Competence in performing emergency skills: how good do doctors really think they are?
African journal of emergency medicine (Print)
; 7(4): 151156-2017. ilus
Article
in English
| AIM
| ID: biblio-1258674
Responsible library:
CG1.1
ABSTRACT
Introduction.Despite the differences in exposure and experience in dealing with medical emergencies, all doctors should nevertheless be competent to assist a patient in need of resuscitation. The objective of this study was to describe the level of self-assessed emergency skill competence that specialist trainees in various disciplines possessed as well as to identify factors that may have contributed to their level of self-perceived competence. Methods.A prospective, cross-sectional, questionnaire study of various specialist trainees' self-perceived levels of competence in emergency skills was conducted across three academic hospitals in Johannesburg, South Africa. Trainees from General Surgery and Internal Medicine (Clinical) and Psychiatry and Radiology (Non-Clinical) rated their self-perceived level of competence in a list of basic, intermediate and advanced emergency skills according to a five-point Likert ranking scale. Results.Ninety-four specialist trainees participated in the study a response rate of 36%. The overall median competence rating for cardiac arrest resuscitation was 3.0 [IQR 3.0, 4.0] (i.e. intermediate). The median competence rating for cardiac arrest resuscitation in the clinical group (4.0) [IQR 3.0, 4.0] was higher than in the non-clinical group (3.0) [IQR 2.0, 3.0] (pâ
<â
0.001). Current or expired certification in Paediatric Advanced Life Support (PALS) or Advanced Paediatric Life Support (APLS) courses increased perceived competence and delays in starting specialisation resulted in a decrease in overall competence composite scores for each year of delay after internship. Discussion. General Surgery and Internal Medicine trainees had a higher level of self-perceived competence in various emergency skills than their non- clinical counterparts. Current certification in advanced life support courses had a positive impact on trainees' self- perceived levels of competence in emergency skills. Specialist trainees who had less delay before starting their specialist training also demonstrated higher levels of perceived competence
Search on Google
Index:
AIM (Africa)
Main subject:
Physicians
/
Resuscitation
/
South Africa
/
Cross-Sectional Studies
/
Clinical Competence
Type of study:
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Country/Region as subject:
Africa
Language:
English
Journal:
African journal of emergency medicine (Print)
Year:
2017
Type:
Article
Similar
MEDLINE
...
LILACS
LIS