MEDICAL AND SOCIAL CHARACTERISTICS OF PHYSICIANS ATTENDING POSTGRADUATE TRAINING COURSES (SOCIAL SURVEY)
The paper studies professional, social and psychological aspects concerned with a practical activity of physicians referred to attend postgraduate training courses at Danylo Halytsky Lviv National Medical University.
Aim. To develop the recommendations on the improvement in the system of postgraduate medical education under the conditions of general reform in the health care system.
The research was done by the survey method in the form of standardized (formalized) interview that was applied as the main approach to the process of collecting social and psychological information.The survey included 823 physicians referred to attend postgraduate training courses at Danylo Halytsky Lviv National Medical University. The working experience of postgraduate course attendants was the following: up to 5 years – 25.39±1.52 %, 5–10 years – 21.39±1.43 %, 11–15 years – 11.79±1.12 %, 16–20 years – 9.96±1.04 %, 21–30 years – 16.89±1.31 %, more than 30 years – 14.58±1.23 %.
The majority of questioned medical workers (74.24±1.52 %) feel calm and happy at their working place. However, the received data indicates that 23.09±1.47 % of the responders feel disturbance and 1.94±0.48 % experience fear at work. The analysis of the research results allowed differentiating five sharp problems which are very topical and significant at the medical institution where the physicians have been performing their practice. They can be ranged in the following way: the job compensation (42.93±2.09 %), absence of modern medical equipment (26.65±1.87 %), organization of the working process (22.90±1.78 %), reorganization (7.69±1.13 %), extra documentation (7.33±1.10 %). The carried out survey permitted to determine the psychological atmosphere at medical institutions there the course attendants have been practicing. The conflicts are not a characteristic feature of medical institutions, since almost half of the responders indicated the absence of conflicts with higher managers (52.86±1.74 %), direct managers (43.01±1.73 %), subordinate personnel (43.38±1.73 %). This index is somewhat lower concerning the colleagues and patients. It amounts for 36.33±1.68 % and 33.17±1.64 % respectively.
The physicians practicing in medicine and prevention as well as dentistry branches are most disturbed by the lack of financial sources. More than a half of responders (73.86±2.70 %) indicated it by their answers. Other responses included the absence of perspectives – 68.18±2.87 %, extreme, stressful living conditions – 25.38±2.68 %, personal present health status – 20.08±2.47 %, personal lack of confidence – 9.47±1.80 % (the number of responses was not restricted).
The carried out work has showed the necessity of introducing the specialized course “State medical policy”. It should be aimed at delivering the information on the status, perspectives, reforming changes and the expected outcomes resulting from these factors in the branch of medicine. In order to decrease the negative influence of the professional burnout, it is recommended to plan the specialized training classes that are directed on the prevention of the listed above phenomena.
Artino, A. R., Cervero, R. M., DeZee, K. J., Holmboe, E., Durning, S. J. (2018). Graduate Programs in Health Professions Education: Preparing Academic Leaders for Future Challenges. Journal of Graduate Medical Education, 10 (2), 119–122. doi: 10.4300/jgme-d-18-00082.1
Cervero, R. M., Artino, A. R., Daley, B. J., Durning, S. J. (2017). Health Professions Education Graduate Programs Are a Pathway to Strengthening Continuing Professional Development. Journal of Continuing Education in the Health Professions, 37 (2), 147–151. doi: 10.1097/ceh.0000000000000155
Borysenko, A. V. (2016). Use of modern technologies of higher medical education in the organization of activities of subordinates within the framework of the credit transfer system. Modern Dentistry, 4, 110–113.
Patel, P. (2016). An evaluation of the current patterns and practices of educational supervision in postgraduate medical education in the UK. Perspectives on Medical Education, 5 (4), 205–214. doi: 10.1007/s40037-016-0280-6
De Leeuw, R. A., Westerman, M., Nelson, E., Ket, J. C. F., Scheele, F. (2016). Quality specifications in postgraduate medical e-learning: an integrative literature review leading to a postgraduate medical e-learning model. BMC Medical Education, 16 (1). doi: 10.1186/s12909-016-0700-7
Lysenko, O. (2016). Postgraduate education of doctors: description of basic concepts. Continuing Professional Education: Theory and Practice, 3-4, 23–28.
Tkachuk, O. H. (2015). Formation of competency of leadership in future physicians. Young Scientist, 6, 139–141.
Dolgopol, O. O. (2016). Features of evaluation of academic achievements of students in institutions of postgraduate medical education. Pedagogics and Psychology, 53, 58–65.
Tekian, A., Artino, A. R. (2014). AM last page. Overview of doctoral programs in health professions education. Academic medicine: journal of the Association of American Medical Colleges, 89 (9), 1309. doi: 10.1097/acm.0000000000000421
Evans, K. H., Thompson, A. C., O’Brien, C., Bryant, M., Basaviah, P., Prober, C., Popat, R. A. (2016). An Innovative Blended Preclinical Curriculum in Clinical Epidemiology and Biostatistics. Academic Medicine, 91 (5), 696–700. doi: 10.1097/acm.0000000000001085
Al-Lamki, N., Al-Lamki, L. (2016). International Accreditation of Postgraduate Medical Education: Whither Its Role in Oman? Oman Medical Journal, 31 (1), 341–344. doi: 10.5001/omj.2016.01
Catalanotti, J., Popiel, D., Johansson, P., Talib, Z. (2013). A Pilot Curriculum to Integrate Community Health Into Internal Medicine Residency Training. Journal of Graduate Medical Education, 5 (4), 674–677. doi: 10.4300/jgme-d-12-00354.1
Dang, T. M., Maggio, L. A. (2017). Supporting the Call to Action. Academic Medicine, 92 (3), 403–416. doi: 10.1097/acm.0000000000001532
Dai, H., Fang, L., Malouin, R. A. et. al. (2013). Family Medicine Training in China. Family Medicine, 45 (5), 341–344.
Lazurenko, O. O. (2015) Concept of Formation of Emotional Competence at Different Stages of Professional Training of a Physician. Scientific Bulletin of Kherson State University. Series: Psychological Sciences, 3, 113–116.
Miller, V. A., Cousino, M., Leek, A. C., Kodish, E. D. (2014). Hope and Persuasion by Physicians During Informed Consent. Journal of Clinical Oncology, 32 (29), 3229–3235. doi: 10.1200/jco.2014.55.2588
Tkachenko, L. G. (2015). Training Vouchers for Persons Aged Over 45 Years as Tools of Active Labour Market Policy. Demography and Social Economy, 2 (24), 41–52. doi: 10.15407/dse2015.02.041
Ruden, V. V., Gutor, T. H. (2011). Methodology for conducting and evaluating the results of expert assessments (based on the example of implementation of a system of monitoring of health of population at the level of medical-sanitary care). Ukrainian medical journal, 2, 31–34.
Liubinets, O. V., Khodor, O. Ye., Gutor, T. H. (2016). The effectiveness of the implementation of information systems in the institutions of health care according to the opinions of doctors-organizers. Eastern European Journal of Public Health, 1, 93–94.
Vitenko, I. S. (2013). Psychological Adaptation of Family Doctor to Professional Activity. Vinnitsa: New Book, 132.
Copyright (c) 2018 Orest Sichkoriz
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our journal abides by the Creative Commons CC BY copyright rights and permissions for open access journals.
Authors, who are published in this journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the journal under the terms of a Creative Commons CC BY, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form in which it has been published by the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.