00000ctm a22000003i 4500 UP-1685523046126318144 Buklod 20231106115048.0 m |o d | ta 230905s1999 xx d |||| || | (iLib)UPMNL-00015383093 NTTCHP rda eng LG 995 1999 H32 L44 Legaspi-Jose, Stella Marie author The Obstetrics admitting section of the Philippine General Hospital as a learning environment for residents a descriptive study Stella Marie Legaspi-Jose. 1999 71 leaves text rdacontent unmediated rdamedia volume rdacarrier Major project (Master in Health Professions Education)--University of the Philippines Manila The Obstetrics Admitting Section (OBAS) of the Philippine General Hospital is the emergency room of the Department of Obstetrics and Gynecology. It is where everyday battles between life and death are witnessed and experienced by patients, their relatives and caregivers. This section is a high-tension area in the sense that the patients should be diagnosed and managed correctly and immediately. The OBAS then becomes the most important learning environment where resident physicians can acquire competencies expected of obstetrician-gynecologists. As they rotate in this clinical area, they are expected to acquire the knowledge, skills and attitudes becoming of a competent medical specialist. In recent years, however, it has been observed that the OB-GYN residents on-duty at the OBAS are becoming more and more short-tempered. Critical incident reports have been filed at the Department and with the office of the Assistant Director for Health Operations. This general observation has earned the residents of OB-GYN the reputation as being ?mataray.? On the other hand, these resident trainees themselves admit that because of the very nature of this environment, they feel that this is not how it should be. This study was undertaken to describe the OBAS as a learning environment. It also aimed to identify the various learning opportunities available at the OBAS for the residents. In the process, the study also discussed the kind of learning that residents are able to capture at the OBAS. The study also aimed to present challenges and opportunities for the University of the Philippines-Philippine General Hospital for values education and for the social transformation of the UP-PGH Obstetrics and Gynecology residency training program. This is a descriptive study. Data were collected from four (4) methodologies: 1) by direct observation by the researcher; 2) using key informant interview; 3) survey questionnaire; 4) by secondary data analysis. These methods were chosen to triangulate observations/comments and to minimize bias. Direct observation by the researcher was conducted from September 3 to 10, 1999. This week-long period of observation accorded the researcher the opportunity to observe the different teams on-duty at the OBAS on more than one occasion. Key informants were identified by purposive sampling and interviewed. The interview questions were the same for all key informants and were written out exactly as they were asked in the interview. The third way of collecting data was by survey questionnaire. The questionnaire was adapted from the questionnaire from the University of Michigan Medical School regarding Satisfaction with the Learning Environment. Direct observation by the researcher showed that learning opportunities at the OBAS are abundant. Terminal competencies for each year level are achieved through practice. Key informant interview also revealed that residents are highly motivated to learn?whether from books or one-on-one tutorials with the consultants. Residents also acquire non-medical skills such as teaching, counseling and managing the medical and nonmedical staff. According to the survey, most of the residents feel that the environment at the OBAS facilitates learning. They also felt that the residency training promotes critical thinking. There are many opportunities in values education at the OBAS. Humility, compassion, understanding, value of life, preservation of the patient's dignity and honesty are some of the values inculcated in the residents. Recommendations include more faculty supervision and values education. As faculty, it is their duty to give immediate feedback to the residents in terms of their acquisition of cognitive skills, psychomotor skills and attitudes. The challenge for values education is also there. Values education is most important for this is the heart and soul of the practice of medicine. Obstetrics Admitting Section. Philippine General Hospital. Medicine Study and teaching. Humanistic psychology Study and teaching. Helping Behavior. Medical ethics. FI UP UPMNL NTTC LG 995 1999 H32 L44 Thesis