MyMedR

Fulltext Cardiopulmonary resuscitation: an essential skill not only for junior doctors but medical undergraduates and para medical staff

Sachithanandan A

Med J Malaysia, 2011 Aug;66(3):277.

PMID: 22111462

Matched MeSH terms: Medical Staff*

Making the case for the Malaysian Medical Association-Junior Doctors Network (MMA-JDN): A report and memorandum of the 2022 MMA-JDN International Conference

Goh ZNL, Selvaratnam S, SCoRe Investigators

Med J Malaysia, 2023 Jan;78(1):124-125.

PMID: 36715202

The Malaysian Medical Association-Junior Doctors Network (MMA-JDN) was recently formed via constitutional amendments during the 62nd Annual General Meeting of the Malaysian Medical Association held in 2022. MMA-JDN subsequently went on to organise its first international conference held from 4th to 6th November 2022. This paper documents the rationale behind the establishment of this new section in MMA and the timeline of its formation, reports on the aforementioned conference, as well as lays down the future direction of MMA-JDN.

Matched MeSH terms: Medical Staff, Hospital*

Planters, estate health & malaria in British Malaya (1900-1940)

Khiun LK

J Malays Branch R Asiat Soc, 2010;83:91-115.

PMID: 20836261

Matched MeSH terms: Medical Staff/education; Medical Staff/history; Medical Staff/psychology

Fulltext A New Approach to Body Donation for Medical Education: The Silent Mentor Programme

Saw A

Malays Orthop J, 2018 Jul;12(2):68-72.

PMID: 30112135 MyJurnal DOI: 10.5704/MOJ.1807.015

Cadaveric dissection is an integral component of medical education. There had been concerns about negative impact on medical students exposed to deceased donors before their clinical years, but most studies reported overall positive outcome following this form of teaching. Due to reducing number of body donations in most parts of the world, many institutions are adopting alternative models especially for the teaching of gross anatomy. A new body donation programme that incorporate humanistic values in the procurement process was initiated by Tsu Chi University of Taiwan in 1996. Early observations following teaching with the so-called "silent mentors" noted less negative emotional impact on the students. With increasing number of body donation following the initiation of the silent mentor programme as reported in some regions, we will be able to continue the time-honoured cadaveric dissection for anatomy teaching, at the same time promoting humanistic values on junior doctors.

Matched MeSH terms: Medical Staff, Hospital

Fulltext Phonophobia and hyperacusis: practical points from a case report

Asha'ari ZA, Mat Zain N, Razali A

Malays J Med Sci, 2010 Jan;17(1):49-51.

PMID: 22135526 MyJurnal

Phonophobia and hyperacusis are two separate but closely related symptoms that are often mistakenly used in clinical practice as the same entity. Here we present a case report to highlight the distinguishing features of both and discuss the steps of management in these conditions. It is vital for the attending doctors to recognise hyperacusis and phonophobia as different entities to manage them successfully.

Matched MeSH terms: Medical Staff, Hospital

Fulltext Effects of coaching supervision, mentoring supervision and abusive supervision on talent development among trainee doctors in public hospitals: moderating role of clinical learning environment

Subramaniam A, Silong AD, Uli J, Ismail IA

BMC Med Educ, 2015;15:129.

PMID: 26268222 DOI: 10.1186/s12909-015-0407-1

Effective talent development requires robust supervision. However, the effects of supervisory styles (coaching, mentoring and abusive supervision) on talent development and the moderating effects of clinical learning environment in the relationship between supervisory styles and talent development among public hospital trainee doctors have not been thoroughly researched. In this study, we aim to achieve the following, (1) identify the extent to which supervisory styles (coaching, mentoring and abusive supervision) can facilitate talent development among trainee doctors in public hospital and (2) examine whether coaching, mentoring and abusive supervision are moderated by clinical learning environment in predicting talent development among trainee doctors in public hospital.

Matched MeSH terms: Medical Staff, Hospital/education*; Medical Staff, Hospital/organization & administration; Medical Staff, Hospital/psychology

Medical services of the Orang Asli (Aborigines) of West Malaysia

Tee OH

Med J Malaysia, 1975 Sep;30(1):30-37.

PMID: 1207529

Matched MeSH terms: Medical Staff

Euthanasia in Malaysia: opinions and controversies

Asma MA, Vaishnavi J, Chan L

JUMMEC, 2002;7:92-99.

Euthanasia is one of the most controversial topics of the 21st century after cloning and genetic engineering. Has this issue arisen now due to changes in attitude and perception on life of the modem society? This project was undertaken to study the opinions of 2 selected groups of people and secondly, to highlight the legal, ethical and religious controversies on euthanasia. Two groups comprising medical undergraduates and medical personnel were given a questionnaire pertaining 10 his/her opinion and altitude towards euthanasia. The second part of the project was conducted via interviews. The overall opinion from 399 respondents showed that 67.91% are against the practice of euthanasia. Religion is a powerful force against it as Malaysians in general are God-fearing people. There should be proper guidelines explaining how a doctor should respond to patients or family members of patients who request for euthanasia to be performed. It is not legal in Malaysia, but the court has the inherent power to permit it should a particular case have substantial reasoning and evidence. In conclusion, the level of awareness on euthanasia among medical staff and undergraduates is satisfactory. However, most of them do not approve euthanasia in Malaysia.

Matched MeSH terms: Medical Staff

Fulltext A qualitative exploration of Malaysian doctors' perceptions towards complementary and alternative medicines (CAM) [Abstract]

Farooqui M, Othman CN, Hassali AA, Saleem F, Ul Haq N, Sadeeqa S

Value Health, 2014 Nov;17(7):A789.

PMID: 27202944 DOI: 10.1016/j.jval.2014.08.425

Objectives: The study aims to assess doctors’ perceptions towards Complementary and Alternative Medicines (CAM) in their medical practice, factors that affect the referral of CAM and suggestions to improve CAM in medical practice.
Methods: A qualitative research approach was adopted to gain a better understanding of the current perceptions and practice held by doctors’ within their medical professions. In order to gain a wide perspective of the issue, eleven doctors were purposively selected who were working in academics, hospitals and in the community health clinics. Participants were interviewed using a semi-structured interview guide. A saturation point was reached after the 10th interview, and no new information emerged with the subsequent interviews. All interviews were transcribed verbatim and analyzed by means of a standard content analysis framework.
Results: The doctors expressed a range of views on CAM that can be divided into two major themes: doctors’ knowledge and understanding towards CAM and doctors’ viewpoint on CAM in their professional practice. A key factor which affected doctor’s perspectives on CAM was the lack of scientific evidences. The attitudes on CAM were basically shaped based on their personal CAM use rather than knowledge gained during an academic course. Lack of knowledge on CAM was also attributing to the doctors’ reluctance in CAM discussion with their patients. Though addition of CAM courses into the medical curriculum was proposed by some of the doctors; the practical implication was criticized as some found medical curriculum heavily packed with the biomedical courses.
Conclusions: Majority of the doctors in this study were skeptical and uncertain about CAM due to lack of scientific evidence. Doctor-patient communication on CAM can only be improved when doctors’ knowledge on CAM can be improved by providing necessary training on CAM.

Matched MeSH terms: Medical Staff

Fulltext Deteriorating patients and risk assessment among nurses and junior doctors: a review

Ludin, S.M., Ruslan, R., Mat Nor, M.B.

International Medical Journal Malaysia, 2018;17(1):153-162.

MyJurnal

The presence of nurses and junior doctors in the ward environment are crucial, especially in detecting
deteriorating patients. However, there is consistent evidence that warning signs may not always be
identified or acted upon. This paper aimed to analyse the incidence of deteriorating patients, and the
concept of risk assessment of these patients by nurses and junior doctors in general ward, through a review
on relevant literature. An extensive literature search was conducted through online research databases, i.e. CINAHL, MEDLINE (Ovid), Science Direct and ProQuest. Professional journals were hand searched for relevant literature based on reference lists and citations made in key publications, and attempts were also made to obtain any relevant grey literature (unpublished materials). A total of eleven papers which focused on patient’s assessment, response to deteriorating patients and knowledge in medication, and a guideline were reviewed. Most of the studies were carried out in the United Kingdom (n=4), followed by Australia (n=2), Sweden (n=2), the Netherlands (n=1) and Taiwan (n=1). Meanwhile, among these studies, the chosen research designs include, qualitative (n=6), quantitative (n=3) and systematic review (n=1). This review concluded that nurses and junior doctors in general ward have a lack of knowledge in risk assessment of deteriorating patients.

Matched MeSH terms: Medical Staff, Hospital

Fulltext Review on dislodgement & securement risk of peripheral intravenous catheter/cannula and the needs of PIVC securement device

Zubair Faramir Zainul Fadziruddin, Adi Azriff Basri, Ernnie Illyani Basri

Malaysian Journal of Medicine and Health Sciences, 2020;16(108):55-65.

MyJurnal

Intravenous (IV) infusion of medical fluid is a very common procedure used as part of medical procedure treatment. It is also the best alternative medical administration route when medical administration through orally is impossible. The most common use of VAD is the short Peripheral IV Catheter (PIVC) or recognized as IV Cannula. In spite of that, even with experience used of PIVC in medical practice nowadays the rate of IV access failure is very high which is up to 69%. Intensive research studies shows the dislodgement case is one of the major contributions of PIVC failure. For some reason only a fewer cases are reported to the administration. This article seeks the awareness and risk factor regarding to the prevailing IV access failure using the PIVC. This manuscript reviewed the statistical data of PIVC dislodgement, significant of dislodgement, dislodgment cases among pediatric, medical staff factor related to PIVC dislodgement and alternative of securement device. This manuscript also discussed the needs of new securement device in order to reduce the percentage of PIVC dislodgement from occurs.

Matched MeSH terms: Medical Staff

Fulltext A comparison between the effectiveness of a gamified approach with the conventional approach in point-of-care ultrasonographic training

Lai AKH, Noor Azhar AMB, Bustam AB, Tiong XT, Chan HC, Ahmad RB, et al.

BMC Med Educ, 2020 Aug 12;20(1):263.

PMID: 32787921 DOI: 10.1186/s12909-020-02173-7

BACKGROUND: Although gamification increases user engagement, its effectiveness in point-of-care ultrasonographic training has yet to be fully established. This study was conducted with the primary outcome of evaluating its effectiveness in point-of-care ultrasonographic training as compared to conventional approach.

METHODS: Participants consisting of junior doctors were randomized into either the (1) gamified or the (2) conventional educational approach for ultrasonographic training.

RESULTS: A total of 31 junior doctors participated in this study (16 participants in gamified arm, 15 in the conventional arm after one participant from the conventional arm dropped out due to work commitment). Two-way mixed ANOVA test showed that there was no statistically significant interaction between the types of educational approach and time of testing (pre-test, post-test, 2 months post-training) for both theoretical knowledge score and practical skills score, with F(2, 58) = 39.6, p

Matched MeSH terms: Medical Staff, Hospital

Determination of the triage skill and knowledge levels of prehospital emergency medical staff: A cross-sectional study

Awwad K, Ng YG, Lee K, Lim PY, Rawajbeh B

Int Emerg Nurs, 2022 09;64:101203.

PMID: 35930980 DOI: 10.1016/j.ienj.2022.101203

Matched MeSH terms: Medical Staff

Fulltext Impact of a spreading epidemic on medical students

Loh LC, Ali AM, Ang TH, Chelliah A

Malays J Med Sci, 2006 Jul;13(2):30-6.

PMID: 22589602 MyJurnal

The emergence of severe acute respiratory syndrome (SARS) had caused fear and anxiety of unprecedented proportion. To examine the impact of SARS on the medical students in a private medical university, a self-reporting questionnaire study was carried out to assess the factual knowledge, anxiety level and perception of the crisis, among the students. The two-week study (between 12 and 23 May, 2003) was carried out three weeks after the first reported SARS-related death in Malaysia. Ninety-one Phase I (junior) and 113 Phase II (senior) students completed the questionnaires. A large majority of students of Phase I and II were correct in their factual knowledge and were sensible in their perception of the future and the handling of the crisis by government(s). However, phase 1 students expressed significantly greater degree of anxiety compared to Phase II in relation to attendance and personal protection in hospital, and in meeting people coughing in public places. The lesser degree of anxiety expressed by phase II senior students may be due in part, to a more realistic assessment of SARS risk brought about by maturity, time spent in hospital and interaction with clinical lecturers and medical staff.

Matched MeSH terms: Medical Staff

Confidence level in performing clinical procedures among medical officers in nonspecialist government hospitals in Penang, Malaysia

Othman MS, Merican H, Lee YF, Ch'ng KS, Thurairatnam D

Asia Pac J Public Health, 2015 Mar;27(2):NP2093-100.

PMID: 23695541 DOI: 10.1177/1010539513489136

A prospective cross-sectional study was conducted at 3 government hospitals over 6 months to evaluate the confidence level of medical officers (MOs) to perform clinical procedure in nonspecialist government hospitals in Penang. An anonymous self-administered questionnaire in English was designed based on the elective and emergency procedures stated in the houseman training logbook. The questionnaire was distributed to the MOs from Penang State Health Department through the respective hospital directors and returned to Penang State Health Department on completion. The results showed that there was statistically significant difference between those who had undergone 12 months and 24 months as houseman in performing both elective and emergency procedures. MOs who had spent 24 months as housemen expressed higher confidence level than those who had only 12 months of experience. We also found that the confidence level was statistically and significantly influenced by visiting specialist and working together with cooperative experienced paramedics.

Matched MeSH terms: Medical Staff, Hospital/psychology*

Prevalence of musculoskeletal disorders among staffs in specialized healthcare centre

Ibrahim NI, Mohanadas D

Work, 2012;41 Suppl 1:2452-60.

PMID: 22317086 DOI: 10.3233/WOR-2012-0480-2452

This study was conducted to investigate pervasiveness of the musculoskeletal disorder (MSD) among staffs in a specialized healthcare centre. Sixty-eight staffs from three departments namely Cardiovascular Lab (CVL), Nuclear Radiology, and General Radiography were recruited in this study. A modified Nordic Musculoskeletal Questionnaire (NMQ) was distributed among study population. The result shows that the prevalence of MSD was highest in lower back (88.2%), neck (76.5%) and shoulder (60.3%) for the past 12 months followed by lower back and elbow (44.1%), and wrist (39.1%) correspondingly, for the past 7 days. Present results suggest that healthcare professionals - radiographers, patient assistants and nurses incurs MSD risks through work tasks as well as psychosocial factors. These include awkward posture during patient handling, workload, work stress and time pressure. Therefore, an ergonomics improvement on the job design and workspace are needed in order to reduce the MSD risks.

Matched MeSH terms: Medical Staff*

Fulltext Attitudes of Malaysian general hospital staff towards patients with mental illness and diabetes

Minas H, Zamzam R, Midin M, Cohen A

BMC Public Health, 2011;11:317.

PMID: 21569613 DOI: 10.1186/1471-2458-11-317

The context of the study is the increased assessment and treatment of persons with mental illness in general hospital settings by general health staff, as the move away from mental hospitals gathers pace in low and middle income countries. The purpose of the study was to examine whether general attitudes of hospital staff towards persons with mental illness, and extent of mental health training and clinical experience, are associated with different attitudes and behaviours towards a patient with mental illness than towards a patients with a general health problem - diabetes.

Matched MeSH terms: Medical Staff, Hospital/psychology*

External factors in hospital information system (HIS) adoption model: a case on Malaysia

Lee HW, Ramayah T, Zakaria N

J Med Syst, 2012 Aug;36(4):2129-40.

PMID: 21384267 DOI: 10.1007/s10916-011-9675-4

Studies related to healthcare ICT integration in Malaysia are relatively little, thus this paper provide a literature review of the integration of information and communication technologies (ICT) in the healthcare sector in Malaysia through the hospital information system (HIS). Our study emphasized on secondary data to investigate the factors related to ICT integration in healthcare through HIS. Therefore this paper aimed to gather an in depth understanding of issues related to HIS adoption, and contributing in fostering HIS adoption in Malaysia and other countries. This paper provides a direction for future research to study the correlation of factors affecting HIS adoption. Finally a research model is proposed using current adoption theories and external factors from human, technology, and organization perspectives.

Matched MeSH terms: Medical Staff, Hospital/psychology

Fulltext Needlestick injury among medical personnel in Accident and Emergency Department of two teaching hospitals

Ng YW, Hassim IN

Med J Malaysia, 2007 Mar;62(1):9-12.

PMID: 17682562

Needlestick injury has been recognized as one of the occupational hazards which results in transmission of bloodborne pathogens. A cross-sectional study was carried out among 136 health care workers in the Accident and Emergency Department of two teaching hospitals from August to November 2003 to determine the prevalence of cases and episodes of needlestick injury. In addition, this study also assessed the level of knowledge of blood-borne diseases and Universal Precautions, risk perception on the practice of Universal Precautions and to find out factors contributing to needlestick injury. Prevalence of needlestick injury among the health care workers in the two hospitals were found to be 31.6% (N = 43) and 52.9% (N = 87) respectively. Among different job categories, medical assistants appeared to face the highest risk of needlestick injury. Factors associated with needlestick injury included shorter tenure in one's job (p < 0.05). Findings of this study support the hypothesis that health care workers are at risk of needlestick injury while performing procedures on patients. Therefore, comprehensive infection control strategies should be applied to effectively reduce the risk of needlestick injury.

Matched MeSH terms: Medical Staff, Hospital*

Fulltext Intention to adopt clinical decision support systems in a developing country: effect of physician's perceived professional autonomy, involvement and belief: a cross-sectional study

Sambasivan M, Esmaeilzadeh P, Kumar N, Nezakati H

BMC Med Inform Decis Mak, 2012;12:142.

PMID: 23216866 DOI: 10.1186/1472-6947-12-142

Computer-based clinical decision support systems (CDSS) are regarded as a key element to enhance decision-making in a healthcare environment to improve the quality of medical care delivery. The concern of having new CDSS unused is still one of the biggest issues in developing countries for the developers and implementers of clinical IT systems. The main objectives of this study are to determine whether (1) the physician's perceived professional autonomy, (2) involvement in the decision to implement CDSS and (3) the belief that CDSS will improve job performance increase the intention to adopt CDSS. Four hypotheses were formulated and tested.

Matched MeSH terms: Medical Staff, Hospital/psychology*

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