scholarly journals P011: A pre-clerkship procedural curriculum designed for the future of Canadian medical education: a pilot and feasibility study

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S67
Author(s):  
F. Battaglia ◽  
M. Merlano ◽  
C. Sayed ◽  
M. McConnell ◽  
C. Ramnanan ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Skills Training ◽  
Training Model ◽  
School Curriculum ◽  
Control Group ◽  
Anxiety State ◽  
P Value ◽  
Procedural Skills ◽  
Canadian Medical School ◽  
Team Setting

Introduction: Procedural skills training varies significantly across Canadian medical schools, and there is currently no standardized assessment tool to evaluate its benefits. This project aims to develop a curriculum that teaches 2nd-year medical students to perform and evaluate procedural skills. The goals of this program include decreasing anxiety, increasing confidence, and achieving competence for students and also allowing staff to judge the appropriate level of supervision when delegating learners to perform basic procedures in the team setting. Our curriculum incorporates, near-peer teaching as well as near peer formative assessment. Methods: Each of the twelve 2nd year participants completed a State Trait Anxiety Inventory and self-reported confidence questionnaire related to procedural skills. Students participated in four sessions taught by expert physicians over a five month period. A new skill was taught at each monthly workshop and an opportunity to practice previously taught skills was provided. Skills were assessed in a skills integration simulation OSCE, and the anxiety and confidence questionnaire was repeated. Results: Students who completed this pilot program showed a significant decrease in mean anxiety state (2.48 vs 1.74, p-value <0.001), while the control group did not (p-value = 0.408). When assessing confidence, students who completed this program showed increased self-assessed knowledge and confidence in each of the program's assessed skills. An increased level of competency was achieved in each skill by each student as assessed by the expert physicians. Conclusion: There is evidence to suggest that implementation of this procedural skills training model within the Canadian medical school curriculum may improve student anxiety, confidence, and competency for success in clerkship and could be the foundation for developing milestones for EPAs.

scholarly journals A pre-clerkship simulation-based procedural skills curriculum: decreasing anxiety and improving confidence of procedural skill performance

2021 ◽  
Author(s):  
Frank Battaglia ◽  
Victoria Ivankovic ◽  
Maria Merlano ◽  
Vishesh Patel ◽  
Céline Sayed ◽  
...  
Keyword(s):  
Medical Students ◽  
Medical School ◽  
Flipped Classroom ◽  
Training Group ◽  
Skills Training ◽  
Control Group ◽  
Procedural Skills ◽  
Student Anxiety ◽  
Canadian Medical School ◽  
School Curricula

Introduction: Pre-clerkship procedural skills training is not yet a standard across Canadian medical school curricula, resulting in limited exposure to procedures upon entering clerkship. While simulated skills training has been documented in the literature to improve performance in technical ability, anxiety and confidence have yet to be investigated despite their documented impact on performance and learning. This study therefore aims to evaluate the effect of pre-clerkship procedural skills training on medical student anxiety and confidence. Methods: A procedural skills training program was designed based on an evidence-based near-peer, flipped classroom model of education. Ninety-two second-year medical students volunteered for the study. Fifty-six were randomized to the training group, and 36 were randomized to the control group. Students in the training group attended seven procedural skills tutorials over seven months. The control group represented the average medical school student without standardized procedural training. Student anxiety and confidence were assessed at the beginning and end of the program using the State Trait Anxiety Inventory and Confidence Questionnaires. Results: Students who participated in the procedural skills program demonstrated greater reductions in their state anxiety and greater improvements in confidence compared to the control group. Conclusion: Longitudinal procedural skills training in the simulation setting has demonstrated improvements in anxiety and confidence among pre-clerkship medical students. These added benefits to training have the potential to ease medical students’ transition into clerkship, while also contributing to a safer and more effective clinical experience. Therefore, future integration of standardized pre-clerkship procedural skills training within medical school curricula should be considered.

scholarly journals Re- Enforcing Factors Related to Consumption of Alcoholic Beverages amongst High School Students in the North Central Province, Liberia

2020 ◽  
Vol 1 (2) ◽  
pp. 11-19
Author(s):  
Joseph Nyan Gono ◽  
Dora O. Akinboye
Keyword(s):  
High School ◽  
High School Students ◽  
Life Skills ◽  
Skills Training ◽  
Training Model ◽  
Reliability Coefficient ◽  
Alcoholic Beverages ◽  
Control Group ◽  
Life Skills Training ◽  
School Students

This study endeavored to establish trends in the re-enforcing factor related to the consumption of alcoholic beverages among high school students in Liberia, using an experimental research design. A sample of 440 students from two selected schools was determined using Cochran’s formula. A sixteen item questionnaire with a reliability coefficient of 0.70 was administered to the 440 students to identify those who drink alcohol. Applying G Power formula, 84 students were randomly selected out of the 170 students who drink alcohol as participants. Another validated questionnaire with a reliability coefficient of 0.76 was used to collect data from the field. Descriptive statistics and t-test were used to analyze the data. The study concludes that the use of the Alcohol and Life Skills Training Model, which was employed to the experimental group is an effective educational tool to prepare students to make responsible decision about abstaining from drinking alcoholic beverages than the HIV/ AIDS Model which was employed to the control group. It is therefore recommended that the Government of Liberia should adopt the Alcohol and Life Skills Training Model into the National High School Curriculum in order to prevent and control the consumption of alcohol by students in high schools. Secondly, researchers and the Ministry of Education in conjunction with other Ministries such as Health and Youth should conduct further research on a wider scale on alcohol consumption among the youth, including the in-school and the out of school adolescents in Liberia.

Preliminary evaluation of the efficacy of an intervention incorporating precision teaching to train procedural skills among final cycle medical students

2017 ◽  
Vol 3 (3) ◽  
pp. 116-121 ◽  
Author(s):  
Sinéad Lydon ◽  
Nadine Burns ◽  
Olive Healy ◽  
Paul O'Connor ◽  
Bronwyn Reid McDermott ◽  
...  
Keyword(s):  
Medical Students ◽  
Intervention Group ◽  
Skills Training ◽  
Precision Teaching ◽  
Control Group ◽  
Junior Doctors ◽  
Preliminary Evaluation ◽  
Procedural Skills ◽  
Preparedness For Practice ◽  
Simulation Based

IntroductionA lack of preparedness for practice has been observed among new medical graduates. Simulation technology may offer one means of producing competency. This paper describes the application of a simulation-based intervention incorporating precision teaching (PT), a method of defining target skills, assessing individual progress and guiding instructional decisions, which is used to monitor learning and the development of behavioural fluency in other domains, to procedural skills training. Behavioural fluency refers to accurate and rapid responding that does not deteriorate with time, is resistant to distraction and can be adapted into new, more complex responses.MethodThis study used a between-groups design to evaluate the efficacy of a simulation-based intervention incorporating PT for teaching venepuncture among 11 medical students. The intervention consisted of timed learning trials during which participants carried out the skill in pairs and received corrective feedback. Two control groups of 11 untrained medical students and 11 junior doctors were also included in the study.ResultsIntervention group participants required an average of five trials and 21.9 min to reach the criterion for fluency. The intervention group demonstrated significantly higher accuracy in venepuncture performance than either control group. Improvements persisted over time, did not deteriorate during distraction, generalised to performance with patients and performance of an untargeted skill also improved.ConclusionsThe outcomes of this preliminary study support the application of PT within medical education. The implications of these data for clinical and procedural skills training are explored and suggestions are made for further research.

scholarly journals The Development of Gateball Basic Technique Training Model based on Adobe Flash Player (Development Studies at Gateball Club in Semarang City)

2019 ◽  
Vol 6 (5) ◽  
pp. 996
Author(s):  
Fajar Arif Indrajaya ◽  
Sugiyanto Sugiyanto ◽  
Agus Kristiyanto
Keyword(s):  
Training Model ◽  
Control Group ◽  
P Value ◽  
Basic Technique ◽  
Sports Clubs ◽  
Adobe Flash ◽  
Model Based ◽  
Operational Test ◽  
The Media ◽  
Engineering Training

Gateball's basic engineering training materials have varied variations, but the basic technique training model is minimal. This makes Gateball players difficult to understand the basic technique of training material the trainer is given. Therefore, it takes a new Gateball basic engineering exercise model to make it easier to understand. The main objective of this research is to produce a gateball base engineering training model based on Adobe Flash Player which can help coach, builder, and player in Semarang City. This type of research is the research and development that uses the model of development of the Borg and Gall. Based on the stage adaptation of the model of development of the Borg and Gall then obtained the following results. Assessment and validation of learning media expert with very good value of 69%. Assessment and validation expert material shows excellent learning media with a value of 95%. Assessment and validation of expert practitioners showed media categories include excellent value with 77.5%. A small group of trial results showed considerable learning valid media value of 78.54%. A large group of trial results demonstrate the value of valid learning media 80.27%. On operational test shows that the media categories include very good with average 4.58. On test the effectiveness of products put in place pre test and post test against a control group and a treatment group. Test results showed that the effectiveness of learning media has a significant value of effectiveness of significance (p value) < 0.01 0.05 means that the media effectively. As a final summary stated that viable and proven effective product enhance the basic techniques of gateball sports on sports clubs gateball in Semarang city.

scholarly journals The effectiveness of TIPER (Tailor Made Interventional Package to Enhance Relaxation) on depression, anxiety and stress among elders at old age homes, Puducherry

2019 ◽  
Vol 10 (2) ◽  
pp. 1124-1126
Author(s):  
Prakash P ◽  
Nappinai Seran ◽  
Navaneetha ◽  
Malarvizhi ◽  
Pradeep Thilakan
Keyword(s):  
Old Age ◽  
Mindfulness Meditation ◽  
Muscle Relaxation ◽  
Sampling Technique ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Anxiety State ◽  
P Value ◽  
Depression Anxiety Stress Scale ◽  
Old Age Homes

A Quasi-experimental study was conducted to explore the effectiveness of Tailor Made Interventional Package(TIPER) among the elders at Voluntrait, POINCARE (Pondicherry Society Care for the Aged), Clunny Home for aged and Anbu Nilayam in Puducherry. TIPER consists of Jacobson Progressive Muscle Relaxation, Guided Imagery and Mindfulness Meditation Total enumerative sampling technique was adopted with 211 samples in phase one, and 90 samples were obtained in phase two was randomized into study and control group of 45 each. Control group samples were administered with physical exercises. A tool used in this study was Socio-demographic Variables, Mini-Mental Status Examination, Modified Kuppusamy Socio-Economic Scale, Depression Anxiety Stress Scale(DASS-21), ICD-10 Criteria for Depression & General Anxiety, State and Trait Anxiety Scale. Results reveal that analysis of pre-test and post-test score in study group using paired ‘t' test shows the ‘p' value was <0.01 level were as in control group was not less than 0.01 level. Hence, TIPER was found effective in reducing the level of depression, anxiety and stress among elders at old age homes.

scholarly journals DUATHLON TRAINING MODEL ADAPTED FOR FEMALE RATS: BLOOD GLUCOSE-LACTATE CORRELATIONS

2019 ◽  
Vol 25 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Francisco Sérgio Lopes Vasconcelos Filho ◽  
Mateus Bastos de Souza ◽  
Jefferson Pacheco Amaral Fortes ◽  
Karla Camila Lima de Souza ◽  
Mayara Rangel Araújo Carneiro ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Blood Lactate ◽  
Lactate Production ◽  
Training Model ◽  
Serum Lactate ◽  
Female Rats ◽  
Control Group ◽  
P Value ◽  
Level Of Evidence ◽  
Lactate Levels

ABSTRACT Objective: To propose a duathlon model adapted for rats (associated swimming and running training) and compare it with the individual activities carried out separately, considering the glucose uptake and serum lactate production mechanism. Methods: Twenty-eight 90-day-old Wistar rats with a mean weight of 150-200 g were used. The animals were divided into four groups: control group, swimming group, running group, and swimming/running group. These animals were adapted to their respective training programs for three days and underwent the 4-week training protocol soon afterwards. Pre- and post-training blood lactate and blood glucose analyses were performed at the end of each week. Statistical difference was considered when the p value was less than 0.01 (p <0.01). Results: There was a decrease in glycemic levels and an increase in lactate levels in the swimming and swimming/running groups throughout the training period, which did not occur in the running group. Conclusion: The duathlon model adapted for rats proved satisfactory in terms of the production and stabilization of blood lactate levels. Level of evidence II; Therapeutic Studies - Investigating the Results of Treatment.

scholarly journals EFEKTIFITAS MODERN DRESSING TERHADAP PROSES PENYEMBUHAN LUKA DIABETES MELITUS TIPE 2

2020 ◽  
Vol 10 (1) ◽  
pp. 1273-1284
Author(s):  
Endang Subandi ◽  
Kelvin Adam Sanjaya
Keyword(s):  
Diabetes Mellitus ◽  
Assessment Tool ◽  
Wound Care ◽  
Healing Process ◽  
Wilcoxon Test ◽  
Control Group ◽  
Wound Healing Process ◽  
P Value ◽  
Wound Assessment

Luka Diabetes merupaka luka kronis yang susah disembuhakan. Luka diabetes berasal dari komplikasi penyakit diabetes. Luka diabetes sebagian besar dilakukan tindakan amputasi dan memiliki dampak kepada psikologi pasien. Sudah lama perawatan luka menggunakan konvensional yang memiliki kekurangan, seperti: menimbulkan rasa nyeri, menimbulkan luka baru, resiko infeksi lebih tinggi. Metode yang baru teknik perawatan luka  modern dressing dimana luka akan dibuat moisture balance atau lembab karena akan memfasilitasi chemokines dan cytokines untuk pertumbuhan sel pada luka.  Penelitian ini bertujuan untuk mengetahui efektifitas modern dressing terhadap proses penyembuhan luka diabetes mellitus tipe 2. Jenis penelitian menggunakan Pre-Postest With Control Group Desain terhadap suatu kelompok. Pengambilan sampel menggunakan  accidental sampling dengan jumlah sampel sebanyak 15 responden intervensi dan kontrol. Pengumpulan data dilakukan dengan observasi, Instrument penelitian yang digunakan lembar observasi Betes-Jensen Wound Assessment Tool (BWAT). Penelitian dilakukan selama 45 hari. Analisa data yang digunakan adalah uji shapiro-wilk. Data analisa dengan uji statistik Wilcoxon test. Hasil penelitian didapatkan ada perbedaan skor luka sebelum dan sesudah pada kelompok pada kelompok perlakuan dengan p-value =0.005 (≤ 0.05) dan pada kelompok kontol dengan p-value =1.000 (≥ 0,05). Lalu hasil uji beda antar kelompok dengan p-value=0,001(≤ 0,05).  Jadi dapat disimpulkan bahwa modern dressing memiliki efektifitas terhadap proses penyembuhan luka diabetes bellitus tipe 2.Kata kunci: Luka, DM Tipe 2, Modern Dressing   ABSTRACTDiabetic wound are the chronic wounds that are difficult to cure. Diabetic wounds originate from complications of diabetes mellitus. Diabeteic wound are mostly implementation is amputation  and have impact on the psychology of patients. Long time a wound treatment has deficiencies, causes pain, raises new wound, high risk of infection. New methods of modern dressing wound care tecniques where wound will be made moisture balance or moiist because it will facilitate chemokines and cytokines for cell growth in wounds. Therefore this study aims to determine the effectiviness of modern dressing on the wound healing process of  type 2 diabetes mellitus.  This type of research uses the Pre Postest With Control Group Desig for a sampling group conducted at Cirebon Wound Care Center using accidental sampling. The samples was 15 respondents treatments and control. Research instrument used were sheets observation Betes Jensen Wound Assessment Tool. The Study was conducted for 45 days. The data analysis used is the shapiro wilk test and data analysis sattistic with wilcoxon test. The result are obtained before and after in the treatment group with p value=0.005 (≤ 0.05 and in the control group with p value =1.000 (≥ 0,05). Then the result of different test between groups with a p value =0,001(≤ 0,05).The conclusion is a modern dressing has the effectiviness of the wound healing process of type 2 diabtes mellitus.Kata kunci: Diabetic Wound, Type 2 Diabetes Mellitus, Modern Dressing

scholarly journals Pengaruh Couple Prenatal Class Terhadap Kecemasan Ibu Dalam Menghadapi Persalinan Di Klinik Hana Jogonalan Klaten

2019 ◽  
Vol 4 (2) ◽  
pp. 3
Author(s):  
Anik Kurniawati ◽  
Endang Suwanti
Keyword(s):  
Pregnant Women ◽  
Rating Scale ◽  
Health Workers ◽  
Maternal Anxiety ◽  
Rank Test ◽  
Bivariate Analysis ◽  
Control Group ◽  
Anxiety State ◽  
P Value ◽  
Preliminary Study

The husband is a wife's assistant and often as a decision maker both during pregnancy and childbirth, therefore the husband also needs to get the same information as pregnant women. According to Lutfiatus Sholihah (2004), during pregnancy, the husband must also be invited to prepare to welcome the arrival of the child, because not all husbands are ready to mentally wait for his wife who is in pain, sometimes they even panic and can not calm the wife who was giving birth.Based on a preliminary study conducted that the class of pregnant women is only given to mothers without involving the husband or partner. Preliminary study data also shows that there are still many pregnant women who come to health workers during the fake labor phase. Pregnant women arrive early due to anxiety and fear of facing labor.The purpose of this study was to determine the effect of prenatal class couples on maternal anxiety in facing labor at the Hana Jogonalan Klaten clinic. This type of research is Quasi experiment, with post test design without control group design. The study was conducted at the Klaten Jogna Hanna clinic from May to August 2018.The target population in this study were pregnant women with a minimum gestational age of 36 weeks with a total population of 20 respondents The sampling technique in this study was total sampling. 10 respondents were given classes of pregnant women with husband's assistance and 10 respondents were given classes of ordinary pregnant women, classes of pregnant women were given 2 times in 1 month.The respondent's anxiety state was measured using the Hamilton Rating Scale For Anxiety (HRSA) research instrument. Data analysis was performed by univariate and bivariate analysis using the Spearman Rank test. The results showed there was no effect of couple prenatal class on maternal anxiety with a p value of 0.193 and a correlation coefficient of 0.302.

scholarly journals Impact of a pre-clinical skills course with Peer Assisted Learning (PAL) on preparedness and confidence levels of medical students in Africa

2017 ◽  
Vol 4 (1) ◽  
pp. 3
Author(s):  
Cheryl Snyder ◽  
Rose Chisenga
Keyword(s):  
Medical Students ◽  
Clinical Training ◽  
Clinical Skills ◽  
Intervention Group ◽  
Skills Training ◽  
Future Research ◽  
Control Group ◽  
P Value ◽  
Peer Assisted Learning ◽  
Confidence Levels

Background: Many benefits of pre-clinical medical skills training have been documented in more technologically advanced nations, and in the past decade, these courses have been introduced to developing countries. Curriculum that can prepare and build confidence in medical students must be cost effective, evidence-based and culturally sensitive in places where there are severe resource limitations.  In 2013, an initial pre-clinical skills course without assessments was introduced to medical students in Zambia. Later that year, a more developed course was launched to a second cohort integrating Peer Assisted Learning (PAL) and assessments. These trainers were prepared in advance with instruction in standardized skills, learning theory, effective feedback techniques and use of rubrics to insure good inter-rater reliability in teaching and assessments. Methods: A quantitative study surveyed 108 students utilizing convenience sampling and a written questionnaire. Data collected compared preparedness and confidence in performing clinical skills of the intervention cohorts with the control group (medical students who preceded pre-clinical skills training). Results: Preparedness responses increased from 36.1% of the students in the control group to 90.9% in the intervention group who had been exposed to the PAL course with assessments (p value <0.001). Student confidence levels in history taking, physical exam skills, procedures and the application of critical thinking skills diagnostically also showed improvement from 11.5-29.5% range in the control group to 77.3-86.4% range in the PAL cohort (p value <0.001).Conclusions: Exposure to pre-clinical training program especially utilizing PAL with assessments had a positive impact on the sense of preparedness and confidence levels for medical students beginning their clinical training years at the University of Zambia. Integration of PAL influenced academic development, clinical procedural standardization, appropriate curriculum additions, transitional support and program sustainability. PAL may have beneficial application extending to basic science lab instruction in resource limited environments. Recommendation for future research would be integration of qualitative triangulation and reduction of variables in confidence data reporting.

scholarly journals Model latihan core stability cabang olahraga renang gaya kupu-kupu untuk usia 9-10 tahun

2018 ◽  
Vol 6 (1) ◽  
pp. 60-68
Author(s):  
Vian Octrialinanggih Pradana ◽  
Iwan Hermawan ◽  
Ika Novitaria Marani
Keyword(s):  
Training Model ◽  
Core Stability ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Average Percentage ◽  
Group Design ◽  
Stability Ball ◽  
Stability Training ◽  
Product Effectiveness

Penelitian ini bertujuan menghasilkan produk model latihan core stability menggunakan stability ball cabang olahraga renang gaya kupu-kupu usia 9-10 tahun. Penelitian & Pengembangan ini menggunakan pendekatan Borg dan Gall. Subjek yang digunakan 20 atlet untuk uji coba kelompok kecil, 60 atlet untuk uji coba kelompok besar, dan 30 atlet untuk uji efektifitas produk. Model latihan core stability divalidasi ahli kepelatihan kondisi fisik dan ahli olahraga renang. Hasil uji coba kelompok kecil, model latihan core stability mendapat persentase rata-rata 82,20%. Hasil uji coba kelompok besar, model latihan core stability mendapat persentase rata-rata 79,60%. Uji efektivitas produk menggunakan tes kecepatan renang 50 meter gaya kupu-kupu dengan rancangan pretest-posttest control group design. Dari hasil selisih pretest-posttest kelompok eksperimen dan kontrol diperoleh harga thitung = 7,776 dengan signifikansi 0,000. Didapatkan ttabel dari db = 58 dari taraf signifikansi 5% adalah 1,671. Jadi nilai thitung > ttabel (7,776 > 1,671) dan sig. (2 tailed) atau p-value = 0,000 < 0,05. Sehingga disimpulkan terdapat efektifitas hasil kecepatan renang gaya kupu-kupu atlet renang usia 9-10 tahun yang diberikan latihan core stability menggunakan stability ball.Stability Exercise Model In Butterfly Swimming For 9-10 Years Old Children Abstract         This research aims to produce the model of core stability training model using stability ball in butterfly swimming for 9-10 years old. This Research & Development uses the Borg and Gall approach. Subjects used 20 athletes for small group trials, 60 athletes for large group trials, and 30 athletes to test product effectiveness. The core stability training model is validated by physical fitness experts and swimming sport experts. Small group trial results, core stability training model got an average percentage of 82.20%. The results of large group trials, core stability training model got an average percentage of 79.60%. Product effectiveness test using 50 meter butterfly swimming speed test with pretest-posttest control group design. From the result of  the difference beetwen the pretest-posttest experiment and control group obtained tcount = 7,776 with significance 0,000. Obtained ttable from db = 58 from 5% significance level is 1,671. So tcount> ttable (7,776 > 1.671) and sig. (2 tailed) or p-value = 0.000 < 0.05. So concluded there is effectiveness of swimming pool speed butterfly swimming athletes aged 9-10 years who are given core stability training using stability ball.

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