A structured course teaching junior doctors invasive medical procedures results in sustained improvements in self-reported confidence

Garrood, Toby; Iyer, Amogh; Gray, Katherine D.; Prentice, Heather A.; Bamford, Richard; Jenkin, Rodric; Shah, Nikhil; Gray, Rachel; Mearns, Ben; Ratoff, JC

doi:10.7861/clinmedicine.10-5-464

Cited by 15 publications

(11 citation statements)

References 17 publications

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“…Further studies are needed to investigate these effects in real life. Although we could not test for the long‐term retention of our results, related studies have demonstrated a perpetuation of initially set standards for bedside procedures, both in general (Garrood et al, ), and for LP (Tung, ).…”

Section: Discussionmentioning

confidence: 78%

Medical students' attitudes toward lumbar puncture—And how to change

2019

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Objective To survey medical students on the lumbar puncture (LP) procedure in terms of their existing knowledge, practical experience and attitudes, and to determine whether the completion of a single standardized seminar that includes practical training on phantoms can alter these parameters. Methods The survey was completed by medical students undertaking the curricular neurology course. Students were asked to describe their practical experience in different bedside procedures, and document how they perceive LP in terms of their own knowledge, confidence and attitude. Students then participated in a newly designed 90‐min seminar that included practical training on phantoms and placed special emphasis both on the patients' point of view during the procedure and the benefits of an atraumatic approach. All students who completed the seminar were required to complete the survey for a second time. Results Among the 153 participants, LP was associated with the lowest baseline levels of experience and confidence compared to other bedside procedures. Attitudes, knowledge, and confidence related to the various aspects of LP all showed significant improvement after the seminar. Conclusion A single standardized LP seminar with simulation training alters medical students' attitudes toward LP through improving their level of knowledge and confidence. This may have important implications in doctors‐to‐be on their stance toward LP and resultant advice to future patients regarding this important procedure.

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Section: Discussionmentioning

confidence: 78%

Medical students' attitudes toward lumbar puncture—And how to change

2019

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“…Hence there is a requirement for developing structured training activities and assessment methods to replace the traditional chair side training. The medical literature review also supported our concept that structured methods aiming to teach novice have led to sustained improvements in self-reported confidence [4,5]. …”

Section: Introductionmentioning

confidence: 82%

Flipped clinical training: a structured training method for undergraduates in complete denture prosthesis

Anbarasi

Vijayaraghavan

et al. 2016

Korean J Med Educ

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PurposeTo design and implement flipped clinical training for undergraduate dental students in removable complete denture treatment and predict its effectiveness by comparing the assessment results of students trained by flipped and traditional methods.MethodsFlipped training was designed by shifting the learning from clinics to learning center (phase I) and by preserving the practice in clinics (phase II). In phase I, student-faculty interactive session was arranged to recap prior knowledge. This is followed by a display of audio synchronized video demonstration of the procedure in a repeatable way and subsequent display of possible errors that may occur in treatment with guidelines to overcome such errors. In phase II, live demonstration of the procedure was given. Students were asked to treat three patients under instructor’s supervision. The summative assessment was conducted by applying the same checklist criterion and rubric scoring used for the traditional method. Assessment results of three batches of students trained by flipped method (study group) and three traditionally trained previous batches (control group) were taken for comparison by chi-square test.ResultsThe sum of traditionally trained three batch students who prepared acceptable dentures (score: 2 and 3) and unacceptable dentures (score: 1) was compared with the same of flipped trained three batch students revealed that the number of students who demonstrated competency by preparing acceptable dentures was higher for flipped training (χ2=30.996 with p<0.001).ConclusionThe results reveal the supremacy of flipped training in enhancing students competency and hence recommended for training various clinical procedures.

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“…Nesse manequim o cateter deve ser curto devido o comprimento do balão. É importante ressaltar que mesmo diante dessas intempéries, o modelo demonstra por completo toda a técnica de dissecção venosa da veia basílica, podendo ser expandidas para outros sítios de dissecção, apenas mudando as referências anatômicas [13][14][15] .…”

Section: Discussionunclassified

Montagem e aplicação de modelo de baixo custo de dissecção venosa

Cunha

Júnior

Ferreira

et al. 2017

Rev. Med. (São Paulo)

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RESUMO:Objetivo: Desenvolver e aplicar modelo de baixo custo para treinamento de dissecção venosa para acadêmicos de Medicina. Métodos: O modelo foi elaborado com custo fixo de 35 reais (10,5 dólares) e mais 50 centavos a cada reposição, tendo sido aprovados por 6 cirurgiões vinculados ao curso de Medicina da Universidade de Fortaleza e utilizados durante curso teórico prático. Os alunos responderam a um teste pré e pós-atividade, foram avaliados durante a prática através de check list e responderam questionário de percepção sobre o modelo. Resultados: Foi notado crescimento teórico, porém, percebeu-se a necessidade de mais treinamento procedural, o que é viável com nosso modelo de baixo custo. Em relação aos questionários de percepção, 91,95% dos alunos concordaram que os modelos mantinham boa correlação anatômica, 89,96% que o material utilizado é de boa qualidade, 95,40% que o modelo permitiu o aprendizado da dissecção venosa e 96,55% que o modelo pode ser utilizado para ensino do procedimento, números que reafirmam a eficácia e viabilidade do modelo. Conclusões: É possível a criação de modelo realista, de boa qualidade e viável para o ensino, apenas com materiais de baixo custo para treinamento de dissecção venosa.Descritores: Materiais de ensino; Dissecação/educação; Treinamento por simulação; Estudantes de medicina. ABSTRACT: Objective:We aim to develop and apply a low cost model for venous dissection training for medical students. Methods: The model was elaborated with a fixed cost of 35 reais (10,5 dollars) and 50 cents at each replacement, and was approved by 6 surgeons tied to the Medicine course of the Universidade de Fortaleza and used during practical theoretical course. The students answered a pre and post activity test, were evaluated during the practice through check list and answered the perception questionnaire about the model. Results: We noticed a theoretical growth, however, we noticed the need for more procedural training, which is feasible with our low cost model. Regarding the perception questionnaires, 91.95% of the students agreed that the models maintained good anatomical correlation, 89.96% that the material used was of good quality, 95.40% that the model allowed the learning of the venous dissection and 96.55% that the model can be used for teaching the procedure, numbers that reaffirm the effectiveness and feasibility of the model. Conclusions: It is possible to create a realistic model, of good quality and feasible for teaching, only with low cost materials for venous dissection training.

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A structured course teaching junior doctors invasive medical procedures results in sustained improvements in self-reported confidence

Cited by 15 publications

References 17 publications

Medical students' attitudes toward lumbar puncture—And how to change

Medical students' attitudes toward lumbar puncture—And how to change

Flipped clinical training: a structured training method for undergraduates in complete denture prosthesis

Montagem e aplicação de modelo de baixo custo de dissecção venosa

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