Self-Assessment of Final Year Medical Students’ Proficiency at Basic Procedures

Authors

  • Thomas Olajide College of Medicine, University of Lagos, Surgery, Lagos
  • Justina Seyi-Olajide Premier Specialist Hospital, Ogalade Close, Victoria Island, Surgery, Lagos
  • Andrew Ugburo College of Medicine, University of Lagos, Surgery, Lagos
  • Ezekiel Oridota College of Medicine, University of Lagos, Community Health and Primary Care, Lagos

DOI:

https://doi.org/10.3889/oamjms.2014.096

Keywords:

Self-assessment, Procedures, Proficiency, Participation, Nigeria.

Abstract

BACKGROUND: Procedural tasks are important in patient management, with varying degrees of proficiency expected at different levels of medical training. Little has been done in this region to assess the medical students’ proficiency at performing basic procedures.

AIM: The aim of this study is to determine their self-assessed proficiency, degree of participation in performing these procedures and the use of skill-lab training.

MATERIALS AND METHODS: The study is questionnaire-based, amongst final year medical students of University of Lagos, Nigeria.

RESULTS: One hundred and forty students participated in the study.  A significant number (82{58.6%}) self-reported level of proficiency for venepuncture was above average or excellent; for IV line placement it was  a little less than half (65{46.4%}) and for urethral catheterisation 44 (31.7%); however it was quite low for the other procedures. Many students self-reported high level of participation for venepuncture (83{59.2%}); sixty one (43.6%) for IV line placement and 30 (21.7%) for urethral catheterization. The correlations between self-assessed levels of proficiency and participation were significant for all procedures. There was no exposure to the use of mannequins.

CONCLUSION: Self-reported proficiency is lacking for basic procedures in a significant proportion of students with a low level of participation.

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References

Chen W, Liao SC, Tsai CH, Huang CC, Lin CC, Tsai CH. Clinical skills in final-year medical students: the relationship between self-reported confidence and direct observation by faculty or residents. Ann Acad Med Singapore. 2008; 37(1): 3-8.

Federation of the Royal Colleges of Physicians of the UK. The physician of tomorrow. Curriculum for general internal medicine (acute medicine). London: RCP; 2007.

Horowitz SD, Miller SH, Miles PV. Board certification and physician quality. Med Educ. 2004; 38(1): 10-1. DOI: https://doi.org/10.1046/j.1365-2923.2004.01702.x

Kirkpatrick JN, Groninger H. Putting it all together: the art and science of medicine. Virtual Mentor. 2006; 8(7): 452-8. DOI: https://doi.org/10.1001/virtualmentor.2006.8.7.ccas3-0607

Connick RM, Connick P, Klotsas AE, et al. Procedural confidence in hospital based practitioners: implications for the training and practice of doctors at all grades. BMC Med Educ. 2009; 9: 2. DOI: https://doi.org/10.1186/1472-6920-9-2

Promes SB, Chudgar SM, Grochowski CO, et al. Gaps in procedural experience and competency in medical school graduates. Acad Emerg Med. 2009; 16 Suppl 2: S58-62. DOI: https://doi.org/10.1111/j.1553-2712.2009.00600.x

Stillman PL, Wang Y, Ouyang Q, et al. Teaching and assessing clinical skills: a competency-based programme in China. Med Educ. 1997; 31(1): 33-40. DOI: https://doi.org/10.1111/j.1365-2923.1997.tb00040.x

Goldstein EA, Maclaren CF, Smith S, et al. Promoting fundamental clinical skills: a competency-based college approach at the University of Washington. Acad Med. 2005; 80(5): 423-33. DOI: https://doi.org/10.1097/00001888-200505000-00003

Morton J, Anderson L, Frame F, et al. Back to the future: teaching medical students clinical procedures. Med Teach. 2006; 28(8): 723-8. DOI: https://doi.org/10.1080/01421590601110025

Corbett EC, Jr., Payne NJ, Bradley EB, et al. Enhancing clinical skills education: University of Virginia School of Medicine's Clerkship Clinical Skills Workshop Program. Acad Med. 2007; 82(7): 690-5. DOI: https://doi.org/10.1097/ACM.0b013e31806745b4

Fitzgerald JT, White CB, Gruppen LD. A longitudinal study of self-assessment accuracy. Med Educ. 2003; 37(7): 645-9. DOI: https://doi.org/10.1046/j.1365-2923.2003.01567.x

Morgan PJ, Cleave-Hogg D. Comparison between medical students' experience, confidence and competence. Med Educ. 2002; 36(6): 534-9. DOI: https://doi.org/10.1046/j.1365-2923.2002.01228.x

Byrne AJ, Blagrove MT, McDougall SJ. Dynamic confidence during simulated clinical tasks. Postgrad Med J. 2005; 81(962): 785-8. DOI: https://doi.org/10.1136/pgmj.2004.029942

Karim JA, Marwan YA, Dawas AM, et al. Self-confidence of medical students in performing clinical skills acquired during their surgical rotation. Assessing clinical skills education in Kuwait. Saudi Med J. 2012; 33(12): 1310-6.

Agrawal CS, Agrawal S, Sharma S. Perception of final-year medical students about skills attainment in a new medical school of Nepal. Nepal Med Coll J. 2005; 7(1): 58-61.

Dehmer JJ, Amos KD, Farrell TM, et al. Competence and confidence with basic procedural skills: the experience and opinions of fourth-year medical students at a single institution. Acad Med. 2013; 88(5): 682-7. DOI: https://doi.org/10.1097/ACM.0b013e31828b0007

Popoola AA, Kuranga SA, Babata AL, et al. Knowledge and practice of urethral catheterisation by newly qualified medical interns. Niger Postgrad Med J. 2007; 14(2): 118-20.

Nitsche JF, Morris DM, Shumard K, et al. The effect of vaginal delivery simulation on medical student education. Obstet Gynecol. 2014; 123 Suppl 1: 117S. DOI: https://doi.org/10.1097/01.AOG.0000447068.63200.91

De Win G, Van Bruwaene S, Aggarwal R, et al. Laparoscopy training in surgical education: the utility of incorporating a structured preclinical laparoscopy course into the traditional apprenticeship method. J Surg Educ. 2013; 70(5): 596-605. DOI: https://doi.org/10.1016/j.jsurg.2013.04.001

Drosdeck J, Carraro E, Arnold M, et al. Porcine wet lab improves surgical skills in third year medical students. J Surg Res. 2013; 184(1): 19-25. DOI: https://doi.org/10.1016/j.jss.2013.06.009

Naylor RA, Hollett LA, Valentine RJ, et al. Can medical students achieve skills proficiency through simulation training? Am J Surg. 2009; 198(2): 277-82. DOI: https://doi.org/10.1016/j.amjsurg.2008.11.036

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Published

2014-09-15

How to Cite

1.
Olajide T, Seyi-Olajide J, Ugburo A, Oridota E. Self-Assessment of Final Year Medical Students’ Proficiency at Basic Procedures. Open Access Maced J Med Sci [Internet]. 2014 Sep. 15 [cited 2024 Mar. 28];2(3):532-5. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2014.096

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Section

E - Public Health