Publications by authors named "Ryan C H Chee"

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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Article Synopsis
  • A study investigated the impact of left ventricular systolic dysfunction (LVSD) on outcomes for acute ischemic stroke (AIS) patients receiving thrombolysis, highlighting a gap in knowledge about this condition.
  • It included 937 AIS patients, categorizing them based on their left ventricular ejection fraction (LVEF) and analyzed various health outcomes, including mortality and functional status.
  • Results showed that patients with LVSD had significantly worse outcomes, including higher mortality rates, increased heart failure admissions, and poorer functional recovery, underscoring the importance of managing LVEF in these patients.
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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: Characterised by feelings of helplessness in the face of clinical, organization and societal demands, medical students are especially prone to moral distress (MD). Despite risks of disillusionment and burnout, efforts to support them have been limited by a dearth of data and understanding of MD in medical students. Yet, new data on how healthcare professionals confront difficult care situations suggest that MD could be better understood through the lens of the Ring Theory of Personhood (RToP).

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