Papers by Priyanka Nageswaran
Future healthcare journal, Oct 31, 2023
The physician, Oct 11, 2021
the proportion and Wilcoxon signed rank test was used to compare the median. Results: We received... more the proportion and Wilcoxon signed rank test was used to compare the median. Results: We received 1000 responses from students of 191 medical colleges {Median responses (IQR): 6 (2, 10) per college}. Most (816, 81.6%) opined that their experience with clinical training was better before COVID-19 lockdown, irrespective of the mode of teaching clinical skills (P<0.001). The proportion of private medical colleges shifting to online clinical training during COVID-19 lockdown was significantly more than that in government medical colleges (P<0.001). In addition, the responses indicated that despite being more comfortable, focused, and interactive, online clinical training could not offer interaction with patients, residents and colleagues. Students who had gone through in-person training also perceived disadvantages like limited exposure to patients, limited time for faculty to teach, and less time for clinical practice. Conclusion: The learning experiences of clinical training during COVID-19 lockdown were perceived as inferior than that before lockdown by the medical undergraduate students, irrespective of the mode of clinical training.
BMC medicine, Jun 3, 2024
Background It is a requirement that medical students are educated in emergencies and feel well pr... more Background It is a requirement that medical students are educated in emergencies and feel well prepared for practice as a doctor, yet national surveys show that many students feel underprepared. Virtual reality (VR), combined with 360-degree filming, provides an immersive, realistic, and interactive simulation experience. Unlike conventional in-person simulation, it is scalable with reduced workforce demands. We sought to compare students' engagement and enjoyment of VR simulation to desktop computer-based simulation. We conducted a prospective, interventional, evaluation study. The study was carried out on final year medical students undertaking their Pre-Foundation Assistantship (n = 116) at Imperial College School of Medicine (ICSM) in London. We compared objective engagement, subjective engagement, and subjective enjoyment of VR simulation to desktop computer-based simulation using cardiac arrest and life-threatening asthma scenarios. Engagement was measured objectively using students' physiological parameters, including heart rate and eye tracking, and facilitator observations using the validated 'Behavioural Engagement Related to Instruction' (BERI) protocol. Students' subjective engagement and enjoyment levels were measured using a post-session survey. Students' maximum heart rates were significantly higher during VR simulation with a mean difference of 4.2 beats per minute (3.2 to 5.2, p < 0.001), and eye tracking showed they spent a significantly greater mean percentage of time of 6.4% (5.1 to 7.7, p < 0.001) focusing on the scenarios in VR compared to standard desktop. Qualitative data showed students enjoyed and felt engaged with the sessions, which provided a safe space for learning. Our study shows that students found VR simulations enjoyable and were more engaged compared to standard desktop simulation. This suggests that 360-degree VR simulation experiences provide students with immersive, realistic training, which is scalable, giving them the unique opportunity to manage emergencies and work within emergency teams, which would not typically occur during traditional training.
The Physician
Hosted at Royal College of Surgeons of England, London 14 October 2022
The Physician
Background: COVID-19 is a current global pandemic caused by the newly discovered novel SARS-COV-2... more Background: COVID-19 is a current global pandemic caused by the newly discovered novel SARS-COV-2. According to studies in comparison to those who have recovered, patients who have died thus far were older, more likely to be male, and to have comorbidity such as hypertension, diabetes, cardiovascular disease, or lung disease, thus necessitating the assessment of risk variables in various demographic groups or contexts. Aims: To estimate the proportion of different outcomes such as recovery, hospitalization, and mortality among home isolated covid-19 patients. To estimate the proportion and to determine various risk factors associated with COVID-19 adverse outcomes. Methods: The study was carried out at Shimoga Institute of Medical Sciences, Shivamogga, Karnataka. Data were collected by telephone Interview. Study Design: Longitudinal Retrospective study on home-isolated COVID-19 patients. All the patients reported in Mcgann triage from April 20th-June 20th, 2021. The patients' basic information and phone numbers were collected from the triage. Results: A total of 168 people participated in this study, with 93 men (55.3%) and 75 women (44.7%). More than 90% of Home Isolated Covid 19 patients recovered, 10.75% required hospitalisation, and 3% died. Onethird of the patients (37%) had one or more comorbidities. Conclusion: Our systematic overview of the results to determine the relationship between COVID-19 infection and outcomes such as hospitalisation, death, and recovery shows that older age, male gender and comorbidities have higher hospitalisation rates. Comorbidities and older age were associated with a higher risk of death in hospitalised patients. Even though the recovery rate is very high, a significant (10.75%) home isolated patients need hospital admission during the disease course. So, properly monitoring isolated home patients can save the lives of many COVID-19 patients. 2. Fracture clinic daycare Orthopaedic surgery: A novel model
Sushruta, Jul 19, 2022
BIHR | GMP22-response Role of BAPIO The British Association of Physicians of Indian Origin (BAPIO... more BIHR | GMP22-response Role of BAPIO The British Association of Physicians of Indian Origin (BAPIO) was established over twenty five years ago predominantly for the purposes of representing the interests of migrant doctors who had faced hardship in the NHS. Since then it has evolved to an organisation that promotes teaching, research, policy making, charitable work and collaboration with NHS bodies, regulators, medical royal colleges, nursing fraternities, politicians and international organisations on a variety of health related issues. In recent years, BAPIO has taken an active stance in ensuring that medicine as a whole is freed from discriminatory practices, and in this context, we have worked closely with the General Medical Council (GMC) to root out the bias that exists within the regulatory system. Central to how doctors are regulated is the framework that has the purpose of ensuring that we operate at the best possible levels, that we put patients at the heart of what we do, and that we are accountable. The Good medical practice (GMP) guidance (2013) has served a purpose, but it has had its critics and rightly, it is now in the review stages. BAPIO is an important stakeholder in the consultation so that we can ensure that the renewed guidance is fit for purpose for professionals, especially those that are of a Black, Asian and Minority Ethnic origin, but also for the patients for whom we strive to provide the best standards of care. As doctors, we have been trained to a high standard, and but for a minority, we all strive to provide the best possible and safe care to patients, we treat colleagues with respect and dignity, and even where we are in a highly specialised field, we continue to seek improvements through evidence based teaching and research. Our professionalism has often meant that we put our craft and profession above our own needs. BAPIO is determined therefore to ensure that changes to GMP reflect the complex needs and values of a diverse workforce, without comprising the high quality care that we deliver to our patients and a firm commitment to work with the regulator and all stakeholders to implement this aspiration.
Sushruta Journal of Health Policy & Opinion, 2022
BAPIO (British Association of Physicians of Indian Origin) as an organisation actively promotes t... more BAPIO (British Association of Physicians of Indian Origin) as an organisation actively promotes the diversity, equality and inclusion of all healthcare professionals. As an organisation which encompasses a majority of ethnic minority members, we hear the unfortunate experiences of bullying, harassment and discrimination that takes place in numerous healthcare settings within the UK. In response to these lived experiences, a committee was appointed to establish a set of standards, to foster dignity within the workplace, using the large body of literature documents available. The ambition of this project is to advocate and advertise for an environment that is free from bullying and harassment and to adopt a zero tolerance policy towards bullying or harassment. We aim to do this by developing, implementing, and evaluating our Dignity@Work Standards. The Standards constitutes of 8 different domains for all healthcare professionals including managerial members to adopt in clinical practi...
The Physician, 2021
Oral and Poster Presentations at the BAPIO Silver Jubilee Annual Conference 2021 Birmingham, UK 2... more Oral and Poster Presentations at the BAPIO Silver Jubilee Annual Conference 2021 Birmingham, UK 22-24 Oct 21
PURPOSE To assess the additional value of secretin-enhanced MRCP (SMRCP) over conventional MRCP i... more PURPOSE To assess the additional value of secretin-enhanced MRCP (SMRCP) over conventional MRCP in diagnosing disease in patients with recurrent acute pancreatitis (RAP). METHOD AND MATERIALS Retrospective review of radiology database between January 2007 and December 2011 found 67 patients with RAP who had SMRCP and ERCP within 3 months of each other. Of these, 54 had imaging more than 3 months from an episode of acute pancreatitis. In addition, 57 consecutive patients, from January 2007, with SMRCP and ERCP correlation and without a diagnosis of RAP or chronic pancreatitis were enrolled as the control group. All studies were anonimized and secretin-enhanced MRCP images (group A) were separated from conventional 2D and 3D MRCP and T2-weighted images (group B). Groups A and B for each patient were assigned different and randomized case numbers. An experienced MRI radiologist graded both image sets for ductal abnormalities and group A images were graded for exocrine response to secre...
Sushruta Journal of Health Policy & Opinion, 2022
Sexual harassment and gender discrimination overlap affecting people (including children) of all ... more Sexual harassment and gender discrimination overlap affecting people (including children) of all genders, however data shows an overwhelmingly high prevalence of violence or harassment experienced by women in areas of conflict, professional life and in their homes as well as in the healthcare workplace. It is pervasive, persistent and all too common. Workplace sexual harassment an discrimination although illegal, is particularly is more common in women who are young, early in their careers, in temporary employment, from under-represented or marginalised groups based on ethnicity, immigrant status, gender non-conformity or disability. Majority of perpetrators are men, who are older and enjoy the privilege of disproportionate power and in certain toxic male-dominated healthcare environments. Two recent stories of sexual harassment in healthcare prompted many women to follow suit and share similar stories referring to flashbacks, post-traumatic str...
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Papers by Priyanka Nageswaran