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Development of a pilot procedural skills training course for preclerkship medical students

OBJECTIVE: Despite procedural skills being recognized as an important component of medical school education, medical students are not confident in their ability to carry out a range of medical procedures. We conducted an institutional needs assessment and used the results to inform the creation of a...

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Autores principales: Ayandeh, Armon, Zhang, Xiao C., Diamond, Jay F., Michael, Sarah H., Rougas, Steven
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7771806/
https://www.ncbi.nlm.nih.gov/pubmed/33392523
http://dx.doi.org/10.1002/emp2.12278
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author Ayandeh, Armon
Zhang, Xiao C.
Diamond, Jay F.
Michael, Sarah H.
Rougas, Steven
author_facet Ayandeh, Armon
Zhang, Xiao C.
Diamond, Jay F.
Michael, Sarah H.
Rougas, Steven
author_sort Ayandeh, Armon
collection PubMed
description OBJECTIVE: Despite procedural skills being recognized as an important component of medical school education, medical students are not confident in their ability to carry out a range of medical procedures. We conducted an institutional needs assessment and used the results to inform the creation of a procedure‐based preclinical elective for first‐ and second‐year students. METHODS: We surveyed second‐, third‐, and fourth‐year medical students at Alpert Medical School as well as select program directors to guide selection of a list of procedures to be taught in the elective. We then created an extracurricular 10‐week procedural skills course for preclerkship medical students utilizing a hands‐on, flipped classroom practice model.  Volunteer preceptors were recruited from the Department of Emergency Medicine to participate with a student‐to‐faculty ratio not exceeding 5:1. Knowledge and skill acquisition were assessed using a multiple‐choice knowledge exam and 4‐station practical exam, respectively. Pre‐ and post‐course online surveys were used to assess self‐perceived confidence for all procedures. RESULTS: We implemented our procedural skills training course for first‐ and second‐year medical students in the fall of 2015. Forty‐four students applied for the first iteration of the course and 15 students were selected to participate. Fourteen students ultimately completed the elective as well as the subsequent course surveys, multiple‐choice exam, and practical exam. Students who participated in the elective had increased levels of self‐reported confidence at the conclusion of the elective and performed better on a practical exam and multiple‐choice exam compared to students who participated in only the standard curriculum. CONCLUSION: A longitudinal preclerkship procedural course early during medical school is a feasible method of teaching procedural skills to a cohort of learners. A number of adjustments could be made to the course in order to scale up and include a larger cohort of students at our own or another institution.
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spelling pubmed-77718062020-12-31 Development of a pilot procedural skills training course for preclerkship medical students Ayandeh, Armon Zhang, Xiao C. Diamond, Jay F. Michael, Sarah H. Rougas, Steven J Am Coll Emerg Physicians Open Education OBJECTIVE: Despite procedural skills being recognized as an important component of medical school education, medical students are not confident in their ability to carry out a range of medical procedures. We conducted an institutional needs assessment and used the results to inform the creation of a procedure‐based preclinical elective for first‐ and second‐year students. METHODS: We surveyed second‐, third‐, and fourth‐year medical students at Alpert Medical School as well as select program directors to guide selection of a list of procedures to be taught in the elective. We then created an extracurricular 10‐week procedural skills course for preclerkship medical students utilizing a hands‐on, flipped classroom practice model.  Volunteer preceptors were recruited from the Department of Emergency Medicine to participate with a student‐to‐faculty ratio not exceeding 5:1. Knowledge and skill acquisition were assessed using a multiple‐choice knowledge exam and 4‐station practical exam, respectively. Pre‐ and post‐course online surveys were used to assess self‐perceived confidence for all procedures. RESULTS: We implemented our procedural skills training course for first‐ and second‐year medical students in the fall of 2015. Forty‐four students applied for the first iteration of the course and 15 students were selected to participate. Fourteen students ultimately completed the elective as well as the subsequent course surveys, multiple‐choice exam, and practical exam. Students who participated in the elective had increased levels of self‐reported confidence at the conclusion of the elective and performed better on a practical exam and multiple‐choice exam compared to students who participated in only the standard curriculum. CONCLUSION: A longitudinal preclerkship procedural course early during medical school is a feasible method of teaching procedural skills to a cohort of learners. A number of adjustments could be made to the course in order to scale up and include a larger cohort of students at our own or another institution. John Wiley and Sons Inc. 2020-10-10 /pmc/articles/PMC7771806/ /pubmed/33392523 http://dx.doi.org/10.1002/emp2.12278 Text en © 2020 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of the American College of Emergency Physicians. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Education
Ayandeh, Armon
Zhang, Xiao C.
Diamond, Jay F.
Michael, Sarah H.
Rougas, Steven
Development of a pilot procedural skills training course for preclerkship medical students
title Development of a pilot procedural skills training course for preclerkship medical students
title_full Development of a pilot procedural skills training course for preclerkship medical students
title_fullStr Development of a pilot procedural skills training course for preclerkship medical students
title_full_unstemmed Development of a pilot procedural skills training course for preclerkship medical students
title_short Development of a pilot procedural skills training course for preclerkship medical students
title_sort development of a pilot procedural skills training course for preclerkship medical students
topic Education
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7771806/
https://www.ncbi.nlm.nih.gov/pubmed/33392523
http://dx.doi.org/10.1002/emp2.12278
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