Effectiveness of Pre-Internship Training In Skill Development (Nasogastric Tube Insertion) For Medical Graduates-An Objective Assessment
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Background Newly graduated medical students receive no specific training in bedside procedures prior to starting internship. Most are not confident in bedside procedures, lack self-efficacy and are not inclined to acquiring these, being more inclined to preparing for entrance examinations. The transition to practice is difficult. This project studies whether a training given before start of internship will improve their self-efficacy and help them to acquire these skills and do procedures better, byan objective assessment (Kirkpatrick’s level 4), taking one such procedure of- Nasogastric Tube Insertion (NGT) for the study. Method Study sample and setting –15 interns each of the last batch of 2014(untrained) and first batch of 2015(trained) who were posted in department of medicine successively during study period, were evaluated by DOPS(Direct Observation Of Procedural Skill) with a check list by observer during actual performance of procedure on patients. All (61) of 2015 batch were given training in NGT insertion before internship posting, and evaluated with pre–post questionnaire for self-rating of knowledge, perception of confidence and skill. Study design- Experimental. Intervention done – training using Power Point and video demonstration in Nasogastric Tube Insertion. Results The scores before and after training were analysed statistically with paired t test which was highly significant (p<0.000).The comparison of actual performance was done in the untrained and trained group by statistical analysis of the average DOPS scores using nonparametric tests. This was also found to be highly significant. Conclusions. This study concludes therefore that pre internship training helped the fresh graduates in improving their self-perceived confidence and skill as well as actual performance of NG insertion (Kirkpatrick’s level 4). This can be translated to other skills as well. A further study with larger sample size and more skills can be done and a structured curriculum developed for new graduates at the commencement of internship to train them in bedside procedures to help in skill development and equip them for practice, resulting in improved patient care.
Authors and Affiliations
Dr. Vibha C. Santosh
Keywords
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- EP ID EP423833
- DOI 10.9790/0853-1712054852.
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