Lege Artis Medicinae

[Whether we teach effectively what we consider being important? As seen by medical educators]

VARGA Zsuzsanna1, PÓTÓ Zsuzsanna1, CSATHÓ Árpád1, FÜZESI Zsuzsanna 1

MARCH 31, 2022

Lege Artis Medicinae - 2022;32(03)

DOI: https://doi.org/10.33616/lam.32.012

Journal Article

[In Hungary the training and output requirements of faculty of general medicine determine the required knowledge, skills and abilities, i.e. competences of graduated me­dical doctors. On the one hand, we examined how the tea­chers ponder the weight of competences established for medical education in the training and output requirements, on the other hand to what extent they mediate these during their teaching activity. The field research by self-developed questionnaires was carried out in four Hun­ga­rian medical schools in the fall semester 2017. For evaluation we used gap analysis, Wilcoxon signed-rank test and factor ana­lysis. The questionnaire was sent to all lecturers (n=1790) of the four medical schools and 439 of them filled it out (24.5%). Results of the research show that the lecturers do not mediate any competence in their teaching practice in such an extent, as important as they consider it is (except one). There are statistically proved negative gaps between the extent of importance and mediation – to a different extent per competence. The examined competences can be grouped in well identifiable factors, which corresponds to the three-circle model accepted in the international literature. Results of the research underline, that be­side the core competences of medical knowledge, there are further developmental opportunities in the medical education, the importance of which was ensured by the lecturers as well. In addition to the realization of lacks and needs the development of lecturers’ skills as well as pedagogical and didactical knowledge are inevitable for the implementation. ]

AFFILIATIONS

  1. Pécsi Tudományegyetem, Általános Orvostudományi Kar, Magatartástudományi Intézet

COMMENTS

0 comments

Further articles in this publication

Lege Artis Medicinae

[Current issues in the peripartum management of diabetic women from the perspective of an internist-diabetologist]

KERÉNYI Zsuzsanna

[In pregnancy complicated with diabetes, treatment of hyperglycaemia is of fundamental importance during delivery in order to improve the outcome parameters of both the mother and the neonate. This is particularly important in the case of mothers with type 1 diabetes and of all mothers who require insulin treatment during their pregnancy. The use of antenatal steroids for women at risk of pre-term birth further complicates the treatment of hyperglycaemia in the period immediately before delivery and requires the appropriate change of insulin therapy. The requirement of nil per os in the delivery period necessitates proper fluid, glucose and insulin treatment in the pre-delivery hours. After surgical delivery the patients may also need infusion treatment until the first meal. As there is no unified guideline for the peripartum management of diabetes, the author re­views the international literature on the internal medicine issues concerning the peripartum treatment of pregnant women with diabetes. This study reviews the characteristics of insulin treatment of women with various types of diabetes before, du­ring and di­rect­ly after delivery. It presents a dosing schedule for women who needed an antenatal steroid treatment in the period before delivery due to premature birth for the purpose of lung maturation. The study also addresses the application and programming of pe­ripartum blood glucose tests, continuous interstitial glucose monitoring (CGM) and insulin pump treatment (CSII).]

Lege Artis Medicinae

[Clinical implication of arterial stiffness in the elderly]

BENCZÚR Béla

[Hypertension prevalence and cardiovascular risk gradually with age. However this aging process seems to take a more rapid course in some individuals, as reflected in the Early Vascular Aging (EVA) syndrome. Age and high blood pressure are the two main determinants of arterial stiffness which is the core of EVA: the impaired elasticity of the media layer of large elastic arteries (mainly the aorta), a process that can be measured by pulse wave velocity. In elderly hyperten­sives, large arteries stiffen and systolic and pulse pressures increase, due to wave reflections. Arterial stiffness has predictive value for future CV e.g. events, coronary artery dis­ease, stroke, and vascular dementia and even all-cause mortality. The concepts of EVA (Early Vascular Aging) and SUPERNOVA (Super­normal Vascular Aging, the opposite phenotype of EVA) help to understand why early target-organ damages develop in some individuals and why others remain much more “younger” than their chronologic age. New drugs are being developed to treat EVA when lifestyle intervention and conven­tional risk factor controlling drugs are not enough.]

Lege Artis Medicinae

[Nanobiophysics of new type coronavirus]

KISS Bálint, KIS Zoltán, PÁLYI Bernadett, KELLERMAYER Miklós

[The Covid-19 pandemic has swept across the world, causing a never seen burden on our health care systems and challenging biomedical research to give appropriate answers to the epidemic. Modern, one-particle biophysical methods ensure special insight to the characteristics of the cause of the epidemic, the SARS-CoV-2. The virus carries a crown-like layer of spike proteins, which plays a fundamental role in the process of infection. The topography structure and mechanical characteristics of native virions have been determined by atomic force microscopy. Spike proteins form a dynamic surface due to their flexibility and motility. Virions are surprisingly resistant to mechanical compression, and their structure is able to recover after mechanical perturbation. The global structure of the virus is resistant to heat effect, but spike proteins dissociate from the surface with higher temperatures. The mechanical and dynamic characteristics of SARS-CoV-2 contribute to its virulence. The applied one-particle biophysical methods play an important role in understanding and fighting with the more common virus infections. ]

Lege Artis Medicinae

[Screening and care of patients with lower extremity arterial disease in Hungary]

FARKAS Katalin, KOLOSSVÁRY Endre

[Lower extremity arterial disease, in addition to the worsening life quality due to the concerning complaints and the rist of amputation, entails high risk of cardiovascular morbidity and mortality. The prevalence of this disease in the Hungarian po­pulation is close to 600 000 people, based on an extrapolation of the international epi­demiological data. In the recent years two target studies started (i) to analyse the performance of screening for lower extremity arterial disease in a representative hypertensive population (ÉRV Program), and (ii) to analyse the data of patients in the whole Hungarian health insurance population with lower ext­remity amputation or revascularization (HUNVASCDATA study). The present review summarizes the outcomes of these two studies. Data analysis on national sample bears high importance, since any improvement in vascular care in Hungary rests entirely on this information. ]

Lege Artis Medicinae

[Analysis of utilization and territorial distribution of Hungary’s waiting list reduction programme ]

PÓNUSZ Róbert, BONCZ Imre, KOVÁCS Dalma, CSONKA Diána, GAZSÓ Tibor, MOLICS Bálint, LUDMAN István, ENDREI Dóra

[In Hungary, the systematic waiting-list reduction program (“X” financing code) started in 2015 aiming to significantly reduce the waiting times of most relevant waiting lists services. The aim of this study was to evaluate the utilization and the territorial distribution of cases financed under the “X-code” between 2015 and 2018. We designed a retrospective and quantitative research on data of the Hungarian National Health Insurance Fund. Relevant data contained all publicly financed X-code cases between 2015 and 2018. Since 2015, this code covered the financing of services related to the waiting list reduction program. Processed data informed about patients (age, sex, residency at county level), involved health care facilities (name, type and location among the counties) as well as all provided medical interventions. In the study period 27,716 cases (mean age 68.05 years) were financed, the majority of patients (63.1%) was female. Case numbers per 10,000 inhabitants were the highest in Counties Baranya (84.63), Somogy (60.17), and Zala (58.89). 71.6% of patients received primary care in their residence county. The most frequent intervention was cataract surgery. During Hungary’s waiting list reduction program high number of patients received medical services. We found significant inequalities in utilization of waiting lists interventions and in the institutional engagement.]

All articles in the issue

Related contents

Clinical Neuroscience

Hungarian experiences with the Beliefs About Attractiveness Scale

CZEGLÉDI Edit, SZABÓ Kornélia

Background and purpose - Sociocultural influences regarding bodily appearance and their psychological consequences play a considerable role in the development and maintenance of body image disturbance and eating disorders. The purpose of the study was to explore the psychometric properties of the Beliefs About Attractiveness Scale-Revised and its correlates among young adults in Hungary. Methods - In our cross-sectional online study, participants were 18-35 years old (N=820, 40% male). Measures: self-reported anthropometric data, Beliefs About Attractiveness Scale-Revised, Eating Disorder Inventory, SCOFF questionnaire, Sociocultural Attitudes Towards Appearance Questionnaire-3, and Rosenberg Self-esteem Scale. Results - The exploratory factor analysis showed that the fit indices of the three-factor solution are acceptable (c2(171)=5124.8, p<0.001, CFI=0.944, TLI=0.918, RMSEA=0.054, SRMR=0.030). Along the original ‘Importance of being thin’ and the ‘Importance of being fit’ factors, a third factor emerged, namely the ’Life fulfilment aspect of attractiveness’ factor. Internal consistency and construct validity of the scales were confirmed. Among those who were at risk of developing an eating disorder, all of the measured beliefs were significantly greater than among those who were not at risk (thin: Z=6.501, p<0.001, Cohen’s d=0.63, fit: t(818)=-4.749, p<0.001, Cohen’s d=0.41, and life fulfilment: t(239)=-5.702, p<0.001, Cohen’s d=0.53). Conclusion - The Hungarian version of the Beliefs About Attractiveness Scale-Revised is a reliable, valid measure and we suggest its introduction into Hungarian research. Relationships between beliefs about attractiveness and self-esteem, body image and eating disorders suggest intervention opportunities in with regards to prevention and treatment of eating disorders.

Clinical Neuroscience

[Validation of the Hungarian MDS-UPDRS: Why do we need a new Parkinson scale?]

HORVÁTH Krisztina, ASCHERMANN Zsuzsanna, ÁCS Péter, BOSNYÁK Edit, DELI Gabriella, PÁL Endre, KÉSMÁRKI Ildikó, HORVÁTH A. Réka, TAKÁCS Katalin, KOMOLY Sámuel, BOKOR Magdolna, RIGÓ Eszter, LAJTOS Júlia, KLIVÉNYI Péter, DIBÓ György, VÉCSEI László, TAKÁTS Annamária, TÓTH Adrián, IMRE Piroska, NAGY Ferenc, HERCEG Mihály, HIDASI Eszter, KOVÁCS Norbert

[Background - The Movement Disorder Society-sponsored revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) has been published in 2008 as the successor of the original UPDRS. The MDS-UPDRS organizing team developed guidelines for the development of official non- English translations consisting of four steps: translation/back-translation, cognitive pretesting, large field testing, and clinimetric analysis. The aim of this paper was to introduce the new MDS-UPDRS and its validation process into Hungarian. Methods - Two independent groups of neurologists translated the text of the MDS-UPDRS into Hungarian and subsequently back-translated into English. After the review of the back-translated English version by the MDS-UPDRS translation administration team, cognitive pretesting was conducted with ten patients. Based on the results of the initial cognitive pretesting, another round was conducted. For the large field testing phase, the Hungarian official working draft version of MDS-UPDRS was tested with 357 patients with Parkinson’s disease (PD). Confirmatory factor analyses (CFA) determined whether the factor structure for the English-language MDS-UPDRS could be confirmed in data collected using the Hungarian Official Draft Version. To become an official translation, the Comparative Fit Index (CFI) had to be ≥0.90 compared to the English-language version. Results - For all four parts of the Hungarian MDS-UPDRS, the CFI was ≥0.94. Conclusion - The overall factor structure of the Hungarian version was consistent with that of the English version based on the high CFIs for all the four parts of the MDSUPDRS in the CFA; therefore, this version was designated as the ‘OFFICIAL HUNGARIAN VERSION OF THE MDSUPDRS.’]

Lege Artis Medicinae

[Rapprochement to medicine: crossing paths between Franz Alexander and Michael Polanyi]

KELEMEN Gábor

[Franz Alexander and Michael Polanyi, who were childhood friends, schoolmates at the grammar school as well as at the medical school are renowned scientists, who were dealing with the issue of reciprocity between knower and known. Interrelation of their careers is hardly researched. In this paper, I attend to this unexplored topic. Alexander adopted the Freudian position at the age of 29. Polanyi first had turned into a physical chemist and then, at the age of 45 his calling was in the philosophy of science. I will show in this paper that their achievements are deeply rooted in the culture that they acquiered in their medical studies in Hungary. ]

Clinical Neuroscience

[Validation of the Hungarian Unified Dyskinesia Rating Scale]

HORVÁTH Krisztina, ASCHERMANN Zsuzsanna, ÁCS Péter, BOSNYÁK Edit, DELI Gabriella, PÁL Endre, KÉSMÁRKI Ildikó, HORVÁTH Réka, TAKÁCS Katalin, BALÁZS Éva, KOMOLY Sámuel, BOKOR Magdolna, RIGÓ Eszter, LAJTOS Júl

[Background - The Unified Dyskinesia Rating Scale (UDysRS) was published in 2008. It was designed to be simultaneous valid, reliable and sensitive to therapeutic changes. The Movement Disorder Society organizing team developed guidelines for the development of official non- English translations consisting of four steps: translation/back-translation, cognitive pretesting, large field testing, and clinimetric analysis. The aim of this paper was to introduce the new UDysRS and its validation process into Hungarian. Methods - After the translation of UDysRS into Hungarian and back-translated into English, it was reviewed by the UDysRS translation administration team. Subsequent cognitive pretesting was conducted with ten patients. For the large field testing phase, the Hungarian official working draft version of UDysRS was tested with 256 patients with Parkinson’s disease having dyskinesia. Confirmatory factor analyses (CFA) determined whether the factor structure for the valid Spanish UDysRS could be confirmed in data collected using the Hungarian Official Draft Version. To become an official translation, the Comparative Fit Index (CFI) had to be ≥0.90 compared to the Spanish-language version. Results - For the Hungarian UDysRS the CFI was 0.98. Conclusion - The overall factor structure of the Hungarian version was consistent with that of the Spanish version based on the high CFIs for the UDysRS in the CFA; therefore, this version was designated as the Official Hungarian Version Of The UDysRS.]