ABSTRACT
Introduction: nowadays according to competency based curriculum, selecting an appropriate assessment method is inevitable. This study aimed to investigate application of Direct Observation of Procedural Skills [DOPS] in undergraduate medical students
Methods: this is a cross sectional study conducted during emergency ward rotation in last year medical students using consensus sampling method. Each student performed 2 procedures at least twice under the observation of 2 assessors using modified DOPS rating scales designed for each procedure simultaneously. Correlation between DOPS score and final routine exam was measured. Face and content validity was determined by the panel of experts. Moreover, through the test-retest and interrater reliability, the correlation of each score and total score was investigated. The spent time was calculated too. The statistical analysis was carried out using SPSS version 18
Results: totally 60 students did 240 procedures under DOPS. The face and content validity confirmed by an expert panel. The findings showed that there was a significant correlation between the scores of each test and the total DOPS score [r1=0.736**, r2=0.793**, r3=0.564**, r4=0.685**; p<0.001]. There was a significant correlation between the first and second scores of doing the same procedure [Pearson Cor.=0.74, p<0.001] and also between the scores of the two individual examiners when observing the same procedure [Pearson Cor.=0.84-0.94, p<0.001]. The results showed that there was no correlation [Pearson Correlation=0.018, p<0.89] between the scores of this test and the final routine ward exam scores. The average time for doing DOPS test and the average time for providing feedback were 11.17 +/- 7.5 Max and 9.2 +/- 4.5 Min, respectively
Conclusion: the use of novel performance assessment methods such as DOPS is highly beneficial in order to ensure the adequacy of learning in medical students and assess their readiness for accepting professional responsibilities. DOPS as a practical and reliable test with acceptable validation can be used to assess clinical skills of undergraduate medical students
ABSTRACT
The aim of this study was to examine the quality of life in patients with Parkinson's disease [PD] using a Parkinson's Disease Questionnaire [PDQ-39] as a measure. In this cross-sectional study, 200 consecutive patients with PD who referred to Tehran University of Medical Sciences Hospitals were enrolled. The PDQ-39 was used for evaluation. Statistical tests like ANOVA, t-test and Spearman rank correlations were used to assess the relationship between duration and clinical stage of disease and the quality of life. The mean age of the patients was 57.32years [10.5 SD]. 135[67.5%] were male and 65[32.5%] female. Most of the patients [46/5%] were in mild stage. The results showed total effect of PD on patient`s quality of life, on dimensions that measured by PDQ-39. The mean of Parkinson`s disease summary index [PDSI] was 35/17 +/- 15/43.Also severity [p=0.008] and duration [p=0.0001] of disease had a significant effect on Quality of life. Quality of life deteriorated significantly with increasing disease. Paying attention to other dimensions of quality of life than clinical symptoms is suggested to improve health related quality of life in patients with Parkinson's disease.
ABSTRACT
Endometriosis is a estrogen-depended and chronic gynecological disease. The symptoms of this with an overall negative impact on the psychosocial parameters in the patients, leading to a significant reduction of health-related quality of life. The aim of this study was to evaluate health-related quality of life in patients with endometriosis. This cross-sectional study was performed on women with endometriosis in Several hospitals affiliated Tehran University of Medical Sciences, with non randomized sampling method. Health-related quality of life in patients with endometriosis was investigated with endometriosis health profile [EHP-30] questionnaire in 5 scales including Pain, Emotional well-being, control and powerlessness, Social support and self imaging scales. Data analyzed by descriptive statistics in SPSS [15] software. Mean age of 100 Participants in this study was 39.5 +/- 7.54 years. Quality of life scores in core questionnaire domains was 36.20 to 46.73 and in modular questionnaire domains was 34.85 to50.55.Most aspects affected by disease were psychological and pain in core questionnaire and infertility in modular questionnaire. The least affected by the disease was self image domain. Our study showed that Endometriosis impairs health related quality of life, especially in the domains of psychological and pain. Emphasizing on life Quality of patients using appropriate medication therapy and Psychotherapy is necessary and important