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Article ; Online: What do patients think about the Hungarian health care system and medical students’ learning outcomes? A cross-sectional study on the patients’ perspective in Hungary

Zsuzsanna Varga / Zsuzsanna Pótó / Árpád Csathó / Zsuzsanna Füzesi

BMC Medical Education, Vol 23, Iss 1, Pp 1-

2023 Volume 9

Abstract: Abstract Background The doctor-patient relationship has changed a lot in the 21st century and the varying expectations of the patients play an important role in future professional medical care. The knowledge of patients’ needs is crucial in determining ... ...

Abstract	Abstract Background The doctor-patient relationship has changed a lot in the 21st century and the varying expectations of the patients play an important role in future professional medical care. The knowledge of patients’ needs is crucial in determining the learning outcomes in medical education. The objective of this study was to examine the expectations of the patients regarding professional and soft skills (e.g. communicational skills, empathy) of doctors and to get a deeper view. Methods Face-to face data collection through self-reported questionnaire in accredited health care institutions (GPs, hospitals, outpatient care) in Hungary was carried out in 2019. Descriptive statistics, independent sample t-tests, k-means cluster and gap matrices were performed to analyze the data. Results In total 1115 patients (male-female: 50–50%, age groups: between 18 and 30: 20%, between 31 and 60: 40% above 60: 40%) participated in the survey. They rated sixteen learning outcomes along with two dimensions: importance and satisfaction. Except for one learning outcome, patients rated the outcomes more important than they were satisfied with them (negative gap). Positive gap was registered only in the case of respecting individual specialty during patient care. Conclusions The results suggest the importance of learning outcomes in relation to the rate of satisfaction from the patients’ perspectives. In addition, the results support that patients’ need are not met in medical care. Patients’ ratings also make an emphasis on the fact that besides professional knowledge other learning outcomes are also important in health care which should have been emphasized as a basis in medical education.
Keywords	Medical teacher ; Pedagogical skills ; Gap matrix ; Patients’ expectation ; Patients’ satisfaction ; Special aspects of education ; LC8-6691 ; Medicine ; R
Subject code	027
Language	English
Publishing date	2023-05-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: HA MENNI KELL

Csilla Busa / Ágnes Csikós / Zsuzsanna Füzesi

Metszetek, Vol 6, Iss

2022 Volume 2

Abstract: A 21. század emberének halálhoz való viszonya megváltozott. Tanulmányunk azt vizsgálja, hogy a megváltozott társadalmi-gazdasági helyzet, valamint az orvostudomány fejlődése hogyan hatott a halálhoz való viszonyulásra, s ez milyen társadalmi igényeket ... ...

Abstract	A 21. század emberének halálhoz való viszonya megváltozott. Tanulmányunk azt vizsgálja, hogy a megváltozott társadalmi-gazdasági helyzet, valamint az orvostudomány fejlődése hogyan hatott a halálhoz való viszonyulásra, s ez milyen társadalmi igényeket teremtett az életvégi tervezéssel és a posztmodern (individualizált) halállal kapcsolatban. Bemutatjuk az individualizált halál módjait és jogintézményeit, a nyitottabb közbeszéd fórumait, és az individualizált halál új szokásait (rítusait).
Keywords	individualizált halál ; halál ; életvégi tudatosság ; életvégi tervezés ; előzetes rendelkezés ; Social sciences (General) ; H1-99
Language	English
Publishing date	2022-12-01T00:00:00Z
Publisher	University of Debrecen
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Pécsett és Debrecenben tanuló külföldi orvostanhallgatók

Nóra Faubl / Zsuzsanna M. Császár / Ádám Tamás Wusching / Zsuzsanna Füzesi

Metszetek, Vol 6, Iss

egyetemválasztási és beilleszkedési kérdések

2022 Volume 2

Abstract: A globalizáció és a tudásalapú gazdaság térnyerésével egyre inkább előtérbe kerül a nemzetközi hallgatói mobilitás, mint a felsőoktatás nemzetköziesedésének legfontosabb indikátora. Hazánkban a külföldi hallgatók száma – a globális trendekhez hasonlóan – ...

Abstract	A globalizáció és a tudásalapú gazdaság térnyerésével egyre inkább előtérbe kerül a nemzetközi hallgatói mobilitás, mint a felsőoktatás nemzetköziesedésének legfontosabb indikátora. Hazánkban a külföldi hallgatók száma – a globális trendekhez hasonlóan – növekedést mutat, jelentős nemzetgazdasági érdeket képviselve ezzel. Emellett az egyetemek székhelyéül szolgáló városok fejlődésére, gazdasági és kulturális életére is egyre nagyobb hatást gyakorolnak a nemzetközi szintérről érkező hallgatók. Empirikus kutatásunk során a Debreceni Egyetem és a Pécsi Tudományegyetem idegen nyelvű orvosi, fogorvosi és gyógyszerész képzésein részt vevő külföldi hallgatókat vizsgáltuk anonim, önkitöltéses kérdőív segítségével, személyes megkeresés formájában (n=602). A saját fejlesztésű kérdőív három kérdéscsoportra fókuszált: a hallgatók motivációira, az egyetemmel való elégedettségükre, továbbá beilleszkedésük folyamatára. A kutatásra mindkét egyetemen a 2015/16. tanév tavaszi félévében került sor. Az eredmények alapján elmondható, hogy a nemzetközi hallgatói mobilitás során Magyarországra érkező hallgatók motivációinak és elégedettségének feltérképezése, valamint integrációjuk elősegítése a közép- és hosszú távú egyetem- és várospolitikai fejlesztések szempontjából elengedhetetlenül fontos. A Pécsi Tudományegyetem és a Debreceni Egyetem orvosi képzései nagyon népszerűek a külföldiek körében, de jelentős különbségek érzékelhetők egyetemválasztási döntéseikben, amelyek mögött az húzódik meg, hogy a beiskolázott hallgatók eltérő kultúrákból érkeztek, és ez meghatározza személyes döntéseiket, későbbi terveiket. A kezdeti nehézségek vonatkozásában az eredmények alapján megállapítható, hogy a német nyelvű képzés hallgatói számára az eltérő magyar nyelvi közeg, valamint a helyi bürokrácia jelent nagyobb kihívást, míg az angol nyelvű képzésben részt vevő heterogén kohorsz számára az oktatókkal való kapcsolatfelvétel, és a szociokulturális közegbe való beilleszkedés okoz valamivel nagyobb nehézséget. A beilleszkedés vonatkozásában ...
Keywords	hallgatói mobilitás ; nemzetköziesedés ; interkulturális közeg ; hallgatói beilleszkedés ; hallgatói elégedettség ; akkulturációs folyamat ; Social sciences (General) ; H1-99
Language	English
Publishing date	2022-12-01T00:00:00Z
Publisher	University of Debrecen
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Effectivity of Distance Learning in the Training of Basic Surgical Skills—A Randomized Controlled Trial

Zsolt Balázs Pintér / Péter Maróti / Eszter Kopjár / Balázs Gasz / Zsófia Duga / Szilárd Rendeki / Bálint Nagy / Zsuzsanna Füzesi / Ádám Tibor Schlégl

Sustainability, Vol 14, Iss 8, p

2022 Volume 4727

Abstract: Background: Distance learning is an interactive way of education when teachers and students are physically separated. Our purpose was to examine its effectivity in training of basic surgical techniques and to provide an alternative sustainable ... ...

Abstract	Background: Distance learning is an interactive way of education when teachers and students are physically separated. Our purpose was to examine its effectivity in training of basic surgical techniques and to provide an alternative sustainable methodology for the training of medical professionals. Methods: Sixty students were involved in our single blinded randomized controlled study. Six homogenized groups were created then randomized into three groups of distance learning and three groups of in-person teaching. The groups completed the same curriculum using our own “SkillBox”. All students took the same pre- and post-course test evaluated blindly. The students filled out an online feedback form after the course. A financial analysis was also made. Results: There was no significant difference in the post-course exam results (distance 28.200 vs. in-person 25.200). We managed to achieve significantly better improvements in the distance learning of suturing (distance 19.967 vs. in-person 15.900, p = 0.043). According to 93% of the study group students, the quality of teaching did not decrease compared to the traditional classes. Conclusion: The results of the students improved similarly in distance learning and in-person education. The online form of teaching was received positively among the students; they found it an effective and good alternative.
Keywords	distance education ; surgical education ; RCT ; surgical skills ; COVID-19 ; medical training ; Environmental effects of industries and plants ; TD194-195 ; Renewable energy sources ; TJ807-830 ; Environmental sciences ; GE1-350
Subject code	370
Language	English
Publishing date	2022-04-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Distance Education for Basic Surgical Skills Using Homemade Tools—DIY Methods for Emergency Situations

Ádám Tibor Schlégl / Zsolt Balázs Pintér / Anna Kovács / Eszter Kopjár / Péter Varga / Dániel Kardos / Krisztina Berner-Juhos / Péter Maróti / Zsuzsanna Füzesi

Sustainability, Vol 14, Iss 14, p

2022 Volume 8639

Abstract: The aim of our research was to establish a reproducible curriculum that offers the possibility to gain basic surgical skills (knot tying, suturing, laparoscopy basics) through distance education in emergency situations by using tools available in the ... ...

Abstract	The aim of our research was to establish a reproducible curriculum that offers the possibility to gain basic surgical skills (knot tying, suturing, laparoscopy basics) through distance education in emergency situations by using tools available in the household. Forty-six volunteering third- and fourth-year medical students were involved in the study. The distance education system was set up using homemade or easily obtainable tools (an empty can, shoe box, sponge, etc.) to teach surgical knotting, suturing, and basic laparoscopic skills. The reachable learning objectives were contrasted with the original course plan. Feedback from the students has been collected. The students’ results were compared to the regular course of the previous years. Seventy-nine percent of the original learning objectives could be reached completely, and 15% partially. The necessary tools were available for 82% of the students. The students evaluated the course for 4.26 in general and 4.86 considering the circumstances (on a 5-level-scale). The homemade trainers were assessed over four as an acceptable substitution. Students’ exam results decreased only by 7% compared to the previous two years. Basic surgical skills can be educated with acceptable efficiency and student satisfaction using distance teaching and homemade tools. This is the first study where not only the simulators but the surgical instruments were replaced with household tools and evaluated by a reproducible curriculum.
Keywords	distance education ; surgical education ; surgical skills ; COVID-19 ; medical training ; suturing ; Environmental effects of industries and plants ; TD194-195 ; Renewable energy sources ; TJ807-830 ; Environmental sciences ; GE1-350
Subject code	370
Language	English
Publishing date	2022-07-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Effectivity of near-peer teaching in training of basic surgical skills – a randomized controlled trial

Zsolt Pintér / Dániel Kardos / Péter Varga / Eszter Kopjár / Anna Kovács / Péter Than / Szilárd Rendeki / László Czopf / Zsuzsanna Füzesi / Ádám Tibor Schlégl

BMC Medical Education, Vol 21, Iss 1, Pp 1-

2021 Volume 8

Abstract: Abstract Background Near-peer teaching (NPT) is a special way of teaching where the tutor is one or more academic years ahead of the person being tutored. The literature agrees on the benefits of the method, but there are only a few publications ... ...

Abstract	Abstract Background Near-peer teaching (NPT) is a special way of teaching where the tutor is one or more academic years ahead of the person being tutored. The literature agrees on the benefits of the method, but there are only a few publications examining its effectiveness using objective methods. The aim of our study was to examine the effectiveness of NPT in the training of basic surgical skills. Methods We included 60 volunteer students who participated in a 20 × 45 min long surgical skills course. Based on the results of a pre-course test, we randomly divided the students into six equal groups. All groups completed the same curriculum, with three groups being assisted by a NPT tutor. After the course, they completed the same test as at the beginning. The exams were recorded on anonymized videos and were blindly evaluated. The students’ satisfaction was monitored using a self-administered online anonymous questionnaire. Statistical analysis was performed using the Mann-Whitney and Wilcoxon tests. Results Overall, student performance improved with completion of the course (from 119.86 to 153.55 points, p < 0.01). In groups where a NPT tutor assisted, students achieved a significantly better score (37.20 vs. 30.18 points improvement, p = 0.036). The difference was prominent in surgical knotting tasks (14.73 vs. 9.30 points improvement, p < 0.01). In cases of suturing (15.90 vs. 15.46 points) and laparoscopy (7.00 vs. 4.98 points), the presence of the NPT tutor did not significantly affect development. Based on student feedback, although students positively assessed the presence of NPT, it did not significantly improve students’ overall satisfaction since it was already 4,82 on a scale of 5 in the control group. Conclusions Overall, involving a NPT tutor had a positive impact on student development. An outstanding difference was observed in connection with knotting techniques.
Keywords	Near-peer teaching ; Surgical education ; RCT ; Basic surgical skills ; Suturing ; Special aspects of education ; LC8-6691 ; Medicine ; R
Subject code	370
Language	English
Publishing date	2021-03-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Cigarette, waterpipe and e-cigarette use among an international sample of medical students. Cross-sectional multicenter study in Germany and Hungary

Erika Balogh / Nóra Faubl / Henna Riemenschneider / Péter Balázs / Antje Bergmann / Károly Cseh / Ferenc Horváth / Jörg Schelling / András Terebessy / Zoltán Wagner / Karen Voigt / Zsuzsanna Füzesi / István Kiss

BMC Public Health, Vol 18, Iss 1, Pp 1-

2018 Volume 10

Abstract: Abstract Background Tobacco use is the leading preventable cause of death worldwide. Besides cigarette smoking, waterpipe and e-cigarettes are gaining popularity among young adults. Medical students’ smoking behavior is of particular interest because of ... ...

Abstract	Abstract Background Tobacco use is the leading preventable cause of death worldwide. Besides cigarette smoking, waterpipe and e-cigarettes are gaining popularity among young adults. Medical students’ smoking behavior is of particular interest because of their impending role in health promotion as future physicians. Aim of our study is to examine the prevalence and predictors of cigarette, waterpipe and e-cigarette use and the association of tobacco use with self-reported health status in an international sample of medical students. Methods In a multicenter cross-sectional study data on different aspects of health behavior were collected from medical students of 65 nationalities using a self-administered questionnaire in Germany (Dresden, Munich) and Hungary (Budapest, Pécs). The survey was conducted among 1st, 3rd and 5th year students. To explore associations between smoking behavior and socio-cultural factors Pearson’s chi2-tests and multivariate binary logistic regression analyses were performed. Results The largest subpopulations were formed by German (n = 1289), Hungarian (n = 1055) and Norwegian (n = 147) students. Mean age was 22.5 ± 3.3 years. Females represented 61.6% of the sample. In the whole sample prevalence of cigarette smoking was 18.0% (95% CI 16.6–19.4%), prevalence of waterpipe use was 4.8% (95% CI 4.0–5.7%), that of e-cigarette 0.9% (95% CI 0.5–1.2%). More males (22.0%) than females (15.5%) reported cigarette smoking. The lowest prevalence of cigarette smoking was found among Norwegian students (6.2%). Cigarette smokers were older, waterpipe users were younger than non-users. E-cigarette use was not associated with age of the students. Religious involvement was protective only against cigarette smoking. Financial situation showed no association with any kind of tobacco consumption. Cigarette smokers and e-cigarette users were less likely to report very good or excellent health status. Conclusions Cigarette smoking is still the most popular way of consuming tobacco, although alternative ...
Keywords	Cigarette smoking ; Waterpipe/shisha/hookah ; E-cigarette ; Socio-cultural factors ; Medical students ; Multicenter study ; Public aspects of medicine ; RA1-1270
Subject code	796
Language	English
Publishing date	2018-05-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Do socio-cultural factors influence medical students’ health status and health-promoting behaviors? A cross-sectional multicenter study in Germany and Hungary

Henna Riemenschneider / Péter Balázs / Erika Balogh / Axel Bartels / Antje Bergmann / Károly Cseh / Nora Faubl / Zsuzsanna Füzesi / Ferenc Horváth / István Kiss / Jörg Schelling / András Terebessy / Karen Voigt

BMC Public Health, Vol 16, Iss 1, Pp 1-

2016 Volume 10

Abstract: Abstract Background Physical and mental health is important for coping with the high requirements of medical studies that are associated with a higher risk for severe stress, insomnia, smoking, harmful alcohol consumption and easier access to drugs. ... ...

Abstract	Abstract Background Physical and mental health is important for coping with the high requirements of medical studies that are associated with a higher risk for severe stress, insomnia, smoking, harmful alcohol consumption and easier access to drugs. Health behaviors of medical students influence not just their own health but also the health of their future patients. We examined whether socio-cultural factors can explain differences in students’ health status and health-promoting behaviors. Methods A multicenter cross-sectional survey in Germany (Dresden, Munich) and Hungary (Budapest, Pécs) enclosed international medical students in their 1st, 3rd and 5th academic years. The students were invited to voluntarily and anonymously complete a questionnaire on different aspects of health behavior during obligatory seminars and lectures in 2014. The response rate of the total sample was 56.2 % (n = 2935); the subgroup analysis enclosed data of German (n = 1289), Hungarian (n = 1057) and Norwegian (n = 148) students. Results A high number of Norwegian students (84.5 %) assessed their health status as very good/excellent. In comparison, only 60.3 % of the Hungarian and 70.7 % of the German participants reported a very good/excellent health status. The distributions were comparable between the study sites. Although gender, financial situation and nationality were significant health status predictors, they could explain only 8.2 % of the total variance of health status in the multivariable model. A comparably high number of Hungarian students (95.3 % vs. 67.4 % German and 56.7 % Norwegian) reported that they can currently do a lot/very much for their health. In contrast, a significant number of Norwegians (73.0 % vs. 63.7 % Hungarian and 51.5 % German) reported that they currently do a lot/very much for their health (chi2-test, p ≤ 0.001). Financial situation, study site and study year were the strongest predictors for health promotion activities (Nagelkerkes R2 = 0.06). Conclusions Based on our study, gender and study ...
Keywords	Health behavior ; Health status ; Health promotion ; Socio-cultural factors ; Medical students ; Multicenter study ; Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2016-07-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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