Competence and Confidence With Basic Procedural Skills: The Experience and Opinions of Fourth-Year Medical Students at A Single Institution
Competence and Confidence With Basic Procedural Skills: The Experience and Opinions of Fourth-Year Medical Students at A Single Institution
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DOI：
10.1097/acm.0b013e31828b0007
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发表时间：
2013-05-01
影响因子：
7.4
通讯作者：
Meyers, Michael O.
中科院分区：
文献类型：
--
作者：
Dehmer, Jeffrey J.;Amos, Keith D.;Meyers, Michael O.
目的数据表明，学生在毕业时还没有做好进行基本医疗操作的准备。作者的目的是描述即将毕业的学生对这些技能的体验和看法。方法2011年，对156名四年级医学生进行在线调查，了解他们对Foley置管、鼻胃管置管、静脉穿刺、静脉置管、动脉穿刺、基本缝合、气管插管、腰椎穿刺和胸穿刺等9项手术技能的经验、实际能力水平和期望能力水平。学生用李克特四分量表（4 =独立执行技能；1 =无法执行技能）自我报告能力。数据分析采用方差分析和Student t检验。采用李克特五点量表来评估学生的信心。结果有134名学生（86%）回答。超过50%的学生进行了两次以上的两项技能：Foley导管插入和缝合。平均能力水平从3.13 +/- 0.75 （Foley导管插入）到1.7 +/- 0.7（胸穿刺）。期望与实际穿刺水平的差距，以及胸穿刺。学生用李克特四分量表（4 =独立执行技能；1 =无法执行技能）自我报告能力。数据分析采用方差分析和Student t检验。采用李克特五点量表来评估学生的信心。结果有134名学生回复，占86%。超过50%的学生进行了两次以上的两项技能：Foley导管插入和缝合。平均能力水平从3.13 +/- 0.75 （Foley导管插入）到1.7 +/- 0.7（胸穿刺）。所有程序的期望能力水平与实际能力水平之间存在差距(P
PurposeData indicate that students are unprepared to perform basic medical procedures on graduation. The authors' aim was to characterize graduating students' experience with and opinions about these skills.MethodIn 2011, an online survey queried 156 fourth-year medical students about their experience with, and actual and desired levels of competence for, nine procedural skills (Foley catheter insertion, nasogastric tube insertion, venipuncture, intravenous catheter insertion, arterial puncture, basic suturing, endotracheal intubation, lumbar puncture, and thoracentesis). Students self-reported competence on a four-point Likert scale (4 = independently performs skill; 1 = unable to perform skill). Data were analyzed by analysis of variance and Student t test. A five-point Likert scale was used to assess student confidence.ResultsOne hundred thirty-four (86%) students responded. Two skills were performed more than two times by over 50% of students: Foley catheter insertion and suturing. Mean level of competence ranged from 3.13 +/- 0.75 (Foley catheter insertion) to 1.7 +/- 0.7 (thoracentesis). A gap in desired versus actual level of puncture, and thoracentesis). Students self-reported competence on a four-point Likert scale (4 = independently performs skill; 1 = unable to perform skill). Data were analyzed by analysis of variance and Student t test. A five-point Likert scale was used to assess student confidence. Results One hundred thirty-four (86%) students responded. Two skills were performed more than two times by over 50% of students: Foley catheter insertion and suturing. Mean level of competence ranged from 3.13 +/- 0.75 (Foley catheter insertion) to 1.7 +/- 0.7 (thoracentesis). A gap in desired versus actual level of competence existed for all procedures (P