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Öğe Assessing medical student competency in communication in the pre-clinical phase: Objective structured video exam and SP exam(2012) Karabilgin O.S.; Vatansever K.; Caliskan S.A.; Durak H.I.Objective: The aim of our study was to present the structure, process and results of the objective structured video exam and One-Station standardized patient exam that have been used to assess second year medical students' communication skills. Methods: Scores of 1137 students between the years 2007 and 2010 were analyzed. Means and standard deviations were calculated for scores and ratings. Internal consistency was assessed using Cronbach's alpha coefficient. To analyze reliability and generalizability, multivariate generalizability theory was employed. Results: Students' total and item scores on the objective structured video exam (60.5-68.8) were lower than on the One-Station standardized patient exam (90.4-96.6). Internal consistencies of both exams were moderate. Generalizability analysis and D-study results showed that both the objective structured video exam and the One-Station standardized patient exam need improvement. Conclusion: Both exams need measures to improve them, such as increasing the number of video cases or stations, and further standardization of raters. Practice Implications: This study might encourage medical teachers to consider assessing validity and reliability of written and performance exams on the basis of generalizability theory, and to find out feasible actions to improve assessment procedures by conducting a D-study. © 2011 Elsevier Ireland Ltd.Öğe An early patient contact programme combining simulation and real settings.(2006) Durak H.I.; Vatansever K.; Kandiloglu G.[No abstract available]Öğe Education for healthcare in disasters: An imperative for undergraduate medical education [Olagandi{dotless}şi{dotless} durumlarda sagli{dotless}k hizmetleri egitimi: Mezuniyet öncesi ti{dotless}p egitimi i·çin önemli bir gereklilik](Galenos Publishing House, 2011) Civaner M.; Vatansever K.; Balcioglu H.; Yavuz C.I.; Sarikaya Odie;.Disasters, which are defined as "situations or events which overwhelm the capacity of local sources to address needs", have been increasing in terms of frequency, diversity and destructiveness, both in our country and throughout the world. The situation of healthcare systems becomes more complicated in disasters because of the increased healthcare needs of populations and the necessity for multidisciplinary work and collaboration with volunteer teams, besides the direct damages on infrastructure and loss of manpower. One of the main tools for coping with these problems is training healthcare workers for disasters. However, it is difficult to claim that disaster preparedness and education for health professionals for responding efficiently are adequate, both for Turkey and the world. Although there are numerous training programs, many of them are organizedwithout any collaboration of institutions, have severe gaps in the content, are unable to cover target groups, and are unable to support coordination of disaster workers from different sectors. In this study, it was aimed to review the existing situation of disaster education in the health sector, and to define the needs for education. Also, core competency objectives for undergraduate medical education are determined and a program is proposed. © Trakya University Faculty of Medicine.Öğe Medical Students’ Opinions About the Commercialization of Healthcare: A Cross-Sectional Survey(Springer Netherlands, 2016) Civaner M.M.; Balcioglu H.; Vatansever K.There are serious concerns about the commercialization of healthcare and adoption of the business approach in medicine. As market dynamics endanger established professional values, healthcare workers face more complicated ethical dilemmas in their daily practice. The aim of this study was to investigate the willingness of medical students to accept the assertions of commercialized healthcare and the factors affecting their level of agreement, factors which could influence their moral stance when market demands conflict with professional values. A cross-sectional study was conducted in three medical schools in Turkey. The study population consisted of first-, third-, and sixth-year students, and 1,781 students participated in total. Students were asked to state if they agreed with the assertions of commercialized healthcare. Of all students, 87.2 per cent agreed with at least one of the assertions, and one-fifth (20.8 per cent) of them agreed with more than half of the assertions. First-year students significantly agreed more with some assertions than third- and sixth-year students. Being female, having mid-level family income, choosing medicine due to idealistic reasons, and being in the third or sixth years of medical study increased the probability of disagreement. Also, studying in a medical school that included integrated lectures on health policies, rights related to health, and health inequities, along with early field visits, increased the probability of disagreement. This study suggests that agreement with the assertions of commercialized healthcare might be prevalent among students at a considerable level. We argue that this level of agreement is not compatible with best practice in professional ethics and indicates the need for an educational intervention in order to have physicians who give priority to patients’ best interests in the face of market demands. © 2016, Journal of Bioethical Inquiry Pty Ltd.Öğe Secular trend of menarche age in an immigrant urban city in Turkey: İzmir(Turkish Journal of Pediatrics, 2014) Tekgül N.; Saltik D.; Vatansever K.The purpose of this study was to investigate the secular trend of menarche age within the last 35 years in an immigrant urban city in Turkey-İzmir. We found the mean age at menarche as 13.10±1.18 years for 121,257 women. The reported mean age at menarche showed a decreasing trend over time. For women born before 1963 (?40 years of age), the mean age at menarche was 13.08±1.21 years. For women born from 1964-1973 (30-39 years of age), the mean age at menarche was 13.12±1.19 years. For women born from 1974-1983 (20-29 years of age), the mean age at menarche was 13.11±1.18 years, and for those born after 1984 (15-19 years of age), the mean age at menarche was 13.06±1.16 years (p=0.000). When divided according to socioeconomic status, the mean age at menarche was 13.11±1.11 in the high socioeconomic group, 13.22±1.25 in the middle socioeconomic group, and 12.75±1.02 in the low socioeconomic group (p=0.000). In conclusion, in the Turkish population, the mean age at menarche has decreased from 13.12 to 13.06 over the past 30 years, and the mean age at menarche was lower in the low socioeconomic group.Öğe Specialist training in basic sciences in University Hospitals: Specialist resident perspective [Üniversite hastanelerinde temel bilimler alaninda uzmanlik egitimi: Tipta uzmanlik ögrencisi bakiş açisi ile](2005) Çiçek C.; Terzi C.; Solak A.; Arsu G.; Batu J.; Vatansever K.; Aslan Ö.In this study, a questionnaire survey including 56 questions and 154 variables has been undertaken for 74 specialist residents (SpRs) (39 from Dokuz Eylül and 35 from Ege Universities) who have been training in the two university hospitals of Izmir, for the detection of the structure of the actual training programmes, trainer profiles and technical institute equipments in the departments of Basic Sciences, Medical Pathology and Pharmacology. By using this survey, SpRs' demographic informations, training programmes, theoretical and skill activites, educational atmospheres, the trainers' profiles, assessments, audits and professionel developments have been questionned. The rate of response was 71%, and educational programmes, training and technical equipments, efficacy and number of the trainers were found satisfactory in each one of the universities. It has been detected that, the SpRs were permanently assessed and they were able to get training knowledges, skills and attitutes and attend investigation activities during their educational process. This survey study indicated that the training programmes, institute equipments and trainer profiles of the universities were competent for the SpRs'.Öğe Validity and reliability of the Turkish version of the HillBone compliance to high blood pressure therapy scale for use in primary health care settings(2009) Karademir M.; Koseoglu I.H.; Vatansever K.; Van Den Akker M.Objectives: To assess the validity and reliability of the Turkish version of the Hill-Bone compliance to high blood pressure therapy scale for use in primary care in Turkey. Methods: To develop a Turkish version of the scale, it was translated into Turkish then back-translated into English. The final version was used in a survey in two urban primary health care centers in Izmir, Turkey. For assessing the validity of Turkish scale, we performed factor analysis to test construct validity. Reliability was assessed by calculating the Cronbach's alpha as a measure of internal consistency. Results: Factor analysis revealed a threefactor structure representing unintentional medication non-adherence; intentional medication non-adherence; and salt intake adherence. Percentages of explained variance were 33.3%, 14.6% and 11.2% respectively. When forcing a two-factor structure we found salt intake and medication adherence clusters. Cronbach's alpha was 0.72 and 0.83 for medication adherence and whole scale, respectively. Conclusion: The Turkish HillBone scale presented a factor structure consistent with the original scale, had a high level of internal consistency. It can be used for assessing hypertension patients' compliance in Turkish primary care settings.
