Search Results (38)

This research delves into the assessment of students’ perspectives regarding virtual internships within Brazilian organizations, a phenomenon accelerated by the global pandemic. Evaluating 78 students’ virtual internships via a survey, the study employs the Fuzzy TOPSIS Class method for analysis. Additionally, a sensitivity analysis was conducted to assess the robustness of the results. Key insights for enhancing virtual internships encompass: emphasizing application and deeper understanding of topics learned during the undergraduate course, enhancing understanding about how organizations work, and fostering comprehension of market dynamics. Among the points best rated by students are the opportunity to explore new subjects, development of soft skills, and supervisors’ competence in managing teams in virtual environments. This paper contributes methodologically by proposing a multicriteria decision-making approach to assess virtual internships. The findings serve as a valuable resource for internship supervisors in companies and higher education institutions, aiding them in guiding students through this pivotal developmental phase that shapes their future careers. Full article

Background/Objectives: Medical students experience significant mental stress during clinical internships. This study aimed to assess the levels of uncertainty stress among medical interns, evaluate its temporal changes and associations with doctor–patient conflict and reference norm, and provide insights for stress-alleviating policies and educational initiatives. Methods: A prospective longitudinal panel study was conducted; 131 medical students preparing for clinical internships were recruited via WeChat social media groups from June 2023 to June 2024. Data were collected at three time points using an online survey on Wenjuanxing: before the internship, three months into the internship, and after the internship. Variables such as uncertainty stress, doctor–patient conflict, and reference norm were measured, and data were analyzed using GEE and the GLMM program. Results: A total of 122 students completed all three waves of the study. Uncertainty stress decreased over the internship period (W = 7.25, p < 0.05), while doctor–patient conflict increased (W = 6.65, p < 0.05). Uncertainty stress was positively associated with the reference norm from teachers (β = 0.856, p < 0.05) and doctor–patient conflict (β = 1.068, p < 0.05). Conclusions: Although uncertainty stress reduces as internships progress, doctor–patient conflict rises. A supportive learning environment, especially from teachers, is crucial for mitigating stress. Medical schools and hospitals should implement comprehensive strategies to address individual stressors and institutional factors, considering the associations between uncertainty stress, doctor–patient conflict, and reference norm. However, the study has limitations such as a small sample size and reliance on self-reported measures, indicating a need for further research. Full article

This paper presents my personal experiences of cross-disciplinary national and international academic mentoring over 30 years in a higher education setting, supporting 605 mentees in public health, health education, and the health services. I supported mentees at diverse career stages through (a) one-to-one mentoring relationships (n = 231 mentees; from the UK, Europe, Middle East, Africa, Asia, and Australasia; academics, industry, and healthcare professionals), (b) a cross-faculty structured mentoring programme (n = 52; junior faculty), (c) a cross-institutional interprofessional internship programme including mentoring and public health placements (n = 302 interns; from five universities), and (d) an interprofessional learning programme in workplace health called WHIRL, which was embedded within Test@Work, a public health innovation bridging health promotion practice, research, and industry and involving peer mentoring and mentor support (n = 20; volunteer healthcare trainees). In this paper, I outline the broader concept of mentoring, together with an overview of mentoring types, uses, and benefits. The diverse contexts in which mentoring occurs are discussed: (i) micro-mentoring, (ii) inducting new staff, (iii) peer mentoring, (iv) career transition moments, (v) career advancement mentoring, (vi) diversity mentoring, (vii) knowledge sharing mentoring, (viii) collaborative learning and support mentoring, and (ix) leadership development mentoring. The challenges of mentoring are presented alongside suggested actions to take. I advocate for mentoring evaluation and provide a worked example of measuring the outcomes of one-to-one mentoring using The Career Support and Psychosocial Support Scales (online survey; n = 103 mentees; from 22 countries). Finally, I reflect upon the diversity of mentoring experiences, with activities and benefits categorised into six key areas: interpersonal relationships; networking opportunities; enhancing knowledge and skills; employment, reward and recognition; support for under-served groups; and convening communities of practice. Full article

Background/Objectives: The extensive exposure of physicians to the COVID-19 pandemic has contributed to occupational stress and burnout in their daily lives. This study aimed to explore the lived experiences of intern physicians who experienced burnout during the COVID-19 pandemic and to identify potential solutions to enhance clinical practices in future pandemics. Methods: This study employed a qualitative, phenomenological study utilizing in-depth interviews. The participants were 19 first-year intern physicians from public hospitals in Thailand, selected through a purposeful sampling approach who had experienced burnout. Semi-structured interviews were conducted face-to-face and via online platforms. A thematic narrative analysis approach was used. Results: Phenomenological explorations included two parts: the first explored physicians’ workplace conditions while providing patient care, and the second focused on their proposed solutions for policy changes in clinical practices and hospital management. Four main themes in the first part were derived: (1) emotional suffering and burnout; (2) engaging with a high-intensity workplace; (3) hostile work environments; and (4) deterioration of relationships with staff and colleagues. The second part identified three main themes: (1) changes in policy of clinical practices; (2) effective hospital management; and (3) building interpersonal skills. Conclusions: The COVID-19 pandemic has exacerbated challenges faced by intern physicians, such as high-pressure working conditions, deteriorated relationships with colleagues, and ineffective management, all of which contribute to burnout. These challenges require targeted policy changes in clinical practices, effective hospital management, and building interpersonal skills. Recommendations include improved clinical practices, increased academic support, comprehensive orientation programs, effective communication, teamwork assistance, stress management, and transforming organizational culture to value physicians during internships. Full article

Introduction: Traditional medical education often emphasises theory, but clinical competence relies greatly on practical, hands-on skills. This quasi-experimental study examines how a combined approach—flipped classroom learning and simulation-based internships—affects medical students’ self-assessed clinical abilities. This model seeks to build students’ understanding, practical skills, and confidence in clinical settings through online preparation and realistic simulation exercises. Methods: This study examined changes in medical students’ self-perceived clinical skills after a flipped classroom and simulation-based internship. A total of 391 third- and fourth-year students completed a nine-hour program with morning practice sessions and afternoon high-fidelity scenarios. Surveys before and after the program assessed self-perceived thoracic and abdominal/general skills. ANCOVA controlled for baseline scores, and paired Wilcoxon signed-rank tests examined overall and subgroup improvements. Results: After the program, significant improvements were observed in self-perceived clinical skills across all domains. Thoracic skills increased from a median of 2.19 to 7.36, and abdominal skills from 5.11 to 9.46. Medical history, vital signs, and blood pressure scores also improved significantly. Third-year students and those attending the Clinical Methodology course showed the greatest gains. All post-intervention improvements were statistically significant (p < 0.001). Conclusions: The combination of flipped classroom learning and intensive simulation training markedly improved students’ perceived clinical competence. These findings suggest that such methods boost students’ practical skills and confidence. Further research is recommended to explore the long-term impact of this approach on skill retention and professional practice. Full article

Since the early 1990s, professional learning communities (PLCs) have been widely recognized as an effective, extensively researched approach to professional development, school improvement, and student learning enhancement as well as leadership development within educational settings. Nevertheless, there remains a scarcity of research concerning the impact of this approach to professional development within the context of initial teacher education. The present study is one of the first to systematically examine the possibilities and potential of PLCs for student teachers in their practical pedagogical studies (internship). In particular, the study examines whether Student-Teacher PLCs (ST-PLCs) can be implemented in pre-teacher education and the perceptions of student teachers concerning their participation and professional learning within an ST-PLC. A total of 56 students from the University of Education Vorarlberg (Austria), the University of Málaga (Spain), and the European University Cyprus participated in the study, responding to an online questionnaire and engaging in focus-group interviews. The data collected indicated that ST-PLCs serve as a robust strategy for collaborative learning and the development of professional competencies. An analysis of the qualitative data showed that ST-PLCs are spaces where the reflection and analysis of teaching-related topics are stimulated, supported, shared, encouraged, and enhanced. Full article

Physicians are exposed to occupational stress and burnout, which have been identified as contributing to a decrease in the quality of work life (QWL). Thailand’s medical education program, consisting of a six-year curriculum with government tuition support followed by three years of internships, provides the context for this investigation. This study aimed to assess the QWL among intern physicians (IPs) in public hospitals and investigated the association between burnout and QWL. A cross-sectional study was conducted among 241 IPs in public hospitals in Thailand utilizing an online self-administered questionnaire. The questionnaire included a Thai version of a 25-item QWL scale and the Maslach Burnout Inventory—Human Services Survey for Medical Personnel. Data analysis was performed using multivariable logistic regression. A significant proportion of IPs experienced low to moderate QWL (72.6%), with low levels of home–work interface (39.4%) and employee engagement (38.6%). In the exploratory model, after adjusting for sex and age, IPs with high depersonalization and low personal accomplishment demonstrated an association with low QWL (adjusted OR, aOR 2.08, 95% CI 1.01 to 4.31; aOR 2.74, 95% CI 1.40 to 5.39). Healthcare organizations should regularly assess intern physicians’ QWL and burnout, prioritizing interventions; ensure reasonable work hours, schedule adjustments, and open communication; and develop support systems for cost-effective interventions. Further research on the dynamic relationship between burnout and QWL is crucial for targeted and culturally sensitive interventions. Full article

Introduction: Sleep–wake circadian disorders (SWCDs) are very frequent and linked to major negative effects on the body, mental health, the brain, and on occupational and societal health. The prevention, diagnosis, and treatment of SWCDs and the promotion of sleep health require the sufficient education of general practitioners, specialists, and other health professionals. Unfortunately, education at pre- and postgraduate level is insufficient in most countries across the world. Aims and methods: This article describes the historical context, basic considerations, and methodological approach for the creation of the International Postgraduate Sleep Master by the University of Bern and Svizzera Italiana. Results: The postgraduate Master, which was launched in 2017, is a part-time, flexible course, taken over 2 ½ years, which targets health professionals, scientists, and technicians. After an initial introduction, which is the same for everybody (“common trunk”), the course can be individualized. The 12 modules of the Master include online lectures, schools, internships in a sleep center (in one of our 15 partner universities), case discussions and interactive sessions with students and internationally recognized experts from over 20 countries across the world, and culminates with a Master thesis. The program covers sleep–wake circadian biology; the management of SWCDs; disturbances of consciousness and sleep-related epilepsies; novel approaches in sleep medicine (e.g., clinical trials, telemedicine, data science, artificial intelligence); and topics of increasing relevance (e.g., neurodegenerative disorders, gender and diversity, sleep health, new technologies, artificial intelligence, professional and societal implications). Students are encouraged to also take “crash courses” in preparation for the national, European, and World sleep examinations. Conclusion: The Postgraduate University Sleep Master of the Universities of Bern and Svizzera Italiana offers a unique part-time, (mainly) virtual opportunity to acquire state-of the art knowledge, skills, and professional experiences to prepare for a clinical or scientific career in sleep medicine for physicians, scientists, and other health professionals. Full article

Students are required to complete supervised practice hours prior to becoming Registered Dietitians and Physician Assistants. Research suggests that environmental and social factors affect dietetic interns’ diets during their internship, although these factors have not been studied among physician assistant interns. This cross-sectional study utilized an online survey to compare dietetic interns’ (n = 81) and physician assistant interns’ (n = 79) fruit and vegetable intake, food security, barriers to healthy eating, and empowerment for making healthy dietary choices during an internship. Differences were assessed via independent t-tests and chi-square distributions. The significance was set at p < 0.05. Dietetic interns had a higher vegetable intake (p = 0.002) while physician assistant interns had higher rates of food insecurity (p = 0.040). Dietetic interns reported a greater impact on their dietary choices due to mental fatigue (p = 0.006), while physician assistant interns’ dietary choices were more heavily impacted by peer influence, interactions with patients, and interactions with preceptors (p < 0.05). There was not a group difference in overall empowerment (p = 0.157), although both groups rated empowerment for asking for help with food and nutrition challenges the lowest of the empowerment sub-items. Addressing interns’ unique needs may support students’ educational success and wellbeing once they are professionals, promote a diverse workforce, and ensure optimal care for patients. Full article

A concept of resilient, embedded food systems (EFS), environmentally, economically, culturally, socially, and historically linked to certain territories, has been recently gaining attention as a vital response to the globalization of food systems and all its associated challenges. Support for territories on their way to sustain or restore such community-centric, embedded food systems requires transdisciplinary knowledge and skills, and thus effective food system education, including higher education, has an important role to play. The GOODFOOD study looked into the students’ interest in the topic of regional and territorial food systems and their opinion on the importance of certain elements of a food system that is embedded in a region or territory. Students were also asked about the presence of courses or topics related to territorially or regionally embedded food systems in their study programs, their opinion on the usefulness of such courses for their future employment, and the most demanded teaching methods that should be applied to study EFS topics. An online survey carried out among students of the Warsaw University of Life Sciences in Poland of selected study programs related to food science revealed that 70% of respondents are interested in the topic of regional food systems. At the same time, 50% of students have not had any courses related to territorial food systems in their study programs so far, even though over 70% think that such a course would be useful for their future employment. Interactive field trips and excursions, international courses (in a multicultural, international environment), interactive workshops, and cooperation with food system stakeholders (i.e., an internship in a food company) were among the most highly demanded teaching methods to study EFS. Full article

The deficit of graduates working in the core raw materials sectors will significantly impact raw materials organizations in European RIS regions. The RIS Internship programme aims to improve professional opportunities for RIS raw materials students, familiarize the future young professionals with the work environment and real-life challenges, and trigger their intrinsic interest for the development of a future career in the sector. The overall objectives of the programme are to increase the students’ entrepreneurial and business skills, boost the employment of the RM graduates within the hosting organizations, and leverage the regional brain drain. Eligible students and organizations are coming from core raw materials professions: mining, geosciences and geotechnology, geosciences, material science, extractive waste management, and metallurgy and recycling, all belonging to the STEM area. The territorial coverage includes European RIS countries: Albania, Bosnia and Herzegovina, Bulgaria, Croatia, Cyprus, the Czech Republic, Estonia, Greece, Hungary, Italy (southern part) Latvia, Lithuania, Montenegro, North Macedonia, Poland, Portugal, Romania, Serbia, Slovakia, Slovenia, Spain, Turkey, and Ukraine. The programme was implemented via the recorded pretraining webinars of students and supervisors, the development of an RIS Internship guide for successful RIS Internship implementation, and an on-line matchmaking platform, making it structured and sustainable with minimum future investment. Full article

Introduction: The COVID-19 pandemic has led to the creation of different teaching adaptations shared in health degrees, such as blended teaching methods, including face-to-face learning combined with online learning. Objectives: One objective was to compare the academic performance scores aligned to worked competencies during physiotherapy internships between two groups: one exposed to a blended learning (b-learning) educational model and another exposed to a face-to-face teaching system during internships. Another objective was to study the correlation of the marks of the following year’s internship subject. Design: Analytical study of retrospective cohorts. Settings: Physiotherapy university degree program. Participants: Three hundred students working towards attaining Physiotherapy degrees. Methods: Two groups were studied: the Non-Exposed Cohort, which had 100% face-to-face attendance at the clinical center, and the Exposed Cohort, which experienced b-learning and had 50% attendance at the clinical practice center and 50% completion of asynchronous online complementary training during lockdown. Results: The results show that both in the Exposed Cohort and in the Non-Exposed Cohort, the qualifications and, therefore, the competence development achieved by the students were similar. A stronger correlation with skills activities developed in the Exposed Cohort in relation to the final mark of the following year’s internship subject has been found. Discussion and Conclusions: For all the competencies developed during CS II, participants obtained the same grades in both groups, so it is concluded that the online activities implemented during confinement mixed with face-to-face teaching were useful for the achievement of these skills. Thus, b-learning is a good method for developing clinical practice competencies in physiotherapy students. Contribution of the Paper: Blended teaching (b-teaching) is useful for developing internship competencies. It is necessary to align the activities developed in internships with the evaluated skills. Full article

Workplace learning experience complements students’ learning at the university and equips them with practical skills required in professional work contexts. Given its importance, educators must constantly devise strategies to enhance students’ workplace learning and collect contextual data to determine how best to support them in collaboration with the internship sites. In this study, we adopted the online discussion forum to supplement undergraduate students’ workplace learning in a semi-private Emirati university through reflection and workplace knowledge sharing with colleagues asynchronously. Using a qualitative approach, we ethically retrieved and thematically analyzed students’ contributions to the online discussion forum. Our findings indicate that students found the orientation week beneficial and the knowledge gained at the university, such as communication and information technology, resourceful. Additionally, students found integration into the new context, time management, language issues, and emailing challenging. Despite the reported challenges, students indicated that the workplace learning experience strengthened their practical skills, including managing time, working with different people, and communicating within different contexts to smooth their transition to professional work contexts. Based on the findings, we suggest using online discussion to supplement workplace learning as an essential element for educators to consider when developing programs. We also recommend pre-internship orientations where expectations, roles, and required knowledge are discussed to prepare students for successful workplace learning experiences. Full article

This study estimated the prevalence of burnout and its determinants among medical students at Jazan University during the COVID-19 pandemic. A total of 444 medical students completed an online survey containing the Maslach burnout inventory. The prevalence of burnout was 54.5%. Burnout reached its peak during the fourth year whereas it was the lowest in the internship year. Being a resident in mountain areas, being delayed in college-level, being divorced, and having divorced parents were all associated with an increased risk of burnout. During their time at medical school, students generally showed a trend of consistently high scores in the personal accomplishment subscale, a decreasing trend in the emotional exhaustion subscale, and an increasing trend in the depersonalization subscale. The most important predictive factor was having separated parents. Perceived study satisfaction appeared to be a significant protective factor in a dose–response manner. These findings suggest that burnout among medical students during the COVID-19 pandemic is a concern that should be monitored and prevented. Full article

An in-school education placements is considered a crucial axis in the training of the future teacher. This first immersion in the school context allows interaction between theory and practice, contextualized learning of the profession and reflection on the processes, skills and competencies to be acquired, as well as the student’s personal development. The successful achievement of these goals requires close collaboration and communication between all the agents involved in the internship: university mentors, school mentors, and the student intern. The present study focuses on a diagnosis of the collaboration between mentors (university and school) in the development of the training activities and processes that take place during the school internships. These internships correspond to the teaching degrees and the master’s degree in secondary education of the Faculty of Education Sciences of the University of Santiago de Compostela. Through a non-experimental study with descriptive methodology, using an online questionnaire, the perceptions of both profiles of mentors are collected. The first objective is to know the degree of collaboration that exists in the processes and in the different training activities that are currently carried out in the practicum; the second aim is to know the perception of the importance and necessity of such a collaboration in each of the proposed activities. The main results show the need to improve the collaboration and teamwork processes of the mentors and reinforce the relevance of designing and implementing specific technological solutions. It is necessary to connect both teaching profiles and educational contexts and to establish a hybrid training scenario that strengthens the training link between mentors and students in the practicum, allowing permanent and personalized support. This work is part of a Doctoral Thesis developed within the framework of the International Competitive research project EKT—Educational Knowledge Transfer-(Knowledge Alliance reference number 612414-EPP-1-2019-1-ES-EPPKA2-KA). The purpose is to develop and test collaborative educational methodologies for internships through an intelligent technological framework that aims to impact on a more effective, scalable, and sustainable system that is closely linked to professional contexts. Full article