Background Ethical behavior and professionalism is an ideal characteristic required of medical students and included as ‘must achieve’ and critical aspect of medical students’ curriculum. This study proposes to determine the perceived unethical and unprofessional behavior among medical students in a private medical university from year 1 to year 5 of the medical curriculum. Methods A cross–sectional study was conducted among year 1 to year 5 medical students in a private medical university. A self-administered questionnaire was used with the 3 major domains of professionalism and ethics i.e. discipline plagiarism and cheating. Results A total of 464 respondents responded to the survey and they included medical students from year 1 and year 2 (pre-clinical) and years 3–5 (clinical years). Majority of the students, 275 (59.2%) answered that they had not seen any form of unethical behavior among other students. The females seem to have a larger number 172(63%) among the same gender compared to the males. Majority 352 (75%) of them had not heard of the ‘Code of Professional Conduct by the Malaysian Medical Council’. About fifty three (53.1%) of the students answered that the training was sufficient. Conclusions This study showed that the perception of unethical behavior was 58.8% in the 1st year (pre-clinical) and it increased to 65.2% in the 5th year (clinical). The 3 main discipline issues were students do not show interest in class (mean 2.9/4), they are rude to other students (mean 2.8/4) and talking during class (mean 2.6/4). Despite the existence of unethical behavior among the students majority of them (71.7%) claimed that they had adequate training in ethics and professionalism. It is proposed that not only the teaching of ethics and professionalism be reviewed but an assessment strategy be introduced to strengthen the importance of professionalism and ethics.
Background: The effectiveness of the integration of technology within the classroom setting has been well documented, however the use of this technology is still far from reaching its true potential. Although the presence of digital divides between teacher and staff documents, the extent and nature of the divide is not well defined. This could have limited the potential exploitation of technology in teaching and learning, especially in a medical school with an integrated curriculum. Our study intended to identify the student's and teachers' perceptions of benefits of using technology in teaching and learning in a medical school and also investigate the nature of the gap that is present between teachers and students. Methodology: This cross-sectional study was conducted through a census during which we had 212 pre-clinical medical students and 30 lecturers engaged in the teaching of these students in an integrated curriculum. A pre-validated self-administrative questionnaire survey was conducted for Usage of ICT in learning and Perception of the Use of E-education Tools and Implementation of E-courses. The significance of the association between teachers and students was tested using Kruskal-Wallis test. Results: Over 3 hours in a day was spent by teachers and students on desktop and smartphone for TLA, indicating that students are mobile learners engaging in learning activities in their time and place of choice. 60-65% of students preferred using YouTube for their leaning activates, and around 50% of the teacher used this platform in teaching and related activities. Usages of journals as found to be high among teachers (55%) while the use of other popular learning applications. This study also showed that both teachers and students strongly agreed that they enjoy using technology, indicating the acceptance and willingness to explore its potential. Conclusion: The study shows the use of ICT is prevalent between both medical teachers and staff; the difference was only in the degree of usage and also both the groups enjoyed the use of technology. It was also clear that both medical teachers and students viewed the use of ICT to be integral in delivering the curricula.
Prevalence of Stress, anxiety and depression has been identified to be high among university students which may affect their social and professional lives. The study aims at assessing the prevalence of stress, anxiety and depression among university students and analyzes their association with gender, ethnicity and area of upbringing. The study also intends to identify their coping strategies. This was a cross sectional study utilizing validated questionnaires. It was conducted among a total of 143 university students in Johar bahru. The questionnaires used were the socio-demographic questionnaire, DAAS-21 questionnaire and Brief coping strategy Questionnaire. Data was analyzed using SPSS software. Descriptive statistics was used. The mean age of the students under the study was 25.02±8.6 years. Depression was seen in 62.2% of the students and anxiety and stress were seen in 78.3% and 55.9 % students respectively. Depression, anxiety and stress were found more in females than males. Anxiety was more in Malays and depression and stress was more among other ethnic groups. Anxiety and depression were seen more in students with a rural upbringing and stress in students with a urban upbringing. There was no significant association between depression, anxiety, stress and gender, ethnicity and area of upbringing. The mean score for the common coping strategies employed which was acceptance, positive reframing and self distraction were 2.8±0.9, 2.8±1.0, 2.8±1.0 respectively. Prevalence of anxiety was more compared to stress or depression. Students used active coping Strategies to cope with stress.
Background:Liver is the main organ for metabolism of drugs and hepatotoxicity is a potential adverse effect for most drugs.Aims:This study was to study the frequency of drug-induced hepatotoxicity and to find the common drugs causing hepatotoxicity.Materials and Methods:The study was conducted at a tertiary care hospital in rural India. It is a study based on case series analysis. All patients with an abnormal liver function report, between July 2006 and July 2007, were included in the studyResults:The study included 411 patients. Among them 141 patients were females and 270 males. The common cause for abnormal liver function was alcoholic liver disease (30.4%) followed by drug-induced hepatotoxicity (15.8%) and malaria (15.3%). Drug-induced hepatotoxicity was seen in 65 patients. It was common in males (55%) compared to females (44%). The mean age of the patients with drug-induced hepatotoxicity was 43±15.9. Antitubercular drugs were the commonly encountered drugs (44%) causing hepatotoxicity followed by lipid lowering agents (41%). The others drugs included antiretroviral drugs (6%),steroids (5%) and chlorpromazine (2%).Conclusion:A thorough history of drug intake must be taken in all patients presenting with abnormal hepatic function.
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