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ABSTRACT
Increasingly, medical educators are turning their attention and efforts toward enhancing the professionalism of medical students, starting with their first year of medical school [1]. Key to this endeavor is the development of educational structures and opportunities for ongoing reflection on practice. Scholars of how professionals in all fields think in practice, emphasize the continual cycles of reflection and action in which professionals engage as they hone their practice and improve the effectiveness with which they work with clients. Donald Shön, a leading figure in this field, speaks of reflection-on-action and reflection-in-action as hallmarks of professional habits of mind [2]. This article argues that structured research activities, woven into the medical school curriculum from the first year on, can foster the habits of mind associated with professionalism. Reflective practice can be seen to exist on a continuum with the more focused and rigorous systematic inquiry distinctive of research. Furthermore, this reflective practice is progressively entrenched and strengthened as students assume increasingly complex and autonomous roles in communities of inquiry, learning, and research [3, 4]. We present the research program at Case Western Reserve University School of Medicine (CWRU SOM) University Program as a model for how such student research activity situated in authentic research communities can be made an integral component of the medical school curriculum. The medical student research component of the curriculum has only this year been fully implemented, but we have already observed that the structured research activities of this curriculum, in conjunction with other aspects of the curriculum (including the use of a problem-based learning approach and a portfolio process), are effective in cultivating reflective habits of mind and engaging students in authentic ways in communities of inquiry and research, thereby strengthening medical student professionalism.
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Since the scientific community is rapidly internationalizing, students in the life sciences or medicine, need to be increasingly aware of the international character of their future careers. For this purpose the Student Board of the Leiden University Medical Center (LUMC) organizes biannually the Leiden International Medical Student Conference (LIMSC). Students from all over the world… Read more »
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Acute Myocardial Infarction (AMI) Versus Posterior Myocardial Infarction Gurbir Singh JosanKharkov National Medical University Introduction: It is known that patients with anterior MI usually have worse outcome and prognosis compared with those with inferior (posterior) MI. To evaluate the outcome and prognostic significance of patients with AMI depending on itâs location (anterior vs inferior), patientâs… Read more »
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Quality of Life in Patients of Different Age Groups Six Months after Coronary Artery by-pass Surgery K. Bozovic, V. AndrijasevicUniversity of Pristina, Institute of Internal Medicine Introduction: Examination of the preoperative and postoperative quality of life relation to the patients’ (pts) age – group and determination weather the patient’s age could be predictor of the… Read more »
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Pioglitazone Increases Amount of Epicardial Fat in Patients with Type 2 Diabetes Mellitus L.J. Menting1, J.T. Jonker1, R.W. van der Meer1, van der, J.A. Romijn1, J.W.A. Smit1, A. Roos1, H.J. Lamb1, L.J. Rijzewijk2, M. Diamant2 1LUMC2VUMC Introduction: Diabetes mellitus is associated with an increased risk on cardiovascular disease and epicardial fat has been proposed as… Read more »
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Prevalence and Age Distribution of Human Papillomavirus among Females in Region of Tuzla, Bosnia and Herzegovina A. Nadarevic, J. Lisicic, A. Saric, M. Omerbasic, M. Brcic, T. Stjepic, J. Lucic University of Tuzla Introduction: A human papillomavirus (HPV) is a papillomavirus that induces hyperproliferative lesions in cutaneous and mucosal epithelia. So far more than 100… Read more »
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Diagnostic Efficacy and Safety of Computed Tomography-Guided Transthoracic Needle Biopsy in Patients with Hematologic Malignancies M.H. Kallenberg, F.M. Marty, R.H. Rubin, R.R. Gill, F.L. Jacobson, F.E. Factor, J.M. Bryar Brigham and Women’s Hospital Introduction: The role of transthoracic needle biopsy (TTNB) in patients with hematologic malignancies, particularly discriminating between malignant and benign etiologies, has not… Read more »
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The Influence of Trappin-2 on the Phagocytic Capacity of Macrophages A.F.Lipka Leiden University Introduction: Trappin-2 is an inhibitor of human neutrophil elastase with antimicrobial properties present in the lung. Previous research has shown a protective effect of trappin-2 in animal models of pulmonary infection, due to various mechanisms. This study aimed to investigate whether trappin-2… Read more »
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Plasmid Profiling of Klebsiella Sp. and its Relation with Antibiotic Resistance at Two Hospitals of Urmia Z.S.M. Sabahi Mohammadi, M.M. Masumeh Mosavi, M.D. Omrani, N. Hosseini Jazidi Faculty of Medicine, Urima, Iran Introduction: Klebsiella Sp. is a group of gram negative rods and can cause different kinds of infections. Multi-drug resistant Klebsiella has been recognized… Read more »
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Assessment of Insulin Resistance and Effect of Metformin in Non Alcoholic in Steatohepatosis Mithlesh Kumar Kharkov National Medical University, Kharkov, Ukraine Introduction: Insulin resistance plays a major role in the pathogenesis of non alcoholic steatohepatitis (NASH). Insulin-sensitizing drugs like metformin may have a role in treatment in this disease. Objective: To determine insulin resistance and… Read more »
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Hello all JIAMSE readers!
We are now in the second issue of volume 19 of the Journal. As we have started this year, all publications are represented in this issue. I hope the information will be useful for you at your school and in the job you do. I always pick up something I can do better in the course I direct from reading the material submitted to JIAMSE.
I urge you all to think about educational research. Many medical schools are utilizing educators extensively, whose tenure and promotion depends on a portfolio of publication and presentation. Our journal review system is very user-friendly and lots of help is available for the authors from our tireless editorial board. Our production editor, Marshall Anderson, is also superb and your work will be published in the best format possible. All our published material, including Letters to the Editor is peer-reviewed thoroughly.
So, I wish you all good reading, good application of the ideas you read about, and I look forward to the manuscripts you will be sending my way.
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There are multiple interesting ways where religion and medicine intersect. These range from the role of faith traditions in medical decision-making, theological medical ethics, randomized clinical trials of intercessory prayer, and the religious needs of healthcare providers and students. The case before us concerns accommodation and advocating for a Muslim medical student who seeks to observe his faith traditions including religious holidays, fasts, and daily prayer.
In my opinion, it is important for medical students to learn to address problems such as the one described in âBetween God and Manâ in a thoughtful and respectful fashion. To this end, we have created a new mandatory course for second-year medical students at the University of Louisville entitled âAt the Intersection of Religion and Medicine.â Through case presentations, panel discussions, and correlative readings, we address issues such as the one raised in this case.
There are, of course, many examples of the âstudentâs dilemmaâ beyond that of the Muslim student. These include observant Jewish students who wish to wear a skull cap, the wearing of head coverings by Muslim female medical students, practical difficulties related to the desire of Muslim or Jewish students to have Halal or Kosher food, the need of students of various faith traditions to observe their religious holidays (the differing dates for Christmas, for example, between the Roman Catholic and Protestant traditions and the Eastern Orthodox traditions).
One must, or course, be respectful of the diverse faith traditions of medical students. Ultimately, however, our young Muslim student will come to appreciate the primacy of the patientâs needs and will have to adapt his faith observation to patient care.
In the same way that some religious-based hospitals have sought in the past to attract house officers by accommodating their religious needs, I think it is very likely as the United States becomes an increasingly diverse society that we will see internship and residency programs designed to meet the needs of the observant Muslim student.