Biomedical subjects
J G Bramness
Publications and source records attributed to J G Bramness.
[Interruptions of physicians' work at hospitals].
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[Admission criteria for medical studies].
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[Socialization of physician's role during the clinical part of medical education. 1: Students' assessment of own skills].
The learning of clinical skills may be the most important factor in the socialization of medical students to the doctor's role. In this survey 225 students from early and late stages of the clinical curriculum at the University of Oslo were asked to assess their clinical skills. The results show that many students lack sufficient practice, and there is little development of clinical skills from early to late stages of the clinical curriculum. This can promote an uncertainty amongst the students about the doctor's role. These results should lead to changes in the clinical teaching. Each department should set clearer objectives for what the students should be taught, and should verify that this takes place. Training in communication skills should be emphasized. Students should be given greater responsibility for clinical work throughout the clinical phase of their training.
[Socialization of physician's role during the clinical part of medical education. 2: Students' identification with physician's role].
Young doctors find it difficult to cope with the doctor's role. Socialization to the doctors role starts at medical school. In this survey 225 students at the University of Oslo were asked to assess the extent of their identification with the role of doctor when working in the emergency ward and in ordinary hospital wards. The process of identification progressed while the students worked in the emergency ward, but not when they worked in the ordinary wards. To promote adherence to the doctor's role it is necessary to define the roles, responsibilities and duties of the students in ordinary wards, and there should be a progression in what is expected of the students from an early stage to a later stage of the clinical curriculum. The role of the students must become well-defined in the ordinary hospital wards.
Effect of medical school stress on the mental health of medical students in early and late clinical curriculum.
Earlier research has shown that medical students in the United Kingdom and the United States report a higher level of nervous symptoms than the general population. To better understand how medical students in Norway compare with these findings, 299 male and female students in the clinical curriculum at the University of Oslo were asked to complete a questionnaire about themselves and their mental health. Medical students in Norway do not differ from the general population in mental health. However, the students report a lower level of general self-esteem than the general population. The male students had more nervous symptoms and a less general self-esteem than the female students compared with the general population. This research also shows that medical school stress is a good predictor of nervous symptoms even when psychosocial variables such as marital or cohabitation status, confident other and general self-esteem are taken into consideration.