Clinical training in medical students during preclinical years in the skill lab

Namrata Upadhayay Department of Physiology, Gandaki Medical College Teaching Hospital and Research Center, Kaski, Nepal Background: In Nepal, medical education is a high-stakes and stressful course. To enhance learning and minimize students’ stress, the conventional method has bee...

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Main Author: Upadhayay N
Format: Article
Language:English
Published: Dove Medical Press 2017-03-01
Series:Advances in Medical Education and Practice
Subjects:
Online Access:https://www.dovepress.com/clinical-training-in-medical-students-during-preclinical-years-in-the--peer-reviewed-article-AMEP
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author Upadhayay N
author_facet Upadhayay N
author_sort Upadhayay N
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description Namrata Upadhayay Department of Physiology, Gandaki Medical College Teaching Hospital and Research Center, Kaski, Nepal Background: In Nepal, medical education is a high-stakes and stressful course. To enhance learning and minimize students’ stress, the conventional method has been replaced by integrated, student-centered learning. As an approach to train effectively, colleges have started establishing skill labs.Objectives: To evaluate the effectiveness of clinical skill training on exam performance as compared with the conventional teaching practice. Further, to assess the perceptions of students of the importance of skill lab training in college.Method: Twenty students were randomly selected to participate in this cross-sectional study. On the internal examination, students showed skills on manikins, and examiners evaluated them. A sample question in the exam was “To perform cardiopulmonary resuscitation (CPR) on half body human manikin.” On completion of the exam, opinions were collected from the students via a predesigned self-administered questionnaire. The questionnaire included questions regarding skill lab use and its benefits to them in developing their skills, with a few questions related to the exam pattern. The responses were expressed in frequencies.Results: We found that all (20/20) students performed CPR with confidence and without hesitation on the manikin. The practical examination performance (marks) was categorized as excellent (7/20), good (8/20), average (3/20), and poor (2/20). The pass percentage after skill training was increased by 25% as compared with conventional teaching practice. The majority of the students (17/20) mentioned that skill is better learned by doing than by observing others’ performance or watching videos. A few students (6/20) said skills are better learned by observing the real disease state. They mentioned that skill lab is the better choice for learning major skills such as catheterization, opening vein, auscultation of heart sounds, and endotracheal intubation.Conclusion: Students are confident and showed better exam performance after basic clinical skills training in the lab. They perceived skill lab training as a better teaching method for the preclinical students. Keywords: skill lab, preclinical years, practical examination, innovative learning  
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spelling doaj.art-b0dde69891e749f986285c96e86700122022-12-22T02:51:10ZengDove Medical PressAdvances in Medical Education and Practice1179-72582017-03-01Volume 818919431637Clinical training in medical students during preclinical years in the skill labUpadhayay NNamrata Upadhayay Department of Physiology, Gandaki Medical College Teaching Hospital and Research Center, Kaski, Nepal Background: In Nepal, medical education is a high-stakes and stressful course. To enhance learning and minimize students’ stress, the conventional method has been replaced by integrated, student-centered learning. As an approach to train effectively, colleges have started establishing skill labs.Objectives: To evaluate the effectiveness of clinical skill training on exam performance as compared with the conventional teaching practice. Further, to assess the perceptions of students of the importance of skill lab training in college.Method: Twenty students were randomly selected to participate in this cross-sectional study. On the internal examination, students showed skills on manikins, and examiners evaluated them. A sample question in the exam was “To perform cardiopulmonary resuscitation (CPR) on half body human manikin.” On completion of the exam, opinions were collected from the students via a predesigned self-administered questionnaire. The questionnaire included questions regarding skill lab use and its benefits to them in developing their skills, with a few questions related to the exam pattern. The responses were expressed in frequencies.Results: We found that all (20/20) students performed CPR with confidence and without hesitation on the manikin. The practical examination performance (marks) was categorized as excellent (7/20), good (8/20), average (3/20), and poor (2/20). The pass percentage after skill training was increased by 25% as compared with conventional teaching practice. The majority of the students (17/20) mentioned that skill is better learned by doing than by observing others’ performance or watching videos. A few students (6/20) said skills are better learned by observing the real disease state. They mentioned that skill lab is the better choice for learning major skills such as catheterization, opening vein, auscultation of heart sounds, and endotracheal intubation.Conclusion: Students are confident and showed better exam performance after basic clinical skills training in the lab. They perceived skill lab training as a better teaching method for the preclinical students. Keywords: skill lab, preclinical years, practical examination, innovative learning  https://www.dovepress.com/clinical-training-in-medical-students-during-preclinical-years-in-the--peer-reviewed-article-AMEPskill labpre-clinical yearspractical examinationinnovative learning
spellingShingle Upadhayay N
Clinical training in medical students during preclinical years in the skill lab
Advances in Medical Education and Practice
skill lab
pre-clinical years
practical examination
innovative learning
title Clinical training in medical students during preclinical years in the skill lab
title_full Clinical training in medical students during preclinical years in the skill lab
title_fullStr Clinical training in medical students during preclinical years in the skill lab
title_full_unstemmed Clinical training in medical students during preclinical years in the skill lab
title_short Clinical training in medical students during preclinical years in the skill lab
title_sort clinical training in medical students during preclinical years in the skill lab
topic skill lab
pre-clinical years
practical examination
innovative learning
url https://www.dovepress.com/clinical-training-in-medical-students-during-preclinical-years-in-the--peer-reviewed-article-AMEP
work_keys_str_mv AT upadhayayn clinicaltraininginmedicalstudentsduringpreclinicalyearsintheskilllab