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Showing 4 results for Resident
A psychometric evaluation of an instrument for measuring residents’ attitude towards caesarean vs. natural vaginal delivery
Maryam Zahedi, Omid Asemani, Hossein Mahmoodian,
Volume 8, Issue 4 (11-2015)
Abstract

In recent years, there has been a significant increase in the rate of cesarean section in Iran. Physicians can have an active role in controlling this rate as they are truthfully consulted and followed by the general public. The Iranian Ministry of Health and Medical Education has also adopted new policies to control the national cesarean rate. The present study aims to determine the knowledge and attitude of medical residents towards elective cesarean section versus normal vaginal delivery (NVD) in 2015.

In this cross-sectional study, residents of four major fields of specialty (obstetrics and gynecology, pediatrics, general surgery and internal medicine) were interviewed using a researcher-made questionnaire. The face and content validity and reliability of the instrument were determined, and data analysis was performed using SPSS version 21.

The Cronbach’s alpha coefficient was 0.77. A total of 108 residents with the mean age of 32.89 participated in the study. Of this number, 53 reported at least one personal experience of childbirth (their own or that of their wives) with a satisfaction rate of 9.5 and 6.3 out of 10 for NVD and cesarean respectively. The mean score of the domains of "knowledge", "attitude" and "function" were 3.5, 3.6 and 3.3 (out of 5) respectively. There was a meaningful correlation between the variable of "sex" and the domain of "knowledge", "specialty" and all three domains, and "methods of delivery" and the two domains of "attitude" and "function". 34.3% of the residents chose "mandatory public education of pregnant women" as the first step to decrease the cesarean rate.

It can be concluded that educating pregnant women should be the main strategy for decreasing the cesarean rate in Iran. Considering the significance of medical specialists’ "knowledge", "attitude" and "function” with regard to the method of delivery chosen by pregnant women, it is recommended to develop specialty educational programs in line with the policies of the Iranian Ministry of Health to decrease the cesarean rate


Investigation of Medical Errors in Teaching Pediatric Departments: Residents' Point of View
Sedigheh Ebrahimi, Azadeh Mohammad Rezaee, Omid Asemani,
Volume 12, Issue 0 (3-2019)
Abstract
Medical errors in pediatrics if different from adults. This study aimed to investigate type and frequency of medical errors and the related contributing factors from pediatric residents' point of view. This descriptive and cross sectional study was done in 2016. After determining validity (face and content) and reliability the final questionnaire with 17 questions categorized in six parts was used for data collection. Data were analyzed descriptively using SPSS v.22. ''Errors of diagnosis or delay in diagnosis' (8.6)', ''choosing appropriate dose (8.3) and medication (8.2)'' had the highest average weights. Fellows of pediatrics (12.6) and pediatrics’ professors (12.1) with the highest average weights had the most dominant role in diagnosis and prevention of errors. The most and the least average weights of the errors was reported for urban general physicians and pediatrics’ professors, respectively. Errors could occur at 2-8 AM more likely. Junior residents were the ones with the most chance of doing errors. Medical errors were mostly reported to occur in the group of children (70.6%) than neonates (29.4%). Reconstruction and strengthening educational and supervision role of pediatric fellowships and attending with the aim of in time diagnosis and then prevention of medical errors could be considered as a must in teaching hospitals. Holding purposeful educational courses and control of contributing factors like workload, exhaustion, inexperience, etc. are among duties of educational and executive managers.
 

Residents 'and Medical Students' Responsibility for Diagnostic and Therapeutic Measures (Case Study of Fars Province Forensic Medical Files- 2011 to 2016)
Hamed Fadaee, Fatah Jafarizadeh, Saeed Gholamzadeh, Abdolrasoul Malekpour, Mohammad Zarenezhad,
Volume 12, Issue 0 (3-2019)
Abstract
The criminal responsibility of physicians and assistants is a complex area of ​​medical law. The purpose of this study was to investigate the responsibility of medical residents and medical students in performing diagnostic and therapeutic measures with case study of forensic medical files in Fars province from 2012 to 2017. In this study, 63 plaintiffs' cases were assessed, including 33 males (52.4%) and 30 females (47.6%). Most of the complainants were illiterate and under-graduate, and the least frequent was at doctoral level. Regarding the physical condition of the plaintiff (patient), the highest frequency was related to death ( 73%). Most of the complaints were from treatment group (95.2%) and physicians (4.8%). In terms of field of study, the field of obstetrics and gynecology (44.4%) included more complaints than other fields. In total, 26 (41.3%) cases were finally acquitted and 37 (58.7%) were convicted. The most common type of failure was neglect (91.9%). In this study, the highest frequency of associate education was related to senior resident (11.1%). Based on the results of the present study, medical errors were made by trainees (interns) and residents, specifying the criminal responsibilities of medical students and residents for errors and omissions and explaining their findings. Educational materials in each course are of particular importance. Additionally holding forensic courses and defining the legal and criminal responsibility for medical students are important for the improvement of treatment quality
 

The effect of Depression in Medical Students and Residents on Their View Point about Euthanasia
Leila Razeghian Jahromi, Safoura Sadeghi Mazidi, Ali Farhangdoost,
Volume 15, Issue 1 (3-2022)
Abstract
An increase in the incidence of chronic and incurable diseases and the lack of facilities to care for patients raises the issue of prioritization in the allocation of facilities and the selection of patients to use the facilities and the choice between life and death. Discussion of termination of life and cessation of treatment is one of the challenges in the field of medicine and ethics. The demand for euthanasia has increased in recent years, and future physicians will face this issue. This cross-sectional study was performed on 200 interns and medical residents in 1400. All participants completed the Demographic Information Questionnaire, Beck Depression Questionnaire, and Attitude to Euthanasia Questionnaire. In the present study, 67.5% of participants agreed with euthanasia. The mean score of attitudes to euthanasia was higher in men than women (P = 0.023) and higher in single people (P = 0.045). As religious beliefs increased in individuals, the mean score of attitudes toward euthanasia decreased and opposition to it increased (P> 0.001). Positive attitudes toward euthanasia were associated with depression and its severity (P> 0.001). Depression and its severity are significantly associated with more physicians' desire for euthanasia. On the other hand, the stronger the religious beliefs, the greater the anti-euthanasia. Support for euthanasia in men and single people was also higher than in other groups.

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