Effects of grit on medical students' wellbeing during clerkships: a longitudinal observational cohort study.

Introduction: In medical education, the clerkship phase is a demanding period during which medical students learn to navigate the responsibilities of medical school and clinical medicine. Grit, a personal quality regarded as a non-cognitive trait, refers to perseverance and passion; specifically, it represents the ability to endure hardship and work industriously toward a goal. Most studies analysed grit as a single concept and few studies have investigated the effect of grit on the well-being of medical students through the whole-specialty training (i.

Junior doctors' workplace well-being and the determinants based on ability-motivation-opportunity (AMO) theory: Educational and managerial implications from a three-year longitudinal observation after graduation.

Purpose: Junior doctors function as trainees from an educational perspective and as employees from a human resource management perspective. Employing the ability-motivation-opportunity (AMO) theory as a conceptual framework, this study longitudinally investigated the factors affecting the workplace well-being and career progression of junior doctors over a 3-year period following their graduation from medical schools.

Materials And Methods: This 3-year prospective cohort study enrolled junior doctors who graduated from 2 medical schools in June 2019 in Taiwan.

Medical students' preclinical service-learning experience and its effects on empathy in clinical training.

Background: Service learning (SL) is an educational methodology presumed to help medical students be more empathetic and compassionate. We longitudinally investigated the level of empathy in medical students and how preclinical SL experience was related to their level of empathy in their clinical clerkships.

Methods: Our cohort comprised fifth-year medical students engaged in clerkships as part of a 7-year medical programme at one medical school in Taiwan.

Medical students' resilience: a protective role on stress and quality of life in clerkship.

Background: Resilience refers to the ability to be flexible and adaptive in response to challenges. Medical students in clerkship who are transitioning from medical studies to clinical practice face a variety of workplace demands that can lead to negative learning experiences and poor quality of life. This study explored whether medical students' resilience plays a protective role against the stresses incurred during workplace training and on their professional quality of life during clerkships.

Do teaching strategies matter? Relationships between various teaching strategies and medical students' wellbeing during clinical workplace training.

In the later years of medical school, medical students learn through clinical rotations at medical institutions. Using cognitive apprenticeships as the theoretical reference for teaching strategies, this study aimed to assess how clinical teaching strategies benefit medical students' wellbeing in the workplace. Our target population comprised two cohorts of medical students in the seventh year of a 7-year medical education program in Taiwan, undergoing clinical training at a tertiary medical center between August 2012 and May 2014.

Adaptation of Medical Students During Clinical Training: Effects of Holistic Preclinical Education on Clerkship Performance.

Theory: Taiwan's medical undergraduate program at a university or medical center is a continuation of 12 years of compulsory citizenship education rooted in holistic philosophies. Students acquire both technical knowledge and nontechnical attributes, which are necessary for success in further work and life. The early clinical learning experiences of medical students are primarily acquired through clerkships.

Determinants and effects of medical students' core self-evaluation tendencies on clinical competence and workplace well-being in clerkship.

Core self-evaluation (CSE) is a personality trait that involves a person's evaluation of his or her own worth, competence, and capability. The objective of this study was to determine whether medical students' CSEs exert beneficial effects on their adaptation to their clerkship in terms of their clinical competence and workplace well-being and whether their preclinical academic performance can be a trait-relevant situation that enhances their CSE expression. In total, 127 medical students from 2 cohorts were included as participants in this study.

Training demands on clerk burnout: determining whether achievement goal motivation orientations matter.

Background: In the education field, learning experiences are considered learners' properties and are viewed as a key determinant in explaining learners' learning processes, especially for training novices such as clerks with varying levels of commitment to the medical profession. This study explored whether clerks' achievement goal motivation orientations might buffer the negative well-being to a certain extent, considering their training demands during clinical training.

Methods: Ninety-four clerks at a tertiary medical center were longitudinally traced during their 2-year clerkship spanning from September 2013 to April 2015.

Influence of clerks' personality on their burnout in the clinical workplace: a longitudinal observation.

Background: The clinical training of medical students in clerkship is crucial to their future practice in healthcare services. This study investigates burnout during a 2-year clerkship training period as well as the role of personality traits on burnout during training.

Methods: Ninety-four clerks at a tertiary medical centre who provided at least 10 responses to a routine survey on clinical rotation were included in this study, which spanned September 2013 to April 2015.

Redesigning a clinical mentoring program for improved outcomes in the clinical training of clerks.

Introduction: Mentorship has been noted as critical to medical students adapting to clinical training in the medical workplace. A lack of infrastructure in a mentoring program might deter relationship building between mentors and mentees. This study assessed the effect of a redesigned clinical mentoring program from the perspective of clerks.

Effects of and satisfaction with short message service reminders for patient medication adherence: a randomized controlled study.

Background: Medication adherence is critical for patient treatment. This study involved evaluating how implementing Short Message Service (SMS) reminders affected patient medication adherence and related factors.

Methods: We used a structured questionnaire to survey outpatients at three medical centers.

Moderating role of interior amenities on hospital medical directors' patient-related work stresses.

Objective: Considering hospital medical directors' work stress, this study aims to examine how interior amenities might moderate the effect of work stress on their health.

Background: Previous studies have revealed that hospital medical directors-senior physicians in the management positions with high-demand jobs in clinical practices and management-had a lower self-rated health.

Methods: This was a cross-sectional survey study and 737 hospital medical directors in Taiwan were included.

Rural and urban married Asian immigrants in Taiwan: determinants of their physical and mental health.

Different geographical areas with unique social cultures or societies might influence immigrant health. This study examines whether health inequities and different social factors exist regarding the health of rural and urban married Asian immigrants. A survey was conducted on 419 rural and 582 urban married Asian immigrants in Taiwan in 2009.

Relationships of hospital-based emergency department culture to work satisfaction and intent to leave of emergency physicians and nurses.

Given the limited studies on emergency care management, this study aimed to explore the relationships of emergency department (ED) culture values to certain dimensions of ED physicians' and nurses' work satisfaction and intent to leave. Four hundred and forty-two emergency medical professionals completed the employee satisfaction questionnaire across 119 hospital-based EDs, which had culture value evaluations filed, were used as unit of analysis in this study. Adjusting the personal and employment backgrounds, and the surrounded EDs' unit characteristics and environmental factors, multiple regression analyses revealed that clan and market cultures were related to emergency physicians' work satisfaction and intent to leave.

Job autonomy, its predispositions and its relation to work outcomes in community health centers in Taiwan.

It has been debated that employees in a government or public ownership agency may perceive less need for growth opportunities or high-powered incentives than is the case for employees in private organizations. This study examined employees' job autonomy in government-run community health centers, its predispositions and its relation to their work outcomes. A cross-sectional study was conducted in Taiwan.

The role of leader behaviors in hospital-based emergency departments' unit performance and employee work satisfaction.

The role of the leader of a medical unit has evolved over time to expand from simply a medical role to a more managerial one. This study aimed to explore how the behavior of a hospital-based emergency department's (ED's) leader might be related to ED unit performance and ED employees' work satisfaction. One hundred and twelve hospital-based EDs in Taiwan were studied: 10 in medical centers, 32 in regional hospitals, and 70 in district hospitals.

Cost-effectiveness of clinical pathway in coronary artery bypass surgery.

Few studies have been devoted to the exploration of the effect of clinical pathways on coronary artery diseases treated with coronary artery bypass (CAB) surgery. This study was aimed to investigate the cost and effectiveness of the clinical pathway on CAB surgery in a medical center. With a retrospective dataset in 2003-2007, 212 CAB surgery patients were included.

Partnership effectiveness in primary community care networks: A national empirical analysis of partners' coordination infrastructure designs.

Background: Previous empirical and managerial studies have ignored the effectiveness of integrated health networks. It has been argued that the varying definitions and strategic imperatives of integrated organizations may have complicated the assessment of the outcomes/performance of varying models, particularly when their market structures and contexts differed.

Purposes: This study aimed to empirically verify a theoretical perspective on the coordination infrastructure designs and the effectiveness of the primary community care networks (PCCNs) formed and funded by the Bureau of National Health Insurance since March 2003.

Partnership disengagement from primary community care networks (PCCNs): a qualitative study for a national demonstration project.

Background: The Primary Community Care Network (PCCN) Demonstration Project, launched by the Bureau of National Health Insurance (BNHI) in 2003, is still in progress. Partnership structures in PCCNs represent both contractual clinic-to-clinic and clinic-to-hospital member relationships of organizational aspects. The partnership structures are the formal relationships between individuals and the total network.

Job stress: its relationship to hospital pharmacists' insomnia and work outcomes.

Background: Research must examine the nature of the work environment in order to achieve insight into the causes and effects of factors relevant to reducing job-related stress and improving the quality of work.

Purpose: This study aims to describe the job stressors of hospital pharmacists and to explore their effects on hospital pharmacists' insomnia and work-related outcomes.

Method: The study employed a cross-sectional, mailed survey.

Patient satisfaction evaluations in different clinic care models: care stratification under a national demonstration project.

Primary Community Care Networks (PCCNs) were the product of primary care health reform in Taiwan. Under the PCCN intervened nationwide as a demonstration project, there were three types of service contexts for clinic patients: (1) member patients in PCCN clinics; (2) non-member patients in PCCN clinics; and (3) patients in non-PCCN clinics. A multi-site, cross-sectional validated survey of 3143 outpatients receiving care in clinics was conducted to investigate quality of care delivered to these three distinct clinic patients.

Physician and nurse job climates in hospital-based emergency departments in Taiwan: management and implications.

This study evaluates how emergency physicians and nurses perceive their job climates in their hospital-based emergency departments (ED). In total, 208 emergency physicians and 234 emergency nurses were surveyed, applying a validated survey instrument covering the job facets of medical and nursing autonomy, professional accomplishments and outcomes, leadership, communication, management, hospital policies and regulations, and external health policy environments germane to emergency medicine. The findings reveal that the average satisfaction score for professional growth and accomplishments was ranked highest by emergency physicians, and job communication within EDs was ranked highest by emergency nurses.

Servicescape: physical environment of hospital pharmacies and hospital pharmacists' work outcomes.

Background: In health care, architects, interior designers, engineers, and health care administrators need to pay attention to the construction and design of health care facilities. Research is needed to better understand how health professionals and employees perceive their work environment to improve the physical environment in which they work.

Purpose: The purpose of this study was to test the effect of the physical environment of hospital pharmacies on hospital pharmacists' work outcomes.

Hospital outpatient perceptions of the physical environment of waiting areas: the role of patient characteristics on atmospherics in one academic medical center.

Background: This study examines hospital outpatient perceptions of the physical environment of the outpatient waiting areas in one medical center. The relationship of patient characteristics and their perceptions and needs for the outpatient waiting areas are also examined.

Method: The examined medical center consists of five main buildings which house seventeen primary waiting areas for the outpatient clinics of nine medical specialties: 1) Internal Medicine; 2) Surgery; 3) Ophthalmology; 4) Obstetrics-Gynecology and Pediatrics; 5) Chinese Medicine; 6) Otolaryngology; 7) Orthopedics; 8) Family Medicine; and 9) Dermatology.