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SUMMARYWhat is the future of community psychiatry in Quebec, more precisely in the Montreal area? Initially aimed at globally reorganizing psychiatric services, community psychiatry intended to take care of psychotic patients outside psychiatric hospitals, and in a different way. After an initial period of positive influence on psychiatric services in Quebec, the early objectives seem to be deteriorating. At the beginning, the geographical division of the territory in catchment areas was but one of the many characteristics of community psychiatry : with years the part has become more important than the whole and is consuming an increasing amount of energy among clinicians as well as administrators in the fiels of psychiatry. Professionalism (professions claiming more autonomy) has become a threat to team work, another characteristic of community psychiatry. As one could have expected, theses changes have brought, it seems, some modifications in the quality of care, as witnessed by the many psychiatric patients waiting for many days on streatchers in emergency wards and by the lenghtening of waiting lists in out-patient clinics.
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667.More information
In his book L'éthique clinique pour une approche relationnelle (Clinical Ethics: A Relational Approach), Hubert Doucet proposes an approach to clinical ethics that includes various theoretical and practical perspectives, notably that of the philosopher Paul Ricoeur. Doucet argues for a relational vision of clinical ethics practice, an ethics of caregivers that, in his words, “needs to be built from the experience of the disease and adapted to the ill person.”
Keywords: éthique clinique, bioéthique, éthique du soin, éthique médicale, clinical ethics, bioethics, care ethics, medical ethics
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670.More information
The course of “Introduction to Human Anatomy” is part of the curriculum delivered to the undergraduated students (Freshman year) at the Faculty of Medecine of the University of Liege. The course is taught in a blending learning mode combining traditional intructor-led and e-learning activities. The MCQ 2 test is one of the three components of the final written exam (which consists of 3 MCQ tests). This test requires students to recognize and identify the organ's orientation in cross-sections represented in different spatial views. In our study, we tried to evaluate how the online training exercises provided by the instructors team for that particular ability was appreciated by students and if students benefited from this type of online activities to improve their examination results for MCQ 2 test. Further in our research, we asked student about their perceptions of coherence between the aims, methods and evaluation of our entire system. Then this perception has been compared with the overall score of the exam to look for the present of correlation elements. We observed that the MCQ 2 test results are significantly better for students who practiced the new online exercises and for students having seen the value of this activity. The perception of consistency or coherence between the objectives, methods and assessment is not correlated to the overall score of the student. As conclusion, we can declare that the new learning scenario proposed positively enriches the learning environment for students. It can be easily scaled up for important groups and accessed at any time by users. It focusses on specific objectives, is directly linked to the examination system of the course (MCQ 2) and also allows developing a competence expertise related to their future medical profession.
Keywords: e-learning, dispositif hybride, anatomie, tâche complexe, valeur de l'activité, alignement pédagogique, analyse de coupes, vision dans l'espace et technologies éducatives, e-learning, blending learning, anatomy, complex task, value of the activity, pedagogical alignment, cross-section analysis, 3D visualization and educational technologies