Challenges and opportunities for educating health professionals after the COVID-19 pandemic

Frenk, Julio; Chen, Lincoln C.; Chandran, Latha; Groff, Elizabeth O H; King, Roderick; Meleis, Afaf Ibrahim; Fineberg, Harvey V.

doi:10.1016/s0140-6736(22)02092-x

Cited by 167 publications

(121 citation statements)

References 130 publications

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“…It is important to note that obtaining ethical approval from an IRB is a critical step in any research involving human subjects, as it indicates that the study meets the ethical guidelines and standards set forth by regulatory bodies. This commitment to ethical conduct not only protects the rights of participants, but also helps to establish trust and confidence in the research findings among the broader scientific community and the general public [ 15 , 16 , 17 ].…”

Section: Methodsmentioning

confidence: 99%

Factors Deciding Conservative or Intervention Treatment for Prostate Abscess: A Retrospective Case-Control Study

Chang

Pan

Lin

et al. 2023

JPM

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Prostate abscess (PA) can lead to severe urosepsis and septic shock if not treated promptly. However, early diagnosis can be hindered by the declining incidence of PA, especially in developing countries and high-risk patients. Despite the prevalence of PA, there is currently a lack of well-established contemporary guidelines or treatment algorithms. This study aimed to review the etiology, pathophysiology, diagnosis, and treatment options for PA, as well as analyze the characteristics, background profiles of patients, and clinical course. Ultimately, the goal was to develop a personalized treatment strategy for patients with PA. This retrospective study examined 44 patients diagnosed with PA at a tertiary medical center between 2010 and 2020. The patients were divided into two groups based on their treatment: conservative treatment or intervention (transurethral resection of the prostate [TURP] or transurethral prostate drainage [TPD]). The study evaluated various factors, including patients’ background profiles, comorbidities, laboratory data, and PA size and volume. Complications of the interventions were also analyzed. No significant differences were found in basic data between the conservative treatment group (19 patients) and intervention group (25 patients; 20 for TURP, 5 for TPD). However, it was observed that single abscesses, size <2.2 cm, and prostate volume <48 cm3, may be suitable for conservative treatment. Patients with diabetes mellitus and human immunodeficiency virus should be monitored for thrombotic events. In addition, there was a significant difference in white blood count between the two groups (12.1 ± 7.0 vs. 17.6 ± 9.7 × 109/L, p < 0.05). A subgroup analysis of the intervention group showed no significant difference in the risk of complications between TPD and TURP. Patients with poorly controlled diabetes mellitus and immunodeficiency are at a high risk of PA but are not indicated for surgical treatment. The PA profile, including number, size, volume, and percentage to prostate volume, should be considered when deciding on surgical intervention for patients with PA. Patients with higher leukocytosis may require surgical treatment. Overall, these findings can help guide the development of a personalized treatment strategy for patients with PA.

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Section: Methodsmentioning

confidence: 99%

Factors Deciding Conservative or Intervention Treatment for Prostate Abscess: A Retrospective Case-Control Study

Chang

Pan

Lin

et al. 2023

JPM

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“…The third dimension is training health professionals who can function in the context for which they have been trained and who can address the health needs of their own population. She highlighted the roadmap to getting there is through changing the way we train oncology workforce and by utilising competency-based medical education which encompasses in addition to medical knowledge, competencies in communication, critical thinking, ethical deliberation and stewardship of resources [30]. Investment in training programme development and evaluation and faculty development is pivotal.…”

Section: The Role Of the Workforce In Value In Cancer Carementioning

confidence: 99%

The first Choosing Wisely Africa conference: a roadmap to value-based cancer care in Africa (16th December 2022, Senegal)

Mushonga¹,

Abdhamid²,

Ntizimira³

et al. 2023

ecancer

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“…The COVID-19 pandemic, caused by the SARS-CoV-2 virus, is arguably one of the biggest crises of modern times, with a multitude of repercussions on societal, economic, and medical systems [1][2][3][4]. A considerable fallout has affected school and university education alike [5].…”

Section: Introductionmentioning

confidence: 99%

Teaching Medical Microbiology With a Web-Based Course During the COVID-19 Pandemic: Retrospective Before-and-After Study

Papan¹,

Schmitt²,

Becker³

2023

JMIR Med Educ

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Background The COVID-19 pandemic has imposed unprecedented hurdles on health care systems and medical faculties alike. Lecturers of practical courses at medical schools have been confronted with the challenge of transferring knowledge remotely. Objective We sought to evaluate the effects of a web-based medical microbiology course on learning outcomes and student perceptions. Methods During the summer term of 2020, medical students at Saarland University, Germany, participated in a web-based medical microbiology course. Teaching content comprised clinical scenarios, theoretical knowledge, and instructive videos on microbiological techniques. Test performance, failure rate, and student evaluations, which included open-response items, for the web-based course were compared to those of the on-site course from the summer term of 2019. Results Student performance was comparable between both the online-only group and the on-site comparator for both the written exam (n=100 and n=131, respectively; average grade: mean 7.6, SD 1.7 vs mean 7.3, SD 1.8; P=.20) and the oral exam (n=86 and n=139, respectively; average grade: mean 33.6, SD 4.9 vs mean 33.4, SD 4.8; P=.78). Failure rate did not significantly differ between the online-only group and the comparator group (2/84, 2.4% vs 4/120, 3.3%). While lecturer expertise was rated similarly as high by students in both groups (mean 1.47, SD 0.62 vs mean 1.27, SD 0.55; P=.08), students who took the web-based course provided lower scores for interdisciplinarity (mean 1.7, SD 0.73 vs mean 2.53, SD 1.19; P<.001), opportunities for interaction (mean 1.46, SD 0.67 vs mean 2.91, SD 1.03; P<.001), and the extent to which the educational objectives were defined (mean 1.61, SD 0.76 vs mean 3.41, SD 0.95; P<.001). Main critiques formulated within the open-response items concerned organizational deficits. Conclusions Web-based courses in medical microbiology are a feasible teaching option, especially in the setting of a pandemic, leading to similar test performances in comparison to on-site courses. The lack of interaction and the sustainability of acquired manual skills warrant further research.

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Challenges and opportunities for educating health professionals after the COVID-19 pandemic

Cited by 167 publications

References 130 publications

Factors Deciding Conservative or Intervention Treatment for Prostate Abscess: A Retrospective Case-Control Study

Factors Deciding Conservative or Intervention Treatment for Prostate Abscess: A Retrospective Case-Control Study

The first Choosing Wisely Africa conference: a roadmap to value-based cancer care in Africa (16th December 2022, Senegal)

Teaching Medical Microbiology With a Web-Based Course During the COVID-19 Pandemic: Retrospective Before-and-After Study

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