This study aimed to evaluate the current status of the internship assessment in medical colleges of Bangladesh. Internship acts as the pathway from being a medical student to becoming a registered doctor. Hence, a rigorous and robust internship leads to producing better doctor and in turn better healthcare. Thus, proper assessment is necessary to ensure the quality of the future medical practitioners. Unfortunately, no study has been done in Bangladesh related to this context. A cross-sectional descriptive study with pre-tested self-administered questionnaires covering study place and population and factors relevant to intern assessment (assessment after each major discipline completion, assessment techniques, and feedback) was performed. The study was carried out in 8 medical colleges (4 public and 4 non-government; 4 inside Dhaka and 4 outside). 300 completed questionnaires (250 interns, 50 supervisors) were analyzed. All the collected data were analyzed and presented with SPSS v 19.0 software. Results revealed that there was no assessment present after completion of major placement rotation (about 54% interns and 24% teachers). Furthermore, only logbook was signed as the prevailing assessment technique (more than 66% interns and 72% doctors). Moreover, assessment feedback system was not fully functional (48.7% respondent views). Hence, the overall scenario is shabby and poses questions on our future doctors' skill set.
This descriptive cross-sectional study was carried out on 384 third year medical students from 6 government and 6 non-government medical colleges to find out the opinion regarding newly introduced assessment system in the 1st professional MBBS examination which was held in January 2012. It was found that majority (75%) of the respondents expressed their satisfaction with the newly introduced assessment system. Ninety one percent students opined that short answer question in written examination had inclined students to understand content rather than memorization. Eighty nine percent and eighty six percent respondents expressed their opinion in favor of MCQ and objective structured practical examination respectively. Majority (82.03%) students opined that inclusion of structured oral examination (SOE) instead of traditional oral exam was better. Nearly 87% respondents thought that adding of a certain percentage of mark of formative assessment was a positive initiative. On the other hand, 35% students felt that examination phobia in oral or viva is not reduced by introducing SOE, 27% believed that all examination are not judged in same standard by the examiners by means of OSPE and 24% respondents believed that result of SOE depends, to some extent, upon examiners desire and intension. So, it revealed that the new assessment method is not implemented properly, teachers were not trained accordingly and students were not aware about the new assessment method.Bangladesh Med J. 2015 May; 44 (2): 92-96
Background: Worldwide , the modernization of medical education is leading to the design and implementation of new postgraduate curricula. The necessity to reform postgraduate medical education has been recognized worldwide. Grounding in educational science and social accountability are raising issues.Objective: To analyze the situation of the fellowship (FCPS, Part-II) training in Gynaecology & Obstetrics of selected medical colleges in Bangladesh.Methodology: This descriptive type of cross sectional study was conducted among 50 supervisors of Obstetrics & Gynae dept. at selected medical colleges four in Dhaka city and four outside Dhaka. This study was carried out from January to December, 2014. The sampling technique was convenient sampling. In-depth interview of the supervisors was taken.Results: During interview majority (60%) of the supervisors told that the curriculum is followed in Obs & Gynae Part 11 course which is made by BCPS is standard. About 80% supervisors told that the institution has well developed infrastructure, academic complex and OT complex for training and 70% told that there are well organized investigation facilities and instruments available. Majority of the supervisors (80%) told that supervisors and trainees ratio is proper. Majority of the supervisors (75%) told that training is full time and residential. Majority of the supervisors (95%) told that patient care services (outdoor, indoor and emergency) are satisfactory. About 80% supervisors told that they have not good library facilities with latest books and journals. Internet/website facilities are also not available in all libraries. Most of the supervisor (80%) respondents believed that their hospital should have a mechanism for consultation, feedback and supervisory assessments system. Conclusion: So significant room exists for improvement in the quality of fellowship training as indicated by the less than desirable proportion of trainees being satisfied with different aspects of training. Faculty members who constitute the cornerstone of educational process are pivotal to effect the desired improvements.
This was a descriptive cross-sectional study conducted in 2015, objective was to find out the views of the students of 3rd phase of non-government medical colleges regarding the community based medical education practice in their colleges. Data was collected from 507 students of 12 medical colleges by using self-administered structured questionnaires. Among the students 223 were from the Dhaka city and 284 from outside the Dhaka city. Almost 90 percent of the students mentioned that their institutes conducted RFST and Day Visit programe, and duration of Residential Field Site Training (RFST) programe ranges from 1-30 days with mean 9.45 and SD ± 6.34. Most of the students mentioned that they did not stay night in the community. About sixty percent of the students were satisfied with the RFST programe . During RFST programme most of the students 387 (77.7) visited upazila health complex, and 296 (59.4) participated in the conduction of survey. Most of the students visited institute of public health, EPI head quarter and MCH centre or clinic during Day visit programme. Most of them mentioned problems faced in RFST programme as: lack of transport support; lack own accommodation facilities; lack of security; and lack of cooperation from the authority of the different organizations. Suggestions given by the students for the further improvement of the practice of CBME programme in their institutes were mainly : realization of importance of CBME by college authority , teachers and students; College authority should be well motivated for conducting the CBME programme activities in their institute; College authority should build dormitories for the permanent solution of the residential problems and College authority should have the required amount of transport for this activities.Bangladesh Journal of Medical Education Vol.9(1) 2018: 21-25
The internship period provides the first level of postgraduate medical training and serves as one of the fundamental strides in every doctor’s career. An inadequate internship program in terms of duration, skills and quality may pose serious concerns on the overall healthcare sector. Hence, the aim of this study was to explore the adequacy of the duration of internship program in medical colleges of Bangladesh. Till date, any significant study has not been reported to address the issue. A cross-sectional descriptive study with pre-tested self-administered questionnaires was performed. The study was carried out in 8 medical colleges (4 public and 4 non-government; 4 inside Dhaka and 4 outside). 300 completed questionnaires (250 interns, 50 supervisors) were statistically analyzed with SPSSv20 software. Majority of the interns and teachers voiced that the current duration of One-year Internship Program was inadequate and they further suggested that the duration can be revised to at least a year and half. Further opinions were put forward to modify the community placement duration period from two weeks to at least three weeks as the current duration was also deficient. These findings thus can help the policy makers, medical practitioners and academicians to review the current structure and duration of the internship program in medical colleges of Bangladesh for the betterment of the undergraduate medical education as well as the overall healthcare system. Bangladesh Journal of Medical Education Vol.12(1) 2021: 32-39
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