1,720,985 research outputs found
Data supporting the University of Southampton doctoral thesis 'Bursting bubbles: Exploring discourses, perceptions and experiences of widening participation in two UK medical schools'
No full textFocus group data associated with analysis presented in doctoral thesis, "Bursting bubbles: Exploring discourses, perceptions and experiences of widening participation in two UK medical schools".
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Is earning detrimental to learning? Experiences of medical students from traditional and low socioeconomic backgrounds
No full textBackground: medical schools are striving to produce a representative workforce through admissions processes that actively encourage applications from students with backgrounds of social and financial disadvantage. Such medical students frequently have reduced financial support and need to undertake paid employment while studying. However, there is limited evidence to show how a lack of financial support and undertaking paid employment impacts those studying for medical degrees, who are not from affluent backgrounds. Method: a mixed methods approach was used for this single site, exploratory study. A questionnaire on paid employment was distributed to undergraduate medical students. Those respondents in employment were invited to attend an interview to further explore their experiences. Interviews were recorded, transcribed, and analysed using inductive thematic analysis. Results: questionnaire responses from 199 medical students were received and 11 semi-structured interviews conducted. Most students undertook paid employment during medical school and stated it had some benefits. However, the negative impact of paid employment was greater for LSE students: those who met the medical school’s widening participation criteria. LSE students reported work was a necessity rather than a choice. They also had additional stress of financial responsibility for others, including parents or partners. Discussion: compared to traditional medical students, LSE students report increased negative experiences from undertaking paid employment, with greater financial responsibility for themselves and others during their studies. Medical schools have a responsibility to adapt and provide appropriate support for all students. It is vital to understand and acknowledge the additional challenges students from LSE backgrounds face
A comparison of undergraduate outcomes for students from Gateway courses and standard entry medicine courses
No full textBackground: Gateway courses are increasingly popular widening participation routes into medicine. These six year courses provide a more accessible entry route into medical school and aim to support under-represented students' progress and graduation as doctors. There is little evidence on the performance of gateway students and this study compares attainment and aptitude on entry, and outcomes at graduation of students on the UK's three longest running gateway courses with students studying on a standard entry medical degree (SEMED) course at the same institutions. Methods: Data were obtained from the UK Medical Education Database for students starting between 2007 and 2012 at three UK institutions. These data included A-levels and Universities Clinical Aptitude Test scores on entry to medical school and the Educational Performance Measure (EPM) decile, Situational Judgement Test (SJT) and Prescribing Safety Assessment (PSA) scores as outcomes measures. Multiple regression models were used to test for difference in outcomes between the two types of course, controlling for attainment and aptitude on entry. Results: Four thounsand three hundred forty students were included in the analysis, 560 on gateway courses and 3785 on SEMED courses. Students on SEMED courses had higher attainment (Cohen's d = 1.338) and aptitude (Cohen's d = 1.078) on entry. On exit SEMED students had higher EPM scores (Cohen's d = 0.616) and PSA scores (Cohen's d = 0.653). When accounting for attainment and aptitude on entry course type is still a significant predictor of EPM and PSA, but the proportion of the variation in outcome explained by course type drops from 6.4 to 1.6% for EPM Decile and from 5.3% to less than 1% for the PSA score. There is a smaller significant difference in SJT scores, with SEMED having higher scores (Cohen's d = 0.114). However, when measures of performance on entry are accounted for, course type is no longer a significant predictor of SJT scores. Conclusions: This study shows the differences of the available measures between gateway students and SEMED students on entry to their medical degrees are greater than the differences on exit. This provides modest evidence that gateway courses allow students from under-represented groups to achieve greater academic potential.</p
Learning approaches and lecture attendance of medical students
No full textThere are arguably many factors that affect the way a student learns. A recent report by the Higher Education Policy Institute (HEPI) and the Higher Education Academy (HEA) on student academic experience in the UK states that class size is an important factor in the quality of the student experience and that smaller class sizes provide greater educational benefit than the delivery of lectures. This article assesses research related to lectures, lecture attendance of medical students and their learning approaches in higher education outside the clinical setting. A questionnaire and focus groups were employed to gather quantitative and qualitative data. The results show that students value lectures in the curriculum alongside other teaching and learning methods
A problem based approach to discussing diversity may be applied to interprofessional education
No full textProgramme evaluation of the general internal medicine training programme
No full textGeneral internal medicine (GIM) has predominantly been perceived as a joint specialty to be completed alongside specialty training in the United Kingdom. The Internal Medicine (IMT) Stage 2 curriculum was released in August 2022;
1 in October 2022 the Round 2 Specialty Training recruitment included applications for the pilot GIM training programme, and in February 2023 NHS England commenced the 3-year programme. The GIM programme aims to provide run-through training for GIM to Certificate of Completion of Training (CTT). This report establishes the initial recruitment demographics of trainees, as well as an analysis of the successful applicants' perspectives on the programme and their motivations for applying.
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Enhancing self-efficacy through life skills workshops
No full textUniversity attrition rates are often higher for students from groups under-represented in Higher Education (HE), for example those who have experienced social and educational disadvantage. Points of educational transition have been identified as key risk factors for progression and retention, and interventions to increase self-efficacy may act protectively to reduce higher attrition rates.This study presents an evaluation of an intervention implemented at one UK medical school, which aimed to enhance participants' self-efficacy and sense of belonging. Participants completed Schwarzer's General Self-Efficacy Scale and written evaluations. Qualitative data were examined inductively using thematic analysis. Average self-efficacy scores showed a statistically significant improvement six months after the intervention. Key themes including ‘it's not just me’ and ‘learning from the experiences of others’ were identified from the qualitative data and explored within a framework of self-efficacy.The intervention appeared to have a positive impact on self-efficacy through two key sources. Firstly, creating positive “physiological and emotional states’ enabled participants to engage in constructive discussions of personal difficulties they faced, such as imposter syndrome. Secondly, ‘vicarious experiences’, hearing how others had coped during difficult situations, improved participants' beliefs in their ability to cope with future challenges and imagine being successful. These factors may be key in supporting transitions for under-represented university students engaged with a range of disciplines
Superficial cervical muscle activation in chronic neck pain
No full textChronic neck pain can occur in a proportion of individuals who have suffered a whiplash injury and also in individuals that have not experienced a trauma to the neck. The mechanisms that cause chronic pain are unclear, and whether they differ in traumatic or non-traumatic onset is unknown.A review of the background literature identified differences in muscle activation for individuals with chronic neck pain, following a whiplash injury and from a non traumatic onset, compared to healthy controls. However, differences in the combined action or synergy of superficial neck muscles in these chronic neck pain groups, during non-forced activities, had not been widely reported. A new methodology was developed to address this area of research. A pilot study was undertaken to establish the reliability of the method and to identify areas for refinement.The main study employed the refined methodology to determine possible differences in activation and synergies of the upper trapezius and sternocleidomastoid muscles, alongside correlations of subjective pain and fatigue with surface electromyographic measures, using linear array electrodes.Some differences in muscles activation and synergy were observed between the groups. Individuals showed different strengths of relationships between subjective and objective measures and different proportions of significant correlations were shown between groups
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