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   2014| July-September  | Volume 2 | Issue 3  
    Online since July 31, 2014

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Quality of diabetic care in family practice centre, Aseer Region, Saudi Arabia
Yahia Mater Al-Khaldi
July-September 2014, 2(3):109-113
Objective: The objective of this study was to assess quality of diabetic care at a family practice centre in Saudi Arabia, Asser region. Materials and Methods: This study was conducted at the Al-Manhal Postgraduate Family Practice Centre. All diabetic records at the centre were extracted and reviewed. Processes and outcomes of diabetic care were evaluated based on Standards of Care Delivery issued by the Primary Care Department at the Ministry of Health. Data was inputted and analysed using SPSS version 15. Relevant statistical tests were used accordingly and P-values were considered significant if their value were less than 0.05. Results: The total number of diabetic records reviewed was 637. The majority of patients were married Saudis. The mean age was 60 years while the mean duration of diabetes was 12 years. Weight and blood pressure were recorded for 82% while lipid profile and kidney functions tests were done for 40% of the patients. Two-thirds of the diabetics (64%) were on oral hypoglycaemic agents and more than three-fourths (77%) were prescribed aspirin. More than two-thirds were overweight and obese while 40% had dyslipidaemia. Less than one-third (30%) had a good metabolic control while 26% had poor diabetic control. Conclusion: Care of diabetics in our practice showed some improvement compared to the previous studies. However, we still face some challenges such as weak recall system and poor coordination with our referral hospital that needs urgent action. Providing centres with advanced laboratory facilities would help to implement annual check-ups particularly lipid profile and kidney function tests.
  2 2,736 305
Test blueprinting for multiple choice questions exams
Imran Siddiqui, James Ware
July-September 2014, 2(3):123-125
  1 7,765 660
Understanding the process of statistical methods for effective data analysis
Aamir Omair
July-September 2014, 2(3):100-104
The purpose of this article is to provide a basic understanding of the statistical methods for conducting effective data analysis. Quantitative research involves the collection and analysis of different types of variable in the form of raw data, which needs to be cleaned before starting the data analysis. A biostatistician must be involved from the planning stages of the research process to ensure the validity of the sampling process and the collected data. The statistical analysis includes descriptive analysis for summarizing the data and inferential statistics for comparing between the subgroups to determine a statistically significant association. The relevant statistical tests must be applied and the results appropriately reported using P-values and confidence intervals. The possibility of type I and type II errors should be considered during the final interpretation of the results as well as the clinical significance of the results even if the P-values are found to be statistically significant.
  1 5,687 689
The perfect MCQ exam
James Ware, Thuraya Essam Kattan, Imran Siddiqui, Ahmed M Mohammed
July-September 2014, 2(3):94-99
Aims: The Saudi Commission for Health Specialties' question banks for licensing international medical graduates and certifying Saudi trained residents are currently being upgraded. The process is briefly explained with the justification for the developments made to all the banks over the last 3 years. A process of quality assurance has been introduced to ensure the banks are maintained at the highest standards and procedures that are fit for purpose introduced for the management of test results. Results: An analysis of 16 undergraduate exams shows a sigmoid relationship between mean test scores (MTS) and numbers of functioning distractors. Sixteen computer-based Saudi Licencing Exam (SLE) banks were also analyzed to determine the mean MTS for all, 52.3 ± 7.88, which justifies the use of four option items and also validates the quality of the exams with a majority of items falling within the desired range of medium difficulty to obtain the highest reliability. Conclusion: The Saudi Commission believes that it is achieving increased quality in all aspects of test measurement and would hope that over the next 3 - 5 years achieve levels of excellence for all aspects of it licensing and certifying assessments.
  1 5,941 413
OSCE Manual 2014
Mahmoud Shaheen Al-Ahwal
July-September 2014, 2(3):128-128
  - 1,512 297
Guidelines for Mentoring
Savithiri Ratnapalan, Sami Ayed AlShammary
July-September 2014, 2(3):129-129
  - 1,380 135
A long case in perfect health
James Ware, Imran Siddiqui
July-September 2014, 2(3):126-127
  - 1,550 148
Inside this Issue
James Ware
July-September 2014, 2(3):93-93
  - 1,669 142
A comparison of warfarin utilisation in North America and Ireland
Hussein Haji, Kyle Wilby, Muhammad Mamdani
July-September 2014, 2(3):105-108
Background: The objective of this study was to compare warfarin utilisation trends in Canada, the United States, and Ireland between January 2005 and September 2011. Materials and Methods: We conducted a population-based cross-sectional time series analysis of warfarin utilisation data from January 2005 to September 2011 in the United States, Canada, and Ireland to examine differences in temporal trends in warfarin utilisation. Results: A nearly 50% higher warfarin utilisation rate was observed in Canada and Ireland relative to the United States - the average monthly warfarin utilisation rate was approximately 626 units per 1,000 people in Canada, 423 units per 1,000 people in the United States, and 630 units per 1,000 people in Ireland. However, relative rates of growth in warfarin utilisation were 25.1%, 15.3%, and 38.3% for the United States, Canada, and Ireland, respectively. Interpretation: Rates of warfarin utilisation differ considerably and geographically as evidenced by utilisation rates in the United States, Canada, and Ireland.
  - 2,855 204
Factors affecting Family Medicine residents' perception of achievement of training objectives
Ammar Radi Abu Zuhairah, Kasim Mohammad Al-Dawood, Amar Hassan Khamis
July-September 2014, 2(3):114-122
Aims: To measure the association between number of patient encounters and training provided to residents, as well as the residents' perceived achievement of training objectives. Settings and Design: This cross-sectional study was done on Family Medicine residents in Eastern province, Makkah and Asir regions. Materials and Methods: A questionnaire was developed by the investigator and validated by two experts. All residents, except first year residents, were included. Data were collected by the investigator through direct contact with the residents. Statistical analysis: Cronbach's alpha, analysis of variance, t-test, and univariate regression model were used. Results: Reliability of the questionnaire was found to be 75.4%. One hundred and seven residents (response rate, 83.6%) had completed the questionnaire. The mean age was 29.1 ± 2.5 years, half of the residents were male, most of them (83.2%) were married, and more than half (54.2%) of the residents had worked in primary health care (PHC) before joining the programme. Age and duration of work in PHC before joining the programme were significantly and positively associated with the outcome. In Family Medicine rotations, continuity of care, percentage of patients discussed, and number of trainers were associated with the outcome. On the other hand, percentage of patients discussed in different settings and opportunity for the residents to evaluate patients in an outpatient setting were among the factors affecting the outcome in the hospital rotations. Conclusions: Factors identified (age, duration of work in PHC, discussion, and opportunity to evaluate patients) might help residents, trainers, and decision makers in ensuring residents benefit from the different rotations. Further studies to link the effect of the identified factors on resident outcome and patient care are required.
  - 2,554 152