Assessment of Competence in Emergency Medicine among Healthcare Professionals in Cameroon
Journal of Korean Medical Science
; : 1931-1937, 2017.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-159418
Responsible library:
WPRO
ABSTRACT
Development of a competence-based curriculum is important. This study aimed to develop competence assessment tools in emergency medicine and use it to assess competence of Cameroonian healthcare professionals. This was a cross-sectional, descriptive study. Through literature review, expert survey, and discrimination tests, we developed a self-survey questionnaire and a scenario-based competence assessment tool for assessing clinical knowledge and self-confidence to perform clinical practices or procedures. The self-survey consisted of 23 domains and 94 questionnaires on a 5-point Likert scale. Objective scenario-based competence assessment tool was used to validate the self-survey results for five life-threatening diseases presenting frequently in emergency rooms of Cameroon. Response rate of the self-survey was 82.6%. In this first half of competence assessment, knowledge of infectious disease had the highest score (4.6 ± 0.4) followed by obstetrics and gynecology (4.2 ± 0.6) and hematology and oncology (4.2 ± 0.5); in contrast, respondents rated the lowest score in the domains of disaster, abuse and assault, and psychiatric and behavior disorder (all of mean 2.8). In the scenario-based test, knowledge of multiple trauma had the highest score (4.3 ± 1.2) followed by anaphylaxis (3.4 ± 1.4), diabetic ketoacidosis (3.3 ± 1.0), ST-elevation myocardial infarction (2.5 ± 1.4), and septic shock (2.2 ± 1.1). Mean difference between the self-survey and scenario-based test was statistically insignificant (mean, −0.02; 95% confidence interval, −0.41 to 0.36), and agreement rate was 58.3%. Both evaluation tools showed a moderate correlation, and the study population had relatively low competence for specific aspects of emergency medicine and clinical procedures and skills.
Full text:
Available
Health context:
SDG3 - Target 3C: Increase health financing and the recruitment, development, training and retention of the health workforce
/
Sustainable Health Agenda for the Americas
Health problem:
Authority and Accountability for Healthcare Workers
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Goal 8: Outbreaks, emergencies and disasters
Database:
WPRIM (Western Pacific)
Main subject:
Professional Competence
/
Shock, Septic
/
Cameroon
/
Multiple Trauma
/
Communicable Diseases
/
Surveys and Questionnaires
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Mental Competency
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Diabetic Ketoacidosis
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Curriculum
/
Delivery of Health Care
Aspects:
Social determinants of health
Country/Region as subject:
Africa
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2017
Document type:
Article