Assessment of ability of medical and obstetric students to achieve adequate positive pressure ventilation using basic neonatal resuscitation manikins

Introduction. The ability to perform adequate positive pressure ventilation is necessary for neonatal clinical practice. However, there are few studies on the achievements of undergraduate students on this task. It is necessary to assess health science students’ adequate positive pressure ventilation because it is vital at the beginning of their clinical activity. Objective. To evaluate the cognitive and procedural ability related to adequate positive pressure ventilation performed by 6th year medicine students and 4th year obstetrics students at a public university in Lima, Peru. Methods. We surveyed 78 medical and obstetric students in their last years of studies within six months of taking a course on neonatal resuscitation that included positive pressure ventilation theory and practice. Participants voluntarily agreed to participate in this study. Previously, we validated the survey by asking three experienced neonatologists for their expert judgments on improving the survey. The survey consists of three theoretical questions as a cognitive assessment and three practice assessment criteria qualified by observing performance using neonatal manikins. Results. Medicine students had a better practical ability (p <0.001) than obstetrics students, and obstetrics students presented better theoretical knowledge (p = 0.019). However, both groups achieved limited performance within six months of taking the neonatal clinical practice course as 21.8% of all students passed both the theoretical and practical parts of this study. Conclusion. Participants from both schools require further training alternatives to achieve adequate positive pressure ventilation performance.Introduction. The ability to perform adequate positive pressure ventilation is necessary for neonatal clinical practice. However, there are few studies on the achievements of undergraduate students on this task. It is necessary to assess health science students’ adequate positive pressure ventilation because it is vital at the beginning of their clinical activity. Objective. To evaluate the cognitive and procedural ability related to adequate positive pressure ventilation performed by 6th year medicine students and 4th year obstetrics students at a public university in Lima, Peru. Methods. We surveyed 78 medical and obstetric students in their last years of studies within six months of taking a course on neonatal resuscitation that included positive pressure ventilation theory and practice. Participants voluntarily agreed to participate in this study. Previously, we validated the survey by asking three experienced neonatologists for their expert judgments on improving the survey. The survey consists of three theoretical questions as a cognitive assessment and three practice assessment criteria qualified by observing performance using neonatal manikins. Results. Medicine students had a better practical ability (p <0.001) than obstetrics students, and obstetrics students presented better theoretical knowledge (p = 0.019). However, both groups achieved limited performance within six months of taking the neonatal clinical practice course as 21.8% of all students passed both the theoretical and practical parts of this study. Conclusion. Participants from both schools require further training alternatives to achieve adequate positive pressure ventilation performance

Alineamiento de la producción científica a las prioridades de investigación en el Seguro Social de Salud del Perú: Propuesta de fortalecimiento y descentralización de la investigación: Propuesta de fortalecimiento y descentralización de la investigación

Background: One of the impact indicators of priorities in health research-setting is the scientific production that refers to these priorities. EsSalud raised nine priority research topics (PRT) and 20 priority research questions (PRQ) for the 2017-2019 period. We assess the alignment to these research priorities in the scientific articles published during the 2017-2020 period by EsSalud, and we characterize those financed by this institution. Material and Methods: Analysis of the scientific articles registered in the EsSalud scientific production database for the period 2017-2020. We used a standardized methodology and in duplicate to evaluate the alignment of a scientific article to the PRT and PRQ 2017-2019 of EsSalud. The evaluation of the alignment to the PRQs is only carried out in original articles and congress summaries. We report alignment frequencies to each PRT and PRQ, and we report the frequency of alignment to at least one PRT according to the articles' characteristics. In addition, the characteristics of the articles financed by EsSalud were reported. Results: 170 out of 1283 articles were aligned to at least one PRT. Eight of the twenty PRQs went unanswered. Articles with authors who belong to or received funding from IETSI-EsSalud had the highest alignment rate. Finally, the highly cited articles financed by EsSalud were mainly observational studies, clinical practice guidelines and systematic reviews. Conclusion: The articles published by EsSalud during 2017 to 2020 have low alignment with institutional research priorities. Furthermore, it is necessary a process of implementation, monitoring, and evaluation of research priorities in the institution.Introducción: Uno de los indicadores del impacto del establecimiento de prioridades en investigación en salud es la producción científica. EsSalud planteó nueve temas de investigación prioritarios (TIP) y 20 preguntas de investigación prioritarias (PIP) 2017-2019. Evaluamos el alineamiento a estas prioridades de investigación en los artículos científicos publicados con filiación de EsSalud durante 2017-2020, y caracterizamos aquellos financiados por esta institución. Material y Métodos: Análisis de los artículos científicos registrados en la base de datos de producción científica de EsSalud 2017-2020. Empleamos una metodología estandarizada y por duplicado para evaluar el alineamiento a los TIP y PIP 2017-2019 de EsSalud. La evaluación del alineamiento a las PIP sólo lo realizamos en artículos originales y resúmenes de congreso. Reportamos frecuencias de alineamiento a cada TIP y PIP, y frecuencia de alineamiento a por lo menos un TIP según características de los artículos. Además, se reportó las características de los artículos financiados por EsSalud. Resultados: Un total de 170 de 1283 artículos se alinearon a al menos un TIP. Ocho de las veinte PIP no fueron respondidas. Los artículos con autores que pertenecen o recibieron financiamiento del IETSI-EsSalud tuvieron la mayor tasa de alineación. Finalmente, los artículos financiados por EsSalud fueron principalmente estudios observacionales, guías de práctica clínica y revisiones sistemáticas. Conclusión: Los artículos científicos publicados con filiación de EsSalud durante el 2017 al 2020 tienen baja alineación con las prioridades de investigación de la institución. Por lo tanto, es necesario generar un proceso de gestión de implementación, seguimiento y evaluación de las prioridades de investigación en la institución