| 1. |
- Gleisner, Jenny, Fil. dr. 1982-, et al.
(author)
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Differences in teaching female and male intimate examinations : A qualitative study
- 2020
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In: Medical Education. - : John Wiley & Sons. - 0308-0110 .- 1365-2923. ; 54:4, s. 348-355
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Journal article (peer-reviewed)abstract
- ContextTeaching intimate examinations to medical students has been recognised as difficult because of the anxious feelings that the students may experience. For their professional development, previously incorporated understandings need to be relearned: how to transgress boundaries that regulate intimacy and physical closeness, learning to examine and touch other peoples' bodies, and talking about things that are otherwise taboo.ObjectivesThis paper compares how students learn to perform two intimate examinations: (i) the digital rectal examination (DRE) of the prostate, and (ii) the bimanual pelvic examination (PE) and analyses how norms and expectations affect how students learn to approach them.MethodsThis study is based on ethnographic work: in‐depth qualitative interviews with two urologists and nine medical students in semesters four, eight and 11 of a medical education programme in Sweden, observations of three learning sessions where 16 students performed the PE on professional patients, and 2 days of observations at a urology outpatient clinic.ResultsThe educational approach to the PE and DRE differ. The PE is taught as sensitive and to be handled with care, using a well‐documented learning concept including interpersonal and technical skills. The patient's exposed position in the gynaecological chair, possible previous negative experiences of PE or sexual exploitation are taken into account. In contrast, there is no educational concept for teaching the DRE. The students perform their first DRE on a clinical patient. The DRE is also handled with care, but with less sensitivity. The patients' possible previous negative experiences are not discussed and are thus made invisible.ConclusionsWell‐established routines in performing the PE help doctors and students to be attentive to patients' emotions and previous experiences, and remind them to perceive the examination as sensitive. Aligning the teaching of the DRE with that of the PE will improve how the male prostate patient is approached.
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| 2. |
- Hopwood, Nick, et al.
(author)
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Developing professional responsibility in medicine : a sociomaterial curriculum
- 2014
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In: Reconceptualising professional learning. - London and New York : Routledge. - 9780415815772 - 9780415815789 - 9781315813714 ; , s. 171-183
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Book chapter (other academic/artistic)abstract
- This book presents leading-edge perspectives and methodologies to address emerging issues o concern for professional learning in contemporary society. The conditions for professional practice and learning are changein dramatically in the wake of globalisation, new modes of knowledge production, new regulatory regiemes and increased economic-political pressures. A number of chllenges for professional learning emerge:more practitioners becoming involved in interprofessional collaborationdevlopments in new technologies and virtual workworldsemergence of transnational knowedge cultures and interrelated circuits of knowledge.The space and time relations in which professional practice and learning are mebedded are becoming more complext, as are the epistemic underpinnings om professional work. Together these shifts bring about intersections of professional knowledge and responsibilities that call for new conceptions of professional knowing. Exploring what the authors call sociomaterial perspectives on professional learning, they argue that theories that trace not just the social but also the material aspects of practice - tools, texts, bodies, devices - are useful for coming to terms with the challenges above. Reconceptualising professional learning develops these issues through specific contemporary cases focused on one of the book's three main themes: (1) professionals' knowing in practice, (2) professionals' work arrangements and technologies and (3) professional responsibility. Each chapter draws on innovative theory to highlight the sociomaterial webs through which professional learning may be reconceptualised. Authors are based in Australia, Canada, italy, Norway, Sweden and the USA as well as the UTK and their cases are based in a range of professional settings including medicine, teaching, nursing engineering, social services, the creative industries and more. By presenting detailed accounts of these themes from a sociomaterial perspective, the book raises new questions and opens new methodological approaches. These can help make more visible what is often invisible in today's messy dynamics of professional learning, and pont to new ways of configuring educational support and policy for professionals.
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| 3. |
- Möller, Amanda, et al.
(author)
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Proud, not yet satisfied : the experiences of abortion service providers in the Kathmandu Valley, Nepal
- 2012
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In: Sexual & Reproductive HealthCare. - : Elsevier BV. - 1877-5756 .- 1877-5764. ; 3:4, s. 135-140
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Journal article (peer-reviewed)abstract
- Objectives: In Nepal, the change of the abortion law in 2002 extended the staff duties at family planning clinics to include performing induced abortions. This study investigated the experiences, opinions and attitudes of the staff about their work at safe abortion service centres in the Kathmandu Valley and identified areas in which the health care staff stated the need for improvement.Study design: Fifteen qualitative semi-structured interviews were conducted with doctors and nurses working with induced abortion at one hospital and five clinics in the Kathmandu Valley. The interviews were transcribed verbatim and analysed using the constant comparative method.Results: The core category ‘Proud, not yet satisfied’ comprised a strong perception of providing an important service that is beneficial for women’s health and a feeling of pride in providing quality service. Four related categories were identified: ‘Beneficial legal framework’, ‘A will to reach out to all women’, ‘Frustration about misuse’ and ‘Dilemma of sex-selective abortion’. The respondents emphasised that improvements are necessary to (1) ensure that all women have access to safe abortion services; (2) prevent abortions from being used instead of contraceptives; (3) stop illegal medical abortions; and (4) deal with the dilemma of sex-selective abortions.Conclusions: Respondents were proud of and had psitive experiences from their work. They stated they have the opportunity to secure women’s rights and health; however, changes are needed to bring the quality of abortion care to a satisfactory level.
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| 4. |
- Shrestha, S., et al.
(author)
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Learning pelvic examination with professional patients
- 2010
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In: Journal of Nepal Medical Association. - : Nepal Medical Association. - 0028-2715 .- 1815-672X. ; 49:1, s. 68-75
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Journal article (peer-reviewed)abstract
- Performing pelvic examination is a vital skill to learn during gynecological and obstetrical training. It's a difficult maneuver to master as there is very little to see and more to feel and interpret. In addition, learning PE in usual clinical set-up has been found to induce lot of stress and anxiety among both the patients and the students. Students fear of hurting the patients and being judged inept, whereas patients feel embarrassed having to expose their most intimate body parts for learning purpose. This hampers effective learning. Learning PE on sedated women before surgery or on mannequins has been practiced as alternative learning models. But, they have been found to miss out on teaching the communication skills, which are as important as the palpation skills. However, there exists another model of learning PE--the professional patients, who are specially trained to act as patients and also guide the students on how to make a proper PE. They provide stress-free environment for the students to learn PE and at the same time, provide immediate feedback on each of their maneuvers. They form a complete learning model and help students to see patients as partner and not just a person seeking help.
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| 5. |
- Siwe, Karin, et al.
(author)
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A Stronger and Clearer Perception of Self Womens Experience of Being Professional Patients in Teaching the Pelvic Examination : a qualitative study
- 2006
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In: BJOG: An International Journal of Obstetrics and Gynaecology. - : Wiley. - 1470-0328 .- 1471-0528. ; 113:8, s. 890-895
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Journal article (peer-reviewed)abstract
- Objectives To identify and describe the experience of being a professional patient (PP) in teaching the pelvic examination (PE). Design Qualitative study using in-depth interviews. Setting Participant's home, place of work or other place of choice. Population Thirteen female PPs who teach the PE to medical students and student midwives. Method Semi-structured interviews analysed with an interpretive phenomenological approach. Main outcome measures Five themes were identified during the analysis: 'embodied knowledge', 'promoting a proper approach', 'redrawing private boundaries', 'feeling confident' and 'doing something meaningful'. The essence 'experience of stronger and clearer perception of self' emerged from the themes and is the described structure of the lived experience of the women who are PP. Conclusions Being a PP in this setting was beneficial for the women. They acquired increased knowledge about their bodies and PE procedure, which led to a new awareness of their own body. Contributing to students' learning in such an intimate examination procedure was rewarding and increased self-esteem.
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| 6. |
- Siwe, Karin, 1953-
(author)
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Att växa i gynstolen- en möjlighet genom empowerment?
- 2010. - 1:1
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In: Genus och kön inom medicin och vårdutbildningar. - Lund : Studentlitteratur. - 9789144059501 - 9144059507 ; , s. 135-149
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Book chapter (other academic/artistic)abstract
- Kvinnor och män är delvis lika, delvis olika. Det innebär att kvinnor och män både har behov av likadan behandling och av behandling som är anpassad till det egna könets förutsättningar. Denna antologi belyser kvinnors och mäns förutsättningar och behov inom en rad olika medicinska områden och tar upp både biologiska och sociala faktorer som påverkar hälsa och behandling. Den behandlar även den roll som kön spelar inom vårdens arbetsliv samt hur köns- och genusperspektiv kan integreras inom olika typer av medicin- och vårdutbildningar. Ett av bokens teman är våld, kränkningar och diskriminering, och inom ramen för detta behandlas några av de olika maktordningar som kommer till uttryck vid behandlingar inom hälso- och sjukvården. Antologin har en stor spännvidd när det gäller ämnen och författare. Förhoppningsvis ska den bredd som antologin uppvisar, leda fram till frågeställningar där läsaren utmanar sina förgivettaganden inom både genusvetenskap och mer traditionell medicin samt väcka nya frågor: Om könet snarare ses som en konstruktion än en fysisk realitet - kan då kvinnor lika gärna äta mediciner som är utprovade på män och opereras med metoder och verktyg anpassade till mäns fysiologi? Å andra sidan - hur objektiv är den naturvetenskapligt inriktade medicinska forskningen egentligen om man börjar granska den utifrån frågeställningar om perspektivval och genus? Antologin vänder sig till lärare på utbildningar inom medicin, hälsa och vård. Andra målgrupper är studenter på sådana utbildningar, vårdpersonal och en intresserad allmänhet.
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| 7. |
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| 8. |
- Siwe, Karin, et al.
(author)
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Gynecological patients learning to perform the pelvic examination: A win-win concept
- 2013
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In: Sexual & Reproductive HealthCare. - : Elsevier. - 1877-5756 .- 1877-5764. ; 4:2, s. 73-77
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Journal article (peer-reviewed)abstract
- Objective: This study explored gynecological patient perceptions of previous pelvic examinations (PE), a learning session about PE prior to a scheduled PE consultation, and the impact of the learning session on the PE during the consultation. Study design: Twelve informants were purposefully sampled from women with scheduled gynecologist appointments at a Swedish University Hospital. The learning session preceded the consultation and provided information on female genital anatomy and the PE, and the informant performed a PE on a mannequin. Individual qualitative interviews followed the consultation. The interviews were transcribed verbatim and analyzed using a constant comparative analysis to acquire a deeper understanding of the womens experiences of the learning session and the subsequent PE. Results: Three categories were identified in the analysis: Harmonizing the bad with the good category, which primarily concerned the informants previous experiences of the PE. Gaining self-confidence through knowledge, which depicted the informants experiences of the learning session. Mental preparation enables bodily recapture, which was the summarizing category of informant experiences of the scheduled PE. The core category, active involvement triggers empowerment, was created from the categories, and constitutes the core of the empirical material. Conclusion: The informants active participation during the learning session increased their knowledge, generated self-confidence, triggered an empowering process, and promoted interaction with the examiner during their subsequent PE.
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| 9. |
- Siwe, Karin
(author)
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Gynekologisk undersökning : InstruktionsDVD i gynekologisk undersökningsteknik.
- 2010
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Other publication (other academic/artistic)abstract
- Undervisningsfilm i gynekologisk undersökningsteknik för läkar och barnmorskestudenter liksom läkare under allmäntjänstgöring och specialistutbildning. Filmen betsår av två delar. Del ett utgör basen och visar stegvis och i detalj en fullständig gynekologisk undersökning. Del två visar kvinnlig anatomi, ultraljudsundersökning och provtagningsanvisningar.
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| 10. |
- Siwe, Karin
(author)
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Gynekologisk undersökning : Instruktionsbroschyr om gýnekologisk undersökningsteknik.
- 2010
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Other publication (other academic/artistic)abstract
- Instruktionsbroschyr i färgtryck om gynekologisk undersöknigsteknik för läkar- och barnmorskestudenter liksom läkare under allmäntjänstgöring och specialistutbildning. Broschyren visar stegvis och i detalj hur en fullständig gynekologisk undersökning går till med instrument och palpation med händerna. Därutöver visas bilder på kvinnlig anatomi, anvisningar för cellprovstagning och provtagning för infektionssjukdomar i de kvinnliga könsorganen.
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