دورية أكاديمية
An Assessment of the Correlation between Tests of Clinical Competence and Tests of Cognitive Knowledge amongst Nigerian Resident Doctors in Surgery.
| العنوان: | An Assessment of the Correlation between Tests of Clinical Competence and Tests of Cognitive Knowledge amongst Nigerian Resident Doctors in Surgery. |
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| المؤلفون: | Lawal AO; Department of Surgery, College of Medicine, University of Lagos, Lagos, Nigeria., Abiola AO; Department of Community Health, College of Medicine, University of Lagos, Lagos, Nigeria., Habeebu MYM; Department of Radiation Biology, Radiotherapy and Radiography, College of Medicine, University of Lagos, Lagos, Nigeria., Ojewola RW; Department of Surgery, College of Medicine, University of Lagos, Lagos, Nigeria., Tijani KH; Department of Surgery, College of Medicine, University of Lagos, Lagos, Nigeria. |
| المصدر: | Journal of the West African College of Surgeons [J West Afr Coll Surg] 2020 Apr-Jun; Vol. 10 (2), pp. 12-16. Date of Electronic Publication: 2022 Mar 26. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer - Medknow Country of Publication: India NLM ID: 101597958 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2276-6944 (Print) Linking ISSN: 22766944 NLM ISO Abbreviation: J West Afr Coll Surg Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: [Mumbai] : Wolters Kluwer - Medknow Original Publication: Lagos : The West African College of Surgeons, [2011]- |
| مستخلص: | Background: Assessment of clinical competence involves the assessment of cognition and assessment of clinical performance (behaviour in practice). The limitations of the traditional long case examination (LCE) in the assessment of clinical performance led to its replacement with the objective structured clinical examination (OSCE) by many institutions. Aims: To determine and compare the abilities of the OSCE and LCE to predict candidates' performance in the tests of cognitive knowledge in the fellowship examination of the National Postgraduate Medical College of Nigeria in the Faculty of Surgery. Materials and Methods: The results of the OSCE, LCE, written papers, picture tests (PTs), vivas, and the total clinical score (TCS) of surgical residents who took part in the fellowship examination over six consecutive examination periods were compared by using the Pearson's correlation coefficient. A P -value less than.01 was considered as significant. Results: The OSCE had a weak but statistically significant positive correlation (.175) with the LCE. Both the OSCE and LCE had similar correlations with the total written papers (TWP) and PTs. The viva had a higher correlation with the OSCE than the LCE. The TCS when compared with either the OSCE or LCE alone had a higher correlation with most of the tests of cognitive knowledge. Conclusion: Neither the OSCE nor the LCE showed any superiority over the other in terms of the ability to predict performance in the tests of cognition. The TCS appears superior to either the OSCE or the LCE as a predictor of the candidates' overall knowledge of surgery. Therefore, both the OSCE and the LCE should be retained as part of the examination. Competing Interests: There are no conflicts of interest. (Copyright: © 2022 Journal of West African College of Surgeons.) |
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| فهرسة مساهمة: | Keywords: Long case; Nigerian National Postgraduate Medical College; objective structured clinical examination; resident doctors; surgery Local Abstract: [Publisher, French] L’évaluation de la compétence clinique implique l’évaluation de la cognition et l’évaluation de la performance clinique (comportement dans la pratique). Les limites de l’examen de cas long traditionnel (LCE) dans l’évaluation de la performance clinique ont conduit à son remplacement par l’examen clinique objectif structuré (ECOS) par de nombreuses institutions. [Publisher, French] Déterminer et comparer les capacités de l’ECOS et du LCE à prédire les performances des candidats aux tests de connaissances cognitives lors de l’examen de bourse de la faculté de chirurgie du Nigerian National Postgraduate Medical College. [Publisher, French] Les résultats de l’ECOS, du LCE, des documents écrits, des tests d’image, des vivas et du score clinique total (TCS) des résidents en chirurgie qui ont participé à l’examen de bourse sur six périodes d’examen consécutives ont été comparés en utilisant le coefficient de corrélation de Pearson. Une valeur de p inférieure à 0,01 était considérée comme significative. [Publisher, French] L’ECOS avait une corrélation positive faible mais statistiquement significative (0,175) avec le LCE. L’ECOS et le LCE avaient des corrélations similaires avec le nombre total d’épreuves écrites (TWP) et les tests d’images. La soutenance avait une corrélation plus élevée avec l’ECOS que le LCE. Le score clinique total (TCS), comparé à l’ECOS ou au LCE seul, présentait une corrélation plus élevée avec la plupart des tests de connaissances cognitives. [Publisher, French] Ni l’OSCE ni le LCE n’ont montré de supériorité sur l’autre en termes de capacité à prédire la performance dans les tests de cognition. Le TCS semble supérieur à l’ECOS ou au LCE en tant que prédicteur des connaissances globales des candidats en chirurgie. Par conséquent, l’ECOS et le LCE devraient être retenus dans le cadre de l’examen. |
| تواريخ الأحداث: | Date Created: 20220513 Latest Revision: 20220716 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC9089808 |
| DOI: | 10.4103/jwas.jwas_45_21 |
| PMID: | 35558570 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2276-6944 |
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| DOI: | 10.4103/jwas.jwas_45_21 |