放射医学实习医生实际工作能力的培养

放射诊断实习是使影像学实习生成长为放射诊断专业人才的一个重要阶段,是实现理论与实践结合的重要教学实践模式。提高放射诊断实习质量,增强医学影像专业实习生的有关临床能力是临床教学中值得重视和思考的问题。丰富的学习资源,强调影像表现与临床、病理相结合以及X线、CT、MRI并重,加强阅片和操作技能的培养,强调临床辩证思维等方法有助于改善和提高放射诊断临床教学质量。     

An anti-EnaTS detected in the serum of an MiI homozygote

The serum of EH reacted with all red cells (RBCs) except her own, ficin- or trypsin-treated red cells, and En(a-) red cells. This reactivity defined an anti-EnaTS specificity. The red cells of the proposita typed as M-N+S-S+, Vw+Mur-Hil-Hut-Anek-Lane-, Wr(a-b+), EnaKT+. Red cells of five relatives were Vw+ and positive with her serum. Titration studies suggest that EH is genetically an MiI homozygote and that her Vw+ relatives are MiI heterozygotes. There is no history of consanguinity. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis and immunoblotting studies have agreed with the serologic observations. A variant sialoglycoprotein of faster mobility than normal glycoprotein A, but no normal glycoprotein A, was detected on her red cells. Treatment with N-glycanase did not alter the mobility, which indicated that there was no N-glycosylation of residue 26. These findings are in agreement with the reported properties of the Mi.I-specific glycoprotein A. The relatives' Vw+ red cells showed the variant sialoglycoprotein and normal glycoprotein A. EH appears to be the first reported MiI homozygote.     

Patients’ perception toward various dental treatments provided in the internship program

Objectives:

To evaluate patients’ perception regarding treatment and environment in the interns’ clinic at a university dentistry clinic.

Methods:

This cross-sectional study was conducted between July 2012 to May 2013 at the College of Dentistry, University of Dammam, Dammam, Kingdom of Saudi Arabia. A self-directed questionnaire was distributed to 220 randomly selected patients, and the response rate was approximately 68%. Patients’ were asked regarding dentists’ behavior, treatment, and clinical environment along with their demographics, and socioeconomic status.

Results:

Out of the 220 randomly selected patients, 150 participated in the study. The average age of a respondent was 32.5 years (±14.5), 89 of the 150 participants were Saudi nationals. Collectively, 86% were satisfied with the doctors’ behavior, and approximately 94% responded that the dentist listens to their concerns. Most (83%) were satisfied with the treatment plan provided by the interns.

Conclusion:

The findings in this study showed that more than 80% of the participants were satisfied with the quality of treatment and clinical environment. The dissatisfaction rate was minimal (13%) and for this reason, it is difficult to establish the factors for patients dissatisfaction.Evaluation of patients’ satisfaction and meeting their expectations helps to quantify quality of services provided to them. Identifying patient expectations by obtaining their feedback helps to improve the quality of services provided in the clinics. In an academic institution, it is crucial to evaluate quality of care provided to patients. An increase in the number of satisfied patients increases patient cooperation, and motivation.1 Patients’ attitude toward health care experience develops over time, and can be influenced by numerous factors.2 Overall satisfaction is also influenced by the age of a patient, and when satisfaction was related to communication, young male participants produced a higher satisfaction score than other respondents.3,4 Furthermore, a direct relation was found between education level and patients’ satisfaction, and low income group consistently produced low satisfaction scores.5,6 However, features such as neatness, comfort of seating, magazine selection, and background music of the clinic facilities have been reported to influence patient perceptions.7 The College of Dentistry in the University of Dammam facilitates its students by providing them a one year internship program. After finishing course work, students must serve one year in the clinics under the supervision of a faculty member to enhance their skills. The aim of this study was to evaluate patients who visited the interns’ clinics regarding treatment they received, and their satisfaction with the treatment, and clinical environment.