Browsing by Author "Pakis, Isil"

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Importance of Informed Consent in Clinical Practice
(ISTANBUL TRAINING \& RESEARCH HOSPITAL, 2022-01-01) Pakis, Isil; Bektas, Gulfer; Kaya, Berat Akif; Kilic, Cenk Hilmi
Introduction: This study aims to determine the experiences and opinions of physicians on informed consent practices, to research their awareness of their legal responsibilities, and to provide solutions to the problems encountered in practice. Methods: This research is a descriptive field study. One hundred and eighty-four physicians working in a state hospital in Istanbul participated in this study between January 15 and February 15, 2018. The questionnaire form was used as a data collection tool. After the participants were informed about the purpose and method of the research, their consent was obtained, and they were asked to fill in the questionnaire forms. The analysis of the data was performed using the SPSS 18.00 program. The significance level was accepted as p<0.05. Results: One hundred and eighty-four physicians working in a state hospital in Istanbul participated in this study. 69\% (n=127) of the physicians participating in the study were male and 31\% (n=57) were female. 35.3\% (n=65) of the participants were from the 3039 years old age group. 96.7\% (n=178) of the physicians in the study stated that they personally informed their patients before the surgical interventions. 83.7\% (n=154) of the physicians think that the lawsuits filed against the physicians due to medical malpractice affect the health services provided by the physicians to their patients.61.4\% of the participants (n=113) think that they have not received enough education in their medical education processes regarding the rights and obligations of the physicians. Conclusion: Considering the current situation in Turkey, the informed consent process is not yet at the level it should be. Since human rights are in the process of development in the world, informed consent and many more patient rights will gain importance with studies on this subject. Therefore, training, and studies should be increased to inform physicians and patients about informed consent and to make them a behavioral model physicians.
The Approaches of Physicians Working in the Field of Pathology Regarding Forensic Pathology Practice and the Training Process
(DE GRUYTER OPEN LTD, 2013-01-01) Ersoy, Gokhan; Ozoran, Yavuz; Akcay, Arzu; Kolusayin, Melek Ozlem; Pakis, Isil; Urer, Halide Nur; Gulmen, Mete Korkut; Oz, Buge
Objective: Forensic autopsies are performed by the forensic medicine department and the microscopic examination processes by pathology specialists within the forensic medicine practice in Turkey. This disconnection in the process raises problems in the training of both branches. The aim of this study was to determine the awareness of pathology staff on forensic medicine practices and responsibilities and their opinion on the pathology training model in the forensic medicine specialty and to discuss the matter within the framework of the present situation and global applications. Material and Method: A 15-item questionnaire form distributed to the participant physicians during registration at the 21st National Pathology Congress held in 2011 was evaluated. Results: 94 participants responded. A negative opinion was expressed by 72\% about the interest in the general post-mortem process. The view that pathology specialists should undergo a separate training to perform autopsies was predominant and there was a general lack of interest in all kinds of autopsy processes. The percentage who said they knew the legal responsibility of a pathology specialist regarding forensic autopsies correctly was 37\%. The questions ``what are the necessary factors to contribute to the pathology training in forensic medicine{''} and ``if anything is required, which of them would take priority{''} were respectively answered as ``for me to be interested (46\%){''} and ``a system guaranteeing that training will always be given by pathology specialists (67\%){''}. Despite the possibility of becoming a forensic medicine specialist in two years, the mean answer score of the participants to the phrase `` I do not consider becoming a forensic medicine specialist{''} was 4.1 (out of 5). Conclusion: A reluctance among the pathologists in our country was seen regarding forensic medicine specialists being able to perform post-mortem microscopic examination. However, despite their legal responsibilities, their interest in forensic pathology practice was low. There seems to be rational factor that would increase this interest in the near future. Cooperation is necessary to enable forensic medicine specialists to perform post-mortem pathology procedures. This cooperation should be based on improving the training of pathology research assistants.
The state of ethics education at medical schools in Turkey: taking stock and looking forward
(BMC, 2020-01-01) Kavas, Mustafa Volkan; Ulman, Yesim Isil; Demir, Figen; Artvinli, Fatih; Sahiner, Melike; Demiroren, Meral; Senyurek, Gamze; Pakis, Isil; Bakirci, Nadi
Background Ethics teaching is globally considered an essential part of medical education fostering professionalism. It does not only provide knowledge for good clinical conduct, but also trains medical students as virtuous practitioners. Although Turkey has had a considerable experience in ethics education of healthcare professionals, the general state of ethics curricula at medical schools in Turkey is unknown. Methods The purpose of this study was to collect comprehensive data about the ethics education programs at medical schools in Turkey. To this aim, we designed a cross-sectional descriptive questionnaire survey which focuses on the content, teaching years, teaching, assessment and evaluation methodologies, workforce and infrastructure. We delivered the questionnaire to all medical schools in Turkey. Seventy-nine medical schools participated in this study (response rate: 78\%). Results Although most institutions had an undergraduate ethics curriculum (91.1\%), the findings suggest deficiency of teaching personnel (34.2\% had no instructors). Furthermore, the distribution and composition of the workforce was imbalanced. The content varies largely among institutions. Medical schools with an ethics department were more likely to diversify teaching topics. However, ethics education was largely based on the four-principle approach. The content was usually conveyed to students theoretically. Around 90\% of schools had classroom lectures. It is the only method used at one-third of them. Clinical ethics education was mostly lacking. Multiple-choice tests were widely used to assess and evaluate student attainments (86.1\%). Conclusions Staff qualified to teach ethics and ethics education integrated into the six-year medical curriculum given by a multidisciplinary team are urgent necessities. Considering teaching, assessment and evaluation methodologies used, most medical schools seem to fall short of fostering students to develop ethical attitudes. Endeavors aiming for modern topics should be encouraged. As the organization ethics education change continuously, we think that a platform for monitoring ethics education at medical schools in Turkey should be established. Such a body would help ethics instructors to network and find solutions to current problems and build shared wisdom.