- Email: [email protected]
Difficulties in entering clinical practice
148
Abstracts from the WFC’s 11th Biennial Congress
Discussion: Diet and lifestyle factors are a vital factor in the establishment and therefore the reversal of T2DM. The Merck Manual suggests diet to achieve weight reduction is most important in overweight patients with Type II DM. Since all four patients were overweight and all lost significant weight on their programs, this undoubtedly played an important part in the reestablishment in normal physiological blood markers especially HbA1c. Conclusion: This study demonstrates the efficacy of natural means with which to reverse T2DM. doi: 10.1016/j.clch.2011.09.007
Difficulties in entering clinical practice§ Fa ´bio Dal Bello *, Luis Costa Cantera *Corresponding author. E-mail address: [email protected]
Introduction: When starting clinical practice, students in the health arena face many difficulties within the scope of patient therapy. Unlike theoretical learning, which is proving increasingly effective in introducing the student to problem-based learning and performing tests in groups, to learn clinical practice requires venturing beyond theoretical knowledge to develop practical skills associated with the psychological factors that influence the student’s conduct when attending a patient. This study aimed to verify the causes and the prevalence of difficulties presented by chiropractic students when starting their clinical practice; verify the most used chiropractic technique as well as identify those that are more difficult to implement in the beginning of clinical performance. Methods: This study was performed with 39 chiropractic students enrolled in the chiropractic course from a college in southern Brazil, who were beginning clinical practice within the chiropractic curriculum of the institution. A questionnaire was given to the students with questions related to their difficulties in starting to attend a patient with the aim of verifying the causes and prevalence of these difficulties when starting the practical learning process. Results: The first questions given to the students referred to their difficulties when starting to attend patients, and clinical information submitted by those who are seeking chiropractic care. The question presented by the students which gave them most difficulty was uncertainty in making the correct decision, with 69.2% of the answers. The students reported that they considered insufficient knowledge (12.8%) was the second most prevalent cause regarding their difficulties. For decision-making in clinical care, the students considered that their main difficulties related to the inability to conduct safe pathological diagnosis (53.8%) and insufficient knowledge to conduct the laboratory analysis of the patient’s condition (23.1%). The students also answered questions related to their ability and difficulties in performing different chiropractic techniques, and the Gonstead Cervical Chair (56.4%) and Gonstead SHC lumbar (53.8%) have shown greater difficulty. Discussion: Many learning techniques are searching to promote education productivity increasingly significant to the students needs, especially regarding to clinical uncertainties and decision making; however, the reality has shown that when starting clinical practice, the students will always have some difficulty in carrying out their activities. Conclusion: It is concluded that by providing didactic teaching in addition to theoretical and practical knowledge, thus stimulating the students, knowledge and understanding of the patient in physical and psychological range, the difficulties regarding the first clinical attendance could be minimized. It is also concluded that the creation of methods that provide practice of all techniques taught in chiropractic curriculum and their knowledge and interdisciplinary clinical relationship may promote the formation of students who are more confident and able to act professionally. doi: 10.1016/j.clch.2011.09.008
Abstracts from the WFC’s 11th Biennial Congress
Discussion: Diet and lifestyle factors are a vital factor in the establishment and therefore the reversal of T2DM. The Merck Manual suggests diet to achieve weight reduction is most important in overweight patients with Type II DM. Since all four patients were overweight and all lost significant weight on their programs, this undoubtedly played an important part in the reestablishment in normal physiological blood markers especially HbA1c. Conclusion: This study demonstrates the efficacy of natural means with which to reverse T2DM. doi: 10.1016/j.clch.2011.09.007
Difficulties in entering clinical practice§ Fa ´bio Dal Bello *, Luis Costa Cantera *Corresponding author. E-mail address: [email protected]
Introduction: When starting clinical practice, students in the health arena face many difficulties within the scope of patient therapy. Unlike theoretical learning, which is proving increasingly effective in introducing the student to problem-based learning and performing tests in groups, to learn clinical practice requires venturing beyond theoretical knowledge to develop practical skills associated with the psychological factors that influence the student’s conduct when attending a patient. This study aimed to verify the causes and the prevalence of difficulties presented by chiropractic students when starting their clinical practice; verify the most used chiropractic technique as well as identify those that are more difficult to implement in the beginning of clinical performance. Methods: This study was performed with 39 chiropractic students enrolled in the chiropractic course from a college in southern Brazil, who were beginning clinical practice within the chiropractic curriculum of the institution. A questionnaire was given to the students with questions related to their difficulties in starting to attend a patient with the aim of verifying the causes and prevalence of these difficulties when starting the practical learning process. Results: The first questions given to the students referred to their difficulties when starting to attend patients, and clinical information submitted by those who are seeking chiropractic care. The question presented by the students which gave them most difficulty was uncertainty in making the correct decision, with 69.2% of the answers. The students reported that they considered insufficient knowledge (12.8%) was the second most prevalent cause regarding their difficulties. For decision-making in clinical care, the students considered that their main difficulties related to the inability to conduct safe pathological diagnosis (53.8%) and insufficient knowledge to conduct the laboratory analysis of the patient’s condition (23.1%). The students also answered questions related to their ability and difficulties in performing different chiropractic techniques, and the Gonstead Cervical Chair (56.4%) and Gonstead SHC lumbar (53.8%) have shown greater difficulty. Discussion: Many learning techniques are searching to promote education productivity increasingly significant to the students needs, especially regarding to clinical uncertainties and decision making; however, the reality has shown that when starting clinical practice, the students will always have some difficulty in carrying out their activities. Conclusion: It is concluded that by providing didactic teaching in addition to theoretical and practical knowledge, thus stimulating the students, knowledge and understanding of the patient in physical and psychological range, the difficulties regarding the first clinical attendance could be minimized. It is also concluded that the creation of methods that provide practice of all techniques taught in chiropractic curriculum and their knowledge and interdisciplinary clinical relationship may promote the formation of students who are more confident and able to act professionally. doi: 10.1016/j.clch.2011.09.008