Medicine

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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty

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Author: search.filters.author.de Silva, N*.

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Now showing 1 - 10 of 23
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    The Consultation and doctor - patient communication
    (College of General Practitioners of Sri Lanka, 1999) de Silva, N*.
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    Patients' expectations and satisfaction with consultations
    (College of General Practitioners of Sri Lanka, 2007) de Silva, N*.
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    Challenges in medical education to enhance quality in medical care
    (College of General Practitioners of Sri Lanka, 2007) de Silva, N*.
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    Patient satiasfaction with consultation in ambulatory care setting in Sri Lanka
    (Department of Family Medicine, Aga Khan University Pakistan, 2006) de Silva, N*.; Abayasekera, S.; Mendis, K.; Ramanayake, J.
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    Medical students experiences of learning communication skills during a family medicine clerkship in Sri Lanka
    (Department of Family Medicine, Aga Khan University Pakistan, 2005) de Silva, N*.
    INTRODUCTION: The teaching of communication skills to medical students was introduced for the first time in Sri Lanka in 1996, during a clinical attachment in family medicine. Setting: The University Family Medicine Clinic which provides a free primary medical care service to the community. A two week family medicine clerkship for third year students in groups of 15-18. Teaching and Learning METHODS: Small group discussions and learning of communication skills through viewing of educational videos and live consultations on a TV monitor. Students received "hands on experience" in communication skills followed by constructive feedback by the teacher and peers on a video tape replay of student-patient encounters and role plays. METHOD: Qualitative research methodology was used. Students from two groups were requested to write down their experiences of learning communication skills through video tape replay and feedback during the family medicine clerkship. RESULTS: The students` narratives of their learning experiences were analyzed. The themes that emerged were: apprehension at being observed by the teacher and peers during student-patient encounters, anxiety about not remembering to ask relevant questions from the patient, enjoyment of the feeling of real doctoring, developing confidence in consulting skills and learning by watching themselves in action on video tape replay. Excerpts of the feelings expressed by the students under these themes were selected to be presented in this paper. CONCLUSION: The learning of communication skills had been an enjoyable experience for the students who appreciated the learning achieved. They had also undergone personal and professional development in the process.
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    Qualitative research: how to do it
    (Department of Family Medicine, Aga Khan University Pakistan, 2005) de Silva, N*.
    Traditionally bio-medical research has been quantitative research which reduces data to quantities and numerical values. Qualitative research on the other hand is characterised by the use of non numeric textual data. By qualitative research, one tries to understand human behaviour from the subjects own frame of reference. Quantitative and qualitative research is complimentary to each other and when used together in a single study will increase the breadth, depth and scope of the research. One should follow certain guidelines while conducting qualitative research. This article discusses the following methods of data collection in qualitative research - observation, interviews, focus groups and narratives. Qualitative data analysis requires a system for coding and retrieval of chunks of text and organizing them into categories and themes. Computer programs developed specifically for qualitative research are also available. Qualitative research is often criticized as it seems to lack reliability and validity. However there are certain strategies that can be used to add rigour to a qualitative study.
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    Qualitative research
    (Sri Lanka Medical Association, 2003) Sumathipala, A.; Siribaddana, S.; de Silva, N*.
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    Challenges in recruting older twins for the Sri Lankan twin registry
    (Australian Academic Press, 2003) Sumathipala, A.; Sribaddana, S.H.; Abeysingha, N.M.; de Silva, N*.; Fernando, D.J.; Dayaratne, D.A.; de Silva, D.; Warnasuriya, N.D.; Hotopf, M.
    The National Twin Registry of Sri Lanka was established in 1997 as a volunteer register. To extend it to a population-based register, we examined the effectiveness of tracing older twins by inspecting birth records and recruiting them by postal invitation and in-person contact. Birth records at a divisional secretariat reported from 2 maternity hospitals between the years of 1954-1970 were scrutinised to identify a random sample of twins. These hospitals had the highest twin delivery rates for the whole country. We identified 620 twins and a questionnaire was mailed to them. Research assistants visited a cohort of non-respondents (71) in the postal survey. These 620 twins were identified after perusing 20700 birth records. The twinning rate was estimated at 29.95 ([620/20700] x 1000) twins per 1000 registered births (CI 27.63-32.27). In the postal survey, 37 (12%) responded and 62 letters were returned (20%). Both twins were still alive in 20 pairs, one was still alive in 15 pairs, and both twins were dead in 2 pairs. During field visits, 42 (59.2%) addresses were located. Information was available on 16 twin pairs. Both twins were alive in 8 pairs, one each in 4 pairs, and both were dead in 4 pairs and at least one twin was traced in 10 pairs (14%). Both the postal and the field survey gave a low yield. This finding is different from tracing younger twins born between 1985-1997 by using the same methods. Migration, urbanization and development in the country might have affected tracing older twins from the birth record addresses, which were decades old.
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    Teaching communication skills
    (Ceylon College of Physicians, 2001) de Silva, N*.
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    Students behaviour and attitudes versus academic performance
    (College of General Practitioners of Sri Lanka, 2001) de Silva, N*.; Pathmeswaran, A.; Mendis, K.
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