HomeHealth Sciences Journalvol. 12 no. 2 (2023)

Self-reported confidence in general competencies and skills of clinical clerks of a private medical school for SY 2021-2022: A cross-sectional study

Aena Marii C. Besilia | Aljun Clar O. Bitay | Alyssa Louise V. Bometivo | Dominique Anne Bongala | Aileen Q. Briones | Therese Justine A. Bruel | Danessa Margaret L. Buco | Vince Albert A. Buenviaje | Joseph Lorenz Z. Cabinta | Ronina Franne N. Cada | Jose Ronilo G. Juangco | Suzette M. Mendoza

Discipline: Health

 

Abstract:

Introduction During the COVID-19 pandemic, medical schools shifted to blended learning. This study aimed to determine the demographic and level of confidence of a private medical school’s clinical clerks of School Year 2021-2022 on general competencies and skills. Methods The study aimed to identify the skills that exhibited the highest and lowest levels of confidence among a group of 139 clinical clerks. Additionally, it sought to examine whether there were significant differences in confidence levels based on sex and prior clinical experience. An analytical cross-sectional study design was employed using a Google Form as the data collection tool. Results The clerks were most confident in handwashing, and least in NGT insertion, performing digital rectal examination (DRE), and suturing. Females were more confident in history taking of obstetric and gynecologic, surgical, and medical patients, physical examination of pediatric patients, and preparing a discharge summary, while males were more confident in performing digital rectal examination. Clerks with prior medical experience were significantly more confident in foley catheter insertion, intravenous insertion, blood extraction, suturing, and performing essential intrapartum and newborn care (EINC) than those without. The results aligned with previous studies since clerks with prior experience were able to practice the skills in a psychomotor sense. Conclusion The study revealed significant differences in the confidence level on the competencies and skills for medical practice between sex and prior medical experience.



References:

  1. Baticulon RE, Sy JJ, Alberto NRI, et al. Barriers to online learning in the time of COVID-19: A national survey of medical students in the Philippines. Med Sci Educ 2021 Feb 24;31(2):615-26. doi: 10.1007/s40670-021-01231-z.
  2. McNair R, Griffiths L, Reid K, Sloan H. Medical students developing confidence and patient centredness in diverse clinical settings: a longitudinal survey study. BMC Med Educ 2016 Jul 15;16:176. doi: 10.1186/s12909-016-0689-y.
  3. Wu EH, Fagan MJ, Reinert SE, Diaz JA. Self-confidence in and perceived utility of the physical examination: a comparison of medical students, residents, and faculty internists. J Gen Intern Med 2007 Dec;22(12):1725-30. doi: 10.1007/s11606-007-0409-8. Epub 2007 Oct 6.
  4. Acosta D, Castillo-Angeles M, Garces-Descovich A, et al. Surgical practical skills learning curriculum: Implementation and interns’ confidence perceptions. J Surg Educ 2018 Mar-Apr;75(2):263-70. doi: 10.1016/j. jsurg.2017.07.013. Epub 2017 Aug 19.
  5. Santosh VC. Effectiveness of pre-internship training in skill development (Nasogastric Tube Insertion) for medical graduates-an objective assessment. IOSR J Dent Med Sci 2018 Dec; 17 (12): 48-52.
  6. Nikendei C, Diefenbacher K, Köhl-Hackert N, et al. Digital rectal examination skills: first training experiences, the motives and attitudes of standardized patients. BMC Med Educ 2015 Feb 1;15:7. doi: 10.1186/s12909-015-0292-7.
  7. Karim JA, Marwan YA, Dawas AM, Akhtar S. Self-confidence of medical students in performing clinical skills acquired during their surgical rotation. Assessing clinical skills education in Kuwait. Saudi Med J 2012 Dec;33(12):1310-6.
  8. Keifenheim KE, Teufel M, Ip J, Speiser N, Leehr EJ, Zipfel S, et al. Teaching history taking to medical students: A systematic review. BMC Med Educ [Internet] 2015Sep28 [cited 2022Dec3];15(1). Available from: https://bmcmededuc.biomedcentral.com/
  9. Huang S, Xu P, Yang J. An effective teaching method to enhance history-taking skills for Chinese medical students. Int J Higher Educ [Internet] 2018Mar27 [cited 2022Dec3];7(2):144–54. Available from: https://files.eric.ed.gov/fulltext/EJ1175055.pdf  
  10. Blanch DC, Hall JA, Roter DL, Frankel RM. Medical student gender and issues of confidence. Patient Educ Couns 2008 Sep;72(3):374-81. doi: 10.1016/j. pec.2008.05.021. Epub 2008 Jul 24.
  11. Vajapey SP, Weber KL, Samora J. Confidence gap between men and women in medicine: a systematic review. Curr Orthop Prac 2020 Sep/Oct; 31(5):494-502.
  12. Kovacs G. Procedural skills in medicine: linking theory to practice. J Emerg Med 1997 May-Jun;15(3):387-91. doi: 10.1016/s0736-4679(97)00019-x.
  13. Mian A, Khan S. Medical education during pandemics: a UK perspective. BMC Med 2020 Apr 9;18(1):100. doi: 10.1186/s12916-020-01577-y.
  14. Tayade MC, Latti RG. Effectiveness of early clinical exposure in medical education: Settings and scientific theories - Review. J Educ Health Prom 2021 Mar 31;10:117. doi: 10.4103/jehp.jehp_988_20.
  15. Connick RM, Connick P, Klotsas AE, Tsagkaraki PA, Gkrania-Klotsas E. Procedural confidence in hospital-based practitioners: implications for the training and practice of doctors at all grades. BMC Med Educ 2009 Jan 12;9:2. doi: 10.1186/1472-6920-9-2.
  16. Teh JJ, Cheung KY, Patrick Y, Panahi M, Boyle R, Tudor-Williams G. Self-perceived confidence of medical students communicating with pediatric patients in a 7-week pediatric placement: A pilot survey. Adv Med Educ Pract 2020 Feb 24;11:163-9. doi: 10.2147/AMEP.S234856.