Academic literature on the topic 'University of Ibadan. College of Medicine'

Background Nigeria, with a population growth rate (2000-2005) of 2.5% and with 5% of the total population aged 60 years and above, has the potential for a rapid growth rate of the older population in coming years.1 The implication of this in a country with large population as reported by the National Population Census 2006, limited number of health care professionals and care homes, is difficulty in meeting the various needs of the elderly, hence, the importance of identifying the palliative care needs of the elderly. Aim The study was set out to assess the palliative care needs of and provision of care to elderly patients seen in the selected clinics of the University College Hospital, Ibadan, Oyo state, Nigeria. Objectives 1. To describe characteristics of elderly patients seen in the selected clinics. 2. To explore the current use of the hospital palliative care team in the care of geriatric patient. 3. To explore the current use of the hospital palliative care team in the care of geriatric patient. Methods A descriptive cross-sectional study was conducted over a 3-month period using an interviewer administered questionnaire after full consent was given by participants. The questionnaire was a combination of the Africa Palliative Care Outcome Scale (APCA-POS), the Edmonton Symptom Assessment Scale (ESAS) and Hope Spiritual Assessment Tool. Demographic information regarding gender, age, nationality, abode and referral to the Care Centre was obtained. Scaled questions from selected tools were ticked with respect to physical, psychosocial and spiritual needs and expectations of palliative care. The validated data collection tools (APCA-POS, ESAS, HOPE) were used in the questionnaire. Ethical approval was obtained from the relevant organizations. Data was analysed using IBM SPSS statistics 21. Results 424 participants completed the questionnaire and most patients (330; 77.8%) were recruited from the geriatric wards with a 2:1 female to male ratio. Most participants fell in the 60 -69 year-old age group. The most common symptom was pain in 240 patients with moderate pain in single or multiple areas. A high percentage (45.8%) were moderately worried about their disease condition and only 66 out of 422 freely discussed this feeling with their family members. Other symptoms observed were nausea, vomiting, constipation and loss of appetite. Conclusion The study showed the palliative care needs of the elderly and calls for collaboration between the palliative care team and the physicians in the geriatric unit for better management of the needs of the elderly.

Research regarding use of complementary and alternative medicine (CAM) among all populations in America is needed to understand what seems to be an increasing trend. Education has been shown to be a significant determinant of CAM use, therefore, college students are likely to be CAM users. Little research has addressed the prevalence and predictors of CAM use among this population, so the purpose of this study was to: (1) measure the prevalence and type of CAM use among a sample of college undergraduates; and (2) test the significance of select social-cognitive constructs and demographics as predictors of CAM use. A random sample of undergraduate students within the Texas A&M University System was solicited via email to complete a web-based survey. Findings show high rates of CAM use. Gender, attitude toward CAM, outcome expectancies regarding the health care encounter, and social network use of CAM were shown to be significant predictors of CAM use. Results can inform health care and health education professionals interested in improving health care processes and addressing positive and negative issues related to CAM use.

Introduction: Low and middle-income countries account for over 90% of worldwide morbidity and mortality associated with injuries. While insufficient resources preclude appropriate care, suboptimal clinical skills, are a universal setback. Major curricula gaps have been identified as underlying this situation. In Africa, most training efforts are targeted at postgraduate level, relegating undergraduate Emergency Medicine (EM) education to a less formal undertaking. This study set out to delineate a list of locally appropriate undergraduate EM procedural core competencies for the University of Zimbabwe College of Health Sciences (UZCHS), through a consensus building process. Methods: A three-stage modified online Delphi survey was used to gain consensus among expert medical trainers at UZCHS, between July and August 2017. Opinion was sought on a five-point Likert scale, regarding agreement with items for inclusion on the procedural core competency list. The original survey list of 105 competencies was generated from literature. The second round included suggestions from panelists. The study was ethically cleared by the University of Cape Town, UZCHS and the Medical Research council of Zimbabwe. Results: 19 expert medical teachers, representing seven clinical departments responded to the survey, with 15 completing all rounds. 79% had more than 5 years’ experience in teaching and assessment of emergency procedures. Of these, 50% had at least 10 years’ experience. The experts reached consensus (75% selecting agree or strongly agree) on 64 competencies (61%), on the first round. The second round yielded consensus on a further 33 items. Only one additional item reached consensus in the final round. A final list of 98 core procedural competencies was generated by three Delphi rounds. Qualitative comments are summarised per emerging themes. Conclusions: A locally appropriate list of undergraduate procedural core competencies, was established. This process can serve as guidance for curriculum projects in Zimbabwe and similar settings.

The purposes of the study was to examine selected factors that were influential in the decline of the University College of Medicine (UCM) in Richmond, Virginia, from 1893 to 1913. UCM was created in the midst of a national medical reform movement. In ways, the institution directly contributed to the reform of medical training in Virginia.;It was the writer's contention that the decline of UCM happened because of the political pressures emerging from medical accrediting agencies, licensing and examining boards, and related organizations. The character of the institution was modified through recommendations of external organizations and coercion was felt through advancing accreditation standards. It was further hypothesized that the curricular and structural pressures from accreditation requirements became oppressive and led to the decline of the institution. Finally, it was hypothesized that the decline of UCM was affected because of the lack of a sound financial structure. Without such a structure, implementation of recommended improvements in medical education would not have taken place because of the high cost.;The historical method of research was used in writing about selected factors which affected the decline of UCM. This method allowed for the examination of primary source documents, the obtaining of oral testimony from participants and observers, and the scrutiny of relationships which existed among individuals, institutions, organizations and events.;It was concluded that what constituted an adequate medical education had changed. In addition to national demands for reform, new methods and values began to create new financial pressures for which many medical schools were not able to provide. The only financial relief apparently lay in a medical school combining itself with the scientific department of a university. Such an institution usually had either governmental support, a sizeable endowment or both. In some cases this route was followed by schools that had a university with which they could unite. For others, it meant merging with other medical schools or closing.;Further research is suggested in the area of factors affecting medical education at the Medical College of Virginia and the medical department of the University of Virginia; the impact that the departments of medicine, dentistry and pharmacy had on education in Virginia; the relationship between the Virginia Hospital and UCM; the influence of the departments of dentistry and pharmacy on the department of medicine at UCM; and the effect of political, curricular, and financial pressures on the department of dentistry at UCM.

The purpose of this study was to determine the initial and actual professional goals, the changes in initial and actual professional goals and the reasons for this change of the different Texas A&M University veterinary medicine graduates from 1990-2002, how satisfied the selected veterinary medicine graduates were with their veterinary medicine college educational preparation from the graduating classes representing 1990-2002, and to determine if the top ranked courses have changed among the veterinary medicine graduates from 1990 until 2002. The descriptive research design included a questionnaire that was provided to Texas A&M University’s College of Veterinary Medicine graduates one year following graduation. Data was collected from the group of veterinarians who graduated during 1990-2002. Findings indicate that since 1990, veterinary students have entered the College of Veterinary Medicine with a predominant interest in small animal or mixed practices. This study shows the stability of the career choices with mixed and small being consistently the first and second choices over the span of years studied. No apparent trend appeared from the data that identifies one compelling reason for changing jobs. The overall satisfaction for the educational preparation on their education is 90% or more. The top-ranked basic science courses have not changed among the veterinary medicine graduates during the selected period and these are: “Pharmacology,” “Gross Anatomy,” “Endocrine,” “Parasitology,” “Physiology” and “Clinical Pathology.” The top-ranked clinical disciplines are not as clearly ranked as the basic sciences. They are: “Anesthesiology,” “Gastroenterology,” “General Surgery,” “Internal Medicine,” “Oncology,” and “Radiology.” No apparent trend appeared from the data that identifies one or the other of these categories becoming more popular over time.