Assessment of Competence in Emergency Medicine among Healthcare Professionals in Cameroon.
10.3346/jkms.2017.32.12.1931
- Author:
Sang Chul KIM
1
;
Young Sun RO
;
Sang Do SHIN
;
Dae Han WI
;
Joongsik JEONG
;
Ju Ok PARK
;
Kyong Min SUN
;
Kwangsoo BAE
Author Information
1. Department of Emergency Medicine, Chungbuk National University Hospital, Cheongju, Korea.
- Publication Type:Original Article
- Keywords:
Professional Competence;
Emergency Medicine;
Developing Countries
- MeSH:
Anaphylaxis;
Cameroon*;
Communicable Diseases;
Curriculum;
Delivery of Health Care*;
Developing Countries;
Diabetic Ketoacidosis;
Disasters;
Discrimination (Psychology);
Emergencies*;
Emergency Medicine*;
Emergency Service, Hospital;
Gynecology;
Hematology;
Mental Competency*;
Multiple Trauma;
Myocardial Infarction;
Obstetrics;
Professional Competence;
Shock, Septic;
Surveys and Questionnaires
- From:Journal of Korean Medical Science
2017;32(12):1931-1937
- CountryRepublic of Korea
- Language:English
-
Abstract:
Development of a competence-based curriculum is important. This study aimed to develop competence assessment tools in emergency medicine and use it to assess competence of Cameroonian healthcare professionals. This was a cross-sectional, descriptive study. Through literature review, expert survey, and discrimination tests, we developed a self-survey questionnaire and a scenario-based competence assessment tool for assessing clinical knowledge and self-confidence to perform clinical practices or procedures. The self-survey consisted of 23 domains and 94 questionnaires on a 5-point Likert scale. Objective scenario-based competence assessment tool was used to validate the self-survey results for five life-threatening diseases presenting frequently in emergency rooms of Cameroon. Response rate of the self-survey was 82.6%. In this first half of competence assessment, knowledge of infectious disease had the highest score (4.6 ± 0.4) followed by obstetrics and gynecology (4.2 ± 0.6) and hematology and oncology (4.2 ± 0.5); in contrast, respondents rated the lowest score in the domains of disaster, abuse and assault, and psychiatric and behavior disorder (all of mean 2.8). In the scenario-based test, knowledge of multiple trauma had the highest score (4.3 ± 1.2) followed by anaphylaxis (3.4 ± 1.4), diabetic ketoacidosis (3.3 ± 1.0), ST-elevation myocardial infarction (2.5 ± 1.4), and septic shock (2.2 ± 1.1). Mean difference between the self-survey and scenario-based test was statistically insignificant (mean, −0.02; 95% confidence interval, −0.41 to 0.36), and agreement rate was 58.3%. Both evaluation tools showed a moderate correlation, and the study population had relatively low competence for specific aspects of emergency medicine and clinical procedures and skills.
