Documents found
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591.More information
Background: Canadian medical school curriculums have undergone major restructuring during the COVID-19 pandemic. This study’s goal was to assess the perceived impact of COVID-19 on medical students’ education and wellbeing. Methods: An online survey was distributed to Canadian medical students. Descriptive analyses and ANOVAs were used to assess changes in mental health, health habits and quality of education during the pandemic. Results: 248 medical students from 13 schools across Canada participated in this study. 74% reported a reduction in the quality of their education since COVID-19. 58% of students found online to be inferior to in-person teaching. 65% of students had more time for wellness and leisure activities, about half of the cohort felt more depressed (48%) and lonelier (52%). Student’s overall health habits worsened after the start of the pandemic (F=37.4, p < 0.001). Alcohol drinking, time spent seated, and screen time also increased since the pandemic (p < 0.001). During the pandemic, students with a prior history of depression or anxiety expressed increased depressive symptoms (66% vs. 42%, p =0.003), increased anxiety (69% vs. 41%, p < 0001), worse sleep quality (34% vs. 18%, p = 0.031), and poorer quality of life (55% vs. 65%, p = 0.024) versus those with no prior history. Conclusion: Canadian medical student’s education and wellbeing has been negatively impacted during the pandemic.
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592.More information
En médecine familiale, la prise en charge de la santé sexuelle des patients, qui comprend l’anamnèse de la santé sexuelle, le traitement et la référence à une ressource spécialisée lorsque nécessaire, n’est pas systématique parmi les médecins de famille et résidents en médecine. Cela peut occasionner des conséquences importantes sur la santé des patients. Cette étude vise à décrire les besoins en développement professionnel des médecins de famille et résidents en médecine pratiquant en Groupe/Unité de Médecine Familiale (GMF-UMF) quant à la santé sexuelle de leurs patients, et à explorer comment ces besoins varient selon les caractéristiques des médecins et résidents impliqués. Cette étude se base sur le modèle intégrateur de Godin (2013) qui propose des variables associées à l’intention d’adopter ou non un comportement, …
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593.More information
Le syndrome du survivant est composé de symptômes affectant les employés qui ont"survécu" aux mesures de rationalisation de leur enterprise. La revue des écrits a permis de constater que Bridges (1988, 1995), Noer (1993) et Caplan et Teese (1997) ne le conçoivent pas de façon identique, autant dans les symptômes le composant que dans sa morphologie. Cette recherche a étudié ce syndrome, mais cette fois dans un hôpital, auprès d'infirmières d'unités de médecine et de chirugie. Elle s'est basée sur dix symptômes communs aux quatre auteurs: l'anxiété, la colère, la culpabilité, le déni, la dépression, l'hostilité, l'insécurité, la méfiance, la peur du risque et baisse d'initiatives, le sentiment de trahison. L'interprétation trouvée fut que le syndrome du survivant se vivrait par phrases, en évoluant comme …
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594.More information
Ce mémoire a comme but de mettre en évidence les fondements et la cohérence interne d'une médecine douce : la Thérapie par Polarité. Il s'amorce par un survol historique permettant de dégager les principaux facteurs qui ont contribué à l'émergence des médecines douces en général et de la Thérapie par Polarité en particulier. Le deuxième chapitre brosse un portrait de cette thérapie en utilisant le modèle d'analyse médical sous-jacent aux quatre vérités bouddhiques. La partie suivante présente le mouvement Radhasoami dont l'auteur, Randolph Stone, a fait partie et dont il s'est inspiré pour mettre au point son système de soins. La dernière partie propose une analyse des principales composantes de la Thérapie par Polarité fondée sur l'énoncé des dix principes présentés par Stone. L'exposé des …
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595.More information
Les groupes de médecine de famille (GMF) issus de la réorganisation des services de première ligne, et les récentes dispositions régissant la pratique infirmière soulèvent des défis infirmiers et médicaux. Dans ce contexte, l'étude de cas multiples visait à décrire l'activité infirmière' dans les GMF, au moyen d'observations de deux GMF, d'entrevues auprès de quatre infirmières et de trois médecins et par une consultation documentaire. Les résultats ont mis en évidence, tel que le suggère le modèle théorique de Nadot (2002a), que l'activité infirmière se structure autour de 14 groupes de pratiques qui rendent service à trois sous-cultures : institutionnelle, médicale et infirmière, ce qui fait d'elle une « intermédiaire culturelle ». Les résultats démontrent que les pratiques de gestion et de récolte d'informations et …
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SummaryAt the beginning of the 1970's, the Quebec government massively intervened in the reformation of the financing, organization and administration of health care services, as a function of broad social democratic objectives. Although the health care insurance programme had an important impact regarding the redistribution of health care, the other aspects of reform were little other than symbolic benefits, blurring the true allocation of rewards amongst diverse elites. Placing this situation within the context of other reforms from the Quiet Revolution, and comparing them to the situation in Ontario, the authour underlines the idiosyncratic character of Quebec reform strategies, and their inability to live up to their stated goals. He suggests that such a phenomenon is attributable to the relationships between social classes in Quebec and to the existence of structural constraints to State interventions in health in a capitalist society.
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AbstractSpeech and hearing therapy as a paramedical discipline made its appearance in Quebec during the 1940s and 1950s. The present article deals with the setting-up of the university formation in speech and hearing therapy after 1956. It shows how the control of teaching and of academic units was at stake in the interprofessional fight between therapists and doctors. It describes the coming of the profession and its introduction in the hospitals during the 1950s and 1960s. Then, it explains how the intervention of the Provincial Government in education transformed the status of the various groups involved in that profession and consequently modified the nature of the interprofessional quarrels.
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599.More information
In its current form, the Département de psychiatrie at the Université de Montréal (UdeM) was created in 1964. The first person to have headed was Dr. Gerard Beaudoin… Between 1948 and 1964, several others psychiatrists were heading the Département without necessary bearing a particular title.The directors of the Département from 1951 to now were: Drs. Fernand Côté, Camille Laurin, Gerard Beaudoin, Yvon Gauthier, Arthur Amyot, Francis Borgeat, Hugues Cormier, Sylvain Palardy, Jean Hébert, and Emmanuel Stip.When the Département opened, it was the second institution in Montréal that was training psychiatrists. During the first year, there were 3 psychiatric residents, but within 20 years this number had increased to 63. From the early years, teaching psychiatry to residents, and subsequently to all UdeM medical students, has been a priority in the Département, and over the years many psychiatrists trained at UdeM have attained leadership positions elsewhere. The Département attained an early reputation for excellence in both clinical and basic research.The strengths the Département developed in its early years in clinical psychopharmacology, in basic research in neurotransmitters, sleep, cognition, forensic, and in community psychiatry have been augmented more recently with active programs in psychotherapy research, substance abuse research, psychoneuroendocrinology, developmental aspects of behavior, genetics, epigenetics as well as the study of the brain through a variety of brain scanning techniques.The history of the Département de psychiatrie de l'Université de Montréal is largely dependent on that of each of the institutions affiliated to the Université: the Pavillon Albert-Prévost de l'Hôpital du Sacré-Coeur de Montréal (HSCM), the Institut universitaire en santé mentale de Montréal (IUSMM) and the CHU Sainte-Justine. We must also remember that the discovery of the potentiating of lithium by antidepressants was made by Dr. Demontigny team at the Hôpital Louis-H. Lafontaine (now IUSMM). Significant advances related to the interaction between the psychoanalytic movement and community psychiatry were greatly influenced by the work at the Pavillon Albert-Prévost and the emergence of behavioral therapies (Dr. Yves Lamontagne) and cognitive studies conducted by the Hôpital Louis-H. Lafontaine. Great discoveries about sleep were performed at the Hôpital du Sacré-Coeur de Montréal by teams gathered around Jacques-Yves Montplaisir.We also recall that two ministers from the Quebec government with important political responsibilities were members or directors of the Département de psychiatrie. These are Drs. Camille Laurin and Denis Lazure.The Département aims to strengthen clinical and basic research by contributing new knowledge that will improve care for people with mental disorders. These efforts benefit both patients and the medical students and residents being trained to care for them. The Département remains committed to its program, to pre-doctoral education (ensuring that all medical students at the Université are trained to recognize, diagnose, and be familiar with treatment options for mental disorders), to post-doctoral education for future psychiatrists, and to the care of Quebec's patients.For over 50 years, the academic department has played a key role in attracting and recruiting excellent academic and clinical resources to staff the programs and services of our hospital partners.
Keywords: histoire, psychiatrie, psychanalyse, lithium, sommeil, history, psychiatry, psychoanalysis, lithium, sleep