2.Target-Oriented Clinical Skill Enhancement (TOCSE) builds up confidence of fourth-year medical students during first-time patient encounter: An effective bridging tool after online didactic undergraduate classes during the COVID-19 pandemic
Maria Faye Anne S GOMEZ ; Leonid D ZAMORA ; Paul John ABLAZA ; Melvin Remulla MARCIAL ; Leilani B MERCADO-ASIS
Journal of Medicine University of Santo Tomas 2022;6(S1):114-125
Clinical Competence
3.Self-reported confidence in general competencies and skills of clinical clerks of a private medical school for SY 2021-2022: A cross-sectional study
Aena Marii C. Besilia ; Aljun Clar O. Bitay ; Alyssa Louise V. Bometivo ; Dominique Anne B. Bongala ; Aileen Q. Briones ; Therese Justine A. Bruel ; Danessa Margaret L. Buco ; Vince Albert A. Buenviaje ; Joseph Lorenz Z. Cabinta ; Ronina Franne N. Cada ; Jose Ronilo Juangco ; Suzette M. Mendoza
Health Sciences Journal 2023;12(2):85-94
Introduction:
During the COVID-19 pandemic, medical schools shifted to blended learning. This study
aimed to determine the demographic and level of confidence of a private medical school’s clinical clerks
of School Year 2021-2022 on general competencies and skills.
Methods:
The study aimed to identify the skills that exhibited the highest and lowest levels of confidence
among a group of 139 clinical clerks. Additionally, it sought to examine whether there were significant
differences in confidence levels based on sex and prior clinical experience. An analytical cross-sectional
study design was employed using a Google Form as the data collection tool.
Results:
The clerks were most confident in handwashing, and least in NGT insertion, performing digital
rectal examination (DRE), and suturing. Females were more confident in history taking of obstetric and
gynecologic, surgical, and medical patients, physical examination of pediatric patients, and preparing
a discharge summary, while males were more confident in performing digital rectal examination. Clerks
with prior medical experience were significantly more confident in foley catheter insertion, intravenous
insertion, blood extraction, suturing, and performing essential intrapartum and newborn care (EINC)
than those without. The results aligned with previous studies since clerks with prior experience were
able to practice the skills in a psychomotor sense.
Conclusion
The study revealed significant differences in the confidence level on the competencies and
skills for medical practice between sex and prior medical experience.
Clinical Competence
4.The Method of Impairment Evaluation.
Journal of the Korean Medical Association 2009;52(6):552-557
An impairment is defined as "a loss, loss of use, or derangement of any body part, organ system or organ function". The impairment evaluation should be performed by physicians. To determine permanent impairment associated with medical condition a standard method should be used. It is a general principle that an evaluation of permanent impairment only be performed when the physician considers the person to have reached a state of maximum medical improvement. Maximum medical improvement is considered when the person's condition has been medically stable and is unlikely to change by more than 3% of whole body impairment within the next 12 months. The physician must use the entire clinical skill and judgment to perform the proper impairment evaluation. A report of the evaluation of permanent impairment should be accurate, comprehensive and fair. The physicians are reminded that they have a duty to act in an ethical, professional and considerate manner when examining the person for the purpose of assessing the permanent impairment.
Clinical Competence
;
Humans
;
Judgment
7.Effects of Self-leadership and Job Involvement on Clinical Competence in General Hospital Nurses.
Journal of Korean Academy of Nursing Administration 2013;19(4):462-469
PURPOSE: This study was performed to identify the effects of self-leadership and job involvement on clinical competence in general hospital nurses. METHODS: The participants in this study were 443 staff nurses working in general hospitals and having more than 6 months of nursing experience. Data were collected using self-administered questionnaires. RESULTS: There were significant positive correlations between nurses' self-leadership and job involvement, and between nurses' self-leadership and clinical competence. In the multiple regression analysis, clinical career, type of department and self-leadership were significant predictors in explaining nurses' clinical competence and accounted for 28% of the variance in nurses' clinical competence. CONCLUSION: Study findings suggest that nurses' self-leadership is defined as having an important influence on nurses' clinical competence. In order to strengthen nurses' clinical competence, there is a need to develop education programs to increase nurses' self-leadership.
Clinical Competence
;
Hospitals, General
8.Equating Scores Using Bridging Stations on the Clinical Performance Examination.
Korean Journal of Medical Education 2013;25(2):131-137
PURPOSE: This study examined the use of the Tucker linear equating method in producing an individual student's score in 3 groups with bridging stations over 3 consecutive days of the clinical performance examination (CPX) and compared the differences in scoring patterns by bridging number. METHODS: Data were drawn from 88 examinees from 3 different CPX groups-DAY1, DAY2, and DAY3-each of which comprised of 6 stations. Each group had 3 common stations, and each group had 2 or 3 stations that differed from other groups. DAY1 and DAY3 were equated to DAY2. Equated mean scores and standard deviations were compared with the originals. DAY1 and DAY3 were equated again, and the differences in scores (equated score-raw score) were compared between the 3 sets of equated scores. RESULTS: By equating to DAY2, DAY1 decreased in mean score from 58.188 to 56.549 and in standard deviation from 4.991 to 5.046, and DAY3 fell in mean score from 58.351 to 58.057 and in standard deviation from 5.546 to 5.856, which demonstrates that the scores of examinees in DAY1 and DAY2 were accentuated after use of the equation. The patterns in score differences between the equated sets to DAY1, DAY2, and DAY3 yielded information on the soundness of the equating results from individual and overall comparisons. CONCLUSION: To generate equated scores between 3 groups on 3 consecutive days of the CPX, we applied the Tucker linear equating method. We also present a method of equating reciprocal days to the anchoring day as much as bridging stations.
Clinical Competence
;
Educational Measurement
9.How to Succeed in Carrying Out the First Trial of the Clinical Skills Examination in the Korean Medical Licensing Examination.
Korean Journal of Medical Education 2009;21(3):211-213
No abstract available.
Clinical Competence
;
Licensure
;
Lifting
10.How to Succeed in Carrying Out the First Trial of the Clinical Skills Examination in the Korean Medical Licensing Examination.
Korean Journal of Medical Education 2009;21(3):211-213
No abstract available.
Clinical Competence
;
Licensure
;
Lifting