Trainers' perceptions of the direct observation of practical skills assessment in histopathology training: a qualitative pilot study

2012 ◽  
Vol 65 (6) ◽  
pp. 538-540 ◽  
Author(s):  
Alison Finall
2020 ◽  
Vol 12 (02) ◽  
pp. e244-e250
Author(s):  
Aliya C. Roginiel ◽  
Christopher C. Teng ◽  
Jessica H. Chow

Abstract Background Sutureless ophthalmic procedures are becoming more commonplace, reducing opportunities for ophthalmology residents to learn microsurgical suturing techniques. There is no standard curriculum in place to address this gap in clinical training among ophthalmology residency programs. Objective The aim of this study was to design, implement, and evaluate a preliminary microsurgical suturing curriculum for ophthalmology residents using Kern's six-step approach for curriculum development as a guideline, and the principles of distributed practice and guided, self-directed practice. Methods We designed a faculty-led teaching session on fundamental microsurgical suturing techniques for all 15 ophthalmology residents from Yale University over one academic year. Suturing skills were evaluated, followed by a guided teaching session, 30 days of self-directed practice time, and a re-evaluation of skills. The residents were evaluated through a written knowledge assessment and practical skills assessment. The residents also evaluated their skill level before and after the teaching session and practice period through written Likert-scale surveys. Data were evaluated in Excel using descriptive statistics and the paired t-test. Results After the session, postgraduate year 2 (PGY-2) residents felt more confident in recognition and use of surgical instruments (p < 0.01). PGY-3 residents felt less confident in their knowledge of microsurgical suturing after the session (p = 0.02). PGY-4 residents felt they were better able to identify different suture types after the session (p = 0.02). All residents improved on the written knowledge assessment (p < 0.001) and in all categories of the practical skills assessment (p < 0.001). Conclusions Implementation of a faculty-led microsurgical suturing training session, followed by 1-month of practice time, significantly improved residents' knowledge and practical application of various microsurgical suturing techniques that are necessary for performing common ophthalmic procedures.


2007 ◽  
Vol 13 (3) ◽  
pp. 313-320 ◽  
Author(s):  
A. J. Mark Hewison ◽  
Jean-Marc Angibault ◽  
Bruno Cargnelutti ◽  
Aurélie Coulon ◽  
Jean-Luc Rames ◽  
...  

2013 ◽  
Vol 35 (3) ◽  
pp. 231-236 ◽  
Author(s):  
Alejandro E. Delfino ◽  
Madawa Chandratilake ◽  
Fernando R Altermatt ◽  
Ghislaine Echevarria

2021 ◽  
Vol 3 (2) ◽  
pp. 218-223
Author(s):  
Jean C Uwimana

Background: The purpose of BLS is to maintain adequate ventilation and circulation until a means can be used to reverse the underlying cause of cardiac arrest.Worse outcomes are obtained when BLS is being done by non-trained persons. Objectives: To assess the knowledge of BLS among KIBOGORA district hospital staff and the impact of BLS training on retaining BLS skills among clinical and non-clinical KIBOGORA hospital staff. Materials and Methods: This pilot study was conducted in KIBOGORA hospital. A pre training test was given to every participant and after the training, a posttest was given to all participants. Before completing the pretest questionnaire, each participant had to choose a code made of at least 2 characters and the same code had to appear on the posttest questionnaire of the same participant. A grading system was used to categorize the level of participants’ knowledge on BLS skills. Results: Among 196 trained staff, 40 completed the pre training questionnaire .82.50 % of the subjects that completed the pre training questionnaire were clinical staff whereas 17.50% were non clinical staff. 54.55% and 33.33% of the clinical staff had respectively poor and fair knowledge on Basic Life Support (BLS) and only 6.06% were good at BLS however none of clinical staff was very good or excellent on BLS. All of the non-clinical staff that participated in the study had either a poor or fair knowledge on BLS. After the training, both clinical and non-clinical staff that completed the pre-training questionnaire, completed the post training questionnaire.30.30% of clinical staff that completed the questionnaire were good on BLS.The number of participants with an average or fair knowledge on BLSwere 27.27% in each category. 6.06% and 3.03% were excellent or very good on Basic Life Support. On the other hand, 42.86% and 28.57% of non-clinical staff had respectively poor and fair knowledge on BLS. Conclusion: After the training, knowledge on BLS improved both for clinical and non-clinical staff however more refresher courses are needed to reduce the gap seen in theoretical knowledge as well as practical skills


Author(s):  
Reza M. Munandar ◽  
Yoyo Suhoyo ◽  
Tridjoko Hadianto

Background: Mini-CEX was developed to assess clinical skills by direct observation. Mini-CEX as a clinical skills assessment tool had to fulfill four requirements: validity, reliability, effects on students, and practicality. The purpose of this study is to understand validity, reliability, and feasibility of Mini-CEX as a clinical skills assessment tool in medical core clerkship program at Faculty of Medicine Universitas Gadjah Mada.Method: Seventy four clerkship students from Internal Medicine and 42 clerkship students from Neurology Department were asked to do an observed Mini-CEX encounter for minimum amount of four in Internal Medicine and two in Neurology Department in the period of September 2010 to January 2011. The validity was analyzed with Kruskal-Wallis method for Internal Medicine, and Mann-Whitney Method for neurology Department, reliability was analyzed based on G coefficient, and feasibility was analyzed using descriptive statistic.Results: Mini-CEX’s validity is shown by p < 0,001 in Internal Medicine and p = 0,250 in Neurology Department, G coefficient for Internal Medicine and Neurology Department is 0,98 and 0,61 respectively. Feasibility in Internal Medicine and Neurology Department is 79,7 % and 100% respectively.Conclusion: Mini-CEX is valid and reliable in Internal Medicine but not in Neurology Department. Feasibility is good for both Internal Medicine and Neurology Department.


2019 ◽  
Vol 11 (4s) ◽  
pp. 177-180
Author(s):  
Bushra Moiz ◽  
Syeda Kauser Ali ◽  
Anila Rashid ◽  
Muhammad Shariq ◽  
Farheen Karim

ABSTRACT Background The mini-Clinical Evaluation Exercise (mini-CEX) and direct observation of procedural skills (DOPS) are reliable tools for work-based assessment of medical trainees. Tools of this type do not yet exist for evaluation of practical laboratory skills of pathology residents. Objective We developed and piloted a 9-item instrument for direct observation of laboratory skills (DOLS). Methods We used the DOLS tool with 10 hematopathology residents (PGY-1 to PGY-5) from Aga Khan University. Each resident was evaluated by 3 faculty members in the laboratory during 4 separate encounters using the DOLS instrument. We assessed construct validity, interrater reliability and G coefficient, feasibility of using DOLS, and learner satisfaction. Results A total of 120 encounters were observed with a mean score (±1 SD) of 56.7% (±12.44). Assessment scores moderately correlated with the number of laboratory procedures previously performed by participants (r = 0.658 and 0.641; P = .0001) and with PGY level. Interrater reliability ranged between 0.47 and 0.96. Cohen's d was 1.64. Residents accounted for a large component of estimated variance (73%), suggesting DOLS can differentiate residents' laboratory skills; variance associated with assessors was small (0.01%). Residents reported being satisfied with the tool. Mean time (±1 SD) taken for observing and feedback was 17.89 ± 5.89 minutes. Conclusions The new DOLS instrument could provide reliable scores for observing laboratory skills. Residents were satisfied with the tool, and rating times make the tool feasible for formative assessments.


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505194p1-7512505194p1
Author(s):  
Ruth Shoham ◽  
Yael Fogel

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Undergraduate OT students face great challenges when transitioning to employment. A meaningful combination of theoretical knowledge, practical skills, and personal abilities provides them a better sense of readiness for their future roles as OTs, which requires caring for clients and resilience in dealing with difficult, life-changing events. This mixed-methods pilot study empirically examines those variables before and after students’ last fieldwork training. Primary Author and Speaker: Ruth Shoham Additional Authors and Speakers: Yael Fogel


Sign in / Sign up

Export Citation Format

Share Document