Clinical skills training in primary care settings improves
perception of preparedness for clinical rotations without impacting
on skillsassessmentMarch 3, 2010 at 1:47 am (articles) Authors: D
Widyandana, G D Majoor, A J J A ScherpbierBackground Early clinical
exposure of medical students is supposed to improve preparation for
prospective clinical rotations. Hence, students prepared
exclusively in a skills laboratory were compared with peers for
whom part of their skills training programme was substituted by
training in a primary health centre (PHC).Summary of work Over a
5-week period 153 fourth-year (pre-clinical) medical students
trained clinical skills exclusively in a skills lab; 59 of their
peers received a mixed programme of laboratory trainings and
practice in PHC. Students perception of preparedness and clinical
skills achievement were assessed through the Preparation for
Hospital Practice Questionnaire (PHPQ) and a 9-station OSCE
exam.Summary of results Students taking the mixed programme felt
significantly better prepared for clinical rotations than
exclusively skills lab-trained peers. Mean OSCE scores of both
groups did not differ significantly. Students preparedness scores
did not correlate with their General Point Average (GPA) and OSCE
scores.Conclusion Adding clinical skills training in a PHC setting
to skills lab trainings improved students perception of
preparedness for clinical rotations. However, this mixed programme
did not improve students clinical and academic performance. Take
home message Early clinical encounters may improve students
perception of preparedness for clinical rotations. However,
tangible impact on clinical and academic performance remains to be
demonstrated.Accepted As: Oral Presentationin OTTAWA Conference
2010, Miami, Florida, USfurther information, please contact:
[email protected] Leave a Comment INTEGRATING CLINICAL
SKILLS TRAINING IN SKILLS LABORATORY AND PRIMARY HEALTH CARE
SETTINGS TO PREPARE MEDICAL STUDENTS ENTERING
HOSPITALCLERKSHIPMarch 3, 2010 at 1:37 am (articles) 1D.
Widyandana, 2G.D. Majoor, 2A.J.J.A. Scherpbier 1 Dept. Medical
Education & Skills Lab, Faculty of Medicine, Gadjah Mada
University, Yogyakarta, Indonesia2Institute for Education, Faculty
of Health, Medicine and Life Sciences, Maastricht University,
Maastricht, The NetherlandsKeywords:Clinical skills training,
preparation, undergraduate students, primary care, attachment
programIntroductionUndergraduate medical students can practice
their clinical skills in a skills laboratory when a school has this
facility. Finishing pre-clinical phase, the students enter clinical
rotations in real clinical setting. Current studies show that
transition process from campus into real clinical setting can cause
problems for students, they often feel anxious and not prepared
enough to face real patients in reality. Integrating skills
training between skills laboratory and primary health care setting
could be a solution for this problem.ObjectiveTo show the effects
of clinical attachment program with integrated skills training in
Primary Health Care (PHC) settings on students level of
preparedness to enter clinical rotation.Method59 undergraduate
medical students in Faculty of Medicine, Gadjah Mada University,
Indonesia, randomly choosen to practice their clinical skills in
PHC setting before entering clerkship for 5 weeks (11 days).
Preparation for Hospital Practice Questionnaire (Hill et al, 1998)
will be used for pretest and post test to assess students level of
preparedness entering clerkship, that consists of interpersonal
skills, confident, collaboration, management, science, prevention,
holistic care, and self directed learning. The clinical supervisor
assesses students improvements 5 times during attachments program
in PHC.ResultFinishing clinical attachment in PHCs, students have
significant improvement in their sense of preparedness entering
clinical rotations (p
