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1.
Rev. enferm. UERJ ; 28: e35224, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1096015

RESUMEN

Objetivo: investigar a atuação dos enfermeiros frente à amamentação cruzada e correlacionar com a atual questão da precarização do trabalho. Método: estudo qualitativo do tipo descritivo com base metodológica de análise do discurso, realizado com seis enfermeiras da Estratégia de Saúde da Família (ESF) por meio de um grupo focal. Resultados: o tema amamentação cruzada é apresentado como um indicador de conflitos ético-profissionais no processo de trabalho, expressando-se nos seguintes aspectos: conhecimento das prescrições de contraindicação, sensação de dificuldade em intervir e transferência à nutriz por qualquer dano à saúde da criança. Considerações finais: no cotejo entre esses resultados e uma organização de trabalho com normas e rotinas institucionalizadas, discutem-se como efeitos da não utilização de técnicas de aconselhamento, a fragilização da autonomia da nutriz, de forma imperceptível, reproduzidas por enfermeiros na assistência.


Objective: to investigate nurses' role related to cross-breastfeeding and to correlate with the current issue of precarious work.Method: descriptive andqualitative study based on methodological discourse analysis, carried out with six nurses from Estratégia de Saúde da Família (ESF) Program through a focus group. Results: cross-breastfeeding topic is presented as an indicator of ethical-professional conflicts in the work process, expressing itself in the following aspects: knowledge of prescriptions of contraindication, feeling of difficulty in intervening and transference to the nursing mother for any harm to the child's health. Final considerations: in the comparison between these results and a work organization with institutionalized norms and routines, we discuss the effects of not using counseling techniques, the fragility of nurses' autonomy, imperceptibly reproduced by nurses in care.


Objetivo: investigar el papel de las enfermeras relacionadas con la lactancia cruzada y su correlación con el tema actual del trabajo precario. Método: estudio descriptivo y cualitativo basado en el análisis metodológico del discurso, realizado con seis enfermeras del Programa Estratégia de Saúse da Familia (ESF) através de un grupo focal. Resultados: el tema de la lactancia cruzada se presenta como un indicador de conflictos ético-profesionales en el proceso de trabajo, expresándose en los siguientes aspectos: conocimiento de prescripciones de contraindicación, sensación de dificultad para intervenir y transferencia a la madre lactante por cualquier daño a la salud del niño Consideraciones finales: en la comparación entre estos resultados y una organización de trabajo con normas y rutinas institucionalizadas, discutimos los efectos de no utilizar técnicas de asesoramiento, la fragilidad de la autonomía de las enfermeras, reproducida imperceptiblemente por las enfermeras bajo cuidado.


Asunto(s)
Humanos , Femenino , Adulto , Persona de Mediana Edad , Calidad de la Atención de Salud/ética , Condiciones de Trabajo , Lactancia Materna , Rol de la Enfermera , Estrategia de Salud Familiar , Contraindicaciones , Relaciones Laborales , Brasil , Competencia Clínica , Grupos Focales , Investigación Cualitativa
4.
Artículo en Inglés | MEDLINE | ID: mdl-33202996

RESUMEN

With the global pandemic of the coronavirus disease, virtual reality simulation (vSim) has emerged as a simulation educational method. The purpose of this study is to examine the learning effects of vSim by comparing three different educational modalities of nursing care for children with asthma. A quasi-experimental design with three different teaching methods, vSim, high-fidelity simulation (HFS), and vSim with HFS, were used in the study. The group using vSim with HFS showed the highest scores in knowledge, confidence in practice, and performance compared to groups using vSim or HFS alone. Simulation practice using vSim combined with HFS could be an effective educational method for nursing students.


Asunto(s)
Asma , Bachillerato en Enfermería , Aprendizaje , Estudiantes de Enfermería , Realidad Virtual , Asma/terapia , Niño , Competencia Clínica , Humanos , Simulación de Paciente
5.
Methodist Debakey Cardiovasc J ; 16(3): e1-e7, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33133368

RESUMEN

Over the past decade, advances in digital trends and technology have greatly impacted the medical field with rapid delivery of and access to information. The field of cardiovascular medicine in particular has seen major technological advances and is well versed in the use of digital platforms and social media. In these unprecedented times of the COVID-19 pandemic, social media and other digital platforms are essential tools for communication, education, and delivery of information. In this review, we discuss the ways virtual learning and social media are changing medical education and research.


Asunto(s)
Cardiología/educación , Infecciones por Coronavirus/prevención & control , Educación Médica/métodos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Medios de Comunicación Sociales/estadística & datos numéricos , Realidad Virtual , Competencia Clínica , Infecciones por Coronavirus/epidemiología , Femenino , Humanos , Aprendizaje , Masculino , Pandemias/estadística & datos numéricos , Neumonía Viral/epidemiología , Sociedades Médicas , Estados Unidos
6.
BMC Med Educ ; 20(1): 400, 2020 Nov 02.
Artículo en Inglés | MEDLINE | ID: mdl-33138818

RESUMEN

BACKGROUND: COVID - 19 pandemic pressured medical schools globally to shift to Distance learning (DL) as an alternative way to ensure that the content delivered is satisfactory for student progression. AIM OF THE WORK: This work aims at mapping priorities for post-COVID planning for better balance between distance learning and face to face learning. METHODS: This qualitative study aimed to develop a model for utilizing DL using The Polarity Approach for Continuity and Transformation (PACT)™. A virtual mapping session was held with 79 faculty from 19 countries. They worked in small groups to determine upsides and downsides of face-to-face and DL subsequently. An initial polarity map was generated identifying five tension areas; Faculty, Students, Curriculum, Social aspects and Logistics. A 63-item assessment tool was generated based on this map, piloted and then distributed as a self-administered assessment. The outcomes of this assessment were utilized for another mapping session to discuss warning signs and action steps to maintain upsides and avoid downsides of each pole. RESULTS: Participants agreed that face-to-face teaching allows them to inspire students and have meaningful connections with them. They also agreed that DL provides a good environment for most students. However, students with financial challenges and special needs may not have equal opportunities to access technology. As regards social issues, participants agreed that face-to-face learning provides a better chance for professionalism through enhanced team-work. Cognitive, communication and clinical skills are best achieved in face-to-face. Participants agreed that logistics for conducting DL are much more complicated when compared to face-to-face learning. Participants identified around 10 warning signs for each method that need to be continuously monitored in order to minimize the drawbacks of over focusing on one pole at the expense of the other. Action steps were determined to ensure optimized use of in either method. CONCLUSION: In order to plan for the future, we need to understand the dynamics of education within the context of polarities. Educators need to understand that the choice of DL, although was imposed as a no-alternative solution during the COVID era, yet it has always existed as a possible alternative and will continue to exist after this era. The value of polarity mapping and leveraging allows us to maximize the benefit of each method and guide educators' decisions to minimize the downsides for the good of the learning process.


Asunto(s)
Competencia Clínica , Infecciones por Coronavirus/prevención & control , Educación a Distancia/métodos , Educación a Distancia/estadística & datos numéricos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Control de Enfermedades Transmisibles/organización & administración , Estudios Transversales , Curriculum , Educación de Pregrado en Medicina/organización & administración , Femenino , Humanos , Masculino , Innovación Organizacional , Pandemias/estadística & datos numéricos , Investigación Cualitativa , Facultades de Medicina/organización & administración , Estudiantes de Medicina/psicología
7.
BMC Med Educ ; 20(1): 399, 2020 Nov 02.
Artículo en Inglés | MEDLINE | ID: mdl-33138810

RESUMEN

BACKGROUND: COVID-19 is a global pandemic affecting all aspects of life in all countries. We assessed COVID-19 knowledge and associated factors among dental academics in 26 countries. METHODS: We invited dental academics to participate in a cross-sectional, multi-country, online survey from March to April 2020. The survey collected data on knowledge of COVID-19 regarding the mode of transmission, symptoms, diagnosis, treatment, protection, and dental treatment precautions as well as participants' background variables. Multilevel linear models were used to assess the association between dental academics' knowledge of COVID-19 and individual level (personal and professional) and country-level (number of COVID-19 cases/ million population) factors accounting for random variation among countries. RESULTS: Two thousand forty-five academics participated in the survey (response rate 14.3%, with 54.7% female and 67% younger than 46 years of age). The mean (SD) knowledge percent score was 73.2 (11.2) %, and the score of knowledge of symptoms was significantly lower than the score of knowledge of diagnostic methods (53.1 and 85.4%, P <  0.0001). Knowledge score was significantly higher among those living with a partner/spouse than among those living alone (regression coefficient (B) = 0.48); higher among those with PhD degrees than among those with Bachelor of Dental Science degrees (B = 0.48); higher among those seeing 21 to 30 patients daily than among those seeing no patients (B = 0.65); and higher among those from countries with a higher number of COVID-19 cases/million population (B = 0.0007). CONCLUSIONS: Dental academics had poorer knowledge of COVID-19 symptoms than of COVID-19 diagnostic methods. Living arrangements, academic degrees, patient load, and magnitude of the epidemic in the country were associated with COVD-19 knowledge among dental academics. Training of dental academics on COVID-19 can be designed using these findings to recruit those with the greatest need.


Asunto(s)
Competencia Clínica , Infecciones por Coronavirus/prevención & control , Odontología/organización & administración , Docentes de Odontología/organización & administración , Control de Infecciones/organización & administración , Pandemias/prevención & control , Neumonía Viral/prevención & control , Infecciones por Coronavirus/epidemiología , Estudios Transversales , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Internacionalidad , Modelos Lineales , Masculino , Análisis Multivariante , Pandemias/estadística & datos numéricos , Neumonía Viral/epidemiología
8.
Rev Lat Am Enfermagem ; 28: e3391, 2020.
Artículo en Inglés, Portugués, Español | MEDLINE | ID: mdl-33174995

RESUMEN

OBJECTIVE: to identify the effectiveness of clinical simulation for competence development regarding cardiopulmonary resuscitation in comparison with different teaching and learning strategies used in the education of nursing students. METHOD: systematic review, performed on the databases PubMed®/MEDLINE®, LILACS, Scopus, CINAHL and Web of Science. The Rayyan QCRI application was used to select the studies, in addition to the instruments for assessing the methodological quality of Joanna Briggs Institute and the Medical Education Research Study Quality Instrument. RESULTS: a total of 887 studies were identified, and five we included in the final sample. The included studies had good methodological quality by the assessment instruments. All of them had statistically significant results to develop competence through clinical simulation, when compared to other methods. CONCLUSION: clinical simulation proved to be effective for the development of clinical competence in cardiopulmonary resuscitation of nursing students.


Asunto(s)
Reanimación Cardiopulmonar , Estudiantes de Enfermería , Reanimación Cardiopulmonar/educación , Competencia Clínica , Humanos
9.
Artículo en Inglés | MEDLINE | ID: mdl-33121028

RESUMEN

Due to the coronavirus disease (COVID-19) pandemic, there are many restrictions in effect in clinical nursing practice. Since effective educational strategies are required to enhance nursing students' competency in clinical practice, this study sought to evaluate the effectiveness of simulation problem-based learning (S-PBL). A quasi-experimental control group pretest-post-test design was used. Nursing students were allocated randomly to the control group (n = 31) and the experimental group (n = 47). Students in the control group participated in a traditional maternity clinical practicum for a week, while students in the experimental group participated S-PBL for a week. The students in the experimental group were trained in small groups using a childbirth patient simulator (Gaumard® Noelle® S554.100, Miami, USA) based on a standardized scenario related to obstetric care. The students' learning attitude, metacognition, and critical thinking were then measured via a self-reported questionnaire. Compared with the control group, the pre-post difference in learning attitude and critical thinking increased significantly (p < 0.01) in the experimental group. S-PBL was found to be an effective strategy for improving nursing students' learning transfer. Thus, S-PBL that reflects various clinical situations is recommended to improve the training in maternal health nursing.


Asunto(s)
Educación Basada en Competencias/métodos , Metacognición , Aprendizaje Basado en Problemas/métodos , Entrenamiento Simulado/métodos , Estudiantes de Enfermería/psicología , Pensamiento , Betacoronavirus , Competencia Clínica , Infecciones por Coronavirus/epidemiología , Bachillerato en Enfermería/métodos , Evaluación Educacional , Femenino , Humanos , Pandemias , Neumonía Viral/epidemiología , Preceptoría , Embarazo
10.
Medicine (Baltimore) ; 99(44): e22959, 2020 Oct 30.
Artículo en Inglés | MEDLINE | ID: mdl-33126364

RESUMEN

INTRODUCTION: Type 2 diabetes mellitus is responsible for high mortality and morbidity globally and in India. India has high prevalence of the condition and the burden is set to increase exponentially in the next decade. Indians traditionally reside in rural or semi-urban areas with limited access to healthcare facilities. To overcome this, the government has introduced a cadre of health workers called Accredited Social Health Activists (ASHA) for such areas. These workers were initially trained to provide maternal & infant care but now need improved competence training to improve type 2 diabetes screening & management in these locations. The objective of the study is to assess the competence training provided to ASHA workers at the chosen study sites. METHODOLOGY: A cluster randomized control trial has been designed. It will be conducted across 8 centers in Hyderabad & Rangareddy districts of Telangana, India. The training will be provided to ASHA workers. The tool used for training will be developed from existing sources with an emphasis on topics which require training. The training will be delivered across 6 months at each center as a classroom training. Each participant's baseline competence will be recorded using a questionnaire tool and a practical evaluation by trained public health experts. The same experts will use the same tools to assess the training post the intervention. DISCUSSION: This trial will evaluate the use of health worker training as a tool for improving the clinical competence in relation to type 2 diabetes mellitus. We anticipate that the module will provide a greater understanding of type 2 diabetes mellitus, the importance of screening of both disease and complications and improved skills for the same. The study has received the ethical approval form the Institutional Ethics Committee of the Indian Institute of Public Health Hyderabad. The registration number is: IIPHH/TRCIEC/218/2020. The trial has also been registered under the Clinical trial registry of India (CTRI) on 27 July 2020. The registration number of the trial is: CTRI/2020/07/026828. The URL of the registry trial is: http://ctri.nic.in/Clinicaltrials/showallp.php?mid1=45342&EncHid=&userName=CTRI/2020/07/026828.


Asunto(s)
Competencia Clínica , Agentes Comunitarios de Salud/educación , Diabetes Mellitus Tipo 2/terapia , Capacitación en Servicio/métodos , Competencia Clínica/normas , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/prevención & control , Femenino , Humanos , India , Masculino , Ensayos Clínicos Controlados Aleatorios como Asunto
12.
Vasc Health Risk Manag ; 16: 429-435, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33116553

RESUMEN

Background: Cardiology fellows, in particular, are in a unique position to mold the new cardiovascular workforce, especially in terms of risk prevention. There is a growing need for the cardiovascular workforce. In the United States, one person dies every forty-two seconds due to a cardiovascular adverse event. Methods: A PRISMA systematic review included comprehensive search of the MED-LINE database (PubMed) from 1927 to 2020 - the oldest to newest available literature on the subject available through PubMed. Results: Fifty-seven cardiology fellows together interpreted a total of 1719 EKGs with a correct rate of 52%. Sixty-four fellows completed a total of 1363 echocardiography interpretations with an accuracy rate of nearly 75%. Conclusion: Based on the studies discussed, it is evident that a cardiology fellow, particularly in their early years of training, may be limited due to a lack of experience. With continued EKG and echocardiogram interpretation, as well as other clinical skills practice, fellows can improve their diagnostic accuracy and procedural efficiency.


Asunto(s)
Cardiólogos/educación , Cardiología/educación , Competencia Clínica , Ecocardiografía , Educación de Postgrado en Medicina , Electrocardiografía , Cardiopatías/diagnóstico , Cardiólogos/psicología , Humanos , Variaciones Dependientes del Observador , Valor Predictivo de las Pruebas , Reproducibilidad de los Resultados
13.
Medicine (Baltimore) ; 99(43): e22562, 2020 Oct 23.
Artículo en Inglés | MEDLINE | ID: mdl-33120744

RESUMEN

Simulation and Objective Structured Clinical Examination assessment of learners can teach clinical skills proficiency in a safe environment without risk to patients. Interprofessional simulation-based education (IPSE) contributes to a transformation in students' understanding of teamwork and professional roles. Long term outcomes for stimulation and IPSE sessions, are less well studied. We hypothesized that a progressive interprofessional education simulation program incorporating both faculty and interprofessional student collaboration would improve medical students' knowledge retention, comfort with procedural skills, positive teamwork and respectful interaction between students.An Obstetrics and Gynecology IPSE for medical and nursing students (NS) was developed in collaboration between a school of medicine and a school of nursing from 2014 to 2017. By 2017, content includedFrom 2014 to 2016, medical students completed attitude, knowledge, and perception surveys both pre and immediately post simulation, at 4 months, and 8 months. In 2017; all students completed self-assessments and received faculty-assessments.The program trained 443 medical and 136 NS. Medical students' knowledge, comfort, and interest increased significantly post simulation. Outcome scores decreased but were still significantly improved at 4 months but nearly dissipated by 8 months. There were no significant differences between medical and NS self-assessment or faculty-assessment scores regarding IUD insertion, cervical examination, or contraception quiz scores. Medical students' birth simulation self-assessment versus faculty-assessment scores were 8.6 vs 8.9, P < .001.Simulation improved students' short-term medical knowledge, comfort, and perception with some long-term persistence at 4-8 months. Medical and NS learned obstetrics and gynecology skills in a collaborative environment and in role-specific situations. Medical students had the opportunity to learn from NS. Positive teamwork and respectful interaction occurred between the students.


Asunto(s)
Ginecología/educación , Obstetricia/educación , Entrenamiento Simulado , Estudiantes de Medicina , Estudiantes de Enfermería , Actitud del Personal de Salud , Competencia Clínica , Estudios de Cohortes , Conducta Cooperativa , Curriculum , Educación de Pregrado en Medicina , Educación en Enfermería , Humanos , Relaciones Interprofesionales
14.
Lakartidningen ; 1172020 10 20.
Artículo en Sueco | MEDLINE | ID: mdl-33107584

RESUMEN

In Sweden, unlike some other European countries, there is no prescribing exam at the end of the final year of medical school. To investigate the level of knowledge achieved without such an exam, we developed an anonymous test consisting of 48 multiple choice questions which was completed by 80 final-year medical students at the University of Gothenburg (median age: 26 years; 56% female). Median percentage of correct answers was 51%. The test included 31 questions from the prescribing exam in the Netherlands. Using the pass mark from the examination in the Netherlands for these questions (85% correct answers), 7.5% of the Swedish students reached a sufficient level of knowledge. Only 12% of the students agreed that medical school had prepared them well for prescribing. In free text answers, more focus on pharmacotherapy education and training as well as undergraduate exams were frequent suggestions to increase junior physicians' professional competence in prescribing. To direct learning activities and student engagement as well as to ensure sufficient prescribing skills, we suggest the introduction of a prescribing exam in Sweden.


Asunto(s)
Educación de Pregrado en Medicina , Estudiantes de Medicina , Adulto , Competencia Clínica , Curriculum , Evaluación Educacional , Europa (Continente) , Femenino , Humanos , Masculino , Facultades de Medicina , Suecia
15.
Sr Care Pharm ; 35(11): 476-478, 2020 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-33121567

RESUMEN

The pharmacy degree at Monash University is a four year undergraduate Bachelor of Pharmacy with Honours (BPharm(Hons)), followed by a one year Master of Pharmacy incorporating a preregistration year of supervised practice, known in Australia as internship. The first cohort of the BPharm(Hons) will graduate in 2020. A key principle of the new curriculum was that clinical experiential placements should commence early in the curriculum, be fully integrated with the didactic curriculum, and prepare students for internship by developing their competence in performing useful and relevant tasks in the workplace. Entrustable Professional Activities (EPA) are used as the framework for their experiences.


Asunto(s)
Competencia Clínica , Infecciones por Coronavirus , Educación en Farmacia/tendencias , Pandemias , Neumonía Viral , Australia , Betacoronavirus , Curriculum , Humanos
16.
Prim Health Care Res Dev ; 21: e47, 2020 10 28.
Artículo en Inglés | MEDLINE | ID: mdl-33109285

RESUMEN

AIM: Family physicians are role models for their societies in disaster management and have an important place in it. This study was carried out during the specialty training of the residents, who are currently family physicians fighting against COVID-19 in the field, and was aimed to identify the awareness levels of residents regarding the roles and duties of family physicians before, during, and after disasters and to increase their awareness of disaster medicine and management. BACKGROUND: The duties and responsibilities of a family physician in disasters should be a part of their specialty training. This study has contributed to the limited literature, increased awareness, and opened a new avenue of research for studies to be conducted with family physicians by demonstrating the current situation of family physicians in disaster management. METHODS: This is an observational and descriptive study. The knowledge, experience, opinions, willingness, attitudes of the residents, and the awareness levels of the residents regarding their roles and duties in a disaster were evaluated along with their sociodemographic information. The surveys were applied in the family medicine clinics of the all residents by the interview method (n = 233). FINDINGS: Only 9.2% of the residents stated that they had received training on disaster medicine where they currently work. The knowledge level of the residents on this subject was found as 'Unsure'. In total, 80% of the residents stated that family physicians should have a role in disasters. It was found that 83.3% of the residents had never joined a disaster drill, 94.3% had never participated in making or applying a disaster plan, and 97.7% had never worked in any disaster. CONCLUSION: The residents participating in the study lacked not only information on disaster management but also experience. The residents' willingness to receive training, work voluntarily, significantly question the curriculum, and specialize in disaster medicine were a positive outcome.


Asunto(s)
Competencia Clínica/estadística & datos numéricos , Medicina de Desastres/métodos , Internado y Residencia/estadística & datos numéricos , Rol del Médico , Médicos de Familia/estadística & datos numéricos , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Turquia , Adulto Joven
17.
Surg Clin North Am ; 100(6): 1021-1047, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33128878

RESUMEN

Quality improvement is a dynamic process that requires continuously monitoring quality indicators and benchmarking these with national and professional standards. Endoscopists have formed societal task forces to propose quality indicators and performance goals. Institutions are now incentivized by payers and value-based reimbursement agreements to have processes in place to measure, report, and act on these quality metrics. Nationwide registries, such as the Gastrointestinal Quality Improvement Consortium, are used to report quality data to these merit-based incentive payment systems. Quality improvement processes such as these are instrumental to improve patient safety, health, and satisfaction while decreasing costs and medical errors.


Asunto(s)
Endoscopía del Sistema Digestivo/normas , Guías de Práctica Clínica como Asunto/normas , Mejoramiento de la Calidad , Benchmarking/normas , Competencia Clínica , Endoscopía/normas , Endosonografía/normas , Humanos , Seguridad del Paciente/normas , Mejoramiento de la Calidad/normas , Indicadores de Calidad de la Atención de Salud/normas
18.
Surg Clin North Am ; 100(6): 1091-1113, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33128882

RESUMEN

Various approaches for enteral access exist, but because there is no single best approach it should be tailored to the needs of the patient. This article discusses the various enteral access techniques for nasoenteric tubes, gastrostomy, gastrojejunostomy, and direct jejunostomy as well as their indications, contraindications, and pitfalls. Also discussed is enteral access in altered anatomy. In addition, complications associated with these endoscopic techniques and how to either prevent or properly manage them are reviewed.


Asunto(s)
Endoscopía Gastrointestinal/métodos , Endoscopía Gastrointestinal/normas , Nutrición Enteral/métodos , Desnutrición/terapia , Competencia Clínica , Endoscopía Gastrointestinal/educación , Gastrostomía/métodos , Gastrostomía/normas , Humanos , Intubación Gastrointestinal/métodos , Intubación Gastrointestinal/normas , Yeyunostomía/métodos , Yeyunostomía/normas , Desnutrición/cirugía , Guías de Práctica Clínica como Asunto
19.
J Postgrad Med ; 66(4): 200-205, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33037168

RESUMEN

With the introduction of competency-based undergraduate curriculum in India, a paradigm shift in the assessment methods and tools will be the need of the hour. Competencies are complex combinations of various attributes, many of which being not assessable by objective methods. Assessment of affective and communication domains has always been neglected for want of objective methods. Areas like professionalism, ethics, altruism, and communication-so vital for being an Indian Medical Graduate, can be assessed longitudinally applying subjective means only. Though subjectivity has often been questioned as being biased, it has been proven time and again that a subjective assessment in expert hands gives comparable results as that of any objective assessment. By insisting on objectivity, we may compromise the validity of the assessment and deprive the students of enriched subjective feedback and judgement also. This review highlights the importance of subjective assessment in competency-based assessment and ways and means of improving the rigor of subjective assessment, with particular emphasis on the development and use of rubrics.


Asunto(s)
Competencia Clínica/normas , Educación Basada en Competencias/organización & administración , Educación de Pregrado en Medicina/métodos , Educación Médica/organización & administración , Evaluación Educacional/métodos , Adulto , Curriculum , Femenino , Humanos , India , Masculino , Profesionalismo , Estudiantes de Medicina
20.
J Vet Med Educ ; 47(s1): 92-98, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-33074077

RESUMEN

As part of an OIE Veterinary Education Twinning Project linking The University of Queensland, Australia and Nong Lam University, Vietnam, the limited access to animal and clinical resources was identified as an impediment to high quality veterinary education at Nong Lam University. However, student focused, simulated learning spaces, which have been widely adopted in veterinary training, are a cost-effective opportunity to provide initial clinical skills to students in countries where resourcing is constrained. In clinical skills training facilities, students use models and simulators to practice their clinical skills to develop the confidence, competence and muscle memory to enter the clinical phase of their training. While high-fidelity veterinary simulators and models are expensive, effective models for foundational clinical skills development can be built in-house for students to practice their skills authentically. This article outlines the cost effective establishment of a veterinary clinical skills training facility at Nong Lam University.


Asunto(s)
Competencia Clínica , Educación en Veterinaria , Animales , Australia , Países en Desarrollo , Humanos , Estudiantes
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