Single feature polymorphism discovery using the wheat Affymetrix Gene Chip

PURPOSE: To determine how often medical students are not allowed to perform gynecological examinations during their obstetrics-gynecology clerkship, identify the barriers to participation related to physicians and patients, explore the role of the supervisory physician in not allowing medical student involvement, and explore differences between male and female students' experiences. METHOD: All medical students entering their obstetrics-gynecology clerkship at a medical school in the Netherlands between May and October 2011 were invited to participate in this study's questionnaire, which asked them to report the number of gynecological examinations they were allowed and not allowed to perform during their clerkship. Eighteen questionnaire respondents participated in three focus groups. RESULTS: Of the 139 medical students invited, 76 (55%) completed the questionnaire. Students reported a total of 2,196 instances in which they were not allowed to participate in the examination; 89% (n = 1,956) were related to the supervisory physician. Qualitative data from the focus group interviews showed that female supervisory physicians prioritized patients' autonomy above students' learning needs. Furthermore, female students were less assertive than male students in asking the supervisory physician for permission to participate. CONCLUSIONS: The physician's role in not allowing student involvement is substantial and results in fewer opportunities for students to perform gynecological examinations. For students to develop the necessary gynecological exam skills during their clerkship, medical educators need to improve the learning environment

Calendar 2009

BACKGROUND: Given the increase in skin cancer (SC) it seems inevitable that general practitioners (GPs) will play a larger role in SC care in the near future. OBJECTIVES: To obtain insights into the opinion of GPs with respect to their role in SC care, and their SC knowledge and skills. METHODS: A self-administered questionnaire was sent to GPs in the region of Nijmegen, the Netherlands. RESULTS: In total 268 GPs (49%) responded. An overwhelming majority were willing to extend their role in SC care. Furthermore, we noted the following results: (i) > 50% of GPs requested additional SC knowledge; (ii) GPs often treat actinic keratosis (AK) themselves, primarily with cryotherapy; (iii) > 50% would treat (low-risk) basal cell carcinoma (BCC) after additional training; (iv) only a few GPs are familiar with BCC guidelines; (v) the majority of patients with high-risk SC are referred to dermatologists; (vi) only a few GPs perform total body inspection and palpation of lymph nodes; and (vii) a large number of GPs inform their patients on risk factors in SC development. CONCLUSIONS: Most GPs are willing to extend their role in SC care; however, more training is requested and the usage of guidelines should be encouraged. Those willing to extend their role should focus on improving their clinical diagnosis of skin tumours, treatment of low-risk skin (pre)malignancies, including field-directed treatment of AK and noninvasive treatment of BCC, and on prevention

Ontwikkelingen op het terrein van vrouwenstudies Geneeskunde

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Vrouwen in de postmenopauze: dertig jaar lang

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De meerwaarde van sekse

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Sekseverschillen in de aanpak van urine-incontinentie bij vrouwen

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[Medicine is not gender-neutral: influence of physician sex on medical care]

Item does not contain fulltextMany studies have shown that men and women differ in communication styles. The question is whether these differences also play a role during medical consultation. Potential differences between male and female physicians that have been investigated, are differences in doctor-patient communication, the diagnostic process and treatment. The communication style of female physicians is more patient-oriented than that of male physicians. Male and female physicians differ in their use of additional tests; notably, intimate examinations, such as prostatic or vaginal examinations, are performed less frequently for patients of the opposite sex. Male physicians prescribe medication more frequently; notably sedatives are prescribed more often by male physicians to female patients. Therefore, whether medical care is provided by a male or a female physician makes a difference: the professional role of the physician is not gender-neutral. Within the medical profession, male and female medical students are socialised differently, and professional socialisation does not overcome differences in gender roles. Patients are generally more satisfied with female physicians than male physicians. Knowledge of and insight into these processes is essential for improving the quality of care

Algoritme zinvol bij de vroegdiagnostiek van het ovariumcarcinoom?

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Voortzetting behandeling met aromataseremmer tot 10 jaar vereist gezamenlijke besluitvorming

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Rampen en de gezondheid van vrouwen

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