Reflecting on BCMP Students’ Experiences of Professionalism during Clinical Rotations

Background: The professional standards expected of individuals who commit to the practice of medicine require that they possess character traits that are consistent with and reflect the core values, principles and competencies of the medical profession.Objective: The aim was to evaluate final year Bachelor of Clinical Medical Practice (BCMP) students’ experiences of professionalism during clinical rotations.Method: Hatem’s definition of professionalism was the stimulus that guided 25 final year BCMP students’ reflections on their experiences of professionalism during clinical rotations. The students’ responses documented as portfolio entries were distilled into quantitative core values and subjected to an ethical analysis according to the guidelines as provided by the Health Professions Council of South Africa.Results: There was a positive association between frequency of reflections and the positive nature of the experiences of professionalism for the majority of the contextual attributes (53.8%). Negative experiences of professionalism (46.2%) were context specific and perceived by students as denying them an opportunity to attain professionally required skills.Conclusion: BCMP students reflected on their professional development as a process that was influenced by individuals and a competency that was determined by the extent to which the team pulled together for the benefit of the patients and the students. The study has highlighted some of the ethical dilemmas related to context

Medical students using the technique of 55-word stories to reflect on a 6-week rotation during the integrated primary care block

Background. Reflection and reflective practice are identified as a core competency for graduates in health professions education. Students are expected to be in a position to process experiences in a variety of ways through reflective learning. In doing so, they can explore the understanding of their actions and experiences, and the impact of these on themselves and others. Objectives. To draw on 5-weekly reflections by final-year medical students during the integrated primary care block placement. These reflections explore the learning that occurred during the rotation and the change in experiences during this period, and illustrate the use of reflection as a tool to support the development of professional practice. Methods. This descriptive qualitative study analysed students’ 55-word reflective stories during a 6-week preceptorship in either a rural or urban primary healthcare centre. The writing technique of short 55-word reflective stories was used to record student experiences. Inductive thematic analysis was conducted using MAXQDA software. This involved identifying the most commonly used words for each week through a word cloud, highlighting each week’s most notable focus for learning to generate themes and sub-themes. Results. Analysis of 127 logbook entries generated 464 stories on a range of experiences that had a significant impact on learning. Students’ reflections in the first 2 weeks were linked to personal experiences and views about the block. In subsequent weeks, reflections focused on the individual responses of students to the learning experiences regarding the curriculum, patient care, ethics, professionalism and the health system. Conclusions. The reflections highlighted the key learning experiences of the medical students and illustrated how meaning is constructed from these experiences. The 55-word stories as a reflection tool have potential to support reflection for students, and provide valuable insight into medical students’ learning journey during their clinical training

Fibrous TiO2 Alternatives for Semiconductor-Based Catalysts for Photocatalytic Water Remediation Involving Organic Contaminants

Water decontamination remains a challenge in several developed and developing countries. Affordable and efficient approaches are needed urgently. In this scenario, heterogeneous photocatalysts appear as one of the most promising alternatives. This justifies the extensive attention that semiconductors, such as TiO2, have gained over the last decades. Several studies have evaluated their efficiency for environmental applications; however, most of these tests rely on the use of powder materials that have minimal to no applicability for large-scale applications. In this work, we investigated three fibrous TiO2 photocatalysts, TiO2 nanofibers (TNF), TiO2 on glass wool (TGW), and TiO2 in glass fiber filters (TGF). All materials have macroscopic structures that can be easily separated from solutions or that can work as fixed beds under flow conditions. We evaluated and compared their ability to bleach a surrogate dye molecule, crocin, under batch and flow conditions. Using black light (UVA/visible), our catalysts were able to bleach a minimum of 80% of the dye in batch experiments. Under continuous flow experiments, all catalysts could decrease dye absorption under shorter irradiation times: TGF, TNF, and TGW could, respectively, bleach 15, 18, and 43% of the dye with irradiation times as short as 35 s. Catalyst comparison was based on the selection of physical and chemical criteria relevant for application on water remediation. Their relative performance was ranked and applied in a radar plot. The features evaluated here had two distinct groups, chemical performance, which related to the dye degradation, and mechanical properties, which described their applicability in different systems. This comparative analysis gives insights into the selection of the right flow-compatible photocatalyst for water remediation

Patterns of lung involvement in children with HIV with or without TB.

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Cranial nerve enhancement in TBM in children

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Abdominal lymphadenopathy in children with tuberculosis presenting with respiratory symptoms

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Cranial nerve enhancement in children with tuberculous meningitis: incidence, distribution and clinical correlation

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Chylothorax as a complication of pulmonary tuberculosis in children

Chylothorax is a rare clinical entity characterized by a milky white aspirate with increased triglyceride levels. The commonest aetiology is malignancy and trauma. Pulmonary tuberculosis is an extremely rare cause of chylothorax. Two children with chylothorax and pulmonary tuberculosis are described. One child had bilateral and the other unilateral chylous effusions. Extensive mediastinal and hilar lymphadenopathy was demonstrated. Diseased lymph nodes may infiltrate other intrathoracic structures such as the thoracic duct, and they can also obstruct the cisterna chyli and thoracic duct. A possible explanation for the development of a chylothorax in our patients is obstruction of the thoracic duct by tuberculous lymphadenopathy with subsequent increase in pressure in the surrounding lymphatic system and leaking of chyle into the pleural space. © 2007 Springer-Verlag.Articl

Health sciences students’ contribution to human resources for health strategy : a rural health careers day for grade 12 learners in the North West Province of South Africa

CITATION: Mapukata, N. O., et al. 2017. Health sciences students’ contribution to human resources for health strategy : a rural health careers day for grade 12 learners in the North West Province of South Africa. African Journal of Health Professions Education, 9(3):92-93, doi:10.7196/AJHPE.2017.v9i3.856.The original publication is available at http://www.sajsm.org.za/index.php/ajhpeNo abstracthttp://www.sajsm.org.za/index.php/ajhpe/article/view/722Publishers' Versio

Role of magnetic resonance imaging in the staging and treatment planning of cervical carcinoma - a retrospective evaluation in a tertiary hospital in South Africa

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