1.Perceptions and attitudes of 4th year medical students in clinical clerkship in the era of the Coronavirus disease 2019.
Journal of the Philippine Medical Association 2022;100(2):22-44
BACKGROUND:
In the advent of coronavirus disease
2019 global crisis, hands-on patient care and inhospital
training of fourth year medical students
were suspended across the globe and shifted to
remote online education. The aim of this study is to
assess the perception and attitude of the 4th year
medical students about clinical clerkship training
during the COVID-19 pandemic.
METHODS:
An online survey was sent to fourth-year
medical students in three medical schools in lloilo
City, from July 2021 to October 2021. The survey
questionnaire is a combined dichotomous, multiplechoice,
and Likert response scale questions.
RESULTS:
Of the hundred sixty-eight students who
completed the online survey, sixty-six percent did
not experience hospital rotation. On average,
students were very interested in COVID-19 (8.83)
and willing to join in patient care if requested by a
hospital or university to help during COVID-19
pandemic (8.65), but felt they were not ready (70%)
due to a lack of the ability for clinical practice
(90%). Most (82%) of the students expressed they
wanted to maintain hands-on clinical practice
education despite the pandemic. Overall, students
who have experienced hospital rotation have a
higher level of understanding of how much their life,
behavior (9.30), and role as a medical student (9 .74)
were affected by the pandemic as compared to the
rest of the students.
CONCLUSION
This present pandemic has affected the
medical students as a whole in areas of their role
as students, behavior, and life. Their lack of
confidence despite willingness to help correlated
to their inadequate clinical experience. Specific
policy adjustments concerning the curriculum of
clinical clerkship during this time of pandemic
should be revisited to tailor fit the students"
needs for safe education to help them prepare to
become a competent medical practitioner.
Attitude
2.Pre-operative nutritional risk assessment using Malnutrition Universal Screening Tool (MUST) as a predictor of postoperative outcome in adult patients undergoing abdominopelvic surgery at a tertiary hospital in Iloilo – A prospective study
Catherine Rose P. Dumpit ; April Esther O. Caguimbay ; Sheila May P. Sonza-Zaragoza
Philippine Journal of Internal Medicine 2024;62(4):204-214
BACKGROUND
Several studies have shown the serious implications of malnutrition, yet it is still underestimated, understudied and an undertreated problem in hospitalized patients. It remains a challenge for hospitals in the Philippines. Pre operative malnutrition is a risk factor of perioperative morbidity and mortality. Thus, assessing the pre operative nutritional status is necessary in planning early nutritional interventions and may predict risk of developing postoperative complications.
METHODOLOGYA prospective cohort study was conducted among adult patients ages 18 to 70 years old admitted for abdominopelvic surgery at St. Paul’s Hospital Iloilo from January 2021 to January 2022. Within 24-48 hours of admission, patients’ demographic and clinical profiles were identified and the presence of nutritional risk was evaluated using the Malnutrition Universal Screening Tool (MUST). Further statistical analysis was done using cross tabulation, and Pearson’s chi-square and logistic regression.
RESULTSThe study demonstrated that nutritional risk, age, presence of malignancy, smoking and alcoholic beverage drinking were significantly correlated with post-operative complications.
CONCLUSIONNutritional risk screening using MUST pre-operatively can help predict the outcomes of post-operative patients undergoing abdominopelvic operation.
Human ; Nutrition Assessment