Displaying publications 1 - 20 of 155 in total

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  1. Jalina Karim, Nabishah Mohamad, John HV Gilbert, Ismail Saibon, Subhan Thamby Mohd Meerah, Hamidah Hassan, et al.
    MyJurnal
    Introduction: Teaching strategy for nursing students need to be varied for the future preparation and to increase confident level in delivering quality care to patients. Interprofessional learning (IPL) is a way to encourage collaboration among health professional teams that will drive them to collaborate with, from and about other profession and thus, it allow students to have greater knowledge. Currently, they are unable to learn together during the clinical posting due to professional boundaries. Objective: To explore nursing student knowledge and perception on interprofessional learning. Method: This paper presents a focus group discussion with a group of nursing students (n= 8). A semi structured guide was used and focused on knowledge, experiences and benefit related to IPL. Result: Data was analysed and four major themes emerged; 1. learning with, from and about other health professionals, 2. communication skills, 3. teamwork and 4. future preparation. Conclusion: This study suggested that the interprofessional learning in the teaching and learning strategy should be introduced to the nursing students as to involve them with interprofessional learning and extend their understanding on other health professionals roles. In addition, it is an opportunity for them to work collaboratively with other health professionals.
  2. Rasidah Abd Wahab, Zunika Amit
    MyJurnal
    The significance of learning research methodology and performing research has been accepted by various medical schools in Malaysia as well as in other countries. The aim of integrating research into medical curriculum is to inculcate the research culture and form part of the evidence-based practice among medical professionals. Hence, the Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak has incorporated the research component into the preclinical year of the medical curriculum. A survey was conducted to gauge the second year medical students' level of knowledge of research process at the end of the course using a set of questionnaires. Seventy nine of second year medical students participated in the study. The outcome of the study shows significant improvement in the students’ knowledge on research components after completing the one year course (p
  3. Fahisham Taib, Mohd Shahril Iman Mohd Hanafi, Nik Mohd Rizal Mohd Fakri, Zarawi Mat Nor
    MyJurnal
    Reflection is a process of reviewing an experience of practice in order to describe, analyse and evaluate information. This leads to critical reflection which one can view and focus on self-experience within the context of his/her own life. Objective: The study aims to understand palliative care values with the use of reflective diary following home visit to patients who require palliative care.
    Method: Interview was performed during the house visit by the undergraduate medical students. This outreach house visits were supervised under community palliative care nurse. The students were required to develop a learning activity, using assessment of palliative care patients’ needs, through qualitative questionnaire. This was recorded in the reflective diary upon return of such activity. The questions asked covered explorative learning and holistic medical tasks such as the impact of patient’s life from emotional, psychosocial, medical and spiritual perspective. Guided questioning was done to avoid
    unnecessary communication issues that may aggravate emotional distress. Students were asked to probe using vetted and agreed questions, and explore multidimensional issues in relation to culturally naïve Kelantanese population.
    Result: Enjoyful learning experience was recorded. The reality of thisdealing with patients with chronic disease has put forth a positive intention to perform better as future doctors.
    Conclusion: Reflective diary is an effective tool in community palliative care learning. It documents patients’ plight and students’ sense of responsibility to community. This has invaluable and indirect learning impact as part of the students’ soft skills development.
  4. Rafi Mahmoud Alnjadat, Aasim Adnan, Zalina Ismail
    MyJurnal
    Aim: The objective of the present study was to assess the validity and reliability of Malay version of the QOLLTI-F questionnaire.
    Methods: A total of 80 Malay caregivers of cancer patients in an outpatient oncology clinic were enrolled in this study. A translated QOLLTI-F questionnaire of 16 items was used in order to assess their quality of life. Demographic characteristics were recorded. Both face and content validity of the translated version were carried out by professionals and the construct validity of the questionnaire was assessed by exploratory factor analysis.
    Results: Exploratory factor analysis led to the extraction of seven factors and this was consistent with the English version. Cronbach Alpha coefficient showed good consistency of the questions within the sub-scales (Cronbach's alpha > 0.7).
    Conclusion: This study was confined to a Malay population, and the analyses were potentially limited by a small sample size .Nevertheless, the translated questionnaire demonstrated valid and reliable psychometric properties when administered to Malay caregivers. Future studies are needed to see if this instrument can fit other samples in different settings and populations.
    Study site: Oncology clinic, Hospital Universiti Sains Malaysia (HUSM), Kelantan, Malaysia
  5. Muhamad Saiful Bahri Yusoff, Ahmad Fuad Abdul Rahim, Abdul Rahman Noor, Nor Azwany Yaacob, Zabidi Azhar Mohd Hussin
    MyJurnal
    Objective: BigSib Students' Peer-Group Mentoring Programme was implemented as an innovative, interactive and integrated instructional method in the Universiti Sains Malaysia medical school curriculum designed to enhance and strengthen medical students training in soft skills and professional development. This study was conducted to evaluate first- and second-year medical students’ perceptions of and attitudes towards the Programme.

    Methodology: A cross sectional study was carried on 314 medical students. Questionnaires assessing medical students' perceptions and attitudes towards the Programme were administered. Data were analysed by using SPSS version 12.

    Results: 45.9 % of the students perceived the BigSib Students' Peer-Group Mentoring Programme as successful. More than 50% of the students are willing to participate in the Programme. About 60% of the students perceived it as an effective Programme in developing their soft skills and professionalism.

    Conclusion: Medical students have positive attitudes toward the Programme and it is perceived as a successful and effective Programme in developing students' personal attributes. Similar peer-group mentoring programme may be considered relevant to be incorporated into the medical curriculum in the future.
  6. Fashiham Taib, Nur Arzuar Abdul Rahim, Mohd Rizal Mohd Zain, Mohamad Ikram Ilias, Nik Mohd Rizal Mohd Fakri, Zabidi Azhar Hussin
    MyJurnal
    The paper discusses on the complexity of the issues surrounding a patient with subluxation of cervical spine in a Down syndrome child. Several relevant issues are discussed including consent in a minor, conflicting decision making between parents and doctors, end-of-life issues, supporting handicapped child with minimal co-morbidities, community ethics, neglect of care by the caregiver and decision making after allowing zonal of parental discretion. Despite the difficulties surrounding parental actions, there are still ethical priorities which have to be considered individually to alleviate the suffering of the patients and the family members. Dealing with patients with chronic illnesses is a challenge for any medical doctors. The case warrants sensitive approach to allow appropriate respect for parental decision despite in disagreement with the clinical team. The term ‘zone of parental discretion’ refers to a controversial area of decision making; and has still many potential conflicts on day to day clinical cases, especially among the conservative society in the East Coast of Peninsular Malaysia.
  7. Yusoff MSB
    MyJurnal
    Objective: To determine the sensitivity, specificity and internal consistency of the Malay version GHQ-30 among medical student population. This study also determined the level of agreement between GHQ-30 and M-BDI.
    Methods: The Malay version GHQ-30 and Malay version Beck Depression Inventory (M-BDI) were administered to 190 medical students. ROC curve analysis was applied to determine the sensitivity and specificity of the GHQ-30 by testing against the M-BDI diagnoses. Reliability and Kappa analysis were applied to test internal consistency of the GHQ and to determine the level of agreement between GHQ-30 and M-BDI respectively.
    Results: 141 (74.2%) medical students participated in this study. The GHQ-30 sensitivity and specificity at cut-off point of 5/6 was 87.5% and 80.6% respectively with positive predictive value (PPV) of 70% as well as area under ROC curve was 0.84. The Cronbach’s alpha value of the GHQ-30 was 0.93. The Kappa coefficient was 0.64 (p<0.001).
    Conclusion: This study showed the Malay version GHQ-30 is a valid and reliable screening tool in detecting distressed medical students. The GHQ-30 score equal to or more than 6 was considered as significant distress. The GHQ-30 showed a good level of agreement with M-BDI in detecting distressed medical students.
    Keywords: Kelantan; Malaysia; medical student
  8. Yusoff MSB
    MyJurnal
    Professional behavior is an area of medical education that has long been of concern to medical educator. Professional behavior is one of the domains of the professionalism and it’s a behavior reflection of professionalism. But in spite of its perceived importance, until recently it has not been actively taught or reliably assessed. The purposes of this writing are:
    1) To provide appropriate definition of professional behavior.
    2) To identify characteristics of professional behavior.
    3) To identify valid and reliable assessment tools to assess professional behavior.
  9. Yusoff MSB
    MyJurnal
    Evaluating scientific quality of a journal is a notoriously cumbersome problem that so far no standard consensus. Preferably, scientific journals should be examined by real experts in the field and given scores on quality according to standard guidelines. Nevertheless, information scientists (i.e. scientometricians) have developed a diverse range of tools to examine scientific merits of scientific publications that mainly depending on various indexes that counting citations. The impact factor (IF) is commonly used to examine the visibility of a journal. It is the average number of citations a paper of a journal attracts in the two years following its publication.
  10. Yusoff MSB
    MyJurnal
    Personality researchers have proposed five dimensions of personality that are extroversion,
    conscientiousness, agreeableness, neuroticism, and openness. The five-factor model offers a theoretical basis for medical educators to understand the impact of personality traits on medical students’ psychological health during stressful medical training. This study attempted to investigate on which personality traits have favour impact on psychological health of medical students during a stressful period – the final examination of first year. A cross-sectional study was conducted on medical students in a public medical school. Personality traits were measured by USM Personality Inventory and psychological health parameters were measured by 21-item Depression Anxiety Stress Scale. Pearson correlation test was performed by SPSS to determine correlation between personality trait and psychological health parameters. A total of 174 medical students participated in this study. Extroversion (rstress = –0.44, ranxiety = -0.41, rdepression = –0.56), conscientiousness (rstress= –0.38, ranxiety =–0.36, rdepression= –0.51), agreeableness (rstress = –0.28, ranxiety = –0.25, rdepression = –0.47) and openness
    (rstress = –0.34, ranxiety = –0.31, rdepression = –0.47) negatively correlated with stress, anxiety and depression. Neuroticism (rstress = 0.53, ranxiety = 0.47, rdepression = 0.60) positively correlated with stress, anxiety and depression. Extroversion, conscientiousness, agreeableness and openness demonstrated favourable impact and neuroticism demonstrated unfavourable impact on stress, anxiety and depression of the medical students during a stressful period.
  11. Yusoff MSB
    MyJurnal
    Introduction: Detecting sources of stress of medical students is important for planning wellness
    program to improve their psychological wellbeing. One of instruments to detect the sources of stress
    is the Medical Student Stressor Questionnaire (MSSQ). A systematic review was performed to find
    out evidence to support its validity in term of content, response process, internal structure, relation
    to other variables, and consequences. Method: The author planned, conducted and reported this
    study according to PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses)
    standard of quality for reporting meta-analyses. Systematic search was performed on EBSCOhost,
    Scopus, Proquest, PubMed, Web of Science and Google Scholar databases. Result: The author
    yielded 613 relevant articles based on search terms, 44 articles had used MSSQ, and after critical
    appraisal, only 18 articles provided evidence to support validity MSSQ and thus were included in
    the systematic review. Conclusion: This systematic review supports the validity of MSSQ in relation
    to content, response process, internal structure, relations to other variables, and consequences of
    its scores. MSSQ is a valid tool to detect sources of stress in medical students and its results can be
    utilised as a guide to plan wellness program or intervention to improve medical students’ wellbeing.
  12. Bhavani, Veasuvalingam, Singh Devinder Kaur Ajit, Yew, Su Fen
    MyJurnal
    Standards of physiotherapy practice by respective regulatory bodies and authorities is well documented. However, the triad alignment reported, and efforts taken by physiotherapy stakeholders is unclear and limited. This article aims to highlight any constructive alignment that exist between the three stakeholders namely the regulatory bodies, employers and the higher educational institutions (HEIs). Literature searched was conducted using Google Scholar using keywords on “physiotherapy standards”, “clinical competence”, “regulatory bodies” and “physiotherapy”. Results showed evidence of physiotherapy regulatory bodies, educational institutions and healthcare employers advocating standards of physiotherapy. Physiotherapy authorities advocates the standards of physiotherapy competence, while educational institutions develop various competency assessment tools to measure the outlined standards on their physiotherapy graduate’s. However, the healthcare providers’ (employers) feedback on their expected employability skills is not promising. Evidence suggest discrepancy in the alignment, between these stakeholders and an improved mechanism could be proposed to ensure these standards are well communicated and integrated. Such constructive alignment is imperative in ensuring the physiotherapy workforce produced meet the current 21st century health care demands for optimal patient outcome.
  13. Goh Lay-Khim, Yee Bit-Lian
    MyJurnal
    Simulated patient (SP) is defined as a layperson who simulates to portray the role of a patient with health-related conditions based on varying levels of training. SP allows students to practice various skills under guided experience in a realistic, safe, and controlled setting. The purpose of this integrative review is to examine original research relating to the experience towards simulated patient-based simulation session. A rapid review included three electronic databases search of articles published between 2008 to 2018 with inclusive and exclusive criteria. Seventeen articles were eventually selected for inclusion in the review. These articles were subjected to basic thematic analysis. Descriptive analysis of the study design, study location, professional area, and study variables were reported. Six themes were identified: SP’s perspective, evaluation of SP’s performance, euthenticity of SP role play, SP feedback, student’s development, and evaluation of student’s performance. SP methodology has been widely used to train healthcare students in the development of medical knowledge, clinical skills, as well as important soft skills. SPs, students, and facilitators play a role to ensure the success of an SP-based simulation session. The outcome of the training with SP was examined through an assessment of either the student’s performance or the SP’s performance. The outcome of the review concluded that SPs’ development indirectly influences students’ development.
  14. Mat Pa MN, Ab Rahman A, Abdul Rahim AF, Yusoff MSB, Yaacob NA
    MyJurnal
    The community placement programme was first introduced to our medical students in 2007. The objectives of this community service programme are to enable students to explore and understand the importance of various skills such as leadership, teamwork and interest towards community services, as well as to improve their skills in those areas for becoming better students and future doctors. The first year medical students were tasked to plan, organize and implement activities in selected communities such as disabled people, orphans, neglected elderly, the poor, HIV positive single mothers and children. Amongst the activities conducted were sharing experiences and thoughts, games, donation and ‘gotong-royong’. The objective of this study was to evaluate the students’ perception on the successfulness of the community placement programme in building their professional qualities. A cross-sectional study was conducted among the first year medical students using a self-administered questionnaire. The questionnaire consists of 5 elements of professional qualities such as leadership and team work skills, interest towards community services, volunteerism and empathy. Self-reflection sessions were also held to explore the learning points gained. A total of 147 students answered the questionnaires. The students rated the overall programme as highly useful (80.6%) and as achieving the objectives (80.1%). They perceived that this programme helped them to improve their personal and professional skills such as leadership (70.0%), team work (71.4%), interest towards community services (87.1%), volunteerism (85.0%), and empathy (89.1%). Self-reflection revealed that the programme made them realize the role of doctors in a community, appreciate the spirit of teamwork and helped them to understand the need of vulnerable groups. As a conclusion, this programme was well-accepted and perceived as assisting medical students to build professional qualities to become caring and competent doctors.
  15. Kumurasamy V, Ahmad Fairuz M, Taib F, Mat Pa MN, Mohd Nazri S, Norzila Z, et al.
    MyJurnal
    This paper discusses the ethical issues of patient autonomy based on a case of a patient who refused medication during Ramadhan fasting period. Issues on patient autonomy include the right of a patient to refuse medication, informed decision making, the importance of effective communication and the physician roles and responsibilities are discussed. In conclusion, patient autonomy must be respected and valued. However, the need of effective communication in facilitating informed decision making to improve doctor-patient relationship, should not be overlooked and compromised.
  16. Lau, Amy Sie-Yik, Choi, Sy-Bing, Liong, Min-Tze, Muhamad Saiful Bahri Yusof, Lee, Yeong-Yeh, Faridah Rashid, et al.
    MyJurnal
    Background: Gastrointestinal illnesses and respiratory-related illnesses are common among
    young children in Malaysia, especially those who are attending day care. During administration of
    probiotic, the occurences of gastrointestinal and respiratory-related illnesses can be reduced. These
    were observed by evaluation through a single questionnaire. However, currently no single tool exists
    to simultaneously evaluate the domains of gastrointestinal and respiratory-related illnesses among
    these young children. The current study aimed to develop a source questionnaire in English, translate
    and validate into the Malay. Methods: Relevant domains of gastrointestinal and respiratory-related
    illnesses were identified to generate items and formed a screening tool through literature reviews,
    focus groups and opinions of experts. Results: The developed Basic Demographic and Lifestyle
    Questionnaire (BDLQ) and Monthly Healthy Questionnaires (MHQ) showed item-level content
    validity index (I-CVI) of 0.99 and 0.97, respectively, while the translated Malay versions showed I-CVI
    of 1.00 and 0.99, respectively. Item-level face validity index (I-FVI) of 1.00 for both questionnaires
    were obtained from 30 respondents showing that the items were clear and comprehensible.
    Conclusion: This study showed good level of I-CVI and I-FVI in both developed questionnaires and
    their Malay translated versions. These tools in English and Malay were valid and thus reliable to be
    used for assessing gastrointestinal and respiratory-related illnesses in young children.
  17. Cheah, Whye Lian, Helmy Hazmi, Kiu, Ling Hui, Lee, Sze Ee, Ling, Wei Nii, Wong, Veronica Huey Shin
    MyJurnal
    Introduction: Mentoring medical students is one of the essential responsibilities or missions of a medical school faculty. Objective: This study aimed to determine the perceptions of mentorship and mentoring practices among mentors using a convergent parallel method. Method: Quantitative data was collected by using an adopted validated self- administered questionnaire and analyzed using SPSS version 20. Qualitative data was done using one-to-one interview based on semi structured interview guide and analyzed using thematic analysis. Result: A total of 61 respondents participated in the quantitative survey. Approximately 75% of the respondents had 5 to 10 mentees, with majority rated themselves as satisfactory mentor. More than 60% of them met their mentees at least once every six months. Most respondents were friendly (86.9%) and frank to their mentees (68.9%) and were interested in their mentees’ professional development (95.1%). Phone calling (93.4%) and E-mail (95.1%) were preferred as modes of contact. Mentees were allowed to call their mentors anytime of the day (74.1%). Respondents preferred to counsel their mentees (80.3%) and would refer them for professional help whenever necessary (70.5%). For qualitative data, a total of 5 participants participated with themes emerged: concepts of mentoring, factors contributing to ineffective mentoring and ways to improve mentoring practices. Conclusion: The respondents had positive perceptions regarding their mentorship and practices. A more structured approach with clear mentoring guideline and proper training should be in place.
  18. Cheah Whye Lian, Nan Ommar, Joanne Tan Sze Fern, Surizi Ismail, Tengku Sarah Tengku Mohd Sharifudin, Wong Syn Hwan
    MyJurnal
    Objective: To determine the perception of medical students towards mentor-mentee system in Faculty of Medicine and Health Sciences of UNIMAS. Method: It was a cross-sectional study involving all 104 second year and 80 fifth year medical students. A self-administered questionnaire consisting of socio-demographic details, general perceptions on mentor-mentee system, academic support, personal development, and emotional and psychological support was distributed. The data was analysed using the SPSS version 19. Result: Majority of the subjects had a positive outlook towards the mentor-mentee system with a range of 45.6% to 57%. Three of the top rated perceptions were ‘mentor analyses mentee’s examination results and provides constructive feedback’, ‘mentor advises how to improve academic performance’, and ‘mentor gives encouragement and support for the challenges faced’ (66.8%, 68.0% and 62.9% respectively). Pre-cinical medical students had significantly better perception on mentor-mentee system than clinical students (p≤0.002) while those with non-clinician mentors significantly had better perceptions than those with clinician mentors (p≤0.003) on the system. No significant difference was found between the perceptions of males and females for all components (p=0.234 to 0.722). Conclusion: The mentor-mentee system was found to be successful as more than half of the respondents had posititve perception on the system and its aspects. However, pre-clinical students benefited more compared to clinical students, which reflects the need to look at the support given to clinical students. It was recommended that future studies should incorporate the perceptions of mentors.
  19. Wan Nor Arifin
    Education in Medicine Journal, 2012;4(1):129-143.
    MyJurnal
    Among most important aspects in conducting a clinical trial are random sampling and allocation of subjects. The processes could be easier if done with familiar software used for data entry and analysis instead of relying on other programs or methods. The objective of this article is to demonstrate random sampling and allocation using SPSS in step-by-step manners using examples most relevant to clinicians as well as researchers in health sciences.
  20. Wan Nor Arifin
    MyJurnal
    Multivariate analyses depend on multivariate normality assumption. Although the analyses are available in SPSS, it is not possible to assess the assumption from the basic package. Statistical assessment of the normality is available in a specialized package, SPSS Amos, in form of Mardia's multivariate kurtosis. However, graphical assessment of the normality by chi-square versus Mahalanobis distance plot is not available in both of the packages. The aim of this article is to present the steps to construct the plot in SPSS in a point-and-click manner as expected by most SPSS users.
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