Abdus Salam

Comparative Study of Professionalism of Future Medical Doctors Between Malaysia and Bangladesh

Md. Zakirul Islam, Abdus Salam, Asadul Mazid Helali, Zaida Rahman, Wan Putri Elena Wan Dali, Salwani Ismail, Nor Iza A Rahman, Mainul Haque Department of Pharmacology & Therapeutics, Eastern Medical College, Comilla, Bangladesh. Department of Medical Education, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia. 3 Department of Pharmacology & Therapeutics, Gonoshasthya Samajvittik Medical College & Hospital, Savar, Dhaka, Bangladesh. 4 Department of Pharmacology & Therapeutics, Enam Medical College, Savar, Dhaka, Bangladesh. 5 Faculty of Medicine and Health Sciences (FPSK), Universiti Sultan Zainal Abidin (UniSZA), Terengganu, Malaysia.

Evaluation of doctors’ performance as facilitators in basic medical science lecture classes in a new Malaysian medical school

Background Didactic lecture is the oldest and most commonly used method of teaching. In addition, it is considered one of the most efficient ways to disseminate theories, ideas, and facts. Many critics feel that lectures are an obsolete method to use when students need to perform hands-on activities, which is an everyday need in the study of medicine. This study evaluates students’ perceptions regarding lecture quality in a new medical school. Methods This was a cross-sectional study conducted of the medical students of Universiti Sultan Zainal Abidin. The study population was 468 preclinical medical students from years 1 and 2 of academic year 2012–2013. Data were collected using a validated instrument. There were six different sections of questions using a 5-point Likert scale. The data were then compiled and analyzed, using SPSS version 20. Results The response rate was 73%. Among 341 respondents, 30% were male and 70% were female. Eighty-five percent of respondents agree or strongly agree that the lectures had met the criteria with regard to organization of lecture materials. Similarly, 97% of students agree or strongly agree that lecturers maintained adequate voices and gestures. Conclusion Medical students are quite satisfied with the lecture classes and the lectures. However, further research is required to identify student-centered teaching and learning methods to promote active learning.

ADDRESSING RATIONAL PRESCRIBER S THROUGH THE PHARMACOLOGY AND THERAPEUTIC S COURSE WORK OF MBBS SYLLABUS IN BANGLADESH

Pharmacology is most rapidly expanding science in medical discipline which leads to the development of many important drugs to treat many medical conditions that was previously untreat able . This paper focuses on the necessity of integration of pharmacology in the medical curriculum in all clinical phases and ethical aspect s of medicine in terms of irrational prescribing. Irrational prescribing of drugs is a major global health problem i n medical practice. Currently Pharmacology is taught at phase - II, a 2 year period in a 5 years undergraduate medical Programme in Bangladesh under the name ‘Pharmacology and Therapeutics’. Indiscriminate use of clinically inappropriate and ineffective medi cines are a serious problem. Medicines in Bangladesh are inappropriately prescribed, again all kinds of drugs including controlled product s are dispensed and sold out frequently without prescription. Henceforth there are regular violation of medical ethics and professionalism. As only pharmacology and therapeutics deals with the correct selection of drugs, the subject should be continued to teach up to phase - III. In addition , therapeutic discussion should be incorporated with proper logbook during internshi p in order to make safe and efficient prescribers. Supreme priority should be given to legal and ethical aspects of medicine. Medical professionals must uphold social order by ensuring

Educational environment in a multicultural society to meet the challenges of diversity

ABSTRACT n nEducators in a multicultural-environment face complex-tasks in teaching for diversity. The objective of this study was to determine the educational environment in a Malaysian medical school, aimed to face the diversity. This cross-sectional study was conducted utilising “Dundee Ready Education Environment Measure”, a validated instrument that contained 50 items rated 0-4 with a maximum 200 score under five sub-scales. Sub-scales were perceptions of: learning, teacher, academic-self, atmosphere and social-self. Respondents were 193 year-5 medical students of session 2011-2012, comprised of Malays, Chinese, Indians and Other ethnic-group. The overall mean score perceived by all ethnicity was 130/200 (65%). All sub-scales perceived >60% scores except social-self and atmosphere. The social-self sub-scale perceived the lowest score (53.57%) by the Other ethnic group while interestingly social-self also perceived highest (75%) by the Indians. Atmosphere sub-scale perceived a score of 58.33% by Other ethnic-group. Positive perceptions of educational enviornment among the students of diverse ethnicity reflects that educational environment at the medical school is well equiped to meet the challenges of diversity. However, there is opportunity to increase further positivity in general and social-self and atmosphere sub-scales in particular. Educators in a multicultural-environment must work to avoid monocultural instructional methodoligies to promote a multicultrul society.

Professionalism perspectives among medical students of a novel medical graduate school in Malaysia

Defining professionalism in this constantly evolving world is not easy. How do you measure degrees of benevolence and compassion? If it is so obvious to our profession, what professionalism is, then why is it so difficult to teach it to medical students and residents? Today’s definition of medical professionalism is evolving – from autonomy to accountability, from expert opinion to evidence-based medicine, and from self-interest to teamwork and shared responsibility. However, medical professionalism is defined as the basis for the trust in the patient–physician relationship, caring and compassion, insight, openness, respect for patient dignity, confidentiality, autonomy, presence, altruism, and those qualities that lead to trust-competence, integrity, honesty, morality, and ethical conduct. The purpose of this study is to explore professionalism in terms of its fundamental elements among medical students of Universiti Sultan Zainal Abidin (UniSZA). This was a cross-sectional study carried out on medical students of UniSZA. The study population included preclinical and clinical medical students of UniSZA from Year I to Year V of academic session 2014/2015. The simple random sampling technique was used to select the sample. Data were collected using a validated instrument. The data were then compiled and analyzed using SPSS Version 21. Out of 165 questionnaires distributed randomly among Year I to Year V medical students of UniSZA, 144 returned, giving a response rate of 87%. Among the study participants, 38% (54) and 62% (90) were males and females, respectively. The grand total score was 170.92±19.08. A total of 166.98±20.15 and 173.49±18.09 were the total professionalism score of male and female study participants, respectively, with no statistically significant (P=0.61) differences. This study found almost similar levels of familiarity with all fundamental issues of professionalism with no statistically (P>0.05) significant differences. Medical faculty members should give more effort for the professional development of medical doctor. Henceforth, researchers believe and expect that the country will produce more rational and holistic medical doctors.

Undergraduate Medical Education Research in Malaysia: Time for a change

Objective: Special Study Module (SSM) is a mandatory research module implemented in Universiti Kebangsaan Malaysia (UKM). The objective of this paper is to provide a brief overview on the student research activities and to find out the outcome measures in terms of publication. Methods: It was a retrospective study done on SSM research projects at UKM. The SSM research is conducted from beginning of year-4 until 1st seven weeks of year-5. In year-4, students are assigned to a faculty-supervisor in small groups and spend every Thursday afternoon to plan and carry the research. Whole first seven weeks of year-5, students are placed with their supervisor continuously to collect data, do analysis, write report and present in the scientific conference. Outcomes of 5-years SSM research-projects starting from 2008/2009 to 2012/2013 academic session were analyzed. Results: Total 257 projects were completed and presented in annual scientific meetings from which 57 (22.2%) articles were published in peer reviewed journals. Conclusion: Mandatory undergraduate student research project brings an opportunity to develop students’ capacity building from conception to final report writing and thereby narrowing the gap between education and practice. Medical schools should implement research module to bring changes in research and publication culture of undergraduate medical education.

Preparedness of the teachers for Team-Based Learning: Liking, disliking and suggestions of faculty.

Faculty development is an integral part of institutional development. This paper describes liking, disliking and suggestions of faculty members on a 2-days Team-Based Learning faculty training workshop, where 39 faculty members were attended. Participants liked the lively and informal discussions through which they got a new technique to teach students more interactively. However, they disliked too short demonstration and short notification given them to read pre-assigned material and suggested more workshops with more practical demonstration before its implementation. Faculty developers should address the needs of the faculty while organizing developmental workshop aimed to link between theory and practice for a sustainable development.

Teachers' Knowledge, Beliefs and Practices of Breast Self-Examination in a City of Philippine: A Most Cost-Effective Tool for Early Detection of Breast Cancer

Article history: Received on: 31/10/2015 Revised on: 22/11/2015 Accepted on: 16/12/2015 Available online: 27/02/2016 Breast self-examination (BSE) is a most cost-effective screening-tool for early-detection of breast cancer. The objective of this study was to investigate knowledge, beliefs and practices of BSE among teachers. It was a crosssectional questionnaire survey conducted in Philippine in 2009. A standardized questionnaire was administered among 450 randomly selected different school-level teachers. Responses were 70% of which 50%, 42% and 8% from elementary, secondary and tertiary school-level teachers respectively. Thirty percent teachers were 11-20 years experienced. BSE knowledge on frequency, starting age and techniques varied from 60%-70%. Only 25% and 39% possessed accurate knowledge on BSE timing during regular and irregular menstruation and 45% knew right position for BSE. Believed to do BSE confidently were only 33%, although 65% motivated. Majority respondents were un-believable about breast cancer susceptibility. Of 73% BSE practiced respondents, only 17% and 24% practiced at recommended interval and time. Main reasons for not practicing BSE did not know how to do, report by 82% respondents. Participants’ knowledge, beliefs on BSE were good but practice was low. Planned integrated-educational programs by policy-makers, health care-providers and mass-media are necessary to promote BSE for early detection and management of breast cancer aimed to promote a healthy life.

Impact of Undergraduate Research “Special Study Module (SSM)” on Universiti Kebangsaan Malaysia Medical Students and Alumni

Introduction: Mastering the art of conducting a research along with the competitive era of publishing papers showed the importance of undergraduate research. The purpose of this research was to study the impact of undergraduate research “Special Study Module (SSM)” on Universiti Kebangsaan Malaysia (UKM) medical students and alumni. Methodology: This was a cross-sectional study whereby 64 fifth year UKM medical students of academic-session 2014/2015 and 49 alumni of year 2010 were participated on their SSM research activities. The questionnaire administered online which enquired on participants’ level of interest, confidence and SSM research experiences. Frequency and percentage distribution were used for descriptive analysis. Result: Out of 119 participants,113 responded giving a response rate of 95%. More than 90% respondents in both group felt that SSM experience was enriching and 80%–90% felt SSM experience was pleasant. In both groups 47%–50% respondents believed, SSM experience contributed their high level of interest on research. The most influencing factors on their level of interest were supervisor guidance as reported by73%–80% respondents. It was said that SSM supervisor was academically stimulating, impressive as role model and supportive. The most confidence skill was the ability to function within a group and least confidence skill was manuscript writing. Conclusion: Undergraduate SSM research showed positive impact on participants’ research activities. More in-depth analysis should be considered especially on manuscript writing as the students were least confident in this skill.

Sleep Pattern and Academic Performance of Undergraduate Medical Students at Universiti Kebangsaan Malaysia

Sleep is an active, repetitive and reversible state of perceptual disengagement from the environment including unresponsiveness to it. Adequate sleep is extremely important for healthiness. But sleep loss is a remarkable problem in modern society. The objective of this study was to investigate the sleep pattern and its association with students’ academic performance. It was a cross sectional study conducted among 4th year UKM undergraduate medical students of session 2011-2012. Inclusive of all 234 registered 4th year students was selected for this study. A standard questionnaire that contained questions on demography, sleep habits, academic performance and ideal sleep was used to collect data. Out of 234 students, 186 were responded giving a response rate of 79.5% where 73% were female and 69% resided in-campus. Including weekdays and weekends averagely, 56.2% respondents slept for 6-8 hours, 29.1% for 8 hours. An average of 53.35% respondents had in-frequent day-nap, 34.9% frequent and 11.75% had no day-nap at all. Respondents who slept >6 hours were observed to have significantly higher academic performance. It is concluded that, people need to understand the role of sleep and have to take adequate sleep of 6-8 hours per day for health and wellbeing.