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Utilisation du « Patient management problem » comme méthode d’évaluation formative au cours du stage d’internat

The evaluation of the internship in pediatric orthopedics is based on a clinical examination in the form of ECOS, after the internship period involving all surgical specialties. The validation of the clinical examination test does not necessarily mean that the student has achieved his internship obj...

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Autores principales: Boussetta, Rim, Zairi, Mohamed, Msakni, Ahmed, Bouchoucha, Sami, Mensia, Kacem, Saied, Walid, Nessib, Mohamed Nabil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Societe Tunisienne Des Sciences Medicales 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8796716/
https://www.ncbi.nlm.nih.gov/pubmed/35244912
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author Boussetta, Rim
Zairi, Mohamed
Msakni, Ahmed
Bouchoucha, Sami
Mensia, Kacem
Saied, Walid
Nessib, Mohamed Nabil
author_facet Boussetta, Rim
Zairi, Mohamed
Msakni, Ahmed
Bouchoucha, Sami
Mensia, Kacem
Saied, Walid
Nessib, Mohamed Nabil
author_sort Boussetta, Rim
collection PubMed
description The evaluation of the internship in pediatric orthopedics is based on a clinical examination in the form of ECOS, after the internship period involving all surgical specialties. The validation of the clinical examination test does not necessarily mean that the student has achieved his internship objectives and vice versa. This discrepancy between the evaluation test and the field of the internship prompted us to question the need to establish a formative evaluation method during the clinical internship. METHODS : Our study is a prospective, evaluative, longitudinal study, from October 2019 until September 2020, in the infantile orthopedics and traumatology department of the «Béchir HAMZA» children’s hospital in Tunis. We carried out a formative evaluation using the “Patient Management Problem” (PMP), with two different subjects, one on acute hematogenous osteomyelitis, the other on malignant bone tumors, with a Pre-test and a Post-test for each PMP. RESULTS : We had 18 interns, during the period between October 2019 and September 2020, including 13 who had medical training in Tunisian faculties. The score for the acute osteomyelitis pretest was 14.56 on average, the PMP score was 16.33 on average, with one interne scoring zero. The posttest mean was 18.11 [13.75-20], with a statistically significant difference from the pretest. The pre-test for the bone tumors’ PMP had an average of 9.7 [3.75-15], that of PMP was 12.6 [0-20]. There was an improvement in post test scores with an average of 16.45. Comparing the two tests we noticed that the scores for the PMP osteomyelitis were higher than the scores for the PMP bone tumors with a significant difference between the two groups (p = 0.04). CONCLUSIONS : The results of this pilot project are encouraging for the establishment of a continuous evaluation by the PMP method, intended for interne during the pediatric orthopedic surgery internship. This method allows learning and formative evaluation of learners by evaluating clinical and therapeutic reasoning.
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spelling pubmed-87967162022-01-31 Utilisation du « Patient management problem » comme méthode d’évaluation formative au cours du stage d’internat Boussetta, Rim Zairi, Mohamed Msakni, Ahmed Bouchoucha, Sami Mensia, Kacem Saied, Walid Nessib, Mohamed Nabil Tunis Med Article The evaluation of the internship in pediatric orthopedics is based on a clinical examination in the form of ECOS, after the internship period involving all surgical specialties. The validation of the clinical examination test does not necessarily mean that the student has achieved his internship objectives and vice versa. This discrepancy between the evaluation test and the field of the internship prompted us to question the need to establish a formative evaluation method during the clinical internship. METHODS : Our study is a prospective, evaluative, longitudinal study, from October 2019 until September 2020, in the infantile orthopedics and traumatology department of the «Béchir HAMZA» children’s hospital in Tunis. We carried out a formative evaluation using the “Patient Management Problem” (PMP), with two different subjects, one on acute hematogenous osteomyelitis, the other on malignant bone tumors, with a Pre-test and a Post-test for each PMP. RESULTS : We had 18 interns, during the period between October 2019 and September 2020, including 13 who had medical training in Tunisian faculties. The score for the acute osteomyelitis pretest was 14.56 on average, the PMP score was 16.33 on average, with one interne scoring zero. The posttest mean was 18.11 [13.75-20], with a statistically significant difference from the pretest. The pre-test for the bone tumors’ PMP had an average of 9.7 [3.75-15], that of PMP was 12.6 [0-20]. There was an improvement in post test scores with an average of 16.45. Comparing the two tests we noticed that the scores for the PMP osteomyelitis were higher than the scores for the PMP bone tumors with a significant difference between the two groups (p = 0.04). CONCLUSIONS : The results of this pilot project are encouraging for the establishment of a continuous evaluation by the PMP method, intended for interne during the pediatric orthopedic surgery internship. This method allows learning and formative evaluation of learners by evaluating clinical and therapeutic reasoning. Societe Tunisienne Des Sciences Medicales 2021-06 2021-06-01 /pmc/articles/PMC8796716/ /pubmed/35244912 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 Unported License. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Article
Boussetta, Rim
Zairi, Mohamed
Msakni, Ahmed
Bouchoucha, Sami
Mensia, Kacem
Saied, Walid
Nessib, Mohamed Nabil
Utilisation du « Patient management problem » comme méthode d’évaluation formative au cours du stage d’internat
title Utilisation du « Patient management problem » comme méthode d’évaluation formative au cours du stage d’internat
title_full Utilisation du « Patient management problem » comme méthode d’évaluation formative au cours du stage d’internat
title_fullStr Utilisation du « Patient management problem » comme méthode d’évaluation formative au cours du stage d’internat
title_full_unstemmed Utilisation du « Patient management problem » comme méthode d’évaluation formative au cours du stage d’internat
title_short Utilisation du « Patient management problem » comme méthode d’évaluation formative au cours du stage d’internat
title_sort utilisation du « patient management problem » comme méthode d’évaluation formative au cours du stage d’internat
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8796716/
https://www.ncbi.nlm.nih.gov/pubmed/35244912
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