title: Ready to run the wards? – A descriptive follow-up study assessing future doctors’ clinical skills
creator: Bugaj, Till Johannes
creator: Nikendei, Christoph
creator: Groener, Jan Benedikt
creator: Stiepak, Jan
creator: Huber, Julia
creator: Möltner, Andreas
creator: Herzog, Wolfgang
creator: Koechel, Ansgar
subject: ddc-610
subject: 610 Medical sciences Medicine
description: Background: Recent studies have shown that clinical tasks only represent a small percentage in the scope of final-year medical students’ activities and often lack sufficient supervision. It appears that final-year medical students are frequently deployed to perform “routine tasks” and show deficits in the performance of more complex activities. This study aimed to evaluate final-year students’ clinical performance in multiple impromptu clinical scenarios using video-based assessment.       Methods: We assessed final-year medical students’ clinical performance in a prospective, descriptive, clinical follow-up study with 24 final-year medical students during their Internal Medicine rotation. Participating students were videotaped while practicing history taking, physical examination, IV cannulation, and case presentation at the beginning and end of their rotation. Clinical performance was rated by two independent, blinded video assessors using binary checklists, activity specific rating scales and a five-point global rating scale for clinical competence.    Results: Students’ performance, assessed by the global rating scale for clinical competence, improved significantly during their rotation. However, their task performance was not rated as sufficient for independent practice in most cases. Analysis of average scores revealed that overall performance levels differed significantly, whereby average performance was better for less complex and more frequently performed activities.    Conclusions: We were able to show that students’ performance levels differ significantly depending on the frequency and complexity of activities. Hence, to ensure adequate job preparedness for clinical practice, students need sufficiently supervised and comprehensive on-ward medical training.
publisher: BioMed Central
date: 2018
type: Article
type: info:eu-repo/semantics/article
type: NonPeerReviewed
format: application/pdf
identifier: https://archiv.ub.uni-heidelberg.de/volltextserverhttps://archiv.ub.uni-heidelberg.de/volltextserver/25657/1/12909_2018_Article_1370.pdf
identifier: DOI:
identifier: urn:nbn:de:bsz:16-heidok-256574
identifier:   Bugaj, Till Johannes ; Nikendei, Christoph ; Groener, Jan Benedikt ; Stiepak, Jan ; Huber, Julia ; Möltner, Andreas ; Herzog, Wolfgang ; Koechel, Ansgar  (2018) Ready to run the wards? – A descriptive follow-up study assessing future doctors’ clinical skills.  BMC Medical Education, 18 (257).  pp. 1-8.  ISSN 1472-6920     
relation: https://archiv.ub.uni-heidelberg.de/volltextserver/25657/
rights: info:eu-repo/semantics/openAccess
rights: Please see front page of the work (Sorry, Dublin Core plugin does not recognise license id)
language: eng