{"title":"The district residency programme: Perception of postgraduate students at a tertiary care hospital in Jaipur.","authors":"Kopal Sharma, Monica Jain, Jaya Sharma","doi":"10.25259/NMJI_1131_2023","DOIUrl":"10.25259/NMJI_1131_2023","url":null,"abstract":"<p><p>Background The district residency programme (DRP) has been made essential for postgraduates by the National Medical Commission. We studied the perception of postgraduate students about this programme. Methods A cross-sectional survey was done using a pre-validated questionnaire developed in Google forms. The link to the questionnaire was circulated through existing social media platforms and had questions about knowledge, attitude and practice. Scores were appropriately assigned to the questions. The data were coded numerically, and themes were identified from the data using inductive content analysis. Results All participants had a negative opinion of the DRP with a mean perception score of 26.6. Two-thirds of the participants believed that the DRP had no positive impact on learning and knowledge of their respective postgraduate subjects. About 55% of them believed that the duration of DRP training should be reduced. Important themes that were obtained from the data were that DRP training was not beneficial for the participants, and perceived barriers in DRP training included lack of accommodation, food, and communication with the parent department during the training. Conclusion Postgraduate students had a negative perception of the DRP. Upgradation of district hospitals with modern and optimal facilities for patient care, facilities to accommodate students, and provision for communication with the parent department during the DRP, could improve students perception.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 1","pages":"20-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103476","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}
Suneetha Nithyanandam, John Stephen, Nachiket Shankar, Mary Joseph, Soumya Umesh, Jananee Muralidharan, Thenmozhi Nagarajan, Aaron Charles Lobo, Lakshmi Anantharaman
{"title":"An online course to teach clinical reasoning skills: Students' perspectives and short-term outcomes.","authors":"Suneetha Nithyanandam, John Stephen, Nachiket Shankar, Mary Joseph, Soumya Umesh, Jananee Muralidharan, Thenmozhi Nagarajan, Aaron Charles Lobo, Lakshmi Anantharaman","doi":"10.25259/NMJI_396_2022","DOIUrl":"10.25259/NMJI_396_2022","url":null,"abstract":"<p><p>Background Currently, clinical reasoning (CR) skills are not explicitly taught in the MBBS curriculum. We aimed to assess the effectiveness of an online CR course for final-year MBBS students. Methods This was a single-group pre- and post-test study with 57 final-year MBBS students enrolled. Six groups were formed, and one or two faculty facilitators were assigned to each group. A structured format for CR was introduced to the students, and the sessions were designed so that students could sequentially practice the steps using specifically created case scenarios. The students' CR skills were assessed using a rubric before and after the course. Their confidence levels and perceptions about the course were also obtained. Paired T-test and the Wilcoxon signed rank test were used to assess before and after course differences in the CR abilities and confidence levels, respectively. A thematic analysis of the perceived beneficial aspects of the course and suggested improvements were also done. Results The post-course scores were significantly higher than the pre-course scores (p<0.001). The confidence levels of the students for each component of the structured framework for CR showed significant improvement (p<0.001). The structured format used during the course, group activities, case discussions, and the expertise of teachers and course structure were perceived as beneficial. This course could be introduced earlier in the MBBS course with a discussion of more case scenarios. Conclusions The online course improved confidence levels and CR abilities of the participants.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 1","pages":"23-29"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103337","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":"Challenges during implementation of point-of-care testing in a multispecialty children's hospital.","authors":"Shiefa Sequeira, Rubina Lone, Sheraz Anjum","doi":"10.25259/NMJI_659_2022","DOIUrl":"10.25259/NMJI_659_2022","url":null,"abstract":"<p><p>Point-of-care testing (POCT) has been one of the fastest-growing areas of critical care management. It continues to increase in volume and complexity over the past few years and is now moving to the molecular level. POCT is currently defined as a testing process done near or at the site of patient care by non-laboratory clinical staff. Since these tests are done by clinical staff with minimum technical knowledge, many challenges arise due to a lack of understanding of the process of POCT. The key challenges faced during the successful step-by-step implementation and execution of POCT at our multi-specialty hospital for children in the Middle East included POCT instrumentation, training and competency, quality control issues, proper handling of reagents and consumables, importance of critical call notification, patient identification errors, data management, etc. Many clinical decisions are made based on the results of POCT, hence care should be taken during every step of the POCT process. If implemented appropriately, POCT can have a positive impact on operational efficiency and patient care. Healthcare organizations should innovate rapidly to meet the challenges of POCT.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 1","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103347","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}
Emre Kudu, Ahmet Aksan, Elif Öztürk Ince, Nalan Metin Aksu
{"title":"Inadequate ventilation in a patient with tracheal stenosis due to previous intubation.","authors":"Emre Kudu, Ahmet Aksan, Elif Öztürk Ince, Nalan Metin Aksu","doi":"10.25259/NMJI_1123_2022","DOIUrl":"10.25259/NMJI_1123_2022","url":null,"abstract":"<p><p>Patients with chronic obstructive pulmonary disease often visit the emergency department due to exacerbation of their disease condition or the development of pneumonia. Tracheal stenosis is a rare but fatal condition if not diagnosed and treated promptly. We report the successful diagnosis and management of tracheal stenosis in a patient with a history of intubation three months prior to her index presentation.</p>","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 1","pages":"14-15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103370","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":"Author's response.","authors":"Utpal De","doi":"10.25259/NMJI_177_2025","DOIUrl":"https://doi.org/10.25259/NMJI_177_2025","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 1","pages":"61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103340","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":"Transfusion strategy in patients with traumatic brain injury.","authors":"Kushagra Pandey, Akshay Ganeshkumar Chirag Bansal, Amol Raheja","doi":"10.25259/NMJI_1204_2024","DOIUrl":"https://doi.org/10.25259/NMJI_1204_2024","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 1","pages":"18-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103443","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":"Accreditation in India: The road not taken.","authors":"Nilakantan Ananthakrishnan","doi":"10.25259/NMJI_1617_2024","DOIUrl":"https://doi.org/10.25259/NMJI_1617_2024","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 1","pages":"60"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103276","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}
Srivatsa Deshikulu Attan, Jitender Sodhi, D K Sharma, Pankaj Arora, Sidhartha Satpathy
{"title":"Special areas of skill development for a resident hospital administrator.","authors":"Srivatsa Deshikulu Attan, Jitender Sodhi, D K Sharma, Pankaj Arora, Sidhartha Satpathy","doi":"10.25259/NMJI_1228_2024","DOIUrl":"https://doi.org/10.25259/NMJI_1228_2024","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 1","pages":"41-43"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103475","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":"Letter from Mangalore.","authors":"Anurag Bhargava","doi":"10.25259/NMJI_1397_2024","DOIUrl":"https://doi.org/10.25259/NMJI_1397_2024","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 1","pages":"48-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103463","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":"Sebaceous carcinoma arising in a sebaceous cyst: Impossible, because 'sebaceous cyst' is a histogenetic misnomer.","authors":"Soumya Gupta, Sanjay A Pai","doi":"10.25259/NMJI_1651_2024","DOIUrl":"https://doi.org/10.25259/NMJI_1651_2024","url":null,"abstract":"","PeriodicalId":519891,"journal":{"name":"The National medical journal of India","volume":"38 1","pages":"60-61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103474","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}