colleagues,

I am working on a project regarding psychiatric education.

I would be very grateful if anyone can recommend me articles on psychiatric education and/or psychiatric training in South America.

Many thanks in advance.

There has been a growing concern about the significant shortage of the number of young physician-scientists, who can contribute to the development of basic medicine with the objective of patient-oriented medicine.^1-3 This fact holds true of Japan as well as US.^1,2 As Armstrong et al. have pointed out,³ early exposure as a medical student or a resident to the challenging clinical cases is crucial for the patient-driven scientific inquiry as to the underlying pathophysiology of the as-yet-unrecognized disorders. In Japan, the establishment of the new medical-internship program and the specialist physician system has made increasingly difficult for young doctors to have enough time to realize the importance of patient-based scientific inquiry. Not a few medical schools in Japan introduced the medical scientist training program also referred to as MD-PhD program, while PhD researchers take the place of physician-scientists in the field of basic research.⁴ Therefore, it seems to be essential to emphasize the value of the collaboration between PhD scientists with the superior technique in the lab and physician-scientists with the clinical point of view.

[References]

1: Koike S, Ide H, Imamura T. Physician-scientists in Japan: attrition, retention, and implications for the future. Acad Med. 2012;87:662–7.

2: Yamazaki Y, Uka T, Shimizu H, Miyahira A, Sakai T, Marui E. Japanese medical students’ interest in basic sciences: a questionnaire survey of a medical school in Japan. Tohoku J Exp Med. 2013;229:129–36.

3: Armstrong K, Ranganathan R, Fishman M. Toward a Culture of Scientific Inquiry - The Role of Medical Teaching Services. N Engl J Med. 2018;378:1-3.

4: Yaginuma H, Matsumura G, Mori C, et al. Results of a questionnaire on efforts to increase research-oriented doctors. Kaibogaku Zasshi. 2013;88:3-8.

***

I am deeply appreciated if you would give me some comments and opinions as to how medical education should be improved in terms of the shortage of the number of young physician-scientists.

Sincerely

Go J. Yoshida MD,PhD.

sometime it becomes very confusing to manage the scenario in which student found to be sleeping in the middle of the class; and he/she has the reason for it but not actually to be valid to consider for his deed, like viewing TV shows for late night or viewing foot ball for late night. should i take disciplinary action against him/her or let him sleep there or send him to his room to sleep?

a. Allow them to transfer into DR.

b. Make them finish their IR residency commitment first.