Relationship Between Faculty and Standardized Patient Assessment Scores of Podiatric Medical Students During a Standardized Performance Assessment Laboratory

2016 ◽  
Vol 106 (2) ◽  
pp. 116-120 ◽  
Author(s):  
James M. Mahoney ◽  
Vassilios Vardaxis ◽  
Noreen Anwar ◽  
Jacob Hagenbucher
Keyword(s):  
Medical Students ◽  
Physical Examination ◽  
Health Professional ◽  
Faculty Member ◽  
Performance Assessment ◽  
Clinical Skills ◽  
Pearson Correlation ◽  
Faculty Assessment ◽  
Assessment Scores ◽  
Second Year

Background: Direct assessment of health professional student performance of clinical skills can be accurately performed in the standardized performance assessment laboratory (SPAL), typically by health professional faculty. However, owing to time and economic considerations, nonmedical individuals have been specially trained to perform the same function (standardized patients [SPs]). This study compared the assessment scores of the history and physical examination components of a SPAL designed for second-year podiatric medical students at Des Moines University (DMU) by a podiatry medical faculty member and SPs. Methods: A total of 101 students from the classes of 2015 and 2016 were evaluated in 2013 and 2014 by 11 to 13 SPs from the DMU SPAL program. The video recordings of these 101 students were then evaluated by one faculty member from the College of Podiatric Medicine and Surgery at DMU. Results: The Pearson correlation coefficient for each class showed a strong linear relationship between SP and faculty assessment scores. The associations between SP and faculty assessment scores in the history, physical examination, and combined history and physical examination components for the 2016 class (0.706, 0.925, and 0.911, respectively) were found to be stronger than those for the 2015 class (0.697, 0.791, and 0.791, respectively). Conclusions: This study indicated that there are strong associations between the assessment scores of trained SPs and faculty for the history, physical examination, and combined history and physical examination components of second-year SPAL activity for podiatric medical students.

scholarly journals Peer assessment platform of clinical skills in undergraduate medical education

2019 ◽  
Vol 47 (11) ◽  
pp. 5526-5535 ◽  
Author(s):  
Liling Chen ◽  
Hong Chen ◽  
Di Xu ◽  
Yan Yang ◽  
Huiming Li ◽  
...  
Keyword(s):  
Medical Students ◽  
Physical Examination ◽  
Clinical Medicine ◽  
Clinical Skills ◽  
Peer Assessment ◽  
Control Group ◽  
Study Group ◽  
Study Objective ◽  
Assessment Scores ◽  
Year 2013

Objective The study objective was to enhance clinical skills among undergraduate students majoring in clinical medicine in performing physical examination by establishing a novel platform for peer assessment of clinical skills. Methods A total 126 Year 2012 students majoring in medicine and receiving traditional training were assigned to the control group, and 126 Year 2013 students receiving instruction via the peer assessment platform of clinical skills were allocated to the study group. Scores of the physical examination, paper exam, and peer assessment were compared using a t-test, and we performed linear correlation analysis of the data. Results Scores of the physical examination and peer assessment among Year 2013 students (the study group) were significantly higher than those in the control group. Paper exam scores in the study group were also significantly higher than those in the controls. The three assessment scores did not differ significantly according to sex. Conclusions The peer assessment platform can not only improve medical students’ skills and capabilities in physical examination, it can also enhance their theoretical knowledge of basic clinical principles. We determined that sex was not related to the assessment scores obtained by medical students.

scholarly journals Virtual Integrated Patient: An AI supplementary tool for second-year medical students

2021 ◽  
Vol 6 (3) ◽  
pp. 87-90
Author(s):  
Juanita S. M. Kong ◽  
Boon See Teo ◽  
Yueh Jia Lee ◽  
Anu Bharath Pabba ◽  
Edmund J.D. Lee ◽  
...  
Keyword(s):  
Medical Students ◽  
Pilot Study ◽  
Physical Examination ◽  
Clinical Skills ◽  
History Taking ◽  
Clinical Rotations ◽  
Face To Face ◽  
Second Year ◽  
Standardised Patients ◽  
Real Patients

Introduction: With the COVID-19 pandemic, Singapore underwent a national lockdown in which most organisations, including schools were closed. Halting face-to-face tutorials resulting in decreased clinical contact for medical students. Prior to the pandemic, we had developed the Virtual Integrated Patient (VIP). Equipped with conversational technology, it provides students online practice in various clinical skills such as history-taking, physical examination and investigations. The aim of this paper is to describe the supplementary use of VIP in the second-year class, in which a pilot study was conducted. Methods: The VIP platform was introduced to the cohort and used to supplement the teaching of history-taking in the “Communication with Patients” (CWP) module for second-year students. Traditionally, CWP tutorials involve face-to-face history-taking from standardised patients (SPs). Students, who consented to participating in the trial, had an additional 3 weeks’ access to VIP to practice their history-taking skills. They completed a survey on their user experience and satisfaction at the end of the 3 weeks. Results: Out of the 106 participants, 87% strongly agreed or agreed that using VIP helped in remembering the content while 69% of them felt that VIP increased their confidence and competence in history-taking. Conclusion: VIP was well-received by students and showed promise as a tool to supplement history-taking tutorials, prior to students’ encounter with SPs and real patients. Hence, this trend showed its potential as an alternative when clinical rotations were delayed or cancelled. Further research can be done to evaluate its effectiveness in this context.

scholarly journals Differences in Faculty and Standardized Patient Scores on Professionalism for Second-Year Podiatric Medical Students During a Standardized Simulated Patient Encounter

2018 ◽  
Vol 108 (2) ◽  
pp. 145-150
Author(s):  
James M. Mahoney ◽  
Vassilios Vardaxis ◽  
Noreen Anwar ◽  
Jacob Hagenbucher
Keyword(s):  
Medical Students ◽  
Faculty Member ◽  
Real Time ◽  
Assessment Tool ◽  
Simulated Patient ◽  
Standardized Patient ◽  
Patient Encounter ◽  
Second Year ◽  
The Difference ◽  
Share Information

Background: This study examined the differences between faculty and trained standardized patient (SP) evaluations on student professionalism during a second-year podiatric medicine standardized simulated patient encounter. Methods: Forty-nine second-year podiatric medicine students were evaluated for their professionalism behavior. Eleven SPs performed an assessment in real-time, and one faculty member performed a secondary assessment after observing a videotape of the encounter. Five domains were chosen for evaluation from a validated professionalism assessment tool. Results: Significant differences were identified in the professionalism domains of “build a relationship” (P = .008), “gather information” (P = .001), and share information (P = .002), where the faculty scored the students higher than the SP for 24.5%, 18.9%, and 26.5% of the cases, respectively. In addition, the faculty scores were higher than the SP scores in all of the “gather information” subdomains; however, the difference in scores was significant only in the “question appropriately” (P = .001) and “listen and clarify” (P = .003) subdomains. Conclusions: This study showed that professionalism scores for second-year podiatric medical students during a simulated patient encounter varied significantly between faculty and SPs. Further consideration needs to be given to determine the source of these differences.

scholarly journals Feasibility of clinical performance assessment of medical students on a virtual sub-internship in the United States

2021 ◽  
Vol 18 ◽  
pp. 12
Author(s):  
John Woller ◽  
Sean Tackett ◽  
Ariella Apfel ◽  
Janet Record ◽  
Danelle Cayea ◽  
...  
Keyword(s):  
United States ◽  
Medical Students ◽  
Physical Examination ◽  
Performance Assessment ◽  
Clinical Performance ◽  
The United States ◽  
Clinical Performance Assessment ◽  
Assessment Measures

We aimed to determine whether it was feasible to assess medical students as they completed a virtual sub-internship. Six students (out of 31 who completed an in-person sub-internship) participated in a 2-week virtual sub-internship, caring for patients remotely. Residents and attendings assessed those 6 students in 15 domains using the same assessment measures from the in-person sub-internship. Raters marked “unable to assess” in 75/390 responses (19%) for the virtual sub-internship versus 88/3,405 (2.6%) for the in-person sub-internship (P=0.01), most frequently for the virtual sub-internship in the domains of the physical examination (21, 81%), rapport with patients (18, 69%), and compassion (11, 42%). Students received complete assessments in most areas. Scores were higher for the in-person than the virtual sub-internship (4.67 vs. 4.45, P<0.01) for students who completed both. Students uniformly rated the virtual clerkship positively. Students can be assessed in many domains in the context of a virtual sub-internship.

scholarly journals Can Specialists and Generalists Teach Clinical Skills to Second-year Medical Students with Equal Effectiveness?

2002 ◽  
Vol 77 (10) ◽  
pp. 1030-1033 ◽  
Author(s):  
Laura J. Zakowski ◽  
Christine Seibert ◽  
Selma VanEyck ◽  
Susan Skochelak ◽  
Susan Dottl ◽  
...  
Keyword(s):  
Medical Students ◽  
Clinical Skills ◽  
Second Year ◽  
Equal Effectiveness

scholarly journals Peers United in Leadership & Skills Enhancement (PULSE): A near peer mentoring program for medical students

2020 ◽  
Author(s):  
Adam Neufeld ◽  
Zachary Huschi ◽  
Amanda Ames ◽  
Greg Malin ◽  
Meredith McKague ◽  
...  
Keyword(s):  
Medical Students ◽  
Learning Environments ◽  
Peer Mentoring ◽  
Clinical Skills ◽  
Leadership Skills ◽  
Skills Development ◽  
Structured Learning ◽  
First Year ◽  
Mentoring Program ◽  
Second Year

Implication Statement  We created a near peer mentoring program in pre-clerkship, which gave medical students the opportunity to work together, teach others, and practice their clinical skills. It uniquely connects first year “learner-mentees” and second year “instructor-mentors” in semi-structured learning environments, from October to April. Beyond supporting intrinsic motivation, skills development, and collaboration, students gained experience in teaching; an important skill for physicians.

scholarly journals Evaluating the feasibility and effectiveness of e- OSCE in the COVID- 19 era

2021 ◽  
Author(s):  
Sarra Shorbagi ◽  
Nabil Sulaiman ◽  
Ahmad Hasswan ◽  
Mujtaba Kaouas ◽  
Mona M. Al-Dijani ◽  
...  
Keyword(s):  
Medical Students ◽  
Physical Examination ◽  
Clinical Training ◽  
Clinical Skills ◽  
Real Life ◽  
Procedural Skills ◽  
Face To Face ◽  
Global Pandemic ◽  
The Face

Abstract Background: The emergence of coronavirus disease 2019 (COVID-19) and its quick progress to a global pandemic has urged medical schools to shift from didactic to distance learning and assessment approaches. The quality of clinical training and assessment have been jeopardized due to the regulatory restrictions and potential hazards to human lives. The aim of this paper is to evaluate the feasibility and effectiveness of an electronic Objective Structured Clinical Examination (e-OSCE), which attempted to transform the format of a face-to-face OSCE to an e-OSCE.Methods: We conducted three end of clerkship e-OSCEs for final year medical students in Surgery, Medicine and Family Medicine using teleconferencing application of Microsoft Teams (MST). The e-OSCE blueprint included the assessment of all clinical skills except physical examination and procedural skills. Examiners supervised e-OSCE from the college campus while all students were remotely assessed through the MST channels. During the exam, the students stayed in their specified MST channels, examiners rotated across all students. The feasibility and effectiveness of e-OSCE was evaluated using a self-administered questionnaire to students, examiners and e-OSCE team. Results: The data analysis showed that 93.4% students and 92.2% examiners agreed with the quality and process of e-OSCE. Similarly, 83.6% students and 98% examiners agreed with the fairness, smoothness and organization of e-OSCE. As many as 45.9% students and 74.5% examiners agreed that e-OSCE was close to real life practice. Approximately one fifth of students and one third of examiners preferred e-OSCE over the face-to-face OSCE. The analysis of qualitative data generated themes of e-OSCE structure and technology. While majority of participants were satisfied with e-OSCE, students were concerned about examiners’ training and e-OSCE contents. Examiners and e-OSCE team recognized the paper-less, tech-savy, fast and reliable e-OSCE format. Conclusion: During and beyond COVID- 19 era, e-OSCE is a feasible and effective modality for assessing clinical competence except for physical examination and procedural skills. The planning and implementation of e-OSCE reflects an ingenuity in assessment of clinical competencies of medical students.

scholarly journals Pre-clinical remote undergraduate medical education during the COVID-19 pandemic: a survey study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bita Shahrvini ◽  
Sally L. Baxter ◽  
Charles S. Coffey ◽  
Bridget V. MacDonald ◽  
Lina Lander
Keyword(s):  
Medical Students ◽  
Clinical Skills ◽  
The United States ◽  
Living Environment ◽  
Learning Material ◽  
Quality Of Instruction ◽  
Skills Laboratory ◽  
Second Year ◽  
Remote Learning

Abstract Background The Coronavirus Disease 2019 (COVID-19) pandemic has necessitated a sudden transition to remote learning in medical schools. We aimed to assess perceptions of remote learning among pre-clinical medical students and subsequently to identify pros and cons of remote learning, as well as uncover gaps to address in ongoing curricular development. Methods A survey was distributed to first- and second-year medical students at the University of California San Diego School of Medicine in March 2020. Frequencies of responses to structured multiple-choice questions were compared regarding impacts of remote learning on quality of instruction and ability to participate, value of various remote learning resources, living environment, and preparedness for subsequent stages of training. Responses to open-ended questions about strengths and weaknesses of the remote curriculum and overall reflections were coded for thematic content. Results Of 268 students enrolled, 104 responded (53.7% of first-year students and 23.9% of second-year students). Overall, students felt that remote learning had negatively affected the quality of instruction and their ability to participate. Most (64.1%) preferred the flexibility of learning material at their own pace. Only 25.5% of respondents still felt connected to the medical school or classmates, and feelings of anxiety and isolation were noted negatives of remote learning. Most second-year students (56.7%) felt their preparation for the United States Medical Licensing Examination Step 1 exam was negatively affected, and 43.3% felt unprepared to begin clerkships. In narrative responses, most students appreciated the increased flexibility of remote learning, but they also identified several deficits that still need to be addressed, including digital fatigue, decreased ability to participate, and lack of clinical skills, laboratory, and hands-on learning. Conclusions Videocasted lectures uploaded in advance, electronic health record and telehealth training for students, and training for teaching faculty to increase technological fluency may be considered to optimize remote learning curricula.

scholarly journals Medical Student's Perception And Preferences About Peer Physical Examination (PPE)

2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Manjunath H ◽  
Venkatesh D ◽  
Taklikar R H ◽  
Vijayanath Vijayanath
Keyword(s):  
Medical Students ◽  
Physical Examination ◽  
Clinical Skills ◽  
Learning Experience ◽  
Skill Training ◽  
Standardized Patients ◽  
Clinical Exposure ◽  
Validated Questionnaire ◽  
Strongly Agree ◽  
Peer Physical Examination

There is greater emphasis on clinically oriented teaching and early clinical exposure for medical students. There is limitation to practice and perfect the skills on sick patients. Hence, standardized patients are used for practice of clinical skills. However non-availability of trained standardized patients, high cost of employing them poses a challenge to training medical students. The viable alternative is to use the peers for skill training. It can be a potential area of student discomfort or inappropriate behavior by classmates or tutors. Present study assesses the attitude of students towards Peer Physical Examination (PPE). Fifty three third term medical students (23 males and 30 females) were administered a structured and validated questionnaire with 15 questions to assess elements of comfort, professionalism, appropriateness and value of PPE. Students responded to questions using a five-point Likert scale, where 1 = strongly agree, and 5 = strongly disagree.The pattern of response was similar for male and female students. 81.82% were comfortable with PPE for practice of clinical skills. 32.90% were comfortable examining peers of opposite sex. 18.04% felt it was appropriate to perform breast, genital and rectal examinations on peers. 2.17% agreed to volunteer for such examination.Majority of students preferred PPE to standardized patients for practice of clinical skills. PPE was preferred as it provided valuable feedback, better learning experience, and felt examining classmates was comfortable & appropriate. However they felt inappropriate to volunteer or examine breast, inguinal, genital regions of classmate as a part of PPE.

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