EXPERIENCE OF THE OBJECTIVE STRUCTURED CLINICAL EXAMINATION AS A PART OF STATE CERTIFICATION OF GRADUATES OF THE CLINICAL RESIDENCY ON THE SPECIALTY OF ANESTHESIOLOGY AND REANIMATOLOGY: THE STATION OF SUBARACHNOID SPACE PUNCTURE
The practical part of the state final certification implies an assessment of skills.The objective of our study was the approbation of the Station of Subarachnoid Space Puncture as a part of the objective structured clinical examination.Subjects and methods. 26 students of the second year of the clin...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2019-01-01
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| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/294 |
| _version_ | 1797702750387044352 |
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| author | R. E. Lakhin K. A. Tsygankov A. A. Andreenko I. I. Faizov A. V. Schegolev |
| author_facet | R. E. Lakhin K. A. Tsygankov A. A. Andreenko I. I. Faizov A. V. Schegolev |
| author_sort | R. E. Lakhin |
| collection | DOAJ |
| description | The practical part of the state final certification implies an assessment of skills.The objective of our study was the approbation of the Station of Subarachnoid Space Puncture as a part of the objective structured clinical examination.Subjects and methods. 26 students of the second year of the clinical residency were included in the study; they all were taking the practical part of the final exam in Anesthesiology and Reanimatology. A phantom-simulator was used for the manipulation, which allowed authentic simulating of a lumbar puncture. Two trainers evaluated the manual skills, independently of each other.Results. 25 (96%) residents passed the station successfully. The total time required to pass the station made 3.1 (2.58, 3.45) min. In 1 (4%) case, the student failed to gain the required number of points for the successful passage of this station. The most common mistakes during the manipulation were associated with improper control of the patient's state after the drug administration into subarachnoid space, there were 14 (54%) such cases; and in 10 (38%) cases, several attempts were required to obtain cerebrospinal fluid. The monitoring of the check-list filling incompletion demonstrated that different trainers at the station could use it. The difference in the filled check-lists was less than 5%.Conclusions. The developed check-list allows performing an objective assessment of the practical skills of graduates from the clinical residency. |
| first_indexed | 2024-03-12T04:54:29Z |
| format | Article |
| id | doaj.art-1d204891643c455996e4e8898a54b1af |
| institution | Directory Open Access Journal |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| last_indexed | 2024-03-12T04:54:29Z |
| publishDate | 2019-01-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj.art-1d204891643c455996e4e8898a54b1af2023-09-03T09:15:39ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532019-01-01156596310.21292/2078-5658-2018-15-6-59-63281EXPERIENCE OF THE OBJECTIVE STRUCTURED CLINICAL EXAMINATION AS A PART OF STATE CERTIFICATION OF GRADUATES OF THE CLINICAL RESIDENCY ON THE SPECIALTY OF ANESTHESIOLOGY AND REANIMATOLOGY: THE STATION OF SUBARACHNOID SPACE PUNCTURER. E. Lakhin0K. A. Tsygankov1A. A. Andreenko2I. I. Faizov3A. V. Schegolev4ФГБВОУ ВО «Военно-медицинская академия им. С. М. Кирова» МО РФФГБВОУ ВО «Военно-медицинская академия им. С. М. Кирова» МО РФФГБВОУ ВО «Военно-медицинская академия им. С. М. Кирова» МО РФФГБВОУ ВО «Военно-медицинская академия им. С. М. Кирова» МО РФФГБВОУ ВО «Военно-медицинская академия им. С. М. Кирова» МО РФThe practical part of the state final certification implies an assessment of skills.The objective of our study was the approbation of the Station of Subarachnoid Space Puncture as a part of the objective structured clinical examination.Subjects and methods. 26 students of the second year of the clinical residency were included in the study; they all were taking the practical part of the final exam in Anesthesiology and Reanimatology. A phantom-simulator was used for the manipulation, which allowed authentic simulating of a lumbar puncture. Two trainers evaluated the manual skills, independently of each other.Results. 25 (96%) residents passed the station successfully. The total time required to pass the station made 3.1 (2.58, 3.45) min. In 1 (4%) case, the student failed to gain the required number of points for the successful passage of this station. The most common mistakes during the manipulation were associated with improper control of the patient's state after the drug administration into subarachnoid space, there were 14 (54%) such cases; and in 10 (38%) cases, several attempts were required to obtain cerebrospinal fluid. The monitoring of the check-list filling incompletion demonstrated that different trainers at the station could use it. The difference in the filled check-lists was less than 5%.Conclusions. The developed check-list allows performing an objective assessment of the practical skills of graduates from the clinical residency.https://www.vair-journal.com/jour/article/view/294клиническая ординатураобъективный структурированный клинический экзаменпервичная специализированная аккредитацияаттестация в анестезиологиипрактические навыкипункция субарахноидального пространстваспинальная анестезия |
| spellingShingle | R. E. Lakhin K. A. Tsygankov A. A. Andreenko I. I. Faizov A. V. Schegolev EXPERIENCE OF THE OBJECTIVE STRUCTURED CLINICAL EXAMINATION AS A PART OF STATE CERTIFICATION OF GRADUATES OF THE CLINICAL RESIDENCY ON THE SPECIALTY OF ANESTHESIOLOGY AND REANIMATOLOGY: THE STATION OF SUBARACHNOID SPACE PUNCTURE Вестник анестезиологии и реаниматологии клиническая ординатура объективный структурированный клинический экзамен первичная специализированная аккредитация аттестация в анестезиологии практические навыки пункция субарахноидального пространства спинальная анестезия |
| title | EXPERIENCE OF THE OBJECTIVE STRUCTURED CLINICAL EXAMINATION AS A PART OF STATE CERTIFICATION OF GRADUATES OF THE CLINICAL RESIDENCY ON THE SPECIALTY OF ANESTHESIOLOGY AND REANIMATOLOGY: THE STATION OF SUBARACHNOID SPACE PUNCTURE |
| title_full | EXPERIENCE OF THE OBJECTIVE STRUCTURED CLINICAL EXAMINATION AS A PART OF STATE CERTIFICATION OF GRADUATES OF THE CLINICAL RESIDENCY ON THE SPECIALTY OF ANESTHESIOLOGY AND REANIMATOLOGY: THE STATION OF SUBARACHNOID SPACE PUNCTURE |
| title_fullStr | EXPERIENCE OF THE OBJECTIVE STRUCTURED CLINICAL EXAMINATION AS A PART OF STATE CERTIFICATION OF GRADUATES OF THE CLINICAL RESIDENCY ON THE SPECIALTY OF ANESTHESIOLOGY AND REANIMATOLOGY: THE STATION OF SUBARACHNOID SPACE PUNCTURE |
| title_full_unstemmed | EXPERIENCE OF THE OBJECTIVE STRUCTURED CLINICAL EXAMINATION AS A PART OF STATE CERTIFICATION OF GRADUATES OF THE CLINICAL RESIDENCY ON THE SPECIALTY OF ANESTHESIOLOGY AND REANIMATOLOGY: THE STATION OF SUBARACHNOID SPACE PUNCTURE |
| title_short | EXPERIENCE OF THE OBJECTIVE STRUCTURED CLINICAL EXAMINATION AS A PART OF STATE CERTIFICATION OF GRADUATES OF THE CLINICAL RESIDENCY ON THE SPECIALTY OF ANESTHESIOLOGY AND REANIMATOLOGY: THE STATION OF SUBARACHNOID SPACE PUNCTURE |
| title_sort | experience of the objective structured clinical examination as a part of state certification of graduates of the clinical residency on the specialty of anesthesiology and reanimatology the station of subarachnoid space puncture |
| topic | клиническая ординатура объективный структурированный клинический экзамен первичная специализированная аккредитация аттестация в анестезиологии практические навыки пункция субарахноидального пространства спинальная анестезия |
| url | https://www.vair-journal.com/jour/article/view/294 |
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