{"title":"Atrial fibrillation and sleep apnoea - a review of the mechanical interplay","authors":"V. Mishra","doi":"10.18573/bsdj.217","DOIUrl":"https://doi.org/10.18573/bsdj.217","url":null,"abstract":"ABSTRACT","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133114328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. C. Ching, A. Campbell, A. Chase, M. Schlief, J. S. Hahn
{"title":"Facilitation of sexual and gender identity disclosure and improved healthcare for LGBTQ+ patients: current processes, shortcomings, and recommendations for change","authors":"B. C. Ching, A. Campbell, A. Chase, M. Schlief, J. S. Hahn","doi":"10.18573/BSDJ.272","DOIUrl":"https://doi.org/10.18573/BSDJ.272","url":null,"abstract":"Lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ+) people are at increased risk of physical and mental health problems compared to their heterosexual counterparts. There are significant barriers to both accessing and maintaining healthcare for LGBTQ+ people. Disclosure of sexual and gender identity should be facilitated within healthcare services to ensure LGBTQ+ people can receive appropriate healthcare. General practitioners (GPs), being the first point of access to healthcare in the UK, should therefore have knowledge of their patients’ sexual and gender identity. Currently, GPs and other healthcare professionals may not adequately facilitate disclosure of patients’ sexual and gender identity because they believe it is irrelevant or because they feel unequipped. Moreover, heterosexist behaviours from GPs and worries of experiencing discrimination may reduce the likelihood of sexual identity disclosure in patients. This article aims to discuss the current processes and shortcomings within the UK healthcare system to demonstrate that disclosure is not adequately facilitated. Evidence-based recommendations for improved practice are provided, focusing on practitioner training and the primary care environment, whilst building upon the recently launched NHS initiatives such as Pride in Practice. Current efforts to facilitate the needs of LGBTQ+ people must be prioritised and extended in order to end the current healthcare inequalities faced by this community.","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130782939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The representation of women who have sex with women (WSW) in sexual health promotion in England: a frame analysis","authors":"Zoe Binse","doi":"10.18573/BSDJ.264","DOIUrl":"https://doi.org/10.18573/BSDJ.264","url":null,"abstract":"Background: Women who have sex with women (WSW) are a marginalised group. WSW are assumed to be at low risk of sexually transmitted infections (STIs). However, they have similar rates of STIs to women who have sex exclusively with men. A lack of accurate and relevant sexual health information for WSW has been identified and highlighted as a barrier to good sexual health in this group. This study aims to explore how WSW and their STI risk are represented in sexual health promotion in England. Methods: Organisations that produced sexual health promotion campaigns or policy were identified using a three-step Google search. Up to three materials from each campaign were chosen for analysis alongside policy documents. Frame analysis was used to identify and develop a thematic framework that identified common themes and assumptions in the data. Results: 5 policy documents and 42 campaign materials were analysed (n=47). Nine frames were identified and used to discuss the two overarching themes that emerged from these: over-representation of the penis and under-representation of WSW and their relevant sexual practices. Discussion: This study suggests an androcentric and heteronormative framing of sexual health promotion, resulting in the erasure of WSW. Erasure perpetuates false narratives of low STI risk and symbolically annihilates this group, a form of symbolic violence. To address this issue, I suggest empowering WSW by acknowledging this erasure and developing new sexual health campaigns and policy with the participation of this group.","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133589906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Finn, William A. Ballard, M. Politis, Megan E. L. Brown
{"title":"It’s not alphabet soup – supporting the inclusion of inclusive queer curricula in medical education","authors":"G. Finn, William A. Ballard, M. Politis, Megan E. L. Brown","doi":"10.18573/BSDJ.276","DOIUrl":"https://doi.org/10.18573/BSDJ.276","url":null,"abstract":"Medical curricula have undergone somewhat of a renaissance in response to the changing landscape of health and social care within the UK. One group that is particularly underrepresented within medical curricula is the LGBTQIA+ community; thus further marginalising the community and potentially perpetuating the well-documented health inequalities experienced by LGBTQIA+ individuals. This article discusses the current representation of the LGTBQIA+ community within medical curricula and presents recommendations for more inclusive, contemporary practice. The authors champion for the creation of a culture centred upon education and advocacy. Co-creation of curricula is an important consideration ensuring that the burden does not fall to those with lived experiences to educate others. Health curricula need to evolve to represent the diversification of society and the associated healthcare and workforce needs. This discussion article serves to challenge the heteronormative assumptions within healthcare and proposes strategies for training the future workforce to deliver inclusive and supportive healthcare. It is pivotal to afford healthcare students with the opportunity to develop their communication and consultation skills, especially with regard to sensitive subject matters including sexuality, gender identity and sexual histories. By setting aside time for students to develop their professional scripts, there will be direct benefits for the patient community and those marginalised by current healthcare practices.","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129908226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quantitative analysis of the development of self-regulated learning in year 1 medical students","authors":"J. Randall, S. Rutherford, J. Browne","doi":"10.18573/bsdj.196","DOIUrl":"https://doi.org/10.18573/bsdj.196","url":null,"abstract":"Doctors must constantly update their knowledge in order to provide the best quality patient care. (1) To do so, they should become ‘lifelong learners’ (1) through the development of self-regulated learning (SRL). (2) SRL can be de\"ned as the ability of students to be active participants in their learning, behaviourally, motivationally and metacognitively. (3) SRL is vital for succeeding Year 1 of medical school, yet the transition to university can be challenging for students. (2)","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127542851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The application of allometric scaling to regulatory toxicology","authors":"Shanali Thanthilla, James Michael Coulson","doi":"10.18573/BSDJ.188","DOIUrl":"https://doi.org/10.18573/BSDJ.188","url":null,"abstract":"","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115543037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An analysis of the development of self-regulated learning skills in first year medical students: the impact of transition","authors":"S. Allsop, J. Browne, S. Rutherford","doi":"10.18573/bsdj.122","DOIUrl":"https://doi.org/10.18573/bsdj.122","url":null,"abstract":"Self-Regulated Learning (SRL) is the ability to manage one’s own learning and identify own learning needs. (1) Since doctors are required to be life-long learners, it is important that medical students develop SRL skills as early as possible. (2) Extensive literature has addressed the elements required of a self-regulated learner; (3,4) however, little has addressed how students can be supported to develop these skills and the impacting factors, particularly the impact of transitioning to university. Medical students are an interesting cohort as they are typically highachievers at school, have the development of a professional identity forming when they start university, and a clear professional outcome to their studies. It is important that medical schools can support their students through this transition to university, to consequently improve student abilities to self-regulate their learning. (5)","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131950319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management beyond the pitch: a literature review of paediatric sports related concussion","authors":"Niamh McSwiney, J. Morgan","doi":"10.18573/bsdj.119","DOIUrl":"https://doi.org/10.18573/bsdj.119","url":null,"abstract":"Sports related concussion (SRC) is a growing topic of interest, partly due to media attention and concern for medical negligence towards highpro\"le athletes. Children and adolescents are at their most vulnerable stage of neurological development and continually at risk of concussive injuries in sporting activities. It is estimated that 1-2 children per team, per season endure a SRC playing rugby in the UK. (1) Despite this, there remains a paucity in the development of clear and objective guidelines for guardians, sports coaches and healthcare professionals to ensure a safer return to sport for the paediatric population.","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123103254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The dead shall entertain the living: Bodyworlds from the perspective of medical students","authors":"E. Norton, H. Davies","doi":"10.18573/BSDJ.88","DOIUrl":"https://doi.org/10.18573/BSDJ.88","url":null,"abstract":"","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124722102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Legal solutions to medical problems: a rights-based approach as the way forward in the ownership and end-of-life contexts","authors":"Saloni Patel","doi":"10.18573/BSDJ.55","DOIUrl":"https://doi.org/10.18573/BSDJ.55","url":null,"abstract":"Summary: This essay takes two contentious issues of contemporary society – end-of-life and ownership of bodily material and examines them through a legal lens. Relevance: In today’s litigation culture, the spheres of medicine and law increasingly overlap, sparking a need to leave the dichotomies behind and explore the symbiosis between these fields. Take Home Messages: On the basis of (1) consistency, (2) coherency and (3) control, it is argued that a rights terminology would helpfully organise the way we approach medical decision-making in these two contexts.","PeriodicalId":215858,"journal":{"name":"The British Student Doctor Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124052182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}