2019
DOI: 10.1111/tmi.13224
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Clinical performance among recent graduates in nine low‐ and middle‐income countries

Abstract: SummaryObjectivesRecent studies have identified large and systematic deficits in clinical care in low‐income countries that are likely to limit health gains. This has focused attention on effectiveness of pre‐service education. One approach to assessing this is observation of clinical performance among recent graduates providing care. However, no studies have assessed performance in a standard manner across countries. We analysed clinical performance among recently graduated providers in nine low‐ or middle‐in… Show more

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Cited by 28 publications
(14 citation statements)
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“…Exploring the feasibility of building capacity of ward in-charges to conduct introductory training for new staff, exploring modalities for introducing low-dose, high-frequency on-the-job training, as well as investing in preservice education to improve health providers’ competencies are recommended. 45 46 …”
Section: Discussionmentioning
confidence: 99%
“…Exploring the feasibility of building capacity of ward in-charges to conduct introductory training for new staff, exploring modalities for introducing low-dose, high-frequency on-the-job training, as well as investing in preservice education to improve health providers’ competencies are recommended. 45 46 …”
Section: Discussionmentioning
confidence: 99%
“…The poor clinical performance of recent graduates in LMICs raises concerns about gaps in knowledge and models of pre-service education. 38,39 Medical and nursing curricula rarely include malnutrition leading to a reliance on in-service training. However, the goal must be to realign pre-service training so that it is fit-for-purpose and competency-based for effective practice.…”
Section: Current Challenges In Lmicsmentioning
confidence: 99%
“…68 In observation of recently graduated clinicians from nine LMIC, Nepal has shown poor performance; raising concerns about the models of clinical education and need for CBME. 4,69 Competence is the ability to perform a specific task to yield desirable outcomes based on: knowledge (understanding facts and procedures), skills (capacity to perform specific actions), abilities (based on previous experience to perform a new task), and traits (personality characteristics to respond in a certain way). 68 Measurement of competency is based on competence (can do) and performance (does).…”
Section: Political Commitment For Health Education and Performancementioning
confidence: 99%