Clinical procedural skills assessment during internship in ophthalmology
Journal Title: Journal of Advances in Medical Education and Professionalism - Year 2019, Vol 7, Issue 2
Abstract
Introduction: Directly observed procedural skills (DOPS) is a unique method for assessment since it tests the trainee’s ability to apply his knowledge and skills in performing a particular procedure and provides an assessment of the practical work performed by the trainee on a ‘real’ patient under supervision of an experienced faculty. The study aims to make use of DOPS rating for assessment and further improvement in procedural skills in interns in Ophthalmology rotational posting. Methods: A prospective study was planned and 15 interns on 2 weeks’ rotational posting in the department of Ophthalmology were included by purposive sampling over a duration of 2 months. Four clinical procedural skills were identified and in the second week of posting, the interns were assessed by three DOPS encounters at an interval of 2 days for each clinical skill. The DOPS ratings were analyzed quantitatively using R-statistical software by repeated measure ANOVA and Banfuroni test. Results: A total of 180 DOPS were undertaken for 15 interns in 4 core areas of ophthalmic examination. The mean overall DOPS rating for DOPS-1 was 3.70±0.82, DOPS-2, 3.83±1.82 and DOPS-3, 4.93±1.65; the difference in DOPS rating between the first and second encounter was not statistically significant (p=0.497), between the second and the third and between the first and the third were statistically significant (p=0.000 in both cases) using Banfuroni test. The overall difference was also statistically significant (p=0.000) using repeated measure ANOVA. Both the assessor and intern satisfaction increased significantly from the first to the third DOPS, but not statistically significant between the first and the second and between the second and the third DOPS. Conclusions: We found significant improvement in interns’ clinical skills through repeated DOPS and the method was well accepted by both the students and the faculty. Internship period can be well utilized for improving clinical skills and novel performance assessment methods like DOPS might prove to be highly beneficial in ensuring adequacy of learning during internship and also to assess their readiness for accepting professional responsibilities in future.
Authors and Affiliations
SUMITA SETHI, DINESH K BADYAL
Keywords
Related Articles
- EP ID EP664510
- DOI 10.30476/jamp.2019.44709
- Views 91
- Downloads 0
Academic nepotism – all that glitters is not gold
With increasing emphasis on publications for faculty recruitment, career advancement and obtaining research grants, the issues related to author kinship and academic nepotism have grown significantly and these probably r...
The role of academic self-efficacy in improving students’ metacognitive learning strategies
Introduction: Metacognitive strategies play an essential role in students’ learning and achievement; therefore, identifying their antecedents should be considered. This study indicated how self-efficacy, as motivational...
Comparison of the bleeding cricothyrotomy model to SimMan for training students and residents emergency cricothyrotomy
Introduction: A cricothyroidotomy is an emergency procedure that few emergency medicine residents see or perform during their training. Therefore, there is a need for low cost, high fidelity models for training. In this...
Using newly deceased patients in teaching clinical skills: its ethical and educational challenges
Introduction: The newly deceased patients have long been used in medical schools to teach clinical skills without any challenges as it helps to train skilled doctors. Nowadays, the use of moulages and simulators are comm...
Pedagogical mediation using the virtual learning environment and the new generation: A search for improved performance in medical education
Introduction: Medical schools face increasing challenges to accommodate new health care needs. However, little has changed regarding the students’ education. In addition, educators face the challenge of improving their t...