Clinical skills in final-year medical students: the relationship between self-reported confidence and direct observation by faculty or residents
Annals of the Academy of Medicine, Singapore
;
: 3-8, 2008.
Article
in English
| WPRIM
| ID: wpr-348339
ABSTRACT
<p><b>INTRODUCTION</b>Many students, while performing clinical skills such as medical interviewing/ communication, physical examination, and procedural tasks, have never been observed by faculty members or residents. This study aimed to explore the relationships between final-year medical students' self-reported confidence and the frequency of direct observation by faculty member or resident while conducting these clinical skills.</p><p><b>MATERIALS AND METHODS</b>Medical students at China Medical University in Taiwan participated in the survey. Before graduating, they were asked to answer a questionnaire about (1) their confidence in performing 17 clinical skills including medical interviewing/communication, physical examination, and procedural tasks, and (2) the number of times they had been directly observed by faculty members or residents during student-patient encounters.</p><p><b>RESULTS</b>Many students reported never having been observed by a faculty member while they performed history taking/communication (46% to 84%), physical examination (36% to 42%), or procedural tasks (41% to 81%). It was found that residents had observed the students more frequently than the faculty members. The correlations between self-reported confidence and the corresponded direct observation were small to medium but significant. However, no difference was found between observation by a faculty member and by a resident.</p><p><b>CONCLUSIONS</b>This study confirmed that many medical students have not been directly observed in clinical training; and that those who were observed more often, expressed more self-reported confidence. Some assessment measures, which focus on direct observation and feedback during student-patient encounters, may improve the students' confidence.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Reference Standards
/
Students, Medical
/
Taiwan
/
Data Collection
/
Clinical Competence
/
Observation
/
Self Efficacy
/
Internship and Residency
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
English
Journal:
Annals of the Academy of Medicine, Singapore
Year:
2008
Type:
Article
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