Sixth Class Students' Performance and Confidence Levels Before and After Training in Clinical Skills Laboratories
DOI:
https://doi.org/10.5195/ijms.2017.170Keywords:
Clinical skill, Undergraduate medical education, Simulation Training, Medical StudentsAbstract
Background: Acquisition of basic clinical skills by undergraduate medical students is becoming of greater concern. Clinical skills laboratories may provide a comfortable environment for training and may allow students to gain adequate performance level. The aim of this study is to evaluate students' performance and confidence levels before and after training of selected procedural skills; also to explore students' expectation towards skills laboratory training.
Methods: Two questionnaires were conducted before and after training sessions in the clinical skills laboratory, school of medicine, University of Jordan, Amman, Jordan. The skills selected for this study: suture practice, venous access, arterial access, intradermal and intramuscular injection, central venous cannulation, male and female urinary catheterization, nasogastric tube placement and rectal examination. Although fifty-seven 6th year medical students filled the first questionnaire at the beginning before training, only 29 students could attend all training sessions, and fill the second questionnaire.
Results: For all trained clinical skills, the mean students' performance scores and confidence levels were significantly increased after training (P <0.001). Expectations of students for skills laboratory were high.
Conclusions: The students' performance and confidence levels were significantly improved after training in the clinical skills laboratory.
Metrics
References
2. Cooke M, Irby DM, Sullivan W, Ludmerer KM. American medical education 100 years after the Flexner report. N Engl J Med. 2006 Sep 28; 355(13): 1339- 44.
3. Scalese RJ, Obeso VT, Issenberg SB. Simulation technology for skills training and competency assessment in medical education. J Gen Intern Med. 2008 Jan; 23(Suppl 1): 46–49.
4. Elnicki DM, van Londen J, Hemmer PA, Fagan M, Wong R. U.S. and Canadian internal medicine clerkship directors' opinions about teaching procedural and interpretive skills to medical students. Acad Med. 2004 Nov; 79(11): 1108-13.
5. Gordon JA, Pawlowski J. Education on-demand: the development of a si¬mulator-based medical education service. Acad Med. 2002 Jul; 77(7): 751-2.
6. Eyal L, Cohen R. Preparation for clinical practice: a survey of medical students’ and graduates’ perceptions of the effectiveness of their medical school curriculum. Med Teach. 2006 Sep;28(6):e162-70.
7. Remmen R, Scherpbier A, van der Vleuten C, Denekens J, Derese A, Her¬mann I, et al. Effectiveness of basic clinical skills training programmes: a cross-sectional comparison of four medical schools. Med Educ. 2001 Feb;35(2):121-8.
8. Remmen R, Derese A, Scherpbier A, Denekens J, Hermann I, van der Vleu¬ten C, et al. Can medical schools rely on clerkships to train students in basic clinical skills? Med Educ. 1999 Aug;33(8):600-5.
9. Buckley S, Zamora J. Effects of participation in a cross year peer tutoring programme in clinical examination skills on volunteer tutors' skills and at¬titudes towards teachers and teaching. BMC Med Educ. 2007 Jun 28;7:20.
10. Paskins Z, Kirkcaldy J, Allen M, Macdougall C, Fraser I, Peile E. Design, va¬lidation and dissemination of an undergraduate assessment tool using Sim¬Man® in simulated medical emergencies. Med Teach. 2010 Jan;32(1):e12-7.
11. Lynagh M, Burton R, Sanson-Fisher R. A systematic review of medical skills laboratory training: where to from here? Med Educ. 2007 Sep;41(9):879- 87.
12. Akaike M, Fukutomi M, Nagamune M, Fujimoto A, Tsuji A, Ishida K, et al. Simulation-based medical education in clinical skills laboratory. J Med Invest. 2012 Jan;59(1-2):28-35.
13. Herrmann-Werner A, Nikendei C, Keifenheim K, Bosse HM, Lund F, Wagner R, et al. "Best practice" skills lab training vs. a "see one, do one" approach in undergraduate medical education: an RCT on students' long-term ability to perform procedural clinical skills. PLoS One. 2013 Sep 25;8(9):e76354.
14. Ziv A, Ben-David S, Ziv M. Simulation based medical education: an oppor¬tunity to learn from errors. Med Teach. 2005 May; 27(3):193-9.
15. Bugaj TJ, Nikendei C. Practical Clinical Training in Skills Labs: Theory and Practice. GMS J Med Educ. 2016 Aug; 33(4): Doc63.
16. Bradley P, Postlethwaite K. Setting up a clinical skills learning facility. Med Educ. 2003 Nov; 37 Suppl 1: 6-13.
17. Du Boulay C, Medway C. The clinical skills resource: a review of current practice. Med Educ. 1999 Mar; 33(3): 185-91.
18. Lund F, Schultz JH, Maatouk I, Krautter M, Möltner A, Werner A, et al. Effec¬tiveness of IV cannulation skills laboratory training and its transfer into clini¬cal practice: a randomized, controlled trial. PLoS One. 2012 Mar;7(3):e32831.
19. Nielsen DG, Moercke AM, Wickmann-Hansen G, Eika B. Skills Training in Laboratory and Clerkship: Connections, Similarities, and Differences. Med Educ Online 2003 Dec;8(1):4334.
20. da Costa PM, Santos J, Maio R, Santos A, Paredes F. The role of a basic surgical skills laboratory as viewed by medical students (6th year). Med Teach. 2001 Mar;23(2):176-180.
21. Swamy M, Sawdon M, Chaytor A, Cox D, Barbaro-Brown J, McLachlan J. A study to investigate the effectiveness of SimMan® as an adjunct in teaching preclinical skills to medical students. BMC Med Educ. 2014 Nov 19;14:231.
22. Swamy M, Bloomfield TC, Thomas RH, Singh H, Searle RF. Role of SimMan in teaching clinical skills to preclinical medical students. BMC Med Educ. 2013 Feb 10;13:20.
23. Sarikaya O, Civaner M, Kalaca S. The anxieties of medical students related to clinical training. Int J Clin Pract. 2006 Nov;60(11):1414-8.
24. Remmen R. Unsatisfactory basic skills performance by students in tradi¬tional medical curricula. Med Teach. 1998 Jan;20(6):579-82.
25. Ringsted C, Schroeder TV, Henriksen J, Ramsing B, Lyngdorf P, Jønsson V, et al. Medical students' experience in practical skills is far from stakeholders' expectations. Med Teach. 2001 Jul;23(4):412-416.
26. Blohm M, Krautter M, Lauter J, Huber J, Weyrich P, Herzog W, et al. Vo¬luntary undergraduate technical skills training course to prepare students for clerkship assignment: tutees’ and tutors’ perspectives. BMC Med Educ. 2014 Apr 4;14:71.
Published
How to Cite
License
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site; with the understanding that the above condition can be waived with permission from the Author and that where the Work or any of its elements is in the public domain under applicable law, that status is in no way affected by the license.
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from the Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Enforcement of copyright
The IJMS takes the protection of copyright very seriously.
If the IJMS discovers that you have used its copyright materials in contravention of the license above, the IJMS may bring legal proceedings against you seeking reparation and an injunction to stop you using those materials. You could also be ordered to pay legal costs.
If you become aware of any use of the IJMS' copyright materials that contravenes or may contravene the license above, please report this by email to contact@ijms.org
Infringing material
If you become aware of any material on the website that you believe infringes your or any other person's copyright, please report this by email to contact@ijms.org