Browsing by Author "Nagar, Shashwat S."

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    Qualitative assessment of faculty’s perspectives regarding effective implementation of competency-based medical education
    (Wolters Kluwer – Medknow, 2025-06) Nagar, Noopur S.; Nagar, Shashwat S.
    Introduction: It has been just over four years since the implementation of competency-based medical education (CBME) and it is opined that medical education has undergone a paradigm shift. With the inception of CBME, the focus has shifted from a traditional trainer-based approach to a newer learner-based approach. The role of medical teachers has also shifted from being a traditional teacher to being a facilitator for the implementation of the program. The trainer’s perspectives and qualitative assessment of the implementation of the new program are less explored. The study was planned to carry out a qualitative assessment of faculty members’ perspectives regarding the new competency-based medical curriculum with respect to their perceived challenges and many reservations about its effective implementation in the future. Material and Methods: A qualitative study was conducted, which included in-depth interviews of medical faculty members. The faculty members selected were from all three categories, i.e. pre, para, and clinical subjects. Data were collected after preparing a guide for in-depth interviews and obtaining consent from them. A rapporteur was appointed to make a note of the verbatim and themes were generated on the basis of the responses provided. Content analysis was carried out from the responses of the faculty members. Results: A total of nine themes were generated on the basis of content analysis. Most faculty members believed that CBME was more structured and had clear objectives and better documentation. However, they felt it was more resource-intensive and needed better planning and resources for better implementation. Faculty members perceived the strengths of the new curriculum along with its challenges in implementation and felt that in order to make it a success, there is a need for better planning and capacity building. Conclusion: Even though CBME is in its early stages, the curriculum structure appears promising to most faculty members. Qualitative assessments of similar types in different institutes across the country can help in evaluating and successfully implementing CBME in the future.
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    Study on breastfeeding practices among rural women in the field practice areas of a tertiary care teaching hospital
    (Medip Academy, 2019-02) Nagar, Noopur S.; Thomas, Ebbie; Nagar, Shashwat S.; Godara, Naresh R.
    Background: Breastfeeding is one of the most important determinants of child survival, birth spacing, and prevention of childhood infections. The beneficial effects of breastfeeding depend on breastfeeding initiation, its duration, and the age at which the breast-fed child is weaned. Data from NFHS-4 suggest that in India, in Gujarat where only 56% of infants are exclusively breastfed and 50% of infants are initiated with breastfeeding within one hour of birth. This study was planned to identify the gaps in breastfeeding practices so that necessary interventions can be designed and thereby implemented. The objective is to study the breastfeeding practices of mothers having children below 2 years of age in the field practice areas of the medical college and to associate the findings of these practices with the socio-demographic characteristics of the population.Methods: The study conducted was a community based cross-sectional one in the six villages of RHTC of PIMSR. The study was conducted by surveying a total of 204 mothers to study their breastfeeding practices which were categorized into ‘good’ and “not so good’ practices. From this the total score was calculated and associated with socio-demographic variables.Results: Majority of the mothers were in the age group 18-22 and educated up to ‘primary’ and most of them were from social class IV and V. Only 23% of the mothers had adequate knowledge of exclusive breastfeeding. About 70% practiced both early initiation of breastfeeding and feeding colostrum whereas nearly 80% practiced exclusive breastfeeding.Conclusions: It is concluded from the study that even though the practice of breastfeeding was found quite good, the gaps in the knowledge and practice must be addressed through health education and support through peer and health groups. Documenting the success stories will go a long way for community education and behavioral change in communication at the community level for adequate breastfeeding practices.