Maximizing clinical skills training in future surgical residents using a sub-internship scavenger hunt and an objective structured clinical examination (OSCE)

Backgroud: Clinical skills is one of competency as a doctor. Objective Structured Clinical Examination (OSCE) is an ideal way to assess clinical skills for undergraduated, graduated, and postdraduated clinical students. The low score in some OSCE station can be an input for teaching and curriculum improvement. This study aim to analyzed student competency achievement in first term in 2017/2018 academic year in Fakultas Kedokteran Universitas HKBP Nommensen. Methods: This study was qualitative study with descriptive design. The sample was OSCE score in first term in 2017/2018 academic year. Student achievement was the mean score of every student in all station in OSCE. Competency achievement was the mean of students score for every competency in OSCE. Next, the stations was categorized in practice/ procedure skills station and clinical reasoning skills station. Skills achievement was got form the mean of score (in percent) of procedure skills and clinical reasoning station. Indept interview with students and lectures was held to knowed their perception about OSCE. Results: Students’ achievement in OSCE of first term academic year 2017/2018 was 62.4% for 2015’s students, and 64.6% for 2016’ students. The lowest competency achievement of 2015’s students was diagnosis and differential diagnosis. For the 2016’s students, it was farmacology treatment. Practice/ procedure skills achievement in OSCE of first term academic year 2017/2018 was 61.34% (2015’s students) and 74.4% (2016’s students). The clinical reasoning skills achievement was 62.80% (2015’s students), and 58.77% (2016’s students). Based on indept interview, the things that make student’s achievement low were the clinical reasoning ability of students was still low, the standard patient that involved in OSCE didn’t acted properly, the students’ knowledge about medicine and prescription was poor, and there were lot of learning schedules and learning subjects that students must did and learned. Conclusions: Students’ achievement in OSCE of first term academic year 2017/2018 is need to be improved.

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Objective structured clinical examination in physiotherapy teaching: a systematic review

Fisioterapia em Movimento ◽

10.1590/1980-5918.032.ao14 ◽

2019 ◽

Vol 32 ◽

Author(s):

Aline Moreira Ribeiro ◽

Alcindo Antônio Ferla ◽

Juleimar Soares Coelho de Amorim

Keyword(s):

Latin American ◽

Clinical Examination ◽

Professional Competence ◽

Teaching Method ◽

Clinical Skills ◽

Scientific Evidence ◽

Health Sciences ◽

Educational Process ◽

Objective Structured Clinical Examination ◽

Methodologic Quality

Abstract Introduction: Problems related to the clinical abilities of physiotherapy students are not always identified throughout the educational process and might only be observed when these future professionals have to treat patients. The Objective Structured Clinical Examination (OSCE) includes a problematization approach and can be used in Health Sciences teaching to help this identification before internship practices. However, there are few studies on its use in Physiotherapy. Objective: To gather evidence of the OSCE use to evaluate clinical abilities in Physiotherapy teaching. Method: Articles published from 2000 to 2016 were surveyed in the Biblioteca Virtual em Saúde (BVS) (Virtual Health Library), Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde (BIREME) (Latin-American and Caribbean Health Sciences Information Center), PubMed, Scielo and Web of Science, using the descriptors “educational assessment”, “assessment methods”, “objective structured clinical examination”, “clinical competence”, “professional competence”, “clinical skills”, “student competence”, “student skills”, “physiotherapy” and the Booleans “OR” and “AND”. Results: The initial number of identified publications was 3,242. From these, seven were included in this review. Two studies were developed in Brazil, four in Australia and one in Canada. The studies were scored 7 to 12 regarding methodologic quality, and 1B and 2B regarding scientific evidence. Conclusion: Students’ clinical abilities were grouped into three classes: cognitive, psychomotor and affective, and four studies described their use. There is very little evidence of the use of OSCE, but the instrument can be applied to evaluate skills and competences in Physiotherapy teaching.

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Traditional Versus Objective Structured Clinical Examination on Pediatric Nursing Students’ Performance

Evidence-Based Nursing Research ◽

10.47104/ebnrojs3.v2i1.117 ◽

2020 ◽

Vol 2 (1) ◽

pp. 11

Author(s):

Khadiga M. Said ◽

Safaa F. Draz

Keyword(s):

Nursing Students ◽

Clinical Examination ◽

Clinical Skills ◽

Objective Structured Clinical Examination ◽

Simple Random Sample ◽

Control Group ◽

Pediatric Nursing ◽

Clinical Scenarios ◽

Significant Difference ◽

Nursing Skills

Context: The Objective Structured Clinical Examination (OSCE) method is an effective tool for evaluating the clinical nursing skills of nursing students. OSCE is an assessment technique in which the student demonstrates their competence under a variety of simulated conditions Aim: This study aimed to compare objective structured clinical examinations versus traditional clinical examination on pediatric nursing students' performance. Methods: A quasi-experimental research design (study and control group) was used to conduct this study. The study was conducted in the laboratory of pediatric nursing skills at the faculty of nursing, Benha University. All male and female pediatric nursing students in the 3rd year (n. =228), who were studying in the academic year 2018-2019, first semester, faculty of nursing, Benha University, was recruited. A simple random sample chose to achieve the aim of this study. The odd number was for the OSCE group and the even number for the traditional clinical examination (TCE) group. Four tools were utilized to collect data for the current study. A Structured Questionnaire Sheet, A modified Self-administered Questionnaire, Pediatric Nursing Students' Practice Observational Checklists, and Clinical Scenarios were designed to assess the pediatric nursing student OSCE exam and compare between the traditional method and OSCE method of exams. Results: The current study discovered statistically significant differences were found with a high percentage of agreement responses among pediatric nursing students for related items of OSCE method compared to those in TCE. Additionally, the results clarify a highly statistically significant difference between the studied pediatric nursing students' in TCE and OSCE total performance scores. Conclusion: Objective Structured Clinical Examination (OSCE) was opinioned as a tool for clinical evaluation. This finding appeared in pediatric nursing students' responses, which confirmed their acceptance of OSCE. The OSCE subsequently remains a more objective method of assessment than the traditional clinical forms of the exam that was previously used. OSCE can be used most effectively in undergraduate nursing curricula to assess fair practice. This type of exam provided an accurate measure of clinical skill competencies. Therefore, OSCE should be adopted as a strategy for examining clinical skills for students in all academic years. The current study recommended that Objective Structured Clinical Examination can be used as effective and meaningful assistance to fitness for practice, and OSCE should be adopted as a strategy for examining clinical skills for students in all academic years.

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Challenges of Peer Assisted Learning in online clinical skills training of Ophthalmology module

10.21203/rs.3.rs-70716/v1 ◽

2020 ◽

Author(s):

Sumera Nisar ◽

Usman Mahboob ◽

Rehan Ahmed Khan ◽

Durraiz Rehman

Keyword(s):

Medical Students ◽

Learning Environment ◽

Teaching And Learning ◽

Clinical Skills ◽

Skills Training ◽

Psychological Problems ◽

Undergraduate Medical Students ◽

Peer Assisted Learning ◽

Clinical Skills Training ◽

The World

Abstract Background In recent days when mankind is passing through the difficult times of COVID-19 pandemic with lock down, almost all over the world, online communication has taken over the world. Overburdened physicians in this pandemic cannot get enough time to teach clinical skills online to the students. Also, due to student’s safety issues, the students cannot attend the clinics. Therefore, in this scenario online PAL sessions for clinical skill teaching and learning can be an effective alternative for undergraduate medical students. The academic limitations caused by the COVID-19 related lockdown however can have a pleasurable outcome if certain challenges, related to online PAL, are overcome. Therefore, the present study aims to identify the challenges of Peer Assisted Learning (PAL) sessions during online clinical skills training in Ophthalmology module of undergraduate medical students.MethodologyThis qualitative exploratory study, utilizing online focus group discussions to explore the challenges of online PAL in training and learning of clinical skills was carried at Ophthalmology department of Batterjee Medical College, Jeddah; Saudi Arabia. Ethical approval was taken from the college and purposive convenient sampling technique was used to collect data. Data was transcribed and analyzed by using thematic analysisResultsThe study identified six themes for argument and classified into further smaller subthemes. The subthemes derived from the collected data were organized under major themes; infrastructure, learning environment, psychological problems, interaction deficit, learning desires and desire for feedback on performance. In our study, major challenge faced by the medical student during online PAL sessions was infrastructure in terms of network connection, scheduling, timing of the session which overpowered by other challenges of online PAL. Unprofessional learning environment, psychological problems in terms of behavioral issues and personality changes, interaction deficit with peers, tutor and patient, learning desires and desire for feedback on performance were the other important challenges faced by the students. ConclusionThe challenges explored by our study can be used by the medical educators to incorporate online PAL as an effective, efficient and alternative teaching and learning modality in the curriculum especially in compromised circumstances like current COVID-19 pandemic.

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A Cloud-Based Architecture for Interactive E-Training

Cloud Security ◽

10.4018/978-1-5225-8176-5.ch070 ◽

2019 ◽

pp. 1379-1392 ◽

Cited By ~ 1

Author(s):

Halima E. Samra ◽

Alice S. Li ◽

Ben Soh ◽

Mohammed A. AlZain

Keyword(s):

Positive Impact ◽

Clinical Skills ◽

Skills Training ◽

Training System ◽

Cloud Services ◽

Technology Enhanced Learning ◽

Clinical Skills Training ◽

Intensive Training ◽

Training Resources ◽

Cloud Technologies

Cloud-based technologies play a significant role in the technology-enhanced learning domain. The adoption of cloud technologies in the educational environment has a positive impact on the learning process by offering new tools and services to improve and support the learning life cycle, including interactivity. In specific fields, such as clinical skills training, that involve computer-intensive training scenarios, there is an increased demand to deliver training services to a larger number of learners, therefore the need for cloud services. However, to date there has been a lack of a formalized framework relating to the use of cloud computing for on-demand interactive e-training resources. This paper is to formalize a theoretical framework for an interactive e-training system particularly for clinical skills training, taking into consideration e-training system requirements and with a focus on applying cloud technologies to ensure the dynamic scalability of services and computing power while maintaining QoS and security

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