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Clinical Skills Training

Clinical Skills Training. Sustained benefits for foundation doctors Dr Georgia Tunnicliffe. Overview. Why is skills training necessary? The Study: Methods The Study: Results Implications Questions and discussion. Why is skills training necessary?. “On the job” Experience.

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Clinical Skills Training

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  1. Clinical Skills Training Sustained benefits for foundation doctors Dr Georgia Tunnicliffe

  2. Overview • Why is skills training necessary? • The Study: Methods • The Study: Results • Implications • Questions and discussion

  3. Why is skills training necessary?

  4. “On the job” Experience The literature

  5. Boots, 2009 314 Newly qualified doctors ? Competence and experience in procedural skills

  6. Boots, 2009 314 Newly qualified doctors ! Highly variable in the first year

  7. Lambert, 2006 2003 Study of UK doctors on completion 1st Post Graduate year

  8. Lambert, 2006 2003 Study of UK doctors on completion 1st Post Graduate year 47.9% reported that they had gained a “wide experience” of clinical procedures

  9. Stolarek, 2007 New Zealand study Opportunities to practice procedural skills Less often than weekly in first year medical graduates

  10. Challenges in gaining competence

  11. Challenges: Ethical concerns

  12. Challenges: Working hours

  13. The Foundation Programme 2005 to date

  14. Built around Curriculum for first 2 postgraduate years Broad range of clinical exposures Meet key educational requirements Currently does not incorporate specific clinical skills training

  15. The Study: Methods

  16. Participants 22 Foundation Year One doctors (F1) • All had skills course within 30 days 47 Foundation Year Two doctors (F2): • Group A n = 23 (skills course at day 0) • Group B n = 14 (skills course at day 60)

  17. Intervention

  18. Skills taught

  19. Testing

  20. 22 Foundation Year One doctors (F1) • Test 3 • Test 1 • Test 1 • Clinical skills training • Clinical skills training • Test 2 • Test 2 • Experiential Learning 47 Foundation Year Two doctors (F2) Group A (23) Group B (14) • Experiential Learning • Test 1 • Clinical skills training • Test 2 • Experiential Learning • Test 3 • Test 3 • Clinical • Skills • training

  21. MCQ • Knowledge based questions • Indications for/ complications of the procedure • 12 stem questions • Three to five Tue/False answers

  22. Perceived Competence

  23. Analysis MCQ data • Analysed using unpaired T tests • Results reported as a mean score Perceived competence data • Analysed using the Mann Whitney U test • Results are reported as a median score

  24. The Study: Results

  25. MCQ

  26. Comparison with experiential group (F2)

  27. F2 MCQ scores

  28. Perceived competence

  29. Perceived Competence

  30. Discussion

  31. Limitations

  32. Implications

  33. Implications

  34. Questions and discussion?

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