Competence Is a Habit

Leach, David C.

doi:10.1001/jama.287.2.243

Cited by 157 publications

(101 citation statements)

References 19 publications

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“…El futuro practicante de la medicina científica debe estar en posición de aprender los principios esenciales de su práctica profesional 19 y hacer de su competencia, un hábito 20,21 . Sin embargo, en todo proceso de enseñanza-aprendizaje es necesario satisfacer un requisito insoslayable como es la evaluación permanente.…”

Section: Discussionunclassified

Estudio observacional de habilidades quirúrgicas en residentes

Arribalzaga

Jacovella

2006

Educ. méd.

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Introducción: existen actualmente "agujeros negros" en la transmisión de conocimientos aplicables que obligan a poner atención en los mecanismos de adquisición de destrezas y habilidades. El objetivo es evaluar características cualitativas de las habilidades en 2 tipos de procedimientos técnicos básicos al alcance de un cirujano general. Material y Métodos: estudio preliminar exploratorio observacional prospectivo en un Hospital Universitario consistente en la observación de los pasos de una toracotomía axilar o una dermolipectomía abdominal anterior con neo ombligo. Se analizó la práctica de las operaciones programadas, no discriminando que médicos residentes las habían efectuado. Los datos se medían en una lista de cotejos con una escala tipo Likert modificada de 3 items. Cada paso de la técnica observada era evaluado sin considerar el tiempo de duración de cada maniobra. Los evaluadores eran ajenos al equipo quirúrgico actuante ubicados donde no se los veía (en miradores) para evitar sesgos o maniobras que afectaran la actividad. Se usaron pruebas estadísticas de ANOVA y prueba de t para detectar validez y diferencias en los resultados.Resultados: observada una toracotomía, todos los pasos quirúrgicos fueron evaluados por encima del valor 2 (bueno), sin variaciones en el desarrollo de cada paso ni existir diferencias significativas en la comparación de destrezas. Similares resultados se hallaron en la observación de la otra técnica. Conclusiones: con un sencillo método de observación directa inadvertida por el evaluado con criterios específicos se hizo un diagnóstico de situación demostrando la existencia de habilidades adquiridas en cirujanos en formación durante programas de residencia. Palabras clave: cirugía-enseñanza-residencia -habilidadesevaluaciónIntroduction: Some " black holes" in the knowledge transmission process, suggest to pay attention on the correct way to acquire specific surgical skills. The objective is to evaluate qualitative features of main surgical skills in two basis surgical techniques performed by residents. Material and method: Observational prospective preliminary study in University Hospital, in both thoracotomy and abdominoplasty performed. Through a modified comparison Likert scale, specific maneuvers were evaluated. Observers did not know surgeons identity. Statistical analysis (ANOVA and Student t test) was used to detect results validity and differences. Results: Both surgical techniques obtainded a number 2 value (good), without significant differences between them.

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Section: Discussionunclassified

Estudio observacional de habilidades quirúrgicas en residentes

Arribalzaga

Jacovella

2006

Educ. méd.

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“…Competence may be defined as the habitual demonstration of reflective practice. 2,3 It goes beyond knowledge, skill, and attitude, beyond mere potential, and is demonstrated by actual performance. One hundred years ago, when Dr. McDonald completed his formal training, the big issue for the profession was to distinguish the qualified from the quacks.…”

Section: ) Learning Portfoliosmentioning

confidence: 99%

Preparing the Personal Physician for Practice (P4): Redesigning Family Medicine Residencies: New Wine, New Wineskins, Learning, Unlearning, and a Journey to Authenticity

Leach

Batalden²

2007

The Journal of the American Board of Family Medicine

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The family medicine community has come together in the Future of Family Medicine Project in an attempt to be clear about its work and values and to address the frustrations of both its own practitioners and the public. A new model has been proposed, offering several attractive features for both patients and practitioners. The project has generated momentum around the notion that it is really possible to redesign family medicine residency programs. This article reviews assumptions about the redesign and 10 interventions in 3 categories. The categories are both familiar and new, and knowledge, skills, and attitudes are reframed. The interventions include learning portfolios, a curriculum that goes beyond rotations, becoming explicit about locally useful knowledge, getting discretion and discipline right, linking evaluations to system improvement, attention to the science of clinical practice, simulation, validating resident feelings, educating to mastery, and attention to group and individual formation.

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“…1 Competence is not an achievement but rather a habit of lifelong learning. 6 On the other hand, competence is the habitual and judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values, and reflection in daily practice for the benefit of the individuals and communities being served. Additionally, assessment plays an integral role in helping physicians identify and respond to their own learning needs.…”

Section: Introductionmentioning

confidence: 99%

Academic performance of fnal year medical students at kerbala medical college

Alak

Hakeem

Mousawi

2017

J. contemp. med. sci.

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Objective Assessment of final year students' examination results in Kerbala Medical College in the academic years 2014-2015 and 2015-2016. Methods Students' achievements in different parts of the final year examination in Kerbala Medical College for the academic years 2014-2015 and 2015-2016. Students' scores in different parts of the theoretical and clinical examinations were analyzed to determine the effectiveness of the assessment process. In addition, students' cumulative scores for the preceding 5 years were explored to determine the association with final year scores. The data were analyzed using the (SPSS) version 20 through different descriptive and analytic statistical tools using: percentages, means, standard deviations, internal reliability, confidence intervals, factor analysis, t-test, ANOVA test and correlation.Results The results of mean score (scored out of 10 for all scores) and standard deviation theoretical exam in medicine, surgery, gynecology and obstetrics and pediatrics were: 4.55 ± 1.14, 5.62 ± 1.12, 7.15 ± 0.78, 6.31 ± 1.14, respectively and no gender difference was observed. While the comparable results in 2016 were: 5.61 ± 0.92, 5.28 ± 1.08, 7.13 ± 0.92, 7.79 ± 1.22. Performance, objective structured clinical examination (OSCE) total score were (in the same order) for 2015: 6.30 ± 0.83, 6.66 ± 0.88, 7.02 ± 0.91, 7.81 ± 0.99. On comparison of 2015 and 2016 results, minor significant differences were found. A significant positive association was found between graduation score and previous year's scores. Minor significant gender differences were observed in only few assessed parameters. Conclusion The present study aimed at a correct in depth analysis of the evaluation process and an examination of Kerbala Medical College graduates in two successive years. The results found were very helpful in pointing out the main shortcomings and strength in the examination stations.

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Competence Is a Habit

Cited by 157 publications

References 19 publications

Estudio observacional de habilidades quirúrgicas en residentes

Estudio observacional de habilidades quirúrgicas en residentes

Preparing the Personal Physician for Practice (P4): Redesigning Family Medicine Residencies: New Wine, New Wineskins, Learning, Unlearning, and a Journey to Authenticity

Academic performance of fnal year medical students at kerbala medical college

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