The Perceptions of the Preparedness of Medical Graduates to Take on Internship Responsibilities in Low Resource Hospitals in Kenya

Muthaura, Patricia N.; Khamis, Tashmin

doi:10.5539/hes.v3n1p115

Cited by 4 publications

(4 citation statements)

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“…Two of the authors personally visited each of the seven centres to conduct and scribe the focus group discussions (FGD)/ semi structured interviews. The questions for the FGD were based on a pilot study at the Aga Khan University Hospital in Nairobi with residents who had done their internship 2–3 years ago in various types of hospitals [ 21 ]. The questions were modified for the current study which was different in two main respects: (1) the present study was conducted on site and involved interns who were immersed in their internship; (2) a second schedule of questions for intern supervisors was designed to include their views for data triangulation.…”

Section: Methodsmentioning

confidence: 99%

“…The overwhelming responsibility of an intern is in contrast to a predominant observer status as a medical student. Despite their novice status, interns’ duties may extend to cover administrative roles of running the hospital as well as fulfilling clinical responsibilities with a high degree of autonomy and minimum supervision [ 21 ]. Finally the context is different from a tertiary teaching hospital in terms of the diseases encountered and patients' socioeconomic and cultural backgrounds.…”

Section: Introductionmentioning

confidence: 99%

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Perceptions of the preparedness of medical graduates for internship responsibilities in district hospitals in Kenya: a qualitative study

et al. 2015

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BackgroundAga Khan University is developing its undergraduate medical education curriculum for East Africa. In Kenya, a 1 year internship is mandatory for medical graduates’ registration as practitioners. The majority of approved internship training sites are at district hospitals. The purposes of this study were to determine: (1) whether recent Kenyan medical graduates are prepared for their roles as interns in district hospitals upon graduation from medical school; (2) what working and training conditions and social support interns are likely to face in district hospital; and (3) what aspects of the undergraduate curriculum need to be addressed to overcome perceived deficiencies in interns’ competencies.MethodsFocus group discussions and semi-structured interviews were conducted with current interns and clinical supervisors in seven district hospitals in Kenya. Perceptions of both interns and supervisors regarding interns’ responsibilities and skills, working conditions at district hospitals, and improvements required in medical education were obtained.ResultsFindings included agreement across informants on deficiencies in interns’ practical skills and experience of managing clinical challenges. Supervisors were generally critical regarding interns’ competencies, whereas interns were more specific about their weaknesses. Supervisor expectations were higher in relation to surgical procedures than those of interns. There was agreement on the limited learning, clinical facilities and social support available at district hospitals including, according to interns, inadequate supervision. Supervisors felt they provided adequate supervision and that interns lacked the ability to initiate communication with them. Both groups indicated transition challenges from medical school to medical practice attributable to inadequate practical experience. They indicated the need for more direct patient care responsibilities and clinical experience at a district hospital during undergraduate training.ConclusionPerception of medical graduates’ unpreparedness seemed to stem from a failure to implement the apprenticeship model of learning in medical school and lack of prior exposure to district hospitals. These findings will inform curriculum development to meet stakeholder requirements, improve the quality of graduates, and increase satisfaction with transition to practice.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceptions of the preparedness of medical graduates for internship responsibilities in district hospitals in Kenya: a qualitative study

et al. 2015

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“…While attempts at integrated curricula have sought to bridge this gap [ 3 – 5 ], there are numerous reports outlining implementation challenges across the world [ 6 – 8 ]. Disjointed curricula also cascade into ill-prepared graduates entering internships [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

The use of a surgical boot camp combining anatomical education and surgical simulation for internship preparedness among senior medical students

et al. 2022

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Background Senior medical students feel unprepared for surgical procedures and care for surgery patients when they begin their internship. This study sought to introduce and evaluate a surgical boot camp training for senior medical students. Methods A 44-h surgical boot camp program of lectures on clinical practice simulation, anatomical dissections, and simulated operation on cadavers was designed, implemented, and evaluated during the 2018 to 2019 academic year. A self-administered questionnaire was used to assess students’ perceptions of the content, delivery, and self-confidence. The mini-Clinical Evaluation Exercise (mini-CEX) and the Operative Performance Rating System were used to assess skills essential to good clinical care and to facilitate feedback. Results Over 93% of the students were satisfied with the surgical boot camp, training equipment, and learning materials provided. After six sessions of training, 85.3% reported gaining self-confidence and performed better in some surgical procedures such as major gastrectomy. The mini-CEX scores suggested significant improvement in the students’ clinical skills, attitudes, and behaviors (P < 0.01). Ninety-eight percent of students felt that the anatomical knowledge taught met their needs. The scores of the Operative Performance Rating System suggested that the students’ surgical skills such as instruments handling, incising, treatment of surrounding tissues (blood vessels, nerves), and smoothness of the whole operation had increased significantly following the surgical boot camp (All P < 0.01). Conclusion The surgical boot camp curriculum improved students’ satisfaction and confidence in core clinical practice competencies. Therefore, medical schools the world over should continue to seek ways to bridge the gaps between pre-clinical, clinical, and internship training.

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“…The perception of the preparedness of medical graduates to take on internship responsibilities in low resource hospitals in Kenya was looked into by Muthaura and Khamis (2013) yet Papadimitriou (2014) looked into high school student's perception of their internship experience and the related impact on their career choices and changes. Important to note is that the mentioned studies were either done in contexts outside Africa or East Africa and those done with in Uganda were in the medical field.…”

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confidence: 99%

Effectiveness of Internship in Fostering Learning: The Case of African Rural University

Ndibuuza¹

2016

JPR

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Internship is deemed to be a prerequisite for a 21st Century graduate to survive in the world of work. It's on the basis of this that this study sought to establish the effectiveness of internship in respect to learning in the field among undergraduates of African Rural University. The quantitative survey involved 23 students and 53 community members who filled a questionnaire and an interview guide respectively. Data analysis involved the use of percentages, means and multiple regression. The results of the study revealed that the three independent variables: cognitive, behavioral, and environmental learning experience (CLE, BLE and ELE) were not correlates of internship. It's upon this background that it was recommended that the key players of the university ought to lay undue emphasis on enhancing CLE, BLE, and ELE, rather effort should be put on other elements to learning.

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The Perceptions of the Preparedness of Medical Graduates to Take on Internship Responsibilities in Low Resource Hospitals in Kenya

Cited by 4 publications

References 15 publications

Perceptions of the preparedness of medical graduates for internship responsibilities in district hospitals in Kenya: a qualitative study

Perceptions of the preparedness of medical graduates for internship responsibilities in district hospitals in Kenya: a qualitative study

The use of a surgical boot camp combining anatomical education and surgical simulation for internship preparedness among senior medical students

Effectiveness of Internship in Fostering Learning: The Case of African Rural University

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