scholarly journals Attitudes Towards Introduction of Multiple Modalities of Simulation in Objective Structured Clinical Examination (OSCE) of Emergency Medicine (EM) Final Board Examination: A Cross-Sectional Study

2020 ◽  
Vol Volume 12 ◽  
pp. 441-449
Author(s):  
Loui K Alsulimani ◽  
Fayhan M Al-Otaiby ◽  
Yasser H Alnofaiey ◽  
Fares A Binobaid ◽  
Linda M Jafarah ◽  
...  
2019 ◽  
Vol 48 ◽  
Author(s):  
Fabiana Aparecida Mayrink DE OLIVEIRA ◽  
Fernanda Ribeiro PORTO ◽  
Cleide Gisele RIBEIRO ◽  
Ana Estela HADDAD ◽  
Rodrigo Guerra DE OLIVEIRA ◽  
...  

Abstract Introduction The OSCE is a method of clinical competencies evaluation that has gained international popularity in medical and dental education. Objective The purpose of the present study was to describe the stages of development of the OSCE for the undergraduate course in Dentistry and to report the students' perception about this method of evaluation, regarding the degree of difficulty, time for each stage, importance of each station, number of stations, organization of the exam, as well as the total time for the OSCE. Material and method This research was an observational and cross-sectional study, composed of the carry out of an OSCE and later application of an evaluative questionnaire to the students who were in the fourth semester of the Dentistry course. These students had basic knowledge and an intermediate level of competences, compatible with their stage of education. Result As regards the number of stations, 43(97.7%) of the students responded that this was appropriate, OSCE process as a whole was very well organized (n=25; 56.8%), organized (n=17; 38.6%) or not very organized (n=1; 2.27%) and about the total time of the OSCE process, 29(65.9%) reported that it was appropriate; 10 (2.27%) said that it was short; 4 (9.09%), that it was long. Conclusion The student’s perception was positive especially regarding to organization and the time attributed to each station. Furthermore, the students considered that the topics and questions applied in each station were relevant.


2021 ◽  
Vol 14 (1) ◽  
pp. 39
Author(s):  
Rahmat Rezki ◽  
Firdaus Firdaus ◽  
Enikarmila Asni

Academic achievement is an indication level of learning effort by someone. One of them is grade point average (GPA). Some researches showed correlation between GPA and medical competency test. This medical competency test consists of two parts: multiple choice question computer-based test (CBT) and an objective structured clinical examination (OSCE). This cross sectional study aimed to determine the correlation of GPA with CBT scores for the period of November 2018 - August 2019 on students of Medical Faculty Riau University. The number of samples in this study were 149 students. GPA assessment were obtained from preclinical and clinical data of GPA. The majority GPA results are included in the value of 2.75-3.49 and have a percentage of 94% (preclinical), 96% (clinical) and 98.7% (combined). CBT score <66 were obtained from 12.8% student while 87,2% students get score ≥ 66. Spearman test showed significant correlation between GPA and CBT scores of students.


Author(s):  
Ina Laela Abdillah ◽  
Intansari Nurjannah

Background: The wound care skills checklist in objective structured clinical examination (OSCE) should be valid and reliable. Thus, the reliability test of the wound care skills checklist is needed. Purpose of the study was to identify the reliability of the wound care skills checklist.Methods: This study is a descriptive non-experimental quantitative research with a cross-sectional study design. This study was conducted in the School of Nursing, Universitas Gadjah Mada, Indonesia. The number of respondents was 94 second-year students of this school of nursing. Inter-rater reliability was performed by 2 raters during OSCE. Kappa and Percent agreement (PA) were used to analyze the reliability of the checklist.Results: Inter-rater reliability of the wound care skills checklist is categorized as good based on kappa value (0.7613) and acceptable based on PA value (89.36%). The results of the twenty-two item checklist were divided into five categories. Sixteen of the twenty-two items on the wound care skills checklist are included in the first category in which kappa category (≥0.41) and PA (>70%) are acceptable. One item is in the second category which has unacceptable value of kappa and PA, one item is in the third category which has low kappa value (0.3974) and high PA (89.36%), one item is in the fourth category which has a kappa value of 0, and three items are in the fifth category which has negative kappa value.Conclusions: Inter-rater reliability of the wound care skills checklist OSCE in this nursing school can be categorized as good and acceptable.


2021 ◽  
Vol 1 (3) ◽  
pp. 59-63
Author(s):  
Aisha Alqahtani

ABSTRACT Background: Challenges related to the residency programme differ according to residents’ roles, interactions, culture, responsibilities and expectations. Aim: This study aims to explore the challenges faced by emergency medicine physicians during their residency programme. We also aim to investigate the influence of several demographic variables on their training experience. Method: This is a cross-sectional study, conducted in Saudi Arabia from June, 2021 to July 2021, using a survey designed by the author.  Results: The total number of participants was 37. Of these, 24.3% (n=9) were R1 residents, 10.8% (n=4) were R2, 35.1% (n=13) were R3, and 29.7% (n=11) were R4. While most of the participants (89%) clearly understood which reference to use for studying, only 56.7% had a clear understanding of how to study for the exams. Reading club was advocated by 72% of participants, and only half the participants had a positive perception of leading, preparing, and discussing topics during academic activity. Of all the residency levels, R3 residents were the most supportive of having expert physician guidance during ED procedures, p=0.04. Other factors given more importance by R3 residents than by other levels were mentorship, p=0.051, and having a course review for the exam, p=0.001. Conclusion: This study uncovers several challenges reported by participants from different residency levels. We noted that the R3 training level, being a period of transition from junior to senior level, is a significant period requiring more attention; more emphasis on mentorship and reading club is advocated.


Author(s):  
José Adrián Yamamoto-Moreno ◽  
Cecilia Pineda-Aguilar ◽  
Samuel Ruiz-Pérez ◽  
Gloria Liliana Gortarez-Quintana ◽  
Marco Antonio Ruiz-Dorado

Background: Healthcare workers (HCW) are a high-risk group for COVID-19. The aim of this study is to estimate the risk of acquiring COVID-19 among HCW from Mexican Institute of Social Security in Tijuana, Mexico. Methods: A cross-sectional study from Epidemiologic Surveillance Online Notification System database was conducted, including entries from Tijuana, starting March 11th until May 1st 2020. Multiple imputation was performed for the SARS-CoV-2 RT-PCR result variable where data was missing. Chi-squared statistic with Yates correction and OR were calculated to estimate the risk of HCW compared to the general population (GP). Results: From a total of 10,216 entries, only 6,256 patients were included for analysis. Being a HCW was significantly associated with a higher risk of acquiring COVID-19, OR=1.730 (CI 95% 1.459-2.050). Nurses had double the risk (OR=2.339; CI 95% 1.804-3.032) than the GP. The cluster of physicians only had an additional risk for COVID-19 of 2.8% (OR=1.828; CI 95% 0.766-1.380). Resident physicians doubled the risk of the GP (OR=2.166; CI 95% 0.933-5.025). Meanwhile, interns had a possible protecting factor (OR=0.253; CI 95% 0.085-0.758). Among medical specialties, emergency medicine has the highest risk (OR=4.071; CI 95% 1.090-15.208), followed by anesthesiologists (OR=2.806; CI 95% 0.544-14.466). Conclusion: HCW have up to 73% more risk of acquiring COVID-19 than the GP in Tijuana, Mexico. Nurses were the group at highest risk of all HCW, as a result of prolonged and close contact with patients. Emergency medicine and anesthesiology were the medical specialties most at risk because they frequently perform aerosol-generating procedures.


2019 ◽  
Vol 47 (2) ◽  
pp. 77-82
Author(s):  
Yuli Arisanti ◽  
Ratna Tanjung ◽  
Vatim Dwi Cahyani

Yaws is still unfinished  health  problem  in Jayapura City, there is still have enclave yaw’s disease. This study aimed to know clinical and result of Rapid Test Diagnostic of yaws  after mass therapy used azitromisin and to know about sanitation according to yaws. These was descriptive and cross sectional study design. Method of this study are interview, clinical examination, RDT and lesion sampel using Darkfield microscope and microscope. From 229 respondences after mass therapy of azitromisin in Jayapura City consist of 113 boys and 116 girls. The youngest about 3 years old and the oldest about 15 years old. Most of them have already have good personal hygiene from the highest presentance of taking bath, bathing used soap and changing clothes after bathing. Prevalence of yaws are tend to decreased, we found only 5 RDT (+). Frambusia masih menjadi masalah kesehatan yang belum terselesaikan, masih terdapat daerah kantong frambusia di Kota Jayapura. Penelitian ini bertujuan untuk mendapatkan gambaran secara klinis maupun pemeriksaan RDT frambusia setelah pengobatan massal dan mengetahui data sanitasi terkait frambusia ini. Jenis penelitian yang digunakan yaitu observasional     dengan desain potong lintang (cross sectional). Metode yang digunakan terdiri dari wawancara dengan kuesioner, pemeriksaan klinis,  pemeriksaan RDT dan pemeriksaan sampel berupa apusan lesi dengan menggunakan mikroskop lapangan gelap dan mikroskop cahaya biasa (pewarnaan gram). Hasil yang didapat berupa data dari 229 responden yang telah mendapatkan pengobatan Azitromisin di Kota Jayapura  yang terdiri dari responden laki – laki berjumlah 113 orang dan responden perempuan berjumlah 116 orang. Umur termuda ditemukan berumur 3 tahun dan umur tertinggi 15 tahun. Sebagian besar responden sudah memiliki personal hygiene  yang cukup baik dilihat dari tingginya persentase frekuensi mandi, pelaksanaan mandi memakai sabun dan mengganti baju setelah mandi. Angka kasus frambusia di Kota Jayapura cenderung turun dimana ditemukan hanya 5 responden dengan RDT (+).


2017 ◽  
Vol 4 (6) ◽  
pp. 2205
Author(s):  
Madhivanan S. ◽  
Harikrishnan E. ◽  
Kumarasamy K.

Background: Blood pressure measurements in childhood are an important clinical examination. Present study was done to evaluate the normal range of blood pressure (BP) in children aged 6-12 years and to find its relationship with regard to age, sex, height and weight criteria and comparing the values with the available standards.Methods: This prospective cross-sectional study was done in primary and middle schools of Chennai from January 2016 to May 2017. Three readings of blood pressure were recorded for each subject and were correlated with age, gender, socioeconomic status and anthropometry. Data was analysed on SPSS 20.0. P value of <0.05 was considered significantResults: A total of 2002 children (1026 boys, 976 girls) of age between 6-12 years were examined over 18 months. There was an upward trend in both systolic (r = 0.437, P<0.001) and diastolic BP (r = 0.386, P <0.001) with age. There was no statistically significant difference in mean systolic and diastolic BP with gender (P = 0.10), weight (P = 0.10) and height (P = 0.10). There was a statistically significant difference between the mean systolic and diastolic BP between low and high socio-economic groups (P <0.0001). The proportion of children with hypertension was 9.54% with a slight female preponderance.Conclusions: Blood pressure measurement in children is pivotal in clinical examination. It shows a linear relationship with age and varies across socio-economic status. Periodic recording of BP would enable identify hypertension at an early age.


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