Search PubMed⌕ Search

Biomedical subjects

S Collinson

Publications and source records attributed to S Collinson.

14 recordsLinked to original sources
PubMed2002

'Seeing old people with real problems like leaving the gas on': students' and tutors' reflections after piloting the second phase of a new, community based course for second-year medical students.

This short communication presents the results of an evaluation carried out with tutors and students at the end of the pilot phase of a new, community-based teaching course for second year students at St Bartholomew's and the Royal London School of Medicine and Dentistry. Students were placed with different community-based healthcare teams in East London. The aims of the course were to enable students to observe, and be part of, the work of the multidisciplinary team, and to experience the continuing care of patients with chronic illnesses within the community.

Aged↗
PubMed2001

Designing a community-based fourth-year obstetrics and gynaecology module: an example of innovative curriculum development.

INTRODUCTION: This paper describes the design and evaluation of the community-based obstetrics and gynaecology module at St Bartholomew's and the Royal London School of Medicine and Dentistry. This module sets out to comply with the General Medical Council's recommendations of encouraging students to consider the community perspective, and places less emphasis on a disease-orientated approach. OBJECTIVES: The development of the module, issues of improving student acceptance of the course, staff development and the benefits of community teaching in obstetrics and gynaecology are discussed. MODULE ORGANIZATION: The 2-week module precedes the 8-week hospital obstetrics and gynaecology firms that occur in the fourth undergraduate year. The course is organized into three components: general practice, departmental teaching, and self-directed learning. Students are allocated to general practices for their clinical teaching, for eight sessions. Seven departmental sessions are run by the Academic Department of General Practice and Primary Care. These include a review of the students' self-directed learning. EVALUATION AND CONCLUSION: Evaluation data are reported for the three components of the course. Overall the majority of students rated the module as useful, GP attachments being most favourably received. The majority of students have grasped the basic obstetric and gynaecological history and examination skills and found this useful before starting their hospital firms. Aspects of a specialist subject, such as, obstetrics and gynaecology, can be taught successfully in the community and GP tutors are, as yet, an untapped source of excellent obstetric and gynaecology teaching.

Community Medicine↗
PubMed2000

Synthesis and properties of iron(II) and manganese(II) complexes derived from a topologically constrained pentadentate ligand.

The novel bicyclic pentadentate ligand 5-methyl-1,5,9,24,25-pentaazapentacyclo[7.7.7.5.5]pentacosane11,13,15,18(25),20,22-hexene (L1) has been synthesized. Because of its cross-bridged topology it exhibits a relatively rigid preorganized conformation especially appropriate to complex formation, as shown by the crystal structure of the monoprotonated ligand salt, HL1ClH2O [orthorhombic, P212121, a = 9.4405(5) A, b = 13.3617(5) A, c = 16.710(1) A]. The complexes of L1 with both iron(II) and manganese(II) have been characterized, including the crystal structures of [FeL1CH3CN][FeCL4] and [MnL1Cl][PF6] [monoclinic, P21/n, a = 10.0460(5) A, b = 19.237(9) A, c = 15.6254(8) A, beta = 95.97(2)degrees and a = 7.745(2) A, b = 22.786(4) A, c = 14.639(4) A, beta = 105.074(10)degrees respectively]. The manganese complex is high spin with mueff = 5.96 and theta = 2.5 +/- 0.8 cm(-1), indicating weak ferromagnetic interactions. The reactions of the complexes with tert-butyl hydroperoxide and hydrogen peroxide have been shown by ESR spectroscopy to produce the tert-butyl peroxyl and hydroperoxyl radicals, as evidenced by their spin adducts with the spin traps N,N-dimethyl-1-pyrroline-N-oxide and N-tert-butyl-phenyl-nitrone.

Journal Article↗
PubMed1999

Dental students' evaluation of 2 community-oriented PBL modules.

OBJECTIVES: To evaluate dental students' perception of 2 problem-based learning (PBL) modules in Dental Public Health implemented within the context of a traditional formal curriculum. METHODS: 2 dental community modules were implemented with an 8-month interval between them on the same group of dental undergraduates; the first in Term 2 and the second in Term 4 of a 5-year 15-term dental course. At the end of each module, a semi-structured questionnaire was administered to evaluate the introductory lecture, the fieldwork activity and the organisation of the modules. RESULTS: In both modules, students reported gaining insight into the subject matter, skills in teamwork, making presentations and collecting data. Some students in the 1st module needed more time to fulfil their learning objectives and had difficulty in collecting data. In the 2nd module, students reported that they lacked motivation because of the place of the module within their timetable. Opinions differed about groupwork. The content of and interest generated by fieldwork activity was rated more positively in the 2nd module than the 1st. Less positively rated in the 2nd module was the introductory lecture and module organisation. CONCLUSIONS: Implementing PBL within a traditional curriculum does not offer uniform outcomes for students. Optimum group size and adequate time are necessary if students are to benefit from PBL. A consistent and continuous PBL approach should be adopted rather than a sporadic one. Further research should establish the optimum balance between PBL and traditional approaches that would allow students to maximise the benefits of both and to identify those students best equipped to benefit from a 'mixed economy' of learning.

Community Dentistry↗
PubMed1998

An exploratory study of demand for the health visiting service within a marketing framework.

A small exploratory study was carried out to consider the concept of demand for the health visiting service from the clients' perspective. Because of the internal market introduced to the British health system under the National Health Service and Community Care Act, the idea of 'marketing' was used as a conceptual framework to underpin the study. Guided interviews were carried out with a sample of nine mothers of pre-school children to elicit the reasons why clients access the service, what they value about it and how they think it could be improved. A detailed qualitative analysis of these data indicates that demand for health visiting relates, in the first instance, to clients' knowledge of the service. This knowledge, and the extent to which the service meets their expectations, appear to influence the value the women place on health visiting and their subsequent use of it. A cycle is described, which illustrates critical points at which health visiting responses affect demand and use of service. The implications of the study for health visiting and for marketing the service are discussed.

Community Health Nursing↗
PubMed1996

Who should be doing what in the international health: a confusion of mandates in the United Nations?

Since 1945 at least five United Nations organisations have become substantially involved in international health activities. This has led to considerable confusion among policy makers, scholars, and UN staff over distinct and appropriate mandates. Interviews with staff an a historical analysis have shown that while formal mandates have been complementary, effective mandates have led to an unclear delineation of activities. The process of translating formal into effective mandates have been influenced by the decentralised nature of the UN, lack of a master plan for its activities, the considerable growth in the policy agenda and the shift towards a multisectoral approach to health. The identification of each organisation's comparative advantage, at both the global and country levels, is one way of understanding what each organisation does best and perhaps should be doing. There is a need for improved mechanisms to define effective mandates, taking into account comparative advantages, if the mandates of UN organisations are appropriate to meet future challenges in international health.

Global Health↗
PubMed1996

Visa requirements, carrier sanctions, "safe third countries" and "readmission": the development of an asylum "buffer zone" in Europe.

"This paper explores the development of a so-called asylum 'buffer zone' around the eastern frontiers of the west European region as a result of the Schengen, EU and EFTA member states' introduction of more restrictive asylum policies during the first half of the 1990s. Restrictive policies in western Europe are forcing central and east European states into a 'buffer role', obliging them to absorb asylum-seekers who fail to gain entry into western Europe and/or restrict asylum-seekers' access to the borders of potential 'receiving' states. In addition to examining the mechanisms by which this 'buffer zone' is developing and questioning what it might mean for future asylum trends and policies in Europe, the paper considers the wider questions raised by this development in relation to the changing geopolitical landscape of Europe, particularly in relation to the changing political and security relations between western, central and eastern Europe and the former Soviet Union."

Demography↗
PubMed1976

Copsychotherapy of the individual patient: indications and operative factors.

The study analyzes the treatment by copsychotherapy of 56 individual patients carried out by a male-female therapist pair. The therapeutic contributions of the female cotherapist are scored (from evidence in the process notes) in terms of thirteen factors, and are listed in order of importance. Her contributions are greatest in the treatment of borderline psychotic personality disorders.

Bipolar Disorder↗