Migration intention of final year medical students

Abstract

study of the causes and attitudes of public, which may have helped to better understand the challenge of medical errors in Kazakhstan. Key messages: There is a need to performing regular analysis and evaluation to find out the cause of the problem and taken into account in deciding regarding the medical error. We recommend raising awareness about medical errors and the need for incident reporting, introducing training and learning workshops, and improving medical error reporting. Background: The HL-Survey-EU-2011 showed limited health literacy [HL] among the European population especially within Austria. In fact, every second Austrian is affected by limited health literacy [51,6%]. Approaches to strengthen HL in organisations are lacking in Austria. Objectives: A Massive-Open-Online-Coors (MOOC) was developed in a four-step-approach to strengthen HL in Austrian companies: step 1) Literature review; step 2) Development workshops [n = 3]; step 3) National and international expert feedbacks [n = 8]; step 4) In-person pilot testing [n = 10 companies]. The MOOC took place in autumn 2020. Results: In total, n = 81 people within service and production sectors were registered for the training. The final training concept covered six modules and was carried out in a four-week online training. Modules were: M1) Concepts of health; M2) Individual HL and HL in organisations M3) Health information search and critical assessment; M4) HL Communication [and how to make information available for workforce & costumers]; M5) Project management for practical implementation ; M6) Development of HL initiatives for each company (mutual exchange of ideas). The four-week MOOC was free of charge. Participants spent 3-4 hours per week. Each week had a focus and was led by an expert. Contents were provided through learning videos, literature and exercise materials. Participants were encouraged to discuss the given forum and upload completed tasks based on provided templates. Participants graduated with a certificate. Conclusions: This is the first virtual HL training programme for companies in Austria. HL is a new and complex topic for service and production sectors. Trainers need comprehensive competences in order to transform the topic into operational practice. Mutual exchange among participants and course instructors seem crucial for HL online trainings. It is important to advertise HL-MOOCs intensively right before the start. The online course provides reusable content. Key messages: Mutual exchange and interactive discussions between participants and course instructors (e.g. in discussion forums) strengthen the online learning success. Trainers and course instructors need comprehensive com-petences in order to transform the topic into operational practice. Background: Project ECHO (Extension for Community Healthcare Outcomes) is an internationally recognised tele-mentoring intervention that has been implemented in over 40 countries. The model connects specialist healthcare providers (hubs) with providers in primary and community practice (spokes), often in rural and isolated areas. Objectives: Project ECHO aims to improve healthcare provider's skills, confidence and knowledge, and to create a community of practitioners using the hub and spoke model. Analysing interview data from 27 Project ECHO network leads and participants in Northern Ireland, this study sought to assess the impact of Project ECHO on improving provider, patient and health system outcomes. Results: Having access to a specialist, a space to share experiences, and being able to disseminate up-to-date best practice were all cited as improving provider knowledge. Providers described improved outcomes for patients such as receiving a new treatment or an efficient referral. Providers reported being more confident in managing patients and thus were less likely to refer unnecessarily, and links between providers at primary and secondary levels being improved. ECHO was deemed an acceptable methodology in terms of format and in improving access to education and training by removing geographic barriers and reducing time barriers. Conclusions: This is one of the first studies to qualitatively analyse outcomes across a number of different ECHO networks, and involving both health and social care networks. The results indicate the benefit of ECHO in improving provider, patient and healthcare outcomes. This has implications for future resour-cing decisions, particularly within the context of COVID-19 in which virtual and online training is necessitated by social distancing requirements. This study has implications for wider international contexts in which ECHO may be piloted to address similar challenges. Key messages: Participants across our study described Project ECHO as having a positive impact on provider, patient and health systems outcomes. Project ECHO was described as an acceptable approach to training and education that improved access through removing geographic barriers. Background: One out of three Moroccan doctors is out of the country, and the ratio doctor per population is 7.3 per 10000 people (recommended 15.3 doctors per 10000 people). The objectives of this study are to estimate the prevalence of migration intention of final year medical student and to describe the profile of student who wants to migrate. Methods: A cross-sectional study was carried out between 01 January and 31 January 2021. We included Moroccan final year medical students who did their entire medical school curriculum in FMPC. Electronic Self administered questionnaire was used though Google form. The data were described through mean, standard deviation, median, quartiles, frequency and percentage. The khi2 test was used to test the association between migration intention and social-economic variables. Findings: We included 251 final year students. The 70.1% of final year students had intention to leave the country, of which 63.6% were female. The students were attracted by foreign countries because better training (97.6%), better working conditions (99%) and quality of life (97.2%). The students intended to leave the country because they were not satisfied about formation (95.2%) and salary (97%) also the denigrating of doctor in media (83.6%). Germany was the favorite destination (34%). We did not find any significant association between the migration intention and socioeconomic profile of students. Conclusions: The health policymakers should improve working conditions, training quality and salary of health workers to reduce medical student migration. Key messages: The migration intention of final medical students is one of the keys indicators about the future of country healthcare system. Reducing the medical students migration is crucial to build and maintain a strong healthcare system. Usability and applicability of research knowledge translation models in a national health service Background: The Health Service Executive in Ireland aims to facilitate the translation of research and innovation into policy and practice and increase dissemination of research. Previous HSE surveys showed that a high volume of research was undertaken but the impact on practice and policy was unclear. Researchers reported sharing their research in publications, conferences, and through education and training but identified problems in engaging with practice and policy stakeholders. Survey respondents requested help with dissemination and getting research into practice. An organisation-wide project to identify frameworks to support knowledge translation (KT), dissemination , and impact identified a recommended methodology, created guidance, and training for knowledge creators and users. Objectives: Provide a series of six guides, tools and templates, to support knowledge creators and users across the organisation Provide online training to support translation and dissemination of research knowledge Underline the importance of planning KT and impact at research commencement and identify the planned outcomes Develop user-friendly training to explain the elements of KT and dissemination. Results: Two pilot studies were undertaken to test the guidance which, although positively received, resulted in changes to the format, design, and language to increase useability. An explainer video and six online training modules were developed, based on the guidance and pilot feedback to be rolled out from July 2021. Learning was enhanced through transfer of complex information and models into short training modules to be accessed by researchers with a range of experience and understanding. Conclusions: KT is a complex area and developing education and training for it requires understanding the different learning needs of knowledge creators and users. Education and training should focus on the need for KT and impact from the start of a project.