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Search Results: 1 - 10 of 1296 matches for " Psychiatric Residents "
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Training Needs of International Medical Graduates [IMGs] in Psychiatry  [PDF]
Milton Kramer
Open Journal of Psychiatry (OJPsych) , 2014, DOI: 10.4236/ojpsych.2014.44036
Abstract: The potential shortage of psychiatrists over the next 5 - 10 years has focused attention on the need to recruit more IMGs to fill the needs rather than use nurse practitioners or physician assistants. IMGs make up about 1/3 of first year psychiatry residents. These individuals have been found to provide services to the poor, the elderly and the psychotic. The quality of their medical work has been found to be satisfactory. The training needs of these physicians require an understanding on the part of their teachers that they come from cultures with different values that we have. The extended families of these primarily Asian residents clash with our strong commitment to individualism. It leads to a We-self rather than our I-Self. This difference coupled with the stress of leaving to come to a new culture is a great stress. Their exposure to psychiatry has been limited. They request and need more interview demonstration and practice, ore feedback and examinations. They should have help in accent reduction. They should be exposed to the working of the hospital by sitting on departmental and hospital committees. The faculty should extend their social opportunities and work as mentors on joint projects. Courses on the history of American culture should be taught. Psychotherapy for them should be encouraged as well as teaching medical ethics. They must become the major educational concern for the department that they are in.
Psychiatric Doubts  [PDF]
Massimo Cocchi, Lucio Tonello, Fabio Gabrielli
Open Journal of Depression (OJD) , 2014, DOI: 10.4236/ojd.2014.31003
Abstract: doubts
Self-Reported Assessment of Health Status and Psychological Condition among Hospital Medical Residents in Iran  [PDF]
Soheila Dabiran, Behrooz Nabaei, Maede Ghorbany, Farahnaz Khajehnasiri
Health (Health) , 2015, DOI: 10.4236/health.2015.77097
Abstract: Psychological stress and illness among hospital residences have been subject to increasing scientific scrutiny; however very few studies have been published to describe the extent of health status and psychological stresses in residents in different specialties especially in our country that our study was mainly focused on this subject. Methods: The study subjects were medical residents in public hospitals covering 14 different specialties in Tehran in 2007. A self-administered questionnaire elicited information related to socio-demographic profile, specialty, duty hours, sleep quality, physical activity level, number of night shifts per month, mood changes, sense of depression after night shifts, fatigue, use of antidepressant and tranquilizer, and their opinion regarding their health status on a 4-point Likert scale. Results: 66.7% of participants were male with the mean age of 32.9 ± 4.2 years. 62.1% of the residents felt mood changes after nightly shifts that could adversely affect their daily living, quality of work, and social relationships. The overall prevalence of the use of antidepressant drugs was 20.0% which was significantly higher in women than men. Also, 24.4% of them reported consumption of sedative and hypnotic drugs. 15.6% reported complete healthy status while 9.4% reported partial illness. Complete healthy status was more reported among the residents of anesthesiology and pediatrics while illness was more reported by residents in pathology field. Residents’ satisfaction with their status was positively correlated with the year of residency and marriage, while dissatisfaction was more reported in divorced ones as well as in those with higher number of nightly shifts. Conclusion: Notable number of hospital residents in Iran experience significant stressors and emotional and mental health problems. Among all studies factors type of specialty, year of residency, female gender, number of nightly shifts, and single marital status were more important than other factors.
Community Fragmentation? A 15-Year Study of Residents Perception on Tourism Development  [PDF]
Xinqi Wu, Hong Hui
Journal of Service Science and Management (JSSM) , 2018, DOI: 10.4236/jssm.2018.116041
Abstract: Tourism development may result in polarization among the community residents with simple social relations, mutual misunderstanding or even hostility between the foreign residents and indigenous residents. Such conflict and estrangement between resident relationship is called the “effect of community fragmentation” of tourism development. Based on a study of Ciqikou, which is an ancient town, this paper found that, the “effect of community fragmentation” did exist and such effect may cause the “crowding-out effect”, which would influence the continuous development of tourism. Therefore, the paper proposes that a new benefit mechanism for tourism must be explored, to benefit all the residents in scenic region from the tourism development; to avoid the “crowding-out effect”, legislation based on house reservation to indigenous residents must be enacted to ensure their residences would not be occupied by external capital; tourism development must take the realization of community development as the basic target.
Seclusion Room in Psychiatric Setting (National Center for Mental Health): Policy Analysis  [PDF]
Anas H. Khalifeh, Malek M. Khalil
Open Journal of Nursing (OJN) , 2018, DOI: 10.4236/ojn.2018.89052
Abstract: Background: Improving the quality of care in psychiatric settings is the most important goal of policy through the delivery of a comprehensive care, treatment, control, protection, and rehabilitation of patients with mental disorders. The main concern in mental health care is the continuing use of seclusion and the slow pace of change. Purpose: Analyze the seclusion room policy in National Center for Mental Health (NCMH) in Jordan to recognize the issue and present alternative solutions in order to modify and improve the current seclusion room policy. Method: The authors got seclusion room policy from NCMH; the method in this analysis will be used six-step model; and then searched the database for alternatives using EBSCO, PUBMED, MEDLINE, CINAHL, and Ovid. Result: The authors discuss use medications, training program, manipulate environment, de-escalation technique, and status quo alternatives that helps in minimizing use of seclusion, decreasing the incidence of aggressive behaviors occurrences, and decreasing unsafe behaviors against health care providers in the psychiatric settings. Conclusion: Manipulates environment is the best alternative after evaluated alternatives according to criteria.
Dermatology Procedural and Surgical Skills Workshop for Medical and Physician Assistant Students  [PDF]
Julie Martin, Sheila Z. Jalalat, Richard F. Wagner
Journal of Cosmetics, Dermatological Sciences and Applications (JCDSA) , 2013, DOI: 10.4236/jcdsa.2013.33A2011
Abstract:

Background: Evidence indicating the limited amount of hands-on experience in the current era of medical training has raised concern regarding students’ development and potential deficiencies in the performance of basic procedural skills. Studies have demonstrated the value of surgical workshops for medical students; however evaluation of improved student performance during future clerkships or residencies has yet to be assessed. We initiated and evaluated a resident-led surgical skills workshop for students through the Department of Dermatology. Methods: Participants received instructions on surgical tools/techniques followed by hands-on practice. Anonymous surveys administered to 24 medical and physician assistant students assessed their skill level, confidence level, and likelihood of using surgical skills in future practice preand post-workshop using a 1 - 5 Likert scale. Overall experience was also assessed. Non-parametric bivariate tests were used for analysis to account for non-normal distribution of the data. Results: There was a statistically significant change in skill (p

The Ethnic Composition of Bohai State on the Archaeological Materials  [PDF]
Olga V. Dyakova
Archaeological Discovery (AD) , 2014, DOI: 10.4236/ad.2014.21002
Abstract: Setting the Problem: Pohai State (698-926), being situated on the territory of the Russian Primorye, North East of the Democratic People’s Republic of Korea and North East of China, was created by Tungus-Manchus tribes Sumo Mokhe. Pohai was a poly-ethnic (multinational) state. Tribes Mokhe were the basic population of it. Besides, there lived Koguryo, Paleo-Asian and Chinese residents. Each ethnic community had its own social status that could be determined by archaeological material. For deciding such a task the author worked out methods for determining the structure of archaeological culture. In the Russian archaeology the term “archaeological culture” means a complex of archaeological sites situated on one and the same territory and possessed common indications of material culture (ceramics, artifacts out of metal, necropolis, dwellings, etc.). Structure of Mediaeval Archaeological Cultures: The author proposes to single out three layers in material culture: aboriginal layer contains the information about ethnic belonging; state layer characterizes handcraft production and gives a possibility to determine the state borders; epoch layer gives a possibility to date sites and single out military-trade-economic ties. The aboriginal layer is represented with artifacts being made by residents themselves. They are molded ceramics, traditional decorations, the specificity of dwelling construction, funeral rites, etc. The state layer is represented with handicraft artifacts, mainly, made by alien masters and with technology different from the aboriginal one. For example, ceramics being produced on the potter’s wheel; types of fortifications that were built by special (foreign) masters invited for it, and etc. The
Resettling Displaced Residents from Regularised Informal Settlements in Dar-es-Salaam, Tanzania: Challenges Faced by House Owners  [PDF]
D. L. Magembe-Mushi, J. M. Lupala
Current Urban Studies (CUS) , 2015, DOI: 10.4236/cus.2015.32007
Abstract: Regularisation is a process that attempts to restructure informal and unauthorised settlements in terms of physical, legal, official and administrative set ups of land management as well as improving the living condition of its dwellers. In Dar-es-Salaam city about, 80 per cent of its residents live in informal settlements. These settlements lack the basic services of water supply, access roads, waste water management and storm water drainage systems. Regularisation has been practiced in order to provide these basic services. This paper focuses on physical regularisation which was implemented through Community Infrastructure Upgrading Project (CIUP) within sixteen settlements in Dar-es-Salaam City. Through explorative research using case study strategy, displaced residents were traced. For those who were found an in-depth interview was conducted and narrations of their experience before during and after displacement and resettlement were obtained. The paper analyses the process of displacement and resettlement caused by regularisation through the country’s policy and legal frameworks. It also used the justice and collaborative theories in reflecting the processes in the affected settlements. Through narrations of individual displaced residents and reflections from theories and legal frameworks, a number of challenges were identified and discussed.
Burnout Syndrome during Pediatric Residency Training  [PDF]
Fadi M. Jan, Mohammed M. Jan
Open Journal of Pediatrics (OJPed) , 2015, DOI: 10.4236/ojped.2015.53033
Abstract: Background: Burnout syndrome is a common professional problem causing mental fatigue, depersonalization, and diminished self-value. Burnout during pediatric residency can significantly influence the resident’s performance and the quality of their training. Objectives: To evaluate the burnout status of pediatric residents across Jeddah, KSA. Methods: A cross-sectional, descriptive study involving pediatric residents across Jeddah, Saudi Arabia was conducted from the 1st of August to 1st of December, 2012. The Maslach Burnout Inventory was utilized in addition to questions about their work environment and lifestyle. Results: Sixty pediatric residents (67% females) were included with ages ranging between 25 - 30 years (mean 26.5). They practiced in various institutions, mostly (41%) in ministry of health hospitals. Burnout scores were abnormal in 49 (82%) and in 19 (32%) the syndrome was severe. Males were more likely to reach a severe burnout category when compared to females (32% vs 19%, p = 0.01). Residents working in the university hospital (23%), were more likely to have severe burnout when compared to those working in other hospitals (p = 0.002). Junior residents (R1 and R2) were also more likely to have severe burnout when compared to senior residents (34% vs 21%, p = 0.013). Conclusions: Many pediatric residents are suffering from burnout syndrome. It is more common among males, junior residents, and those working in a university hospital setting. Specific strategies should be developed to prevent resident burnout.
Evaluation of a Pediatric Mock Code Educational Training Program at a Large, Tertiary Care Pediatric Hospital  [PDF]
Ayelet Rimon, Amit Hess, Dennis Scolnik, Oren Tavor, Shirley Friedman, Miguel Glatstein
Open Journal of Pediatrics (OJPed) , 2015, DOI: 10.4236/ojped.2015.54047
Abstract: Background: Management of the acutely ill children represents one of the more complex clinical skills required of pediatric physicians. Our goal was to develop and evaluate a multidisciplinary pediatric mock code training program for the pediatric residents in our institution. Methods: We performed a before and after evaluation of pediatric residents. The residents were educated by attending five mock code scenarios, followed by debriefing. Before and after the five sessions, the residents completed a self-assessment questionnaire. Results: Residents reported a significant improvement in their comfort in all aspects of managing pediatric resuscitations, with notable improvement seen in running a resuscitation requiring airway management, managing fluid resuscitation and performing endotracheal intubation. The most prominent change was demonstrated in the comfort level of the overall management of a pediatric resuscitation. Conclusion: The pediatric mock code educational training program improved residents’ self-reported knowledge and comfort level in managing pediatric emergency situations.
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