1. Study Habit of Post-graduate Trainees and Residents in Medicine and Major Barriers in Achieving an Effective Training: A Multi-Institutional Survey
Dr. Muhammad Abdur Rahim
MBBS, FCPS (Medicine)
Registrar, Internal Medicine
Ibrahim Medical College and BIRDEM

2. Background FCPS (Medicine)- 8.68% (Jan, 2012), 16.81% (July, 2011)*
MD 30-50%, Diploma %**
MRCP- 44.2% ( UK Graduates- 60.2%)***
- Repeated attempts
- Wastage of productive years
- Depression
- Performance deteriorates
*BCPS year book, 2012, p77
**Examination Controllers’ Office
*** › MRCP(UK) Home > Results

3. Rationale Early years of training- training certificate
Later years- burdened with studies
- If the training is well organized, structured
- Students utilize this period judiciously
- Good guidance and supervision
- Good outcome

4. Aims and objectives How much time trainees utilized for study
What were the purposes of study
What were the main study materials
Where did they study
What were the main barriers against a good training (students’ view)

5. Methods Design: Cross-sectional study
Study period: 3 months (Jan- March, 2012)
Study place: 4 post-graduate medical institutes in Dhaka
Study population: 67 post-graduate students

6. Inclusion criteria
Post-graduate medical students (Trainees, Residents, Medical Officers, Assistant Registrars, Students)
Students preparing for medicine and/ or sub-speciality
Who were willing to be included

7. Exclusion criteria
Already attempted in final examination and not doing training now
Already obtained a degree and not doing training now
Not passed FCPS part-I, not entered in MD/ Diploma course, not passed MRCP part-I

8. Results
Total number of students: 67 (67 students responded out of 100)
Male 31, female 37 (M:F ratio 1: 1.2)
Mean age years (range years)
Married- 59 (88%)
Having children- 45 (76%)

9. Respondents are from

10. Preparing for

11. Speciality Speciality Frequency Percent Medicine 57 85 Cardiology 13
19.4
Endocrinology 6
8.9
Nephrology
Gastroenterology 5
7.4
Dermatology 3
4.5
Neurology 2

12. Training years

13. Responsibilities during training period
Activity
Freq/ comment
Patient care
67 (100%)
Lectures
2-4 hour/week
Ward rounds
Clinical classes
6-12 hour/week
Journal clubs
Teaching
5 (7.4%)
Grand rounds
62 (92.5%)
Research
8 (11.9%)
OPD placement
16 (23.9%)
Presentations
21 (31.3%)
Skilled activity
Occasional
Seminars

14. Optional methods of skill development
Communication skill- 13 (19.4%)
Thesis/ dissertation- 23 (34.3%)
Orientation program- 19 (28.4%)
MOCK- 23 (34.3%)
- MOCK exams and targeted trainings are highly beneficial

15. Mean study hours per week

16. Study place

17. Study materials

18. Purpose of study

19. Evaluation of own activity
Satisfied- 0 (0%)
Not satisfied- 67 (100%)

20. Contribution by trainers

21. At the end of training

22. Barriers
More than one- all

23. Suggestions More structured, targeted, exam oriented and supervised
Number of trainees should be limited
Examination system might be reviewed
Trainers assessment should contribute at final exams
Remuneration should be increased

24. Limitations Short period Limited number
Institutions in Dhaka only, not peripheral ones
Institutional/ sampling bias
Evaluation is from only the students’ side, not bilateral

25. Conclusions Study time adequate Library based Written examinations
Inadequate remunerations
Familial responsibilities
Lack of well structured training program

26. Thank you