Effects of partial substitution of pre-clinical skills training by attachments to primary health care centers: An experimental study

Widyandana, Widyandana; Majoor, Gerard D.; Scherpbier, A. J. J. A.

doi:10.3109/0142159x.2011.565829

Cited by 10 publications

(9 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the other hand, ECE seems more efficient to improve preparation of pre-clinical students for their clinical rotations than considerable expansion of the skills laboratory training program. This may be particularly important in developing countries where budget restrictions call for the selection of the most cost-efficient solutions [11]. …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Preclinical students’ experiences in early clerkships after skills training partly offered in primary health care centers: a qualitative study from Indonesia

2012

View full text Add to dashboard Cite

BackgroundStudents may encounter difficulties when they have to apply clinical skills trained in their pre-clinical studies in clerkships. Early clinical exposure in the pre-clinical phase has been recommended to reduce these transition problems. The aim of this study is to explore differences in students' experiences during the first clerkships between students exclusively trained in a skills laboratory and peers for whom part of their skills training was substituted by early clinical experiences (ECE).MethodsThirty pre-clinical students trained clinical skills exclusively in a skills laboratory; 30 peers received part of their skills training in PHC centers. Within half a year after commencing their clerkships all 60 students shared their experiences in focus group discussions (FGDs). Verbatim transcripts of FGDs were analyzed using Atlas-Ti software.ResultsClerkship students who had participated in ECE in PHC centers felt better prepared to perform their clinical skills during the first clerkships than peers who had only practiced in a skills laboratory. ECE in PHC centers impacted positively in particular on students’ confidence, clinical reasoning, and interpersonal communication.ConclusionIn the Indonesian setting ECE in PHC centers reduce difficulties commonly encountered by medical students in the first clerkships.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Furthermore, we demonstrated that pre-clinical students who were trained in PHC centers felt better prepared for entering their clerkships. [11]. For this study, the same students involved in the previous one were interviewed for this study after they had entered the clinical phase of their studies.…”

Section: Introductionmentioning

confidence: 99%

Preclinical students’ experiences in early clerkships after skills training partly offered in primary health care centers: a qualitative study from Indonesia

2012

View full text Add to dashboard Cite

show abstract

“…Taiwan's medical training consists of 7 years of post-secondary medical school followed by Effects of a new parallel primary healthcare centre and on-campus training programme on history taking, physical examination skills and medical students' preparedness: a prospective comparative study in Taiwan Ying-Ying Yang, 1,2,3 Shuu-Jiun Wang, 1,4 Ling-Yu Yang, 1,5 Jiing-Feng Lirng, 1,4 Chia-Chang Huang, 1,2 Jen-Feng Liang, 1,5 Fa-Yauh Lee, 1,3,4 Shinn-Jang Hwang, 1,4 Chin-Chou Huang, 1 ► Similar preparation period before assessments, as well as randomised raters, simulation patients, students and standardised processes in group objective structured clinical examination (GOSCE)/ OSCE ensured the comparability of the results of the primary healthcare centre (PHCC) group and the PHCC training in combination with on-campus history taking (HT) and physical examination (PE) training (PHCC+on-campus) group. ► Pre-clerks in both modules, which equally extended the whole fourth year of medical education, were volunteers that were more committed, brighter and motivated; this may have resulted in some degree of selective bias.…”

Section: Introductionmentioning

confidence: 99%

“…Hence a well organised IM orientated preclinical skills curriculum is crucial for enhancement of students' future comfort and confidence with PHCC patients and hospital inpatients during their clinical clerkship. 5 Nonetheless, recent studies have suggested that the HT and PE skills of clinical clerks is already below expectation at the end of the IM clerkship and residency. [6][7][8] Accordingly, this study aims to evaluate the effectiveness of parallel on-campus, faculty led, student assisted training and PHCC basic HT and PE skills training courses on pre-clerks' preparedness for IM clerkship, especially confidence/coping, patient management and self-directed learning.…”

Section: Introductionmentioning

confidence: 99%

Effects of a new parallel primary healthcare centre and on-campus training programme on history taking, physical examination skills and medical students' preparedness: a prospective comparative study in Taiwan

et al. 2017

View full text Add to dashboard Cite

ObjectivesThe primary healthcarecentre (PHCC) is the first place that medical students experience patient contact. Usually, medical students are frustrated by a lack of proper skills training for on-campus history taking (HT), physical examination (PE) and self-directed learning (SDL) to prepare for their PHCC and inhospital patient contact. For pre-clerks, this study aims to compare the effectiveness of PHCC training and PHCC training in combination with on-campus HT and PE training modules (PHCC+on-campus) on their clerkship preparedness.DesignThis comparative study utilised prospective, consecutive, end of pre-clerkship group objective structured clinical examination (GOSCE), beginning of clerkship OSCE and self-administered Preparation for Hospital Practice Questionnaire (PHPQ).Setting/participants128 pre-clinical clerk volunteers (64 each year) receiving PHCC training (7 week PHCCtraining in addition to 7 week assignment based group learning, academic year 2014, controls) and PHCC training in combination with on-campus module training (academic year 2015, 7 week PHCCtraining in addition to 7 week on-campus sessions) were sequentially assessed before the module (week 1), at the end of the module (week 14) and at the beginning of clerkship (week 25).ResultsFor overall HT and PE skills, both PHCC and PHCC+on-campus module trained pre-clerks performed better on OSCE than GOSCE. Additionally, the improvement was accompanied by higher self-reported PHPQ scores in ‘confidence/coping’ and ‘SDL’ domains. At the end of the pre-clerkship and the beginning of the clerkship stages, the degree of improvement in preparedness in ‘confidence/coping’ and ‘SDL’ domains was higher for those in the PHCC+on-campus group than for those in the PHCC group. Among the PHCC+on-campus module participants, a positive association was observed between high mean PHPQ-SDL scores and high OSCE scores.ConclusionsOur study suggests that the PHCC+on-campus module, which is paired faculty led and pre-trained dyad student assisted, is effective in developing a preclinical clerk’s HT and PE skills and intensifying SDL/patient management abilities to prepare for hospital practice in clerkship.

show abstract

“…Recent studies indicate students may encounter problems when applying clinical skills learned in a skills laboratory to actual patients. To facilitate this transition, it has been recommended that medical schools include patient contact early in the preclinical curriculum [10]. However, few studies show students' early clinical skill development is not influenced by the educational setting [11].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Training in Primary Health Care Centers on Medical Students’ Clinical Skills

Alnasir

Jaradat

2013

ISRN Family Medicine

View full text Add to dashboard Cite

Medical students' effective clinical skills training are an important goal of any medical school. When adequate, graduate doctors will have sufficient skills to consult a patient by taking proper history and conducting appropriate physical examination. The question under scrutiny is the optimal place for providing such training. Since the aim is to graduate general physicians, many literatures highlighted the importance of implementing such training in the primary health care centers. A special clinical skills training program was developed for the Year 4 pre-clerkship medical students of the Arabian Gulf University during the academic year 2011-2012. It was important for these students to acquire certain skills before transferring to the clerkship phase where they deal directly with patients. For the 130 students involved in this study, a self-assessment and clinical exam were conducted at the beginning and end of the program. The study showed that students benefited greatly from this training program with significant differences between their preexisting known skills and clinical skills acquired by the end of the program. Primary care centers are ideal places for optimal training because of small group training setting that is one tutor to two students and of the advantage that students face real patient environment.

show abstract

Effects of partial substitution of pre-clinical skills training by attachments to primary health care centers: An experimental study

Cited by 10 publications

References 20 publications

Preclinical students’ experiences in early clerkships after skills training partly offered in primary health care centers: a qualitative study from Indonesia

Preclinical students’ experiences in early clerkships after skills training partly offered in primary health care centers: a qualitative study from Indonesia

Effects of a new parallel primary healthcare centre and on-campus training programme on history taking, physical examination skills and medical students' preparedness: a prospective comparative study in Taiwan

The Effect of Training in Primary Health Care Centers on Medical Students’ Clinical Skills

Contact Info

Product

Resources

About