Quality Education

Impact Research: Norepinephrine in Septic Shock Resuscitation

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Fluid Therapy was a standard treatment for patients with septic shock. But, recent retrospective evidence suggests the efficacy of early norepinephrine administration during resuscitation. However, there was limited information from prospective randomization trials to support this postulation.

The research was set up to conduct a Randomized Control Trial to evaluate the hypothesis that early low-dose norepinephrine in adults with sepsis with hypotension increases shock control compared with standard care.

The results of this clinical trial demonstrated a significant association between early norepinephrine and increased shock control. Further studies are needed to confirm these findings before this approach can be introduced in clinical resuscitation practice. Future studies should investigate the effect of early norepinephrine on organ dysfunction and mortality.

 

Impact Research: Cholangiocarcinoma

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Cholangiocarcinoma (CCA) remains a serious public health concern in Thailand due to the highest incidence and mortality rate in the world, as high as 6,000 – 10,000 fatalities/year! The patients usually die in distress within 6 months after detection due to a lack of effective pharmacological treatment. Currently, the only effective treatment is surgical treatment but can perform in a small number of patients. So, the research of effective medications for the patient is extremely important and should be prioritized first.

There are many Cholangiocarcinoma cases in Thailand, around 8 out of 10 Cholangiocarcinoma cases in the World!. There’s a lot of effort to prevent and to surveillance, the number of patients for the past decade but the number of cases is unlikely to decline. So, researching for an effective treatment is one of the key elements to the fight against this disease.

This is the collaboration between the Faculty of Medicine Siriraj Hospital and Faculty of Medicine, Khon Kaen University. This recent discovery in CCA research has shown magnificent results and give some hope for Cholangiocarcinoma patients. The “CDK4-Cyclin D1 inhibitors” such as Palbociclib, Ribociclib, and Abemaciclib are effective and already been used in the clinic for several types of cancer i.e. breast cancer, with lower toxic compare to other chemotherapeutic agents. The Palbociclib, Ribociclib, and Abemaciclib are usually conveniently taken orally once a day, with relatively safer profiles compared to the chemotherapeutic agents. This is a giant leap in the Cholangiocarcinoma treatment.

Essential Skills for Clinical Teachers: Online Course

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The essential factor in quality development for the “Doctor of Medicine” program is the development of clinical teachers, especially in clinical science. Clinical Science is a broad foundation of interdisciplinary medical knowledge and skills such as clinical practice and professional attitude toward real patients. The development of the teaching model for the clinical years is an essential part of the “Doctor of Medicine” program.

The Essential Skills for Clinical Teachers online course has started from December 25th, 2018 to the present. The objectives are to understand the fundamental of clinical teachings as follow,

  1. Participants can create a teaching model suited to the behavioral objective of each subject.
  2. Participants can explain and insert ‘Professionalism’ and ‘Attitude’ during the class.
  3. Participants possess a variety of clinical teaching skills and providing appropriate feedback to the students.

Online multimedia course “Essential Skills for Clinical Teachers” via Siriraj’s online course website https://shee.si.mahidol.ac.th/online/. The course contains 10 lessons and 5 evaluation tests. Participants must pass all of the tests within 80% of the score or better. The certificate of completion will be delivered to the participants after the completion

Effective Presentation: Online Course

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Asynchronous (on-demand) online course “Effective presentation by Assoc.Prof. Support Pongprasobchai from Department of Medicine, Faculty of Medicine Siriraj Hospital” via Siriraj’s online course website https://shee.si.mahidol.ac.th/online/. The course contains downloadable materials and instructional videos including 5 evaluation tests. Participants must pass all of the tests within 80% of the score or better. The certificate of completion will be delivered to the participants after the completion.

The event has been started from December 25th, 2018 to the present. The target groups are the lecturers from Siriraj and other institutes such as medical schools, university-affiliated hospitals, clinical medical education centers, and health science institutes.

 

Assessment Workshop for Clinical Teachers: Online Course

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Educational assessment and evaluation is a key component in improving the quality of education development by obtaining the necessary data to evaluate the clinical student that they have achieved the learning objectives and standards or not? This is directly beneficial to the learners and also reflects the teaching efficiency of the teachers including the quality of educational management in the institutions. The educational assessment and evaluation of learners in the “Doctor of Medicine” program is different from other programs, especially at the clinical level, with the specifically and variously assessment and evaluation formats such as Multiple-Choice Question, Modified Essay Question, Oral Examination, Clinical Practice Examination, Objective Structured Clinical Examination, Assessment of Personality through Behavioral Observations in Work Simulations, Group Work Assessment, and Portfolio Assessment. The person who plays an important role in the clinical students’ assessment and evaluation is a clinical teacher. But, there’re still problems that some clinical teachers in the medical schools, university-affiliated hospitals, and clinical medical education centers still lack knowledge and understanding in the principles of clinical-grade medical students’ assessment and evaluation, including the standard for assessment and evaluation of each clinical teacher’s isn’t the same standard. Summary, the clinical teachers who are required to perform these duties must understand the fundamentals, methods, and appropriate tools to achieve the most effective assessments and evaluations for the students and institutions.

The online course on “Assessment Workshop for Clinical Teachers” has been set up from April 1st, 2019 to present under the objectives as below,

  1. Participants understand the principles and methods of clinical assessments and evaluations.
  2. Participants can create a model of clinical assessment and evaluation that well suited to the objective of each subject.
  3. Participants can apply the knowledge of clinical assessment and evaluation in their organization for further development and usage.

Online multimedia course “Assessment workshop for clinical teachers” via Siriraj’s online course website https://shee.si.mahidol.ac.th/online/. The course contains 14 lessons and 5 evaluation tests. Participants must pass all of the tests within 80% of the score or better. The certificate of completion will be delivered to the participants after the completion.

The outcome of the course is expected that the development of effective teaching and learning models for the lecturers from Siriraj and other institutes such as medical schools, university-affiliated hospitals, clinical medical education centers, and health science institutes.

 

 

Advanced Skills for Clinical Teachers: Online Course

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The online course on Advanced Skills for Clinical Teachers is the essential factor in quality development for the Doctor of Medicine Education Program. It is the development of the clinical teachers, especially in clinical science. Clinical Science is a broad foundation of interdisciplinary medical knowledge and skills such as clinical practice and professional attitude toward real patients. The development of the teaching model for the clinical years is an essential part of the Doctor of Medicine Education Program.

The course has been set up since December 25th, 2018 to present under the objectives to allow the participants can apply the modern teaching technique to effectively motivated the new generation of students. Participants can create a teaching model that is well suited to the behavioral objective of each subject. Participants can use the tools and techniques for clinical classroom assessment and students’ attitude problem management. Participants possess a variety of clinical teaching skills and providing appropriate feedback to the students, this will lead to the development of an effective teaching and learning model.

Online multimedia course “Advanced Skills for Clinical Teachers” via Siriraj’s online course website https://shee.si.mahidol.ac.th/online/. The course contains 10 lessons and 5 evaluation tests. Participants must pass all of the tests within 80% of the score or better. The certificate of completion will be delivered to the participants after the completion.

 

 

How to Create Doctors’ Spirit: Online Course

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Medical work experience is part of the process to create a doctor with a doctor’s spirit. Learn the guidelines about “How to create a doctor’ spirit”. The event was arranged on September 11th, 2020 at Lecture room 3A01, Srisavarindhira Building, floor 3A, Faculty of Medicine Siriraj Hospital, Mahidol University and available online – https://shee.si.mahidol.ac.th/online/

The objectives are to learn the meaning, character, condition, and experience of a doctor’s spirit. To understand the process of “How to create a doctor with a doctor’s spirit. The activities consisted of a 2-hour lecture by Ms. Phachadapan Odompet, Ph.D., an educator from Division of Medical Education, Faculty of Medicine Siriraj Hospital, Mahidol University (simultaneously learning both in the classroom and live broadcast via social media and Mahidol University’s IPTV channel). The lecturers are from Siriraj and other institutes such as medical schools, university-affiliated hospitals, clinical medical education centers, and health science institutes. The outcome can be seen as the Knowledge Transfer to the public.

International Symposium on Traditional Medicines

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The World is currently facing a health crisis from the rise of chronic Non-communicable diseases (NCDs). The existing treatment cannot control the disease as needed. The demand for traditional medical treatment is increasing. But, the problem is the lack of proven evidence of effectiveness and safety issues, including the lack of example about the integrated care in the hospital.

Therefore, Center of Applied Thai Traditional Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University organized the International Symposium on Traditional Medicines under the theme of non-communicable disease from September 11th–12th, 2019 under the objectives to share and discuss on the challenges of the integration of Translational medicine into Non-Communicable diseases care, clinical practices, researches, including providing a chance for networking and collaboration between Siriraj and international institutions.

The target group of this symposium was to share and discuss the challenges of the integration of Translational medicine into Non-Communicable diseases care, clinical practices, researches, including providing a chance for networking and collaboration between Siriraj and international institutions.

The symposium was well attended by 129 participants from 11 countries such as South Korea, Taiwan, China, Malaysia, Indonesia, Japan, India, Cambodia, USA, UK, and Thailand.

Student Volunteering Activities

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Center of Applied Thai Traditional Medicine has provided a four-year curriculum leading to a bachelor’s degree in Applied Thai Traditional Medicine for their students. To become a qualified Thai traditional medicine practitioner, a study in a classroom is not enough, in addition, students must develop other skills such as leadership, collaboration both inside and outside Siriraj, immediate problem solving, volunteering spirits for those in need, etc. The students should apply these skills to developing our society in the future.

The project set up around November – April of each academic year under the objectives to encourage students to apply their knowledge and skills for the benefit of others or serve the public good and to develop collaboration skills to work with others by having Faculty of Medicine Siriraj Hospital, Mahidol University, Nakhon Pathom School for the Deaf, Nakhon Pathom Province, Bangpu nature Education Center Commemorate 72nd Anniversary her Majesty Queen Sirikit, Samut Prakan Province, and Chaloem Phrakiat Thai Prachan National Park, Ratchaburi Province as stakeholders and co-organizers.

Activities performed

  1. Organize activities to educate the hearing-loss students about Thai Traditional Medicine.
  2. Organize activities for students to participate in the preservation of nature and environment, including being aware of the importance of the ecosystem.
  3. Organize the donation activities for those in need.

Target Group

High school student

Students of all curriculum in Faculty of Medicine Siriraj Hospital

Participants

  1. 40 students of Nakhon Pathom School for the Deaf
  2. Students of all curriculum in Faculty of Medicine Siriraj Hospital such as Doctor of Medicine Program students, Applied Thai Traditional Medicine students, Bachelor of Prosthetics and Orthotics students, Bachelor of Technology Program in Medical Education Technology students, and Certificate of Nurse Assistant students

The outcomes of the Project

  1. Disseminate the knowledge in Applied Thai Traditional Medicine to be widely known in Thai society.
  2. Increasing learning opportunities for underprivileged students
  3. Raising awareness of being a contributor/volunteer to students.
  4. Increasing collaboration skills with others including immediate problems solving

Mahidol United for Community

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Mahidol United for Community is the project set up during January 25th – 26th, 2021 to promote healthcare learning for health science students to develop their learning capability and bring the knowledge to apply and further in their daily work routine as well as on their healthcare mobile unit for the disadvantaged people.

The project took place at The Municipal School 2 Chantharam Temple, Lopburi, and participated by many civilians in the Chantharam Temple area. The healthcare professional project consists of the medical students and Applied Thai Traditional Medicine from Siriraj and Ramathibodi hospitals, Dentistry, Nursing, and Anatomy students from Mahidol University, lecturers, and staff from Department of Preventive and Social Medicine and Department of Pharmacology. The objectives are to provide the basic public health and healthcare services to the disadvantaged people in the area, to exchange the knowledge in holistic healthcare between the different healthcare professionals as well as building friendships between students, and to develop their own healthcare professional and further their skill in the future. The implementation started by launching the healthcare mobile unit as well as providing a healthcare information center to the people in the area.

The outcome of the project was over 200 people in the Chantharam area participated in the project. All of them received basic healthcare they need and were educated with basic health education and how to take care of themselves. The project allowed students in many specialties to develop and practice their knowledge with the people in the area as well as exchange new knowledge with their friends from different faculties.