scholarly journals The importance of health advocacy in Canadian postgraduate medical education: current attitudes and issues

2015 ◽  
Vol 6 (2) ◽  
pp. e54-e60 ◽  
Author(s):  
Alexander Poulton ◽  
Heather Rose

Background: Health advocacy is currently a key component of medical education in North America. In Canada, Health Advocate is one of the seven roles included in the Royal College of Physicians and Surgeons of Canada’s CanMEDS competency framework.Method: A literature search was undertaken to determine the current state of health advocacy in Canadian postgraduate medical education and to identify issues facing educators and learners with regards to health advocacy training.Results:  The literature revealed that the Health Advocate role is considered among the least relevant to clinical practice by educators and learners and among the most challenging to teach and assess. Furthermore learners feel their educational needs are not being met in this area. A number of key barriers affecting health advocacy education were identified including limited published material on the subject, lack of clarity within the role, insufficient explicit role modeling in practice, and lack of a gold standard for assessment. Health advocacy is defined and its importance to medical practice is highlighted, using pediatric emergency medicine as an example.Conclusions: Increased published literature and awareness of the role, along with integration of the new 2015 CanMEDS framework, are important going forward to address concerns regarding the quality of postgraduate health advocacy education in Canada.

OTO Open ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 2473974X1877040 ◽  
Author(s):  
Carol Nhan ◽  
Meredith Young ◽  
Ilana Bank ◽  
Peter Nugus ◽  
Rachel Fisher ◽  
...  

Objective Emergent medical crises, such as acute airway obstruction, are often managed by interdisciplinary teams. However, resident training in crisis resource management traditionally occurs in silos. Our objective was to compare the current state of interdisciplinary crisis resource management (IDCRM) training of otolaryngology residents with other disciplines. Methods A survey study examining (1) the frequency with which residents are involved in interdisciplinary crises, (2) the current state of interdisciplinary training, and (3) the desired training was conducted targeting Canadian residents in the following disciplines: otolaryngology, anesthesiology, emergency medicine, general surgery, obstetrics and gynecology, internal medicine, pediatric emergency medicine, and pediatric/neonatal intensive care. Results A total of 474 surveys were completed (response rate, 12%). On average, residents were involved in 13 interdisciplinary crises per year. Only 8% of otolaryngology residents had access to IDCRM training, as opposed to 66% of anesthesiology residents. Otolaryngology residents reported receiving an average of 0.3 hours per year of interdisciplinary training, as compared with 5.4 hours per year for pediatric emergency medicine residents. Ninety-six percent of residents desired more IDCRM training, with 95% reporting a preference for simulation-based training. Discussion Residents reported participating in crises managed by interdisciplinary teams. There is strong interest in IDCRM and crisis resource management training; however, it is not uniformly available across Canadian residency programs. Despite their pivotal role in managing critical emergencies such as acute airway obstruction, otolaryngology residents received the least training. Implication IDCRM should be explicitly taught since it reflects reality and may positively affect patient outcomes.


2008 ◽  
Vol 27 (6) ◽  
pp. 369-369
Author(s):  
Sharyn Gibbins

NEONATOLOGY IS A RELATIVELY NEW MEDICAL SPECIALITY that arose from the recognition that neonates were different from adults and other pediatric patients. The recognition of these differences between patients led, in part, to the development of perinatology and neonatology programs across the globe. As scientific knowledge and medical education evolved, so too did the recognition that nurses played an essential role in the care of high-risk infants. No longer restricted to Florence Nightingale’s initial advocacy for a nurturing environment only, the profession of nursing extends into areas of practice, education, mentorship, health advocacy, and research.


Author(s):  
Allan D. Peterkin ◽  
Anna Skorzewska

Arts and humanities education is widespread in undergraduate but almost nonexistent in postgraduate medical education where it is arguably more helpful. This book fills that gap. It covers a wide range of arts and humanities subjects including film, theatre, narrative, visual art, history, ethics, and social sciences. Each chapter provides not only 1) a literature review of the relevant subject in postgraduate medical education and, where helpful, undergraduate medical education but 2) a theoretical discussion of the subject as it relates to medicine and medical education 3) challenges to implementing arts and humanities programming and 4) appendices with a number of different and relevant resources as well as sample lesson plans. There is a chapter on the use of humanities in interprofessional education, a domain whose importance has recently gained prominence. Finally there are also chapters guiding the medical humanities educator on evaluating the impact of their programs, an ever-present challenge, and on the thorny issue of how to fund programs in medical humanities.


2012 ◽  
Vol 43 (3) ◽  
pp. 494-501 ◽  
Author(s):  
Yasuharu Tokuda ◽  
Eiji Goto ◽  
Junji Otaki ◽  
Fumio Omata ◽  
Mina Shapiro ◽  
...  

Author(s):  
O. P. Mintser

The possibility of significant increase in the quality of learning in postgraduate medical education by directed reorder of knowledge modules, its size and shape of educational material supply, etc. complementary to the knowledge of the student is investigated. The modular platform training in postgraduate medical education is proposed.


2020 ◽  
Vol 3 (1) ◽  
pp. 27-33
Author(s):  
Atif Razzaq Wali ◽  
Tahir Mahmood Akbar

Introduction and objective: Road Survey to evaluate and analyze the views of Pakistani doctors working in various developed countries about the quality of undergraduate and postgraduate medical education they received in Pakistan and how well it prepared them for their role as senior physicians in a multicultural healthcare workforce in many countries and in terms of parity to the medical education in their current country of work. Methodology: A web-based survey consisting of twenty item questions with graded answer choices, was prepared by the authors to include a multidimensional comprehensive questionnaire to collect the views of the target participants. The survey was completed anonymously on a mobile device or a computer with internet access and took 5 to 10 minutes to complete. Results: The results of this qualitative survey indicate that there is generally a broad convergence of opinion regarding the quality of Pakistani medical education, with primary medical education, more consistently considered higher quality, amongst the Pakistani physicians currently working in UK, USA and Middle Eastern countries. Conclusion: Overall the Pakistani education seems to be of a satisfactory level, but cannot be considered to be superior to the counterpart education from these countries, based on this survey results. Areas such as research methodology appear to be particularly weak and there was a divergence of opinion regarding what the top priority should be to address within Pakistani medical education and training environment. Many of these physicians would like to work in Pakistan again, provided that the working conditions are favorable.


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