3.Factors associated with attrition among residents in pediatrics: A mixed-method study in a single center in the Philippines.
Tristan Marvin Z. UY ; Ma. Cecilia D. ALINEA
Acta Medica Philippina 2022;56(9):107-113
Background. Attrition in residency training can lead to lower workplace morale and increased costs. Finding associated factors can help revise admissions criteria or identify at-risk residents.
Objective. We aimed to determine factors associated with attrition among residents in pediatrics.
Methods. We applied a mixed cross-sectional (survey) and retrospective cohort (records review) study design. Residents who began training in the Philippine General Hospital in 2012-2018 were included. Our primary outcomes were non-completion of training within three years (attrition), completion beyond three years or ongoing training at a delayed year level (off-cycle), and the composite of attrition or off-cycle. Fisher's exact probability test and t-test were used to compare the non-attrition group versus the attrition group, and the non-attrition group versus the attrition or off-cycle group.
Results. The overall attrition rate and off-cycle rate among 162 residents were 7.41% and 4.32%, respectively. The survey response rate was 73.00%. Four factors were significantly associated with attrition: higher age at entry into the program (p = 0.030), advanced degree (p = 0.009), longer interval from internship completion to start of residency training (p = 0.017), and a lower case presentation score (p = 0.048). The proportion of respondents older than 29 years was significantly higher in the attrition group than the non-attrition group (40.00% vs 0.94%, p = 0.031). Higher age at entry was also significantly associated with the composite outcome (attrition or off-cycle).
Conclusion. Older age at entry, advanced degree, a longer interval from internship, and lower-case presentation scores were associated with attrition among residents in pediatrics from a single center.
Education, Medical, Graduate ; Pediatrics ; Health Workforce
8.Awareness Survey toward Graduate (Doctors) Trained for Three to Five Years for Oriental Medicine
Kampo Medicine 2008;59(6):821-828
An Oriental medicine awareness survey was performed with the doctors having graduated from Nara Medical University. The questionnaire was mailed to the doctors having trained there 3, 4 and 5 years after their graduation. The collection rate was 24.1%. The percentage of doctors with an interest in Oriental medicine was 83.0%. These doctors believed that Oriental medicine exerts a different efficacy from western medicine. In contrast, the doctors (17%) with no interest in Oriental medicine answered that they had little or no Oriental medicine knowledge and experience. Most doctors (89.8%) supposed that Oriental medicine will play a more important role in the future, and that Oriental medicine lectures and seminars are essential. It seems important, therefore, to give doctors more Oriental medicine instruction, to learn the basic theories, prescriptions, and diagnoses. Those doctors (93.2%) who answered in the affirmative said that they would make use of Oriental medicine in the future, presumably due to social trend.
Oriental Medicine
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Surveys
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Awareness
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Doctors
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Graduate
9.Practice and investigation of clinical teaching mode of standardized treatment in colorectal cancer for fellows in training.
Zheng LOU ; Chuangang FU ; Wei ZHANG ; Enda YU ; Donglan ZHUO ; Li LI ; Jia LIU ; Hongxing SHEN ; Zhiqing ZHAO
Chinese Journal of Gastrointestinal Surgery 2015;18(6):547-548
A new clinical teaching mode of standardized treatment in colorectal cancer for fellows in training is reported here with good results. This one-year program included medical ethics education, humanistic management, pre job training, clinical thinking mode, surgery teaching, and computerized teaching. This new clinical teaching mode with distinct features is effective and introduced in this article.
Colorectal Neoplasms
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Education, Medical, Graduate
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Humans
10.Mentoring: are we doing it right?
Annals of the Academy of Medicine, Singapore 2009;38(7):643-644
Most clinicians and researchers will acknowledge the importance of mentoring in their respective fields but whether what is done is truly mentoring is presumed rather than explicit. This paper explores the nature and importance of mentorship in the development of a junior faculty member, and the qualities of a good mentor and mentee. It emphasises the multi-faceted complexity of this relationship including its potential problems, and its inevitable termination. This ending might be unexpected, premature and traumatic; or it may be planned when the mentee has developed a certain level of maturity and independence of thinking and judgment. Either situation requires working through this feeling of loss.
Education, Medical, Graduate
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Faculty, Medical
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Humans
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Mentors