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Temsah MH, Aljamaan F, Alhaboob A, Almosned B, Alsebail R, Temsah R, Senjab A, Alarfaj A, Aljudi T, Jamal A, Habash A, Alsohime F, Almazyad M, Alabdulhafid M, Hasan G, Assiri RA, Alqahtani WMA, Alherbish A, Alhasan K, Al-Eyadhy A. Enhancing parental knowledge of childhood and adolescence safety: An interventional educational campaign. Medicine (Baltimore) 2022; 101:e28649. [PMID: 35060555 PMCID: PMC8772645 DOI: 10.1097/md.0000000000028649] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Accepted: 01/03/2022] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Safeguarding children and adolescents from unintentional injuries is a significant concern for parents and caregivers. With them staying more at home during the coronavirus disease 2019 pandemic, more educational tools and valid educational programs are warranted to improve parental knowledge and awareness about childhood and adolescences' safety. This study aims to explore the effectiveness of childhood and adolescence safety campaigns on parents' knowledge and attitude toward preventable injuries. METHODS This was a pre-post experimental study, in which the predesigned assessments were used as an evaluation tool before and after attending a childhood and adolescence safety campaign. The pre-post assessment question included questions to evaluate the socio-demographic status, followed by knowledge questions in line with the current childhood and adolescence safety campaign. The outcomes of interest were assessed before and after attending the campaign's stations. RESULTS Three hundred eight parents volunteered to participate in this study. Their knowledge score improved from 36.2 [standard deviation (SD) 17.7] to 79.3 (SD 15.6) after attending the Campaign (t value = 34.6, P < .001). Both, perceptions on the preventability of accidents and the parents' perceived usefulness of educational campaigns showed improvements, with (t value = 6.3, P < .001) and (t value = 3.097, P < .001), respectively. CONCLUSION The educational childhood and adolescence safety campaign for caregivers in Saudi Arabia resulted in a significant increase in the overall knowledge and attitudes toward childhood and adolescence's safety. As children and adolescents are currently staying at home more, additional educational tools and programs are warranted to promote safe practices among parents and caregivers.
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Affiliation(s)
- Mohamad-Hani Temsah
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatrics Department, King Saud University Medical City, Riyadh, Saudi Arabia
- Prince Abdullah Ben Khalid Celiac Disease Research Chair, King Saud University, Riyadh, Saudi Arabia
| | - Fadi Aljamaan
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Critical care department, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Ali Alhaboob
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatrics Department, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Badr Almosned
- Pediatrics Department, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Raghad Alsebail
- Pediatrics Department, King Saud University Medical City, Riyadh, Saudi Arabia
| | | | | | | | - Talal Aljudi
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Amr Jamal
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Department of Family and Community Medicine, King Saud University Medical City, Riyadh, Saudi Arabia
- Evidence-Based Health Care & Knowledge Translation Research Chair, King Saud University, Riyadh, Saudi Arabia
| | - Alia Habash
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Emergency Medicine Department, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Fahad Alsohime
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatrics Department, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Mohammed Almazyad
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatrics Department, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Majed Alabdulhafid
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatrics Department, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Gamal Hasan
- Department of Pediatrics, Assiut University Children Hospital, Assiut University, Egypt
- Department of Pediatrics, Sheikh Shakhbout Medical City, Abu Dhabi, UAE
| | - Raghad Asaad Assiri
- College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
| | | | - Adi Alherbish
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatrics Department, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Khalid Alhasan
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatrics Department, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Ayman Al-Eyadhy
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatrics Department, King Saud University Medical City, Riyadh, Saudi Arabia
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Aljamaan F, Alkhattabi F, Al-Eyadhy A, Alhaboob A, Alharbi NS, Alherbish A, Almosned B, Alobaylan M, Alabdulkarim H, Jamal A, Alhaider SA, Alsaywid B, Bashiri FA, Barry M, Al-Tawfiq JA, Alhasan K, Temsah MH. Faculty Members’ Perspective on Virtual Interviews for Medical Residency Matching during the COVID-19 Crisis: A National Survey. Healthcare (Basel) 2021; 10:healthcare10010016. [PMID: 35052180 PMCID: PMC8775573 DOI: 10.3390/healthcare10010016] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Revised: 12/14/2021] [Accepted: 12/17/2021] [Indexed: 11/16/2022] Open
Abstract
During the COVID-19 pandemic, conducting face-to-face medical residency interviews was challenging due to infection prevention precautions, social distancing, and travel restrictions. Virtual interviews were implemented by the Saudi Commission for Health Specialties (SCFHS) as an alternative process for residency matching while striving to maintain the same quality standards. This national survey was conducted to assess the satisfaction and perceptions of faculty members’ virtual interview performance in the assessment for the medical training residency programs. Among the participating 173 faculty members, 34.1% did not have previous experience with video-conferencing. The Zoom application was the most commonly used platform (65.9%). Most (89.6%) of the faculty perceived virtual interviews as “adequate” platforms on which the candidates could express themselves, while almost half of the faculty (53.8%) agreed that virtual interviews allowed them to accurately reach an impression about the candidates. Overall, 73.4% of faculty felt comfortable ranking the virtually interviewed candidates. We conclude that the acceptance of participating faculty members in the first Saudi medical residency training matching cycle virtual interviewing event was well-perceived. This study provides evidence for future application and research of virtual interviews in residency candidates’ assessment, especially after the pandemic crisis resolves.
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Affiliation(s)
- Fadi Aljamaan
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (F.A.); (A.A.-E.); (A.A.); (N.S.A.); (A.A.); (A.J.); (F.A.B.); (M.B.); (K.A.)
- Critical Care Department, King Saud University Medical City, Riyadh 11362, Saudi Arabia
| | - Fadiah Alkhattabi
- King Faisal Specialist Hospital and Research Center, Riyadh 11211, Saudi Arabia;
| | - Ayman Al-Eyadhy
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (F.A.); (A.A.-E.); (A.A.); (N.S.A.); (A.A.); (A.J.); (F.A.B.); (M.B.); (K.A.)
- Pediatric Department, King Saud University Medical City, Riyadh 11362, Saudi Arabia; (B.A.); (M.A.); (H.A.)
| | - Ali Alhaboob
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (F.A.); (A.A.-E.); (A.A.); (N.S.A.); (A.A.); (A.J.); (F.A.B.); (M.B.); (K.A.)
- Pediatric Department, King Saud University Medical City, Riyadh 11362, Saudi Arabia; (B.A.); (M.A.); (H.A.)
| | - Nasser S. Alharbi
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (F.A.); (A.A.-E.); (A.A.); (N.S.A.); (A.A.); (A.J.); (F.A.B.); (M.B.); (K.A.)
- Pediatric Department, King Saud University Medical City, Riyadh 11362, Saudi Arabia; (B.A.); (M.A.); (H.A.)
| | - Adi Alherbish
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (F.A.); (A.A.-E.); (A.A.); (N.S.A.); (A.A.); (A.J.); (F.A.B.); (M.B.); (K.A.)
- Pediatric Department, King Saud University Medical City, Riyadh 11362, Saudi Arabia; (B.A.); (M.A.); (H.A.)
| | - Badr Almosned
- Pediatric Department, King Saud University Medical City, Riyadh 11362, Saudi Arabia; (B.A.); (M.A.); (H.A.)
| | - Mohammed Alobaylan
- Pediatric Department, King Saud University Medical City, Riyadh 11362, Saudi Arabia; (B.A.); (M.A.); (H.A.)
| | - Hayfa Alabdulkarim
- Pediatric Department, King Saud University Medical City, Riyadh 11362, Saudi Arabia; (B.A.); (M.A.); (H.A.)
| | - Amr Jamal
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (F.A.); (A.A.-E.); (A.A.); (N.S.A.); (A.A.); (A.J.); (F.A.B.); (M.B.); (K.A.)
- Department of Family and Community Medicine, King Saud University Medical City, Riyadh 11362, Saudi Arabia
- Evidence-Based Health Care & Knowledge Translation Research, King Saud University, Riyadh 11362, Saudi Arabia
| | - Sami A. Alhaider
- Saudi Commission for Health Specialties, Riyadh 11614, Saudi Arabia; (S.A.A.); (B.A.)
| | - Basim Alsaywid
- Saudi Commission for Health Specialties, Riyadh 11614, Saudi Arabia; (S.A.A.); (B.A.)
| | - Fahad A. Bashiri
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (F.A.); (A.A.-E.); (A.A.); (N.S.A.); (A.A.); (A.J.); (F.A.B.); (M.B.); (K.A.)
- Pediatric Department, King Saud University Medical City, Riyadh 11362, Saudi Arabia; (B.A.); (M.A.); (H.A.)
| | - Mazin Barry
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (F.A.); (A.A.-E.); (A.A.); (N.S.A.); (A.A.); (A.J.); (F.A.B.); (M.B.); (K.A.)
- Division of Infectious Diseases, Department of Internal Medicine, King Saud University Medical City, Riyadh 11362, Saudi Arabia
| | - Jaffar A. Al-Tawfiq
- Specialty Internal Medicine and Quality Department, Johns Hopkins Aramco Healthcare, Dhahran 34465, Saudi Arabia;
- Infectious Disease Division, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN 46202, USA
- Infectious Disease Division, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD 21218, USA
| | - Khalid Alhasan
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (F.A.); (A.A.-E.); (A.A.); (N.S.A.); (A.A.); (A.J.); (F.A.B.); (M.B.); (K.A.)
- Pediatric Department, King Saud University Medical City, Riyadh 11362, Saudi Arabia; (B.A.); (M.A.); (H.A.)
| | - Mohamad-Hani Temsah
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (F.A.); (A.A.-E.); (A.A.); (N.S.A.); (A.A.); (A.J.); (F.A.B.); (M.B.); (K.A.)
- Pediatric Department, King Saud University Medical City, Riyadh 11362, Saudi Arabia; (B.A.); (M.A.); (H.A.)
- Prince Abdullah Ben Khaled Coeliac Disease, Faculty of Medicine, King Saud University, Riyadh 11362, Saudi Arabia
- Correspondence:
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Temsah MH, Alkhattabi F, Aljamaan F, Alhasan K, Alherbish A, Philby M, Alsohime F, Alobaylan M, Alabdulkarim H, Almosned B, Gashgarey D, Felimban G, Alkathiri Z, Almaghrabi R, Jamal A, Barry M, Alhaider SA, Alsaywid B, Bashiri FA. Remote interviews for medical residency selection during the initial COVID-19 crisis: a national survey. BMC Med Educ 2021; 21:462. [PMID: 34461872 PMCID: PMC8405253 DOI: 10.1186/s12909-021-02890-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2021] [Accepted: 08/17/2021] [Indexed: 05/11/2023]
Abstract
BACKGROUND Medical training programs candidate's interview is an integral part of the residency matching process. During the coronavirus disease 2019 (COVID-19) pandemic, conducting these interviews was challenging due to infection prevention restrains (social distancing, namely) and travel restrictions. E-interviews were implemented by the Saudi Commission for Healthcare Specialties (SCFHS) since the matching cycle of March 2020 to hold the interviews in a safer virtual environment while maintaining the same matching quality and standards. AIM This study was conducted to assess the medical training residency program applicants' satisfaction, stress, and other perspectives for the (SCFHS) March 2020 Matching-cycle conducted through an urgently implemented E-interviews process. METHOD A cross-sectional, nationwide survey (Additional file 1) was sent to 4153 residency-nominated applicants to the (SCFHS) March 2020 cycle. RESULTS Among the 510 candidates who responded, 62.2% applied for medical specialties, 20.2% applied for surgical specialties, and 17.6% applied for critical care and emergency specialties. Most respondents (61.2%) never had previous experience with web-based video conferences. Most respondents (80.2%) used the Zoom application to conduct the current E-interviews, whereas only 15.9% used the FaceTime application. 63.3% of the respondents preferred E-interviews over in-person interviews, and 60.6% rated their experience as very good or excellent. 75.7% of the respondents agreed that all their residency program queries were adequately addressed during the E-interviews. At the same time, 52.2% of them agreed that E-interviews allowed them to represent themselves accurately. 28.2% felt no stress at all with their E-interviews experience, while 41.2% felt little stressed and only 8.2% felt highly stressed. The factors that were independently and inversely associated with applicants' level of stress with E-interviews experience were their ability to represent themselves during the interviews (p = 0.001), cost-savings (p < 0.001), their overall rating of the E-interviews quality (p = 0.007) and the speed of the internet connection (p < 0.006). CONCLUSION Videoconferencing was implemented on an urgent basis during the COVID-19 pandemic in the medical residency application process in Saudi Arabia. It was perceived as an adequate and promising tool to replace in-person interviews in the future. Applicants' satisfaction was mainly driven by good organization, cost-saving, and their ability to present themselves. Future studies to enhance this experience are warranted.
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Affiliation(s)
- Mohamad-Hani Temsah
- Pediatric Department, College of Medicine, King Saud University, PO BOX 2925, Riyadh, 11461 Saudi Arabia
| | - Fadiah Alkhattabi
- Pediatric Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Fadi Aljamaan
- Critical Care Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Khalid Alhasan
- Pediatric Department, College of Medicine, King Saud University, PO BOX 2925, Riyadh, 11461 Saudi Arabia
| | - Adi Alherbish
- Pediatric Department, College of Medicine, King Saud University, PO BOX 2925, Riyadh, 11461 Saudi Arabia
| | - Mona Philby
- Pediatric Department, College of Medicine, King Saud University, PO BOX 2925, Riyadh, 11461 Saudi Arabia
| | - Fahad Alsohime
- Pediatric Department, College of Medicine, King Saud University, PO BOX 2925, Riyadh, 11461 Saudi Arabia
| | - Mohamad Alobaylan
- Pediatric Department, College of Medicine, King Saud University, PO BOX 2925, Riyadh, 11461 Saudi Arabia
| | - Hayfa Alabdulkarim
- Pediatric Department, College of Medicine, King Saud University, PO BOX 2925, Riyadh, 11461 Saudi Arabia
| | - Badr Almosned
- Pediatric Department, College of Medicine, King Saud University, PO BOX 2925, Riyadh, 11461 Saudi Arabia
| | - Deema Gashgarey
- Pediatric Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Ghadah Felimban
- Pediatric Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Ziyad Alkathiri
- Pediatric Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Randa Almaghrabi
- Pediatric Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Amr Jamal
- Department of Family and Community Medicine, King Saud University Medical City, Riyadh, Saudi Arabia
- Evidence-Based Health Care & Knowledge Translation Research Chair, King Saud University, PO Box 2925, (Internal Code 34), Riyadh, 11461 Saudi Arabia
| | - Mazin Barry
- Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, King Saud University and King Saud University Medical City, Riyadh, Saudi Arabia
| | - Sami A. Alhaider
- Saudi Commission For Healthcare Specialties, Riyadh, Saudi Arabia
| | - Basim Alsaywid
- Saudi Commission For Healthcare Specialties, Riyadh, Saudi Arabia
- College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard,, Jeddah, 11461 Saudi Arabia
| | - Fahad A. Bashiri
- Pediatric Department, College of Medicine, King Saud University, PO BOX 2925, Riyadh, 11461 Saudi Arabia
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Temsah MH, Alhboob A, Abouammoh N, Al-Eyadhy A, Aljamaan F, Alsohime F, Alabdulhafid M, Ashry A, Bukhari A, ElTahir O, Jamal A, Halwani R, Alhasan K, Alherbish A, Temsah R, Al-Tawfiq JA, Barry M. Pediatric Intensive Care Hybrid-Style Clinical Round During COVID-19 Pandemic: A Pilot Study. Front Pediatr 2021; 9:720203. [PMID: 34490169 PMCID: PMC8417365 DOI: 10.3389/fped.2021.720203] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Accepted: 07/21/2021] [Indexed: 01/14/2023] Open
Abstract
Objectives: With the evolving COVID-19 pandemic and the emphasis on social distancing to decrease the spread of SARS-CoV-2 among healthcare workers (HCWs), our pediatric intensive care unit (PICU) piloted the integration of Zoom meetings into clinical rounds. We aimed to explore the feasibility of these hybrid virtual and physical clinical rounds for PICU patients. Design: Mixed quantitative and qualitative deductive thematic content analysis of narrative responses. Setting: PICU, single tertiary-care academic center. Participants: Multidisciplinary PICU HCWs. Interventions: Integration of Zoom meeting into clinical daily PICU rounds. Measurements: For the quantitative part, we gathered the details of daily PICU hybrid rounds in terms of times, number of HCWs, and type of files shared through Zoom. For the qualitative part, open-ended questions were used. Main Results: The physical round took statistically significantly less time (34.68 ± 14.842 min) as compared with the Zoom round (72.45 ± 22.59 min), p < 0.001. The most shared component in the virtual round was chest X-rays (93.5%). Thirty-one HCWs participated in focus group discussions and were included in the analysis. Some of the HCWs' perceived advantages of the hybrid rounds were enabling multidisciplinary discussions, fewer round interruptions, and practicality of virtual discussions. The perceived challenges were the difficulty of the bedside nurse attending the virtual round, decreased teaching opportunities for the trainees, and decreased interactions among the team members, especially if video streaming was not utilized. Conclusions: Multidisciplinary hybrid virtual and physical clinical rounds in the PICU were perceived as feasible by HCWs. The virtual rounds decreased the physical contact between the HCWs, which could decrease the possibility of SARS-CoV-2 spread among the treating team. Still, several components of the hybrid round should be optimized to facilitate the virtual team-members' interactions and enhance the teaching experience.
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Affiliation(s)
- Mohamad-Hani Temsah
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatric Intensive Care Unit, Department of Pediatrics, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia
| | - Ali Alhboob
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatric Intensive Care Unit, Department of Pediatrics, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia
| | - Noura Abouammoh
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Department of Family and Community Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Ayman Al-Eyadhy
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatric Intensive Care Unit, Department of Pediatrics, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia
| | - Fadi Aljamaan
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Critical Care Department, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Fahad Alsohime
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatric Intensive Care Unit, Department of Pediatrics, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia
| | - Majed Alabdulhafid
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatric Intensive Care Unit, Department of Pediatrics, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia
| | - Ahmad Ashry
- Pediatric Intensive Care Unit, Department of Pediatrics, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia
| | - Ahmad Bukhari
- Pediatric Intensive Care Unit, Department of Pediatrics, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia
| | - Omer ElTahir
- Department of Medicine and Clinical Pharmacology, University of Medical Sciences and Technology (UMST), Khartoum, Sudan
| | - Amr Jamal
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Department of Family and Community Medicine, King Saud University, Riyadh, Saudi Arabia
- Evidence-Based Health Care and Knowledge Translation Research Chair, King Saud University, Riyadh, Saudi Arabia
| | - Rabih Halwani
- Sharjah Institute of Medical Research, University of Sharjah, Sharjah, United Arab Emirates
- Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Khalid Alhasan
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatric Intensive Care Unit, Department of Pediatrics, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia
| | - Adi Alherbish
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Pediatric Intensive Care Unit, Department of Pediatrics, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia
| | - Reem Temsah
- College of Pharmacy, Alfaisal University, Riyadh, Saudi Arabia
| | - Jaffar A. Al-Tawfiq
- Specialty Internal Medicine and Quality Department, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia
- Infectious Disease Division, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States
- Infectious Disease Division, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States
| | - Mazin Barry
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, King Saud University and King Saud University Medical City, Riyadh, Saudi Arabia
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Shaiba LA, Alnamnakani MA, Temsah MH, Alamro N, Alsohime F, Alrabiaah A, Alanazi SN, Alhasan K, Alherbish A, Mobaireek KF, Bashiri FA, AlRuthia Y. Medical Faculty's and Students' Perceptions toward Pediatric Electronic OSCE during the COVID-19 Pandemic in Saudi Arabia. Healthcare (Basel) 2021; 9:950. [PMID: 34442087 PMCID: PMC8393546 DOI: 10.3390/healthcare9080950] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2021] [Revised: 07/22/2021] [Accepted: 07/24/2021] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The educational process in different medical schools has been negatively affected by the COVID-19 pandemic worldwide. As a part of the Saudi government's attempts to contain the spread of the virus, schools' and universities' educational activities and face-to-face lectures have been modified to virtual classrooms. The purpose of this study was to explore the perceptions of the faculty and the students of an electronic objective structured clinical examination (E-OSCE) activity that took place during the COVID-19 pandemic in the oldest medical school in Saudi Arabia. METHODS An e-OSCE style examination was designed for the final-year medical students by the pediatrics department, College of Medicine at King Saud University in Riyadh, Saudi Arabia. The examination was administered by Zoom™ video conferencing where both students and faculty participated through their laptop or desktop computers. In order to explore the students' and the faculty's perceptions about this experience, a newly designed 13-item online questionnaire was administered at the end of the e-OSCE. RESULTS Out of 136 participants (23 faculty and 112 students), 73 respondents (e.g., 54% response rate) filled out the questionnaire. Most of the respondents (69.8%) were very comfortable with this new virtual experience. Most participants (53.4%) preferred the e-OSCE compared to the classic face-to-face clinical OSCE during the pandemic. Regarding the e-OSCE assessment student tool, 46.6% reported that it is similar to the classic face-to-face OSCE; however, 38.4% felt it was worse. CONCLUSIONS The e-OSCE can be a very effective alternative to the classic face-to-face OSCE due to the current circumstances that still pose a significant risk of infection transmission. Future studies should examine different virtual strategies to ensure effective OSCE delivery from the perspective of both faculty and students.
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Affiliation(s)
- Lana A. Shaiba
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (L.A.S.); (M.A.A.); (N.A.); (F.A.); (A.A.); (S.N.A.); (K.A.); (A.A.); (K.F.M.); (F.A.B.)
- Neonatal Intensive Care Unit, Department of Pediatrics, College of Medicine, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia
| | - Mahdi A. Alnamnakani
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (L.A.S.); (M.A.A.); (N.A.); (F.A.); (A.A.); (S.N.A.); (K.A.); (A.A.); (K.F.M.); (F.A.B.)
- General Pediatric Unit, Department of Pediatrics, College of Medicine, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia
| | - Mohamad-Hani Temsah
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (L.A.S.); (M.A.A.); (N.A.); (F.A.); (A.A.); (S.N.A.); (K.A.); (A.A.); (K.F.M.); (F.A.B.)
- Pediatric Intensive Care Unit, Pediatric Department, College of Medicine, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia
- Undergraduate Committee, Pediatric Department, King Saud University, Riyadh 11362, Saudi Arabia
| | - Nurah Alamro
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (L.A.S.); (M.A.A.); (N.A.); (F.A.); (A.A.); (S.N.A.); (K.A.); (A.A.); (K.F.M.); (F.A.B.)
- Department of Family and Community Medicine, College of Medicine, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia
| | - Fahad Alsohime
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (L.A.S.); (M.A.A.); (N.A.); (F.A.); (A.A.); (S.N.A.); (K.A.); (A.A.); (K.F.M.); (F.A.B.)
- Pediatric Intensive Care Unit, Pediatric Department, College of Medicine, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia
| | - Abdulkarim Alrabiaah
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (L.A.S.); (M.A.A.); (N.A.); (F.A.); (A.A.); (S.N.A.); (K.A.); (A.A.); (K.F.M.); (F.A.B.)
- Pediatric Infectious Diseases Unit, Pediatric Department, College of Medicine, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia
| | - Shahad N. Alanazi
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (L.A.S.); (M.A.A.); (N.A.); (F.A.); (A.A.); (S.N.A.); (K.A.); (A.A.); (K.F.M.); (F.A.B.)
| | - Khalid Alhasan
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (L.A.S.); (M.A.A.); (N.A.); (F.A.); (A.A.); (S.N.A.); (K.A.); (A.A.); (K.F.M.); (F.A.B.)
- Pediatric Nephrology Unit, Pediatric Department, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia
| | - Adi Alherbish
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (L.A.S.); (M.A.A.); (N.A.); (F.A.); (A.A.); (S.N.A.); (K.A.); (A.A.); (K.F.M.); (F.A.B.)
- Pediatric Nephrology Unit, Pediatric Department, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia
| | - Khalid F. Mobaireek
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (L.A.S.); (M.A.A.); (N.A.); (F.A.); (A.A.); (S.N.A.); (K.A.); (A.A.); (K.F.M.); (F.A.B.)
- Pulmonary Medicine Unit, Pediatric Department, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia
| | - Fahad A. Bashiri
- College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia; (L.A.S.); (M.A.A.); (N.A.); (F.A.); (A.A.); (S.N.A.); (K.A.); (A.A.); (K.F.M.); (F.A.B.)
- Pediatric Neurology Unit, Pediatric Department, College of Medicine, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia
| | - Yazed AlRuthia
- Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia;
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Alhasan KA, Al Khalifah R, Aloufi M, Almaiman W, Hamad M, Abdulmajeed N, Al Salloum A, Kari JA, AlJelaify M, Bassrawi RK, Al Hussain T, Alherbish A, Al Talhi A, Temsah MH, Sethi SK, Raina R, Joseph R, Amer YS. AGREEing on clinical practice guidelines for idiopathic steroid-sensitive nephrotic syndrome in children. Syst Rev 2021; 10:144. [PMID: 33971949 PMCID: PMC8112064 DOI: 10.1186/s13643-021-01666-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Accepted: 04/05/2021] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Nephrotic syndrome is the most common kidney disease in children worldwide. Our aim was to critically appraise the quality of recent Clinical Practice Guidelines (CPGs) for idiopathic steroid-sensitive nephrotic syndrome (SSNS) in children in addition to summarize and compare their recommendations. METHODS Systematic review of CPGs. We identified clinical questions and eligibility criteria and searched and screened for CPGs using bibliographic and CPG databases. Each included CPG was assessed by four independent appraisers using the Appraisal of Guidelines for REsearch & Evaluation II (AGREE-II) instrument. We summarized the recommendations in a comparison practical table. RESULTS Our search retrieved 282 citations, of which three CPGs were eligible and appraised: Kidney Disease: Improving Global Outcomes (KDIGO) 2012, Japan Society for Pediatric Nephrology (JSPN) 2014, and American Academy of Pediatrics (AAP) 2009. Among these, the overall assessment of two evidence-based CPGs scored > 70% (KDIGO and JSPN), which was consistent with their higher scores in the six domains of the AGREE II Instrument. In domain 3 (rigor of development), KDIGO, JSPN, and AAP scored 84%, 74%, and 41%, respectively. In domain 5 (applicability), they scored 22%, 16%, and 19%, respectively, and in domain 6 (editorial independence), they scored 94%, 65%, and 88%, respectively. CONCLUSIONS The methodological quality of the KDIGO CPG was superior, followed by JSPN and AAP CPGs with the relevant recommendations for use in practice. SYSTEMATIC REVIEW REGISTRATION The protocol was registered in the Center for Open Science (OSF) DOI: 10.17605/OSF.IO/6QTMD and in the International prospective register of systematic reviews PROSPERO 2020 CRD42020197511 .
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Affiliation(s)
- Khalid Abdulaziz Alhasan
- Pediatric Nephrology Unit, Pediatrics Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.,Saudi Society of Nephrology and Transplantation (SSN&T), Riyadh, Saudi Arabia
| | - Reem Al Khalifah
- Pediatric Endocrinology Unit, Pediatrics Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Majed Aloufi
- Department of Pediatric Nephrology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.,College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
| | - Weiam Almaiman
- College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.,Nephrology Section, Pediatrics Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Muddathir Hamad
- Pediatric Neurology Unit, Pediatrics Department, King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia
| | | | - Abdullah Al Salloum
- Pediatric Nephrology Unit, Pediatrics Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Jameela A Kari
- Pediatric Nephrology Division, Department of Pediatrics, Pediatric Nephrology Center of Excellence Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Muneera AlJelaify
- Pharmacy Services Department, King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Rolan K Bassrawi
- General Pediatrics Unit, Pediatrics Department, King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Turki Al Hussain
- College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.,Department of Pathology and Laboratory Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Adi Alherbish
- Pediatrics Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Abdulhadi Al Talhi
- Department of Pediatric Nephrology, Pediatrics Hospital, King Saud Medical City, Riyadh, Saudi Arabia.,Imam Mohammed Bin Saud University, Riyadh, Saudi Arabia
| | - Mohamad-Hani Temsah
- Pediatric Intensive Care Unit, Pediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | | | - Rupesh Raina
- Pediatric Nephrology, Akron Children's Hospital, Akron, OH, USA
| | - Reny Joseph
- Ward 11B and Day Care, Pediatrics-Nursing, King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Yasser Sami Amer
- Pediatrics Department, King Khalid University Hospital, Riyadh, Saudi Arabia. .,Clinical Practice Guidelines Unit, Quality Management Department, King Saud University Medical City, Riyadh, Saudi Arabia. .,Research Chair for Evidence-Based Health Care and Knowledge Translation, King Saud University, Riyadh, Saudi Arabia. .,Alexandria Center for Evidence-Based Clinical Practice Guidelines, Alexandria University, Alexandria, Egypt.
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Raza S, Alahmadi I, Broering D, Alherbish A, Ali T. Kidney transplantation in low weight pediatric recipients from adult donors: The short- And the long-term outcomes. Pediatr Transplant 2021; 25:e13860. [PMID: 33022859 DOI: 10.1111/petr.13860] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 05/26/2020] [Accepted: 08/28/2020] [Indexed: 11/25/2022]
Abstract
Pediatric patients with end-stage renal disease wait longer for KT due to shortage of organs and ultra-selection of donors so that they are age- and size-matched. KT from adult donors is reported to be associated with technical difficulties, complications, and poorer graft survival. We aimed to determine the outcomes of low weight patients who received kidneys from adult donors through extraperitoneal approach. We perform around 40 pediatric transplants/year, mostly from adult donors. Patients were divided into the (LWC: weight < 15 kg) and (HWC: ≥15 kg). From January 2011 to June 2017, 213 patients received KT. KT procedures were performed through extraperitoneal approach. Mean age of recipients was 10 years (5 years and 12 years for LWC and HWC, respectively) and 32 years for donors. Mean weight of recipient was 26 kg (13 kg and 31 kg for LWC and HWC, respectively) and 70 kg for donors. Mean follow-up was 5.5 years. Acute rejection occurred in 18% and delayed graft function in 5%. Three patients died during follow-up. Graft survival at 1 year was 97% and 82% at 5 years. Length of stay (P = .57), surgical complications (P = .74), long-term graft survival (P = .35), and GFR at 5 years (P = .59) were similar in both groups. This study shows that low weight pediatric patients can be transplanted from adult donors with low surgical complications and with favorable patient and graft survival. Extraperitoneal approach is feasible and safe in low weight recipients.
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Affiliation(s)
- Syed Raza
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - Ibrahim Alahmadi
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - Dieter Broering
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - Adi Alherbish
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.,King Khalid University Hospital, Riyadh, Saudi Arabia
| | - Tariq Ali
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
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Alhasan KA, Alherbish A, Osman A, Kari JA, Almojalli H. Successful Treatment of Recurrent Focal Segmental Glomerulosclerosis After Transplantation in Children: A Single-Center Experience. Transplant Proc 2019; 51:517-521. [PMID: 30879580 DOI: 10.1016/j.transproceed.2019.01.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE We aim to report our experience managing cases of recurrent focal segmental glomerulosclerosis (FSGS) in a group of pediatric renal transplant recipients. METHODS This study was a retrospective chart review of pediatric patients who had their first kidney transplant at King Faisal Specialist Hospital & Research Center between 2014 and 2016. RESULTS We reviewed the files of 6 patients, 3 of whom were male. The median age of the children was 2.75 years (range, 2-4 years) at disease onset, with an average time of progression to end-stage renal disease of 19 months (range, 8-30 months). Five of the patients received a living related donor transplant, and 1 received a living nonrelated donor transplant. Patients had FSGS recurrence at varying intervals (1 to 3 days) post transplant. All cases had plasmapheresis prior to receiving abatacept or rituximab. The therapeutic strategy in 4 patients involved switching tacrolimus to cyclosporine. A complete response was observed in 5 of the 6 patients (83.3%), and treatment was well tolerated in 5 patients. Patient 1 had severe oliguria and required intermittent hemodialysis during the first 3 weeks post transplant. He showed minimal response to the therapeutic plasma exchange and rituximab and was subsequently treated with abatacept. However, he died 8 months post transplant of pneumonia and sepsis. CONCLUSION Rituximab and switching tacrolimus to cyclosporine, in conjunction with plasmapheresis, appeared to be effective and safe in children with recurrent FSGS. Conversely, abatacept did not appear to provide clinical benefit.
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Affiliation(s)
- K A Alhasan
- Department of Pediatrics, College of Medicine, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia; Organ Transplant Center, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
| | - A Alherbish
- Department of Pediatrics, College of Medicine, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia; Organ Transplant Center, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - A Osman
- Department of Pediatrics, College of Medicine, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia
| | - J A Kari
- Pediatric Nephrology Center of Excellence and Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia
| | - H Almojalli
- Organ Transplant Center, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
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Alherbish A, Westerhout C, Fu Y, Granger C, Armstrong P. 263 The Forgotten Lead: Does aVR ST-Deviation Add Insight Into STEMI Patients? Can J Cardiol 2012. [DOI: 10.1016/j.cjca.2012.07.247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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