Application of Kappa (κ) index in clinical training for eight-year program medical students
10.3760/cma.j.issn.2095-1485.2012.12.005
- VernacularTitle:应用Kappa(κ)指数辅助长学制妇产科临床技能培训的研究
- Author:
Chao ZHAO
;
Li TIAN
;
Chunlan LIU
;
Jianliu WANG
;
Lihui WEI
- Publication Type:Journal Article
- Keywords:
Kappa index;
Eight-year program medical students;
Practice in department of obstetrics and gynaecology;
Clinical skill training
- From:
Chinese Journal of Medical Education Research
2012;(12):1215-1218
- CountryChina
- Language:Chinese
-
Abstract:
Objective To screened out items with large proportion of technical analysis in obstetrics and gynecology physical examination by using statistical parameters Kappa index and to evaluate effect and clinical significance of Kappa index based on objective data and students' and teachers' subjective feeling.Methods We made Kappa index screening with double-blind method and established the Kappa index table for teachers and students.Students were randomly divided into conventional teaching group (n =26) and teaching reform group (n =29).Students in conventional teaching group traditionally followed the teacher to carry on the practice while those in teaching reform group received training according to the numerical value index and had examination after training.We paid attention to each student's weak points,provided personalized guidance and communicated with students actively.Results We found that it was uneasy for beginners to quickly grasp four step obstetrics palpation in-spection according to Kappa index.There were statistical differences in operation of gynecological physical examination between two groups (P =0.016).Conclusions Application of Kappa index can help us screen out skills in the operation suitable for training for eight-year program medical students.With quantitative evaluation,we can improve quality of clinical practice teaching in department of obstetrics and gynecology and guide educational reform.
