Publications by authors named "Eng K Ong"

Article Synopsis
  • Mentoring is essential for professional identity formation (PIF), as it fosters personalized relationships and integrates program values, though its mechanisms remain unclear.
  • A systematic scoping review examined existing literature on mentoring support from 2000 to mid-2023, using rigorous methodology to analyze themes and categories.
  • Key findings highlight four domains vital to effective mentoring support: definitions and roles, personalisation, shepherding, and PIF, showcasing the importance of adapting mentoring approaches to meet individual mentee needs.
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Article Synopsis
  • Medical education focuses on developing Professional Identity Formation (PIF) in students, emphasizing reflective practice amid challenges like resource constraints.
  • Group non-written reflections (GNWR) involve facilitator-led discussions to foster shared reflection, potentially improving PIF in medical training.
  • A systematic scoping review identified 98 relevant studies, highlighting four key areas: the value of GNWR, its structure, models of reflective practice, and elements of communities that aid socialization.
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Background: Mentoring can help shape how medical students think, feel, and act as physicians. Yet, the mechanism in which it influences this process of professional identity formation (PIF) remains poorly understood. Through the lens of the ecological systems theory, this study explores the interconnected and dynamic system of mentoring relationships and resources that support professional development and growth within the Palliative Medicine Initiative (PMI), a structured research peer mentoring program.

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Article Synopsis
  • - The study explores how mentorship in medical education has transitioned from a one-on-one relationship to include group and peer mentoring, highlighting its evolving and context-specific nature.
  • - A systematic review of literature from 2000 to 2023 identified 216 articles that illustrate mentoring as a complex adaptive system (CAS), with key characteristics such as community dynamics and long-term support.
  • - The conclusion stresses the need to rethink how mentorship is designed and supported in medical training, emphasizing the importance of understanding mentorship as a CAS for enhancing mentor training and support.
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Background: Reviewing experiences and recognizing the impact of personal and professional views and emotions upon conduct shapes a physician's professional and personal development, molding their professional identity formation (PIF). Poor appreciation on the role of reflection, shortages in trained tutors and inadequate 'protected time' for reflections in packed medical curricula has hindered its integration into medical education. Group reflection could be a viable alternative to individual reflections; however, this nascent practice requires further study.

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Background: Reports of emotional, existential and moral distress amongst medical students witnessing death and suffering of patients during their clinical postings have raised awareness on the need for better psycho-emotional support during medical school. Furthermore, the stress experienced by medical students stemming from the rigours of their academic curriculum underlines the need for greater awareness on mental health issues and better self-care practices across medical training. With such programmes lacking in most medical schools, we propose a systematic scoping review (SSR) to map and address our research question, "what is known about self-care education interventions amongst medical students?".

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Evolving individual, contextual, organizational, interactional and sociocultural factors have complicated efforts to shape the professional identity formation (PIF) of medical students or how they feel, act and think as professionals. However, an almost exclusive reliance on online learning during the COVID-19 pandemic offers a unique opportunity to study the elemental structures that shape PIF and the environmental factors nurturing it. We propose two independent Systematic Evidence-Based Approach guided systematic scoping reviews (SSR in SEBA)s to map accounts of online learning environment and netiquette that structure online programs.

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Context: The provision of person-centered dignity-conserving care is central to palliative care. It is important to reevaluate current methods of assessing dignity as the concept of dignity is multifaceted.

Objectives: The aim of this study is to understand the tools which are used to assess a patient's dignity and the elements of dignity evaluated in these tools.

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Background: Patients' stories provide Palliative Care physicians with a glimpse into the former's lives and their psycho-emotional, sociocultural, and contextual considerations. Yet, few physicians are trained to interpret and apply patients' stories in their practice. Inherent variability in how stories are transmitted and interpreted raises questions over their potential effects on care.

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Background: Medical education has enjoyed mixed fortunes nurturing professional identity formation (PIF), or how medical students think, feel and act as physicians. New data suggests that structured mentoring programs like the Palliative Medicine Initiative (PMI) may offer a means of developing PIF in a consistent manner. To better understand how a well-established structured research mentoring program shapes PIF, a study of the experiences of PMI mentees is proposed.

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Background: Mentoring plays a pivotal yet poorly understood role in shaping a physician's professional identity formation (PIF) or how they see, feel and act as professionals. New theories posit that mentoring nurtures PIF by functioning as a community of practice through its structured approach and its support of a socialisation process made possible by its assessment-directed personalized support. To test this theory and reshape the design, employ and support of mentoring programs, we evaluate peer-mentor experiences within the Palliative Medicine Initiative's structured research mentoring program.

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Article Synopsis
  • Effective physician-patient relationships are crucial in palliative care, but boundary-crossings—personal interactions that may breach professional standards—can impact these relationships and bear ethical implications.
  • A systematic scoping review and semi-structured interviews with palliative care physicians revealed that boundary-crossings are influenced by individual belief systems and the physicians' reactions to certain catalysts, which can reshape their professional beliefs and practices.
  • The study highlights the significance of ongoing support and evaluation for palliative care physicians to mitigate risks associated with boundary-crossings and enhance patient care quality.
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Background: Concepts of moral distress (MD) among physicians have evolved and extend beyond the notion of psychological distress caused by being in a situation in which one is constrained from acting on what one knows to be right. With many accounts involving complex personal, professional, legal, ethical and moral issues, we propose a review of current understanding of MD among physicians.

Methods: A systematic evidence-based approach guided systematic scoping review is proposed to map the current concepts of MD among physicians published in PubMed, Embase, PsycINFO, Web of Science, SCOPUS, ERIC and Google Scholar databases.

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Background: Reflective writing (RW) allows physicians to step back, review their thoughts, goals and actions and recognise how their perspectives, motives and emotions impact their conduct. RW also helps physicians consolidate their learning and boosts their professional and personal development. In the absence of a consistent approach and amidst growing threats to RW's place in medical training, a review of theories of RW in medical education and a review to map regnant practices, programs and assessment methods are proposed.

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Background: A socioculturally appropriate appreciation of dignity is pivotal to the effective provision of care for dying patients. Yet concepts of dignity remain poorly defined. To address this gap in understanding and enhance dignity conserving end-of-life care, a review of current concepts of dignity is proposed.

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Background: Empathy is pivotal to effective clinical care. Yet, the art of nurturing and assessing empathy in medical schools is rarely consistent and poorly studied. To inform future design of programs aimed at nurturing empathy in medical students and doctors, a review is proposed.

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Histone variants can incorporate into the nucleosome outside of S-phase. Some are known to play important roles in mammalian germ cell development, this cell lineage being characterized by long phases of quiescence, a protracted meiotic phase, and genome-wide epigenetic reformatting events. The best known example of such an event is the global-scale erasure of DNA methylation in sexually indifferent primordial germ cells, then its re-establishment in fetal prospermatogonia and growing oocytes.

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Background: Sleep is an essential part of life. Lack of sleep has been linked with increased morbidity and mortality. The objective of this study was to determine the sleep quality of older adults residing in a private elderly care institution in Malaysia.

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Flowering time in the model plant Arabidopsis thaliana is regulated by both external environmental signals and internal developmental pathways. Natural variation at the FLOWERING H (FLH) locus has previously been described, with alleles present in the Cape Verde Islands accession causing early flowering, particularly after vernalization. The mechanism of FLH-induced early flowering is not understood.

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Multilocus sequence typing (MLST) is an important tool for the global surveillance of bacterial pathogens that is performed by comparing the sequences of designated housekeeping genes. We developed and tested a novel mass spectrometry-based method for MLST of Streptococcus pneumoniae. PCR amplicons were subjected to in vitro transcription and base-specific cleavage, followed by analysis of the resultant fragments by using matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS).

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