Otolaryngology: Open Access
Open Access

Grit Personality; Grit score; Grit trait in medical students; Grit trait in doctors

Introduction

Numerous illnesses that are treated at the ENT emergency clinic are ambulatory in nature. Junior doctors now rotate every four months as a result of training changes, and fewer of them have prior ENT experience. Rates of admission and discharge without follow-up can be used as indicators of clinical skill and calibre of patient care. This study compares the first and last two months of young doctors' attachments to examine their admission and discharge practises in an ENT department [1].

Around the world, high prevalence and inadequate control of hypertension have been a challenge to public health. Malaysia has a strong and extensive healthcare system that is mostly run by the Ministry of Health. The infant mortality rate, which is used to gauge the overall effectiveness of healthcare, was 10 in 2005, which compares favourably with Western Europe and the United States. The healthcare system in Malaysia is two-tiered, with the public sector being run and funded by the government, and the private sector coexisting alongside it [2]. The best medical facilities and technology in the nation are found in the public sector, which offers healthcare to more than 65% of the population. However, the biggest problem is the lack of doctors in government hospitals. Numerous hypertension management guidelines have been created and circulated globally in an effort to enhance hypertension control [3]. Despite the existence, accessibility, and potential for improving hypertension control of guidelines, published literature from the US, Zimbabwe, Malaysia, India, South Africa, Cyprus, Sweden, Kuwait, Jordan, Pakistan, and Italy suggests that there is a significant gap between the recommended clinical practises of guidelines and actual clinical practises. Cabana et al. divide the factors influencing behaviour into three categories: those that affect knowledge, such as lack of awareness and familiarity, those that affect attitudes, such as disagreement, lack of outcome expectation, selfefficacy, and motivation, and those that affect behaviour, such as patient characteristics, guidelines, and practise [4].

Materials and Method

The qualitative literature underwent a thorough review. The seven steps of Noblit and Hare's meta-ethnography were used to guide the investigation of the literature, and the final synthesis was presented as a thematic analysis of the literature. From October 2010 to April 2011, a cross-sectional study was carried out in the cardiology, nephrology, diabetes, and hypertension clinics at Penang General Hospital (PGH) in Malaysia. The study included all of the clinicians working at the four clinics (13 at the cardiology clinic, 5 at the nephrology clinic, and 4 at each of the clinics for diabetes and hypertension). Prior to the study's start, written consent was obtained [5].

One in eight teenagers between the ages of 15 and 17 binge drank at least once a month. It is really concerning to see that one in fifty young teens was labelled as "alcohol addicted." Males, White people, people who live away from their parents, teenagers who reported a decline in their health, people with back issues, and those who are depressed all had increased probabilities of binge drinking. Smoking status and binge drinking behaviour were substantially correlated. Less than 10% of kids who engage in binge drinking saw or spoke with a doctor at least once in the previous year, despite the fact that 75% of all binge drinking teens had done so. This finding points to the need for better outreach and screening efforts [6].

Family physicians need to be aware of the health issues linked to binge drinking's rising prevalence. According to earlier research, back discomfort and issues were linked to alcohol misuse in the bivariate analysis. According to research, alcohol may occasionally be used as a kind of self-medication for physical discomfort [7]. This conclusion that people with deteriorating health had almost two times the likelihood of binge drinking may also be supported by this research. We discovered that the absence of social support was related to binge drinking, which is consistent with Jukkala and colleagues' findings. Many of our other findings were also consistent with earlier research, such as the finding that non-White teenagers binge drink less frequently than White adolescents [8].

Family doctors should be especially aware of the possibility that binge drinking is a predictor of other adverse outcomes, such as suicidal ideation and depression, both of which were found to be much more common in binge drinking teens than in nonbinding adolescents. Young girls who binge drink and consume large amounts of alcohol are twice as likely to attempt suicide compared to girls who do not drink, claim Miller and colleagues [9]. Alcoholism is linked to risky sexual behaviour, and it is more prevalent among those who exchange sex for food owing to extreme poverty. Alcohol addiction and binge drinking among women are significantly influenced by lower levels of social support and self-esteem [10].

Conclusion

Based on admission and discharge rates, younger doctors' experience affects patient care. Doctors who have the necessary training should treat patients to the highest standard of care. Senior feedback is appreciated for emergency ENT training. According to our findings, both medical students and NCHDs have high levels of grit compared to the general population. These levels rise with professional advancement, with consultants scoring the highest. This implies that Grit might be useful as a supplementary tool in the selection of candidates for training programmes and jobs requiring a high level of resilience, as well as a supplementary tool for tracking training progress from a personality and mental health viewpoint.

This study has demonstrated that a targeted, low-cost neurosurgery virtual lecture series was highly accepted and enhanced medical students' and junior doctors' knowledge and confidence in diagnosing and treating neurosurgical patients. Future development of this lecture series into a regional or national programme could further raise awareness of neurosurgery and, ultimately, enhance the treatment of patients who undergo neurosurgery.

Acknowledgement

None

Conflicts of Interest

None

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