دورية أكاديمية

Teaching Clinical Skills Using Online Modality through Modified Peyton's Framework: An Experience from a Medical University in Pakistan.

التفاصيل البيبلوغرافية
العنوان: Teaching Clinical Skills Using Online Modality through Modified Peyton's Framework: An Experience from a Medical University in Pakistan.
المؤلفون: Saeed S; Department of Pediatrics and Child Health and Department for Educational Development, The Aga Khan University, Karachi, Pakistan., Kashif U; Department of Obstetrics and Gynecology, The Aga Khan University, Karachi, Pakistan., Zaki S; Department of Family Medicine, The Aga Khan University, Karachi, Pakistan., Samad K; Department of Anesthesiology, The Aga Khan University, Karachi, Pakistan., Yousuf MZ; Department of Biological & Biomedical Sciences, The Aga Khan University, Karachi, Pakistan., Raza M; Department of Pediatrics and Child Health and Department for Educational Development, The Aga Khan University, Karachi, Pakistan., Jabbar S; Office of Undergraduate Medical Education, The Aga Khan University, Karachi, Pakistan., I Khan U; Department of Family Medicine, The Aga Khan University, Karachi, Pakistan.
المصدر: Journal of advances in medical education & professionalism [J Adv Med Educ Prof] 2023 Jan; Vol. 11 (1), pp. 15-23.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Shiraz University of Medical Sciences & Health Sciences Country of Publication: Iran NLM ID: 101617859 Publication Model: Print Cited Medium: Print ISSN: 2322-2220 (Print) Linking ISSN: 23222220 NLM ISO Abbreviation: J Adv Med Educ Prof Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Shiraz : Shiraz University of Medical Sciences & Health Sciences
مستخلص: Introduction: Medical institutions worldwide faced an unprecedented situation during COVID-19 of identifying alternative strategies to sustain the continuum of learning process. This led to several innovations in the traditional medical curriculum. This study explored the effectiveness and feasibility of using the Peyton's framework modified for a virtual platform (Microsoft Teams) for teaching clinical skills to first and second-year medical students at The Aga Khan University, Karachi, Pakistan.
Methods: In 2020-2021, the modified Peyton's framework was integrated in the clinical skills (CS) curriculum for all first- and second-year students (N=200). For evaluation, a mixed-method design was used, with pre-and post-session questionnaires. Students' satisfaction was obtained through the standard session evaluation tool of the university. For the qualitative arm, to explore the instructors' experiences, purposive sampling was used (n=8) and a focused group discussion (FGD) was conducted. Finally, performance of the students at the end of year summative Objective Structured Clinical Examination (OSCE) was compared with the students of previous year. Quantitative data were analysed using STATA® version 15.1, using paired t-test to compare the differences in OSCE scores in selected CS stations. A p-value of <0.05 was considered significant for all tests. The FGD was transcribed and analysed through manual content analysis.
Results: Nine clinical skills (that included history and examination skills) were taught using the virtual platform. There was a significant improvement in post-session questionnaires in seven of these skills (p value <0.01). Session evaluations showed that most students were satisfied with the learning experience. The instructors showed that the online teaching offered a promising platform for teaching history taking skills. The OSCE scores showed mixed results, with significant improvement in two out of four repeated stations by using paired t-test [abdominal exam (87.33 ± 8.99, <0.001); and precordial examination (88.45 ± 8.36, 0.001)].
Conclusions: Modifying Peyton's framework to a virtual platform allowed us to sustain the continuum of clinical education during the COVID-19 pandemic. The results support the use of a blended learning environment for teaching clinical skills.
Competing Interests: None declared.
(Copyright: © Journal of Advances in Medical Education & Professionalism.)
References: J Adv Med Educ Prof. 2019 Jul;7(3):111-117. (PMID: 31528644)
J Surg Educ. 2019 Jan - Feb;76(1):140-149. (PMID: 30122637)
BMJ. 2003 Apr 12;326(7393):784. (PMID: 12689971)
Nurse Educ Today. 2013 Jun;33(6):663-70. (PMID: 22341996)
JSLS. 2019 Apr-Jun;23(2):. (PMID: 31285653)
GMS J Med Educ. 2020 Dec 03;37(7):Doc101. (PMID: 33364380)
Nurse Educ Today. 2009 Apr;29(3):292-300. (PMID: 19121875)
Indian Pediatr. 2020 Jul 15;57(7):678-679. (PMID: 32366728)
Ann Acad Med Singap. 2009 Aug;38(8):724-6. (PMID: 19736579)
BMC Med Educ. 2017 Mar 2;17(1):50. (PMID: 28253870)
J Med Educ Curric Dev. 2021 Mar 31;8:23821205211000349. (PMID: 35392266)
Acad Med. 2020 Nov;95(11):e11-e12. (PMID: 32657786)
Cureus. 2020 Mar 31;12(3):e7492. (PMID: 32368424)
J Family Community Med. 2007 May;14(2):59-63. (PMID: 23012147)
Pak J Med Sci. 2020 May;36(COVID19-S4):S27-S31. (PMID: 32582310)
PeerJ. 2020 Oct 09;8:e10129. (PMID: 33083149)
Med Educ. 2003 Dec;37(12):1127-8. (PMID: 14984121)
Am J Med Sci. 2008 Aug;336(2):142-6. (PMID: 18703910)
Med Teach. 2013 Sep;35(9):e1437-46. (PMID: 23968323)
J Coll Physicians Surg Pak. 2021 Jan;30(1):S16-S18. (PMID: 33650417)
فهرسة مساهمة: Keywords: Clinical skills; Covid-19; Medical students; Teaching
تواريخ الأحداث: Date Created: 20230123 Latest Revision: 20230202
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9846095
DOI: 10.30476/JAMP.2022.95986.1669
PMID: 36685146
قاعدة البيانات: MEDLINE
الوصف
تدمد:2322-2220
DOI:10.30476/JAMP.2022.95986.1669