Feedback concerning Compulsory Rotatory Internship Programme (CRIP) and specialty preference among Medical Interns (original) (raw)

Medical education in India: Is it still possible to reverse the downhill trend?

The National medical journal of India

Background. Internship is a phase of training when a new graduate is expected to acquire skills under supervision, so that he/she may become capable of functioning independently. Often, new graduates go through this period without a clear aim. We conducted an orientation programme before fresh graduates started their 1-year internship to familiarize them with their clinical tasks and their role in the community. Methods. Interns were invited to participate in a one-anda-half day programme conducted by faculty members and administrators that included interactive lectures, structured panel discussions, group discussions and role plays. The participants provided feedback using a structured questionnaire and during informal group discussions. They were also evaluated by a pre-test and post-test questionnaire. Results. Of the 41 interns who attended the programme on day 1 and the 28 who completed it on day 2, 19 completed the post-test questionnaire. The post-test score (median 14.5; range 10-18) represented a significant improvement over the pre-test score (median 13, range 3-16). All participants felt that the workshop was successful in achieving its objectives. Conclusion. A brief and structured orientation programme

Why become a Doctor? Exploring the Career Aspirations and Apprehensions among Interns in South India

""Background: The vision of Universal Health Coverage for the nation envisages a lot of primary care physicians working in underserved rural areas. Yet, very few of the current generation of doctors seem to be inclined or equipped for practicing in a primary care setting. While the healthcare need for the country has been clearlycharted out, the wants of young medical graduates have seldom been documented. The current study aims to document the career aspirations and apprehensions among interns graduating from a private medical college in south India. Methods: A questionnaire based survey was carried out among 147 medical graduates undergoing their internship. The interns’ career aspirations, apprehensions and choices of postgraduation were documented. Proportions and Fisher's exact test were used for statistical analysis. Results: Personal interest & passion for the profession (45.3%), financial stability (43.5%) and parents’ wish (35.8%) were the primary factors quoted by the interns for choosing medicine as a career. Majority of the interns (73.7%) wish to join one or other post-graduation course while only around 10% were inclined towards general practice and/or working in a primary care setting under government service. Conclusions: The wants of the current generation of doctors need to factored-in in the action plan towards achieving Universal Health Coverage. Incentives and perks that appeal to the young medicos would attract them to join government service in underserved rural areas.""

STUDY ON THE PERCEPTION OF THE MEDICAL GRADUATES ABOUT THE INTERNSHIP TRAINING PROGRAMME AND ITS IMPACT ON THEIR PERFORMANCE AT WORK

The study was designed to assess the perception of fresh medical graduates who have completed internship training programme and spent a period of time, either employed or unemployed varying between 6 months to 4 years, about their internship programme and their confidence in managing common health problems of the community. A total of 284 respondents were interviewed and among them 76 were female and 208 were male. All respondents completed 6 months' training in Internal Medicine which included one month's training in Paediatrics. Besides some of them (39%) had postings in Nephrology, Cardiology, Skin I VD for a variable period ( not exceeding 2 weeks) within 6 months' Medicine posting. Only 66% of the male respondents got two weeks' training in Obstetrics and Gynaecolgy within 6 months' Surgery posting, while only 17% female respondents had training for 1-2 weeks in General Surgery within the Obstetric and Gynaecology posting. About 90% of total respondents said that they can manage common health problems and that they acquired these knowledge and skills mostly during the internship programme. However, 91% of them felt that their internship programme was not adequate enough to make them confident practicing doctor to begin with. They suggested that the internship period should be of 2 years' duration, structured, more supervised and should include an assessment system.

Perception of medical interns after visiting selected public health institutes in central India

Panacea Journal of Medical Sciences, 2023

Visits to institutes that work for public health help broaden the vision of interns so that they think of rural health care also. Therefore this study was planned to evaluate the effect on the minds of interns after visiting such places with objectives 1. To know the things learnt by interns during visit to institutes working in area of public health services in rural areas, 2. Based on the inputs given by the interns suggest recommendations for internship program. It was a cross-sectional descriptive qualitative study. A focus group discussion of interns was conducted to understand their interest in learning the low cost services being provided in these rural areas and various things learnt during the visit to public health importance institutes. Total 28 interns participated in the study in 3 batches included 6(21.42%) females and 22(78.57%) males. The age range was 23 to 27 years and all were unmarried. More than 2/3 interns belonged to Chhattisgarh and few from outside the state. Interns were motivated by the faculties to work for rural health care and were sensitized about the health care needs work challenges in remote inaccessible areas. Keywords: public health institutes, interns, low cost services, appropriate technology, community participation

Preparing medical graduates in Sri Lanka for a productive internship and beyond: The "Good Intern Program

Allied Journal of Medical Research, 2017

Introduction: The transition from undergraduate student to independent practitioner for medical graduates is a challenging one. This paper describes a multi-faceted training model-the "Good Intern Programme (GIP)"-that aims to provide such training for newly qualified doctors (pre-interns, PI) in Sri Lanka. Methods: The development and implementation of the GIP included the following: focus group discussions to understand the requirements; a needs assessment including identification of the main stressors; a 10-day practical Tamil language-training programme; a 4-day acute care skills training (ACST) program; and a 4-day Good Medical Practice (GMP) workshop based on the system building blocks of the WHO. Results: 980 PIs participated in the needs assessment; 383 (39.1%) stated that the first half of their internship was more stressful than the second (p<0.003). Amongst the 866 PI who registered for the GIP, 783 (90.4%) considered knowledge of medical administrative matters to be of importance to doctors. Hospital based clinical training, conducted in 28 hospitals island-wide, was attended by 278 PI; a statistically significant increase for all surveyed skills was demonstrated. The feedback for the GMP workshop, attended by 796 PI, was broadly positive with the session on "essential skills for interns" receiving the highest positive rating for relevance. Conclusion: The GIP provides a comprehensive opportunity to facilitate the transition of medical graduates in Sri Lanka using a multimodal, integrated and sustainable platform. This national program may have applicability beyond Sri Lanka.

Factors affecting the choice of a future medical specialty of the junior doctors in a third world country

2021

Background and Objective Pakistan is facing a major brain drain and as long as there is not a better understanding of the needs and desires of the junior doctors this exodus towards the greener pastures shall continue. This study is an effort to recognize the factors which influence the choice of a future specialty of young Pakistani doctors in order to help identify the areas which need improvement. Study design This descriptive cross-sectional study was conducted from 12th May 2021 to 2nd August 2021. Young doctors who had completed their one-year internship in hospitals of Punjab were invited to fill the questionnaire via social media platforms. Data were entered and analyzed using the Statistical Package for Social Sciences (SPSS) version 23.0. Chi-square tests were applied for qualitative variables. A p-value of less than 0.05 was considered significant. Results Out of 105 participants 60 (57.1%) were females. More females as compared to males decided the future specialty based...

Need for Strengthening of Internship (Rotatory Housemanship) Training in India

Education for Health: Change in Learning & Practice, 2004

Introduction: Internship is a problematic phase in the training of doctors in India. At the end of their one-year Internship, students are not formally examined for proficiency, rarely a student is not given a satisfactory completion certificate and training is sometimes not supervised. Students are required to spend three months of this Internship in Primary Health Centres at rural postings. During this period the students often prepare for the written exams that would allow them to pursue post-graduate studies. Method: In a personal reflection, this situation is described in the current article. The author suggests several approaches to improve this unwanted situation, so that the rural postings could be taken more seriously by the students. Outcomes: Suggestions range from a post-internship examination, via the introduction of compulsory rural postings after graduation to an increase of the avenues for postgraduate training to include a course in family medicine and general practice. Conclusions: The objective of providing excellent training during internship periods cannot be achieved unless interns actively participate. If the current situation does not change, for example according to the suggested solutions, this valuable component of medical training will remain problematic, thereby hindering the optimal preparation of doctors for the entire spectrum of necessary health care in India.

Determining Factors Affecting The Medical Interns’ Choice Of Specialties Among Governmental Universities In Riyadh

2019

The nature of experience during the medical study at university may play an essential role in choosing the specialty. Objectives: to determine the effect of goveremtnal universities in general and on medical interns' career choice , taking into consideration the gender difference. Furthermore, to find out when governmental universities educate their students about the different specialties. Method: It was a cross-sectional study approved in July in 2018 that included 234 Saudi medical intern students from four different medical collages in governmental universities in Riyadh. These were King Saud University (KSU), Princess Norah University (PNU), Imam University (IU), and King Saud bin Abdulaziz for Health and Science (KSAU-HS) with consideration of gender differences and availability. All participants who are selected randomly completed an online-questioner. Result: Around two thirds (66%) of the participants ensure that their governmental universities had a positive influence ...