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GMHAT :Training in
Medical Education
Dr. Lokendra Sharma
Sr Professor Pharmacology
SMS Medical College, Jaipur
Mental Health Disorders Project with Jointly SMS
Medical College Jaipur and University of
Manchester (UK)
Dr Lokendra Sharma & Dr I D Gupta
Professor PharmacologyProfessor Psychiatry
What is GMHAT?
The Global Mental Health Assessment Tool
computer assisted clinical interview
used in routine clinical practice to detect
manage mental disorders in most settings.
Rating of Symptoms.
0 = No evidence of presence of symptoms.
1 = Symptoms mildly distressing.
2 = Symptoms moderately distressing.
3 = Symptoms severely distressing.
8 = Unsure.
9 = Not relevant.
www.gmhat.org
Assess ADR of Stress Level By Yourself.
Tele consultation tool for support
Home less person mental health wellbeing
Amplify positive and hopeful story
Anxiety Disorders.
Research Projects & GMHAT
1. Mental health assessment by medical students of Batch 2016
using GMHAT.
2. Mental health assessment by medical undergraduate of Batch 2017
students using GMHAT.
3.Assessment of Mental health of participants by MBBS Batch 2018 by using
GMHAT.
4. To assess and compare the effect of traditional teaching with Integrated
teaching in MBBS students with the help of GMHAT this also
included in teaching timetable.
5. Use GMHAT By Postgraduate students in there training & thesis work on
Cancer, HIV, TB, Diabetes and Osteoarthritis patients.
Role of Telegram/ Whats app in GMHAT
Training
Cloud-based instant messaging
 Voice over IP service.
Available for Android, iOS, Windows Phone,
Windows, macOS and GNU/Linux
Users can send messages and exchange photos,
videos, stickers, audio and files of any type
Google Form based Research Studies
I've invited you to fill out a form:
KNOWLEDGE ATTITUDE AND PRACTICE
SURVEY OF CORONA VIRUS (COVID-19)
INFECTION AMONG HEALTH CARE
PERSONNEL IN JAIPUR
Dr. Lokendra Sharma
Senior Professor
Pharmacology
S.M.S.Medical College, Jaipur
FILL OUT FORM
Paper less activity for HCQ
Pharmacovigilence
Online Activities in Present situation by different
college for Psychosocial support
https://www.youtube.com/channel/UCzW3nd0RQZ6sU-bzKb2eEdQ?view_as=subscriber
Rational use of social Media and
Facebook as virtual/academic activity
for Psychosocial support
• https://www.facebook.com/groups/544181722290274
Tools For Webinars there application in Covid
Management / learning activity/Psychosocial support .
Top 5 Webinar platforms:
1. Verizon Small Business Web Conferencing .
2. Microsoft Office Live Meeting
3. Adobe Acrobat Connect Pro
4. Cisco WebEx
5. GoToWebinar
A Milestone in GMHAT
Book /Chapter of Medical Education
Research Work Dr Vimal Sharma
Dr. ID Gupta
Dr Kusum Gaur
Dr. Lokendra Sharma
Invasive
Acupressure
Therapy
for Stress
Reduction
Invasive Acupressure Therapy for Stress Reduction
Acupoint 11 :
located on inner
side of wrist
Invasive Acupressure Therapy for Stress
Reduction
Acupoint
15
on middle
finger
Invasive Acupressure Therapy for Stress
Reduction
Acupoint21 :in middle of sole of foot.
Some Pics Showing Uses of E-Learning
Thanks
Stress Response: Example
Physical Response?
Behavioral Response?
Mental Response?
Emotional Response?
What are the effect of stress on our
bodies?
When we are stressed, our:
Blood pressure rises.
Breathing becomes more rapid.
Digestive system slows down.
Heart rate (pulse) rises.
Immune system goes down.
Muscles become tense.
Sleeping can be more of a problem
Photoby®Thinkstock
How to control Stress?
Goal of Studies
To screen /Train the different batches of MBBS students for
assessment of mental disturbances in their relatives and friends by
using GMHAT.
To find out the impact of various biosocial factors on psychological
morbidity.
To assess and compare the effect of traditional teaching with
integrated teaching in MBBS students with the help of GMHAT/PC.
To find out the feedback of students and faculty teachers about this
Integrated modules with GMHAT.
Outcomes (Batch 2016)
 The response rate for our study was 100 %. Mean age of study
population was 30 years with SD of 1.9 years.
There was male predominance with Male: Female is 4:1.
Maximum participants i.e. 43 (86%) were from urban background.
A positive family history of mental illness was noted in only 16%
participants.
History of stressful event was found positive in 5% and none of
study population had history of delayed milestone and/or history
of epilepsy as summarized.
Outcomes ( Batch 2017 )
A total of 171 responses were reported, out of which 12.3 % study
population suffer from nervousness.
10.8% of study population have palpitation , sweating, trembling and
shaking when nervous.
Concentration of 21.3 % of study population were depressed recently
and cried without any reason.
14.8% participants were trouble in sleeping and on the other hand 16.6
% subject have mixed thoughts.
11.1 % participants were problem with the memory. 18.2 %
participants have psychological and emotional difficulties.
Outcomes( Batch 2018 )
A total Response: 140 participants.
11.7 % participants were suffering from sleeping problems.
24.7 % subjects had bad eating habits when depressed.
17.8% subjects were bothered by pain without any reason.
13.5 % subject when depressed having unusual habits like
check things over and over again.
21.5 % subject afraid of crowds or going out alone.
• GMHAT is easy to use in day to
day practice by practitioners or
even by students to detect
common psychiatric conditions.
(Meenu)
• GMHAT training of medical
undergraduates to resolve the
mental health issues play a
significant role in NMHP.
(Dr Ritesh)
• Appropriate and planned
mental health training of
medical students can
significantly improve their
clinical skills in recognizing
mental health ailments among
patients. (Dr. Neha)
• Students as well as faculty had a
positive attitude towards GMHAT.
This innovation in medical
education not only will improve
the skills of diagnosis but also help
in better treatment of the mental
health patients. (Dr. Kopal)
Preface
• Medical students play an important role for screening
the mental health status of public.
• So this study was undertaken to screen the hidden cases
of mental disturbances present among MBBS students
their relatives by using GMHAT.
Approach
•Integrated teaching was implemented by
the active involvement of the departments
of Physiology, Medicine and Psychiatry.
•At the end of their training, both groups
were again assessed with a post-test
questionnaire.
Goals of GMHAT
• The post-test mean
scores of the control
group was slightly
higher than pre-test
scores (43±12.5 v/s
48±14) but the
difference didn’t reach
a significant level
(p>0.05).
•Where as the post-test
mean scores of study
group was significantly
higher (p<0.001) than
compared with pre-test
scores (67±15 v/s
39±11.5).

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GMHAT : Training in Medical Education

  • 1. GMHAT :Training in Medical Education Dr. Lokendra Sharma Sr Professor Pharmacology SMS Medical College, Jaipur
  • 2. Mental Health Disorders Project with Jointly SMS Medical College Jaipur and University of Manchester (UK) Dr Lokendra Sharma & Dr I D Gupta Professor PharmacologyProfessor Psychiatry
  • 3. What is GMHAT? The Global Mental Health Assessment Tool computer assisted clinical interview used in routine clinical practice to detect manage mental disorders in most settings.
  • 4. Rating of Symptoms. 0 = No evidence of presence of symptoms. 1 = Symptoms mildly distressing. 2 = Symptoms moderately distressing. 3 = Symptoms severely distressing. 8 = Unsure. 9 = Not relevant.
  • 5. www.gmhat.org Assess ADR of Stress Level By Yourself. Tele consultation tool for support Home less person mental health wellbeing Amplify positive and hopeful story
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  • 9. Research Projects & GMHAT 1. Mental health assessment by medical students of Batch 2016 using GMHAT. 2. Mental health assessment by medical undergraduate of Batch 2017 students using GMHAT. 3.Assessment of Mental health of participants by MBBS Batch 2018 by using GMHAT. 4. To assess and compare the effect of traditional teaching with Integrated teaching in MBBS students with the help of GMHAT this also included in teaching timetable. 5. Use GMHAT By Postgraduate students in there training & thesis work on Cancer, HIV, TB, Diabetes and Osteoarthritis patients.
  • 10. Role of Telegram/ Whats app in GMHAT Training Cloud-based instant messaging  Voice over IP service. Available for Android, iOS, Windows Phone, Windows, macOS and GNU/Linux Users can send messages and exchange photos, videos, stickers, audio and files of any type
  • 11. Google Form based Research Studies I've invited you to fill out a form: KNOWLEDGE ATTITUDE AND PRACTICE SURVEY OF CORONA VIRUS (COVID-19) INFECTION AMONG HEALTH CARE PERSONNEL IN JAIPUR Dr. Lokendra Sharma Senior Professor Pharmacology S.M.S.Medical College, Jaipur FILL OUT FORM
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  • 13. Paper less activity for HCQ Pharmacovigilence
  • 14. Online Activities in Present situation by different college for Psychosocial support https://www.youtube.com/channel/UCzW3nd0RQZ6sU-bzKb2eEdQ?view_as=subscriber
  • 15. Rational use of social Media and Facebook as virtual/academic activity for Psychosocial support • https://www.facebook.com/groups/544181722290274
  • 16. Tools For Webinars there application in Covid Management / learning activity/Psychosocial support . Top 5 Webinar platforms: 1. Verizon Small Business Web Conferencing . 2. Microsoft Office Live Meeting 3. Adobe Acrobat Connect Pro 4. Cisco WebEx 5. GoToWebinar
  • 17. A Milestone in GMHAT Book /Chapter of Medical Education Research Work Dr Vimal Sharma Dr. ID Gupta Dr Kusum Gaur Dr. Lokendra Sharma
  • 19. Invasive Acupressure Therapy for Stress Reduction Acupoint 11 : located on inner side of wrist
  • 20. Invasive Acupressure Therapy for Stress Reduction Acupoint 15 on middle finger
  • 21. Invasive Acupressure Therapy for Stress Reduction Acupoint21 :in middle of sole of foot.
  • 22. Some Pics Showing Uses of E-Learning
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  • 27. Stress Response: Example Physical Response? Behavioral Response? Mental Response? Emotional Response?
  • 28. What are the effect of stress on our bodies? When we are stressed, our: Blood pressure rises. Breathing becomes more rapid. Digestive system slows down. Heart rate (pulse) rises. Immune system goes down. Muscles become tense. Sleeping can be more of a problem Photoby®Thinkstock
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  • 30. How to control Stress?
  • 31. Goal of Studies To screen /Train the different batches of MBBS students for assessment of mental disturbances in their relatives and friends by using GMHAT. To find out the impact of various biosocial factors on psychological morbidity. To assess and compare the effect of traditional teaching with integrated teaching in MBBS students with the help of GMHAT/PC. To find out the feedback of students and faculty teachers about this Integrated modules with GMHAT.
  • 32. Outcomes (Batch 2016)  The response rate for our study was 100 %. Mean age of study population was 30 years with SD of 1.9 years. There was male predominance with Male: Female is 4:1. Maximum participants i.e. 43 (86%) were from urban background. A positive family history of mental illness was noted in only 16% participants. History of stressful event was found positive in 5% and none of study population had history of delayed milestone and/or history of epilepsy as summarized.
  • 33. Outcomes ( Batch 2017 ) A total of 171 responses were reported, out of which 12.3 % study population suffer from nervousness. 10.8% of study population have palpitation , sweating, trembling and shaking when nervous. Concentration of 21.3 % of study population were depressed recently and cried without any reason. 14.8% participants were trouble in sleeping and on the other hand 16.6 % subject have mixed thoughts. 11.1 % participants were problem with the memory. 18.2 % participants have psychological and emotional difficulties.
  • 34. Outcomes( Batch 2018 ) A total Response: 140 participants. 11.7 % participants were suffering from sleeping problems. 24.7 % subjects had bad eating habits when depressed. 17.8% subjects were bothered by pain without any reason. 13.5 % subject when depressed having unusual habits like check things over and over again. 21.5 % subject afraid of crowds or going out alone.
  • 35. • GMHAT is easy to use in day to day practice by practitioners or even by students to detect common psychiatric conditions. (Meenu) • GMHAT training of medical undergraduates to resolve the mental health issues play a significant role in NMHP. (Dr Ritesh)
  • 36. • Appropriate and planned mental health training of medical students can significantly improve their clinical skills in recognizing mental health ailments among patients. (Dr. Neha) • Students as well as faculty had a positive attitude towards GMHAT. This innovation in medical education not only will improve the skills of diagnosis but also help in better treatment of the mental health patients. (Dr. Kopal)
  • 37. Preface • Medical students play an important role for screening the mental health status of public. • So this study was undertaken to screen the hidden cases of mental disturbances present among MBBS students their relatives by using GMHAT.
  • 38. Approach •Integrated teaching was implemented by the active involvement of the departments of Physiology, Medicine and Psychiatry. •At the end of their training, both groups were again assessed with a post-test questionnaire.
  • 39. Goals of GMHAT • The post-test mean scores of the control group was slightly higher than pre-test scores (43±12.5 v/s 48±14) but the difference didn’t reach a significant level (p>0.05). •Where as the post-test mean scores of study group was significantly higher (p<0.001) than compared with pre-test scores (67±15 v/s 39±11.5).

Editor's Notes

  1. Tools For Webinars Top 5 Webinar platforms: 1.         Verizon Small Business Web Conferencing . 2.         Microsoft Office Live Meeting  3.         Adobe Acrobat Connect Pro 4.         Cisco WebEx  5.         GoToWebinar
  2. A good example of a stressful situation for many people is taking a test. If you find testing to be stressful, you might notice certain physical, behavioral, mental, and emotional responses.
  3. The study was undertaken with the following aims & objectives in S.M.S. Medical College, Jaipur. -To screen the mental disturbances by different batches of MBBS students in their relatives and friends. -To find out the impact of various biosocial factors on psychological morbidity of patients -To assess and compare the effect of traditional teaching with Integrated TL modular teaching in II MBBS students with the help of GMHAT/PC. -To find out the feedback of students and faculty teachers about this Integrated TL modular teaching with GMHAT/PC.
  4. The response rate for our study was 100 %. Mean age of study population was 30 years with SD of 1.9 years. There was male predominance with Male: Female is 4:1. Maximum participants i.e. 43 (86%) were from urban background. A positive family history of mental illness was noted in only 16% participants. History of stressful event was found positive in 5% and none of study population had history of delayed milestone and/or history of epilepsy as summarized.
  5. Psycho morbidity among MBBS students there relative is a frequently unrecognized matter. We found that mental health issues training have a significant role in medical undergraduate students. So by appropriate and planned manner mental health training of medical students can be improved. Students as well as faculty had a positive attitude toward this innovation in education using GMHAT/PC in order to improve the skills of diagnosis and better treatment of the mental health patients. This study also showed a model of integrated learning in mental health.
  6. The Global Mental Health Assessment Tool (GMHAT) is a computerized clinical assessment tool which is used to evaluate and screen mental health problems in primary care.