Cargando…
Competence in performing emergency skills: How good do doctors really think they are?
INTRODUCTION: Despite the differences in exposure and experience in dealing with medical emergencies, all doctors should nevertheless be competent to assist a patient in need of resuscitation. The objective of this study was to describe the level of self-assessed emergency skill competence that spec...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
African Federation for Emergency Medicine
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234142/ https://www.ncbi.nlm.nih.gov/pubmed/30456130 http://dx.doi.org/10.1016/j.afjem.2017.05.011 |
_version_ | 1783370643000000512 |
---|---|
author | Dufourq, Nicholas Nicole Goldstein, Lara Botha, Martin |
author_facet | Dufourq, Nicholas Nicole Goldstein, Lara Botha, Martin |
author_sort | Dufourq, Nicholas |
collection | PubMed |
description | INTRODUCTION: Despite the differences in exposure and experience in dealing with medical emergencies, all doctors should nevertheless be competent to assist a patient in need of resuscitation. The objective of this study was to describe the level of self-assessed emergency skill competence that specialist trainees in various disciplines possessed as well as to identify factors that may have contributed to their level of self-perceived competence. METHODS: A prospective, cross-sectional, questionnaire study of various specialist trainees’ self-perceived levels of competence in emergency skills was conducted across three academic hospitals in Johannesburg, South Africa. Trainees from General Surgery and Internal Medicine (Clinical) and Psychiatry and Radiology (Non-Clinical) rated their self-perceived level of competence in a list of basic, intermediate and advanced emergency skills according to a five-point Likert ranking scale. RESULTS: Ninety-four specialist trainees participated in the study – a response rate of 36%. The overall median competence rating for cardiac arrest resuscitation was 3.0 [IQR 3.0, 4.0] (i.e. intermediate). The median competence rating for cardiac arrest resuscitation in the clinical group (4.0) [IQR 3.0, 4.0] was higher than in the non-clinical group (3.0) [IQR 2.0, 3.0] (p < 0.001). Current or expired certification in Paediatric Advanced Life Support (PALS) or Advanced Paediatric Life Support (APLS) courses increased perceived competence and delays in starting specialisation resulted in a decrease in overall competence composite scores for each year of delay after internship. DISCUSSION: General Surgery and Internal Medicine trainees had a higher level of self-perceived competence in various emergency skills than their non- clinical counterparts. Current certification in advanced life support courses had a positive impact on trainees’ self- perceived levels of competence in emergency skills. Specialist trainees who had less delay before starting their specialist training also demonstrated higher levels of perceived competence. |
format | Online Article Text |
id | pubmed-6234142 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | African Federation for Emergency Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-62341422018-11-19 Competence in performing emergency skills: How good do doctors really think they are? Dufourq, Nicholas Nicole Goldstein, Lara Botha, Martin Afr J Emerg Med Original Article INTRODUCTION: Despite the differences in exposure and experience in dealing with medical emergencies, all doctors should nevertheless be competent to assist a patient in need of resuscitation. The objective of this study was to describe the level of self-assessed emergency skill competence that specialist trainees in various disciplines possessed as well as to identify factors that may have contributed to their level of self-perceived competence. METHODS: A prospective, cross-sectional, questionnaire study of various specialist trainees’ self-perceived levels of competence in emergency skills was conducted across three academic hospitals in Johannesburg, South Africa. Trainees from General Surgery and Internal Medicine (Clinical) and Psychiatry and Radiology (Non-Clinical) rated their self-perceived level of competence in a list of basic, intermediate and advanced emergency skills according to a five-point Likert ranking scale. RESULTS: Ninety-four specialist trainees participated in the study – a response rate of 36%. The overall median competence rating for cardiac arrest resuscitation was 3.0 [IQR 3.0, 4.0] (i.e. intermediate). The median competence rating for cardiac arrest resuscitation in the clinical group (4.0) [IQR 3.0, 4.0] was higher than in the non-clinical group (3.0) [IQR 2.0, 3.0] (p < 0.001). Current or expired certification in Paediatric Advanced Life Support (PALS) or Advanced Paediatric Life Support (APLS) courses increased perceived competence and delays in starting specialisation resulted in a decrease in overall competence composite scores for each year of delay after internship. DISCUSSION: General Surgery and Internal Medicine trainees had a higher level of self-perceived competence in various emergency skills than their non- clinical counterparts. Current certification in advanced life support courses had a positive impact on trainees’ self- perceived levels of competence in emergency skills. Specialist trainees who had less delay before starting their specialist training also demonstrated higher levels of perceived competence. African Federation for Emergency Medicine 2017-12 2017-08-09 /pmc/articles/PMC6234142/ /pubmed/30456130 http://dx.doi.org/10.1016/j.afjem.2017.05.011 Text en © 2017 African Federation for Emergency Medicine. Publishing services provided by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Dufourq, Nicholas Nicole Goldstein, Lara Botha, Martin Competence in performing emergency skills: How good do doctors really think they are? |
title | Competence in performing emergency skills: How good do doctors really think they are? |
title_full | Competence in performing emergency skills: How good do doctors really think they are? |
title_fullStr | Competence in performing emergency skills: How good do doctors really think they are? |
title_full_unstemmed | Competence in performing emergency skills: How good do doctors really think they are? |
title_short | Competence in performing emergency skills: How good do doctors really think they are? |
title_sort | competence in performing emergency skills: how good do doctors really think they are? |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234142/ https://www.ncbi.nlm.nih.gov/pubmed/30456130 http://dx.doi.org/10.1016/j.afjem.2017.05.011 |
work_keys_str_mv | AT dufourqnicholas competenceinperformingemergencyskillshowgooddodoctorsreallythinktheyare AT nicolegoldsteinlara competenceinperformingemergencyskillshowgooddodoctorsreallythinktheyare AT bothamartin competenceinperformingemergencyskillshowgooddodoctorsreallythinktheyare |