Early community-based family practice elective positively influences medical students’ career considerations – a Pre-post-comparison

BACKGROUND: Demographic change and recruitment problems in family practice are increasingly threatening an adequate primary care workforce in many countries. Thus, it is important to attract young physicians to the field. The purpose of the present study was to examine the effect of an early community-based 28-h family practice elective with one-to-one mentoring on medical students’ consideration of family practice as a career option, their interest in working office-based, and several perceptions with regard to specific aspects of a family physician’s work. METHODS: First- and second-year medical students completed questionnaires before and after a short community-based family practice elective, consisting of a preparatory course and a community-based practical experience with one-to-one mentoring by trained family physicians. RESULTS: We found a significantly higher rate of students favoring family practice as a career option after the elective (32.7% vs. 26.0%, p = 0.039). Furthermore, the ranking of family practice among other considered career options improved (p = 0.002). Considerations to work office-based in the future did not change significantly. Perceptions regarding a family physician’s job changed positively with regard to the possibility of long-term doctor-patient relationships and treatment of complex disease patterns. The majority of the students described identification with the respective family physician tutor as a professional role model and an increased interest in the specialty. CONCLUSIONS: Our results indicate that a short community-based family practice elective early in medical education may positively influence medical students’ considerations of a career in family practice. Furthermore, perceptions regarding the specialty with significant impact on its attractiveness may be positively adjusted. Further research is needed to evaluate the influence of different components of a family practice curriculum on the de facto career decisions of young physicians after graduation

Reality bites:An analysis of corona deniers in Germany over time

The COVID-19 pandemic resulted in unprecedented government interventions in many people's lives. Opposition to these measures was not only based on policy disagreements but for some founded in an outright denial of basic facts surrounding the pandemic, challenging social cohesion. Conspiracy beliefs have been prolific within various protest groups and require attention, as such attitudes have been shown to be associated with lower rule compliance. Several studies have shown that the characteristics linked to holding COVID-19 conspiracy beliefs are complex and manifold; however, those insights usually rest on cross-sectional studies only. We have less knowledge on whether these cross-sectional correlates also reveal which parts of the population have been newly convinced by conspiracy theories or have dropped their support for them as the pandemic evolved. Using a unique panel data set from Germany, this paper explores a wide range of characteristics and compares the insights gained from cross-sectional associations on the one hand and links to the ways in which people change their views on the other hand. The findings show that cross-sectional analyses miss out on nuanced differences between different groups of temporary and more consistent conspiracy supporters. Specifically, this paper identifies major differences in the profiles of people who have been denying COVID-19 consistently compared to those who changed their minds on the question and those who assessed the reality correctly throughout. In doing so, socio-political and perception-based dimensions are differentiated and distinctions between respondents from East and West Germany explored

Global Efforts to Address Severe Acute Malnutrition.

Detailed description on the two formats presented, proBAM (S1A) and proBed (S1B). (XLSX 46 kb

A practical scheme for quantum computation with any two-qubit entangling gate

Which gates are universal for quantum computation? Although it is well known that certain gates on two-level quantum systems (qubits), such as the controlled-not (CNOT), are universal when assisted by arbitrary one-qubit gates, it has only recently become clear precisely what class of two-qubit gates is universal in this sense. Here we present an elementary proof that any entangling two-qubit gate is universal for quantum computation, when assisted by one-qubit gates. A proof of this important result for systems of arbitrary finite dimension has been provided by J. L. and R. Brylinski [arXiv:quant-ph/0108062, 2001]; however, their proof relies upon a long argument using advanced mathematics. In contrast, our proof provides a simple constructive procedure which is close to optimal and experimentally practical [C. M. Dawson and A. Gilchrist, online implementation of the procedure described herein (2002), http://www.physics.uq.edu.au/gqc/].Comment: 3 pages, online implementation of procedure described can be found at http://www.physics.uq.edu.au/gqc