Clinical skills learning of the first-year medical students at clinical skills laboratory using simulated patients
Resumo
Aims: To assess perceptions and performance of 1st MBBS students in clinical examination skills after early clinical exposure (ECE) through clinical skills lab (CSL) using simulated patients. Methods: The research involved 150 first-year MBBS students, 50 students attended in two groups with 25 students each. A pre and post-test of awareness about ECE and CSL, a training session with one set of students receiving traditional lecture-based “see one do one” teaching methods, and the other group receiving training in small group teaching with simulated patients in CSL. Performance was assessed using a validated checklist. Feedback was taken from all participants. Results: The ECE group performed better in clinical skills. 38 students performed well and 11 performed excellently, compared to the traditional teaching group with only 11 performing good. ECE was perceived to be better by the majority of students (82.9%) than traditional teaching method. The majority of teachers (97.7%) agreed that early clinical exposure will help students prepare before encountering real patients and 90% of simulated patients agreed that students of ECE exposed group have examined better than the traditional teaching method (11%). The pre-and post-test scores showed an increase in awareness. Conclusion: Students in the first year of medical school perform better in examination skills if they have early clinical exposure and clinical skills lab with simulated patients are the best resources for achieving the primary goal of skill acquisition.
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Tayade M, Bhimani N, Kulkarni N, Dandekar KN. The impact of Early Clinical Exposure on First M.B.B.S. Students 1, International J. of Healthcare and Biomedical Research, 2014, 2, 4, 176-181.
McLean M. Sometimes we do get it right! Early Clinical Contact is a rewarding experience. Education for Health. 2004, 17(1), 42-52. https://doi.org/10.1080/13576280310001656178
Ali L, Nisar S, Ghassan A, Khan SA. Impact of clinical skill lab on students' learning in preclinical years. J Ayub Med Coll Abbottabad. 2011, 23(4), 114-7. PMID: 23472431.
Goldie J, Dowie A, Cotton P, Morrison J. Teaching professionalism in the early years of a medical curriculum: a qualitative study. Med Educ, 2007, 41, 610–7. https://doi.org/10.1111/j.1365-2923.2007.02772.x
Nimkuntod P, Kaewpitoon S, Uengarporn N, Ratanakeereepun K, Tongdee P. Perceptions of medical students and facilitators of an early clinical exposure instructional program. J Med Association Thai. 2015, 98, 64–70. https://pubmed.ncbi.nlm.nih.gov/26201136/
Herrmann-Werner A, Nikendei C, Keifenheim K, Bosse HM, Lund F, Wagner R, Celebi N, Zipfel S, Weyrich P. "Best practice" skills lab training vs. a "see one, do one" approach in undergraduate medical education: an RCT on students' long-term ability to perform procedural clinical skills. PLoS One. 2013, 8(9), e76354. https://doi.org/10.1371/journal.pone.0076354
Moon MR, Hughes MT, et.al. Ethics skills laboratory experience for surgery interns. J Surg Educ 2014, 71, 829-38. https://doi.org/10.1016/j.jsurg.2014.03.010
McGaghie WC, Issenberg SB, et.al. A critical review of simulation-based medical education research: 2003-2009. Med Educ 2010, 44, 50-63. https://doi.org/10.1111/j.1365-2923.2009.03547.x
Al-Elq AH. Medicine and clinical skills laboratories. J Family Community Med. 2007, 14(2), 59-63. PMID: 23012147; PMCID: PMC3410147.
Rizwan Hashim et al. Role of Skill Laboratory Training in Medical Education – Students ’Perspective. Journal Coll Physicians Surg Pak 2016, 26(3), 195-198. https://pubmed.ncbi.nlm.nih.gov/26975950/
Nikendei C, et al. "Heidelberg standard examination" and "Heidelberg standard procedures" - Development of faculty-wide standards for physical examination techniques and clinical procedures in undergraduate medical education. GMS J Med Educ. 2016, 33(4), Doc 54, http://dx.doi.org/10.3205/zma001053.
Vision 2015. Medical Council of India. Available from www.mciindia.org/tools/[2] announcement/MCI_booklet.pdf (accessed on 11.1.2014).
Sullivan GM, Artino AR Jr. Analyzing and interpreting data from likert-type scales. J Grad Med Educ. 2013, 5(4), 541-2. https://doi.org/10.4300/JGME-5-4-18
Joseph N, Nelliyanil M, Jindal S, Utkarsha, Abraham AE, Alok Y, Srivastava N, Lankeshwar S. Perception of Simulation-based Learning among Medical Students in South India. Ann Med Health Sci Res. 2015, (4), 247-52. https://doi.org/10.4103/2141-9248.160186
Madiha Imran et al. Effect of preclinical skill lab training on clinical skills of students during clinical years. Pak J Physiol 2016;12 (3). https://doi.org/10.69656/pjp.v12i3.580
McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Acad Med. 2011, 86(6), 706-11. https://doi.org/10.1097/acm.0b013e318217e119
Kumar P, Mythri G, Shetty A et al. First‑Year Medical Students’ Perspective on Early Clinical Exposure in the Era of Competency-Based Medical Education: Unraveling by Thematic Analysis. Medical Journal of Dr. D.Y. Patil Vidyapeeth, 2023, 16, 3. https://doi.org/10.4103/mjdrdypu.mjdrdypu_997_21
Rawekar A, Jagzape A, Srivastava T, Gotarkar S. Skill Learning Through Early Clinical Exposure: An Experience of Indian Medical School. J Clin Diagn Res. 2016, 10(1), JC01-4. https://doi.org/10.7860/JCDR/2016/17101.7022
Ewnte B, Yigzaw T. Early clinical exposure in medical education: the experience from Debre Tabor University. BMC Med Educ 2023, 23, 252. https://doi.org/10.1186/s12909-023-04221-4
Mileder L, Wegscheider T, Dimai HP. Teaching first-year medical students in basic clinical and procedural skills--a novel course concept at a medical school in Austria. GMS Z Med Ausbild. 2014, 31(1), Doc6. https://doi.org/10.3205/zma000898
Upadhayay N. Clinical training in medical students during preclinical years in the skill lab. Adv Med Educ Pract. 2017, 8, 189-194. https://doi.org/10.2147/AMEP.S130367
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