Acquisition of Competence in Clinical Practical Procedures: A Model of the University of Zambia Medical School
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2017, Vol 19, Issue 8
Abstract
Aims: To explore how medical students acquired and developed competence in selected clinical practical procedures. Study Design: Cross sectional qualitative study. Methodology: Seventeen (17) students from a class of 60 final year University of Zambia Medical students of the 2012/2013 academic year participated in the in-depth interviews. The in-depth interviews were conducted using Grounded Theory approach. Results: Twelve themes emerge on how medical students of the University of Zambia, learn and develop competency in clinical practical procedures. Eight of the themes describing the process of learning, while the other four describes the process of competency development. The eight themes on learning are: learning through formal teaching, informal teaching, observing/watching, demonstration, apprenticing, and being “put on the spot”. Other were learning passively and learning from reading medical literature. Themes for describing the process of competency development included; personal interest, more practice, reading literature and teaching others. From the twelve themes, a new model has been advanced called “Passive Observation to Peer Teaching Model” of clinical procedural skills acquisition and competency development which describes how Medical students of the University of Zambia-acquired and developed competence in clinical practical procedures. Conclusion: The model generated from our study can be seen as an expanded version of the “see one, do one and teach one approach” with an expansion of the “doing one” which in our model is first guided then unguided. One notable difference between existing models and that from our study is, while existing models focus on actual manipulations to perform a psychomotor skill, our model focuses on the process of acquiring and developing competency.
Authors and Affiliations
Katowa-Mukwato Patricia, Banda S. Sekelani
Keywords
Related Articles
- EP ID EP311277
- DOI 10.9734/BJMMR/2017/31279
- Views 74
- Downloads 0
The Inductive Effect of Purified Streptococcal M-protein on Immunity against Streptococcus pyogenes in Rabbit Model
Aims: The study aimed to know the effects of the purified M-protein on immune system to produce protection against Streptococcus pyogenes in rabbits. Study Design: Case-control study. Place and Duration of Study: In this...
Micronutrient Consequences of Long Term Proton Pump Inhibitor Therapy
Proton pump inhibitors (PPIs) are currently the mainstay of treatment for gastro-oesophageal reflux disease, peptic ulcer disease and dyspepsia. In this area, they have enjoyed remarkable success and there are many patie...
Elevated Plasma Level of Homocysteine is an Independent Risk Factor for Peripheral Neuropathy
Introduction: Elevated plasma level of homocysteine (eHcy) is associated with increased prevalence of peripheral neuropathy (PN) in diabetic patients. However, it is not known whether eHcy is an independent risk factor f...
Tactile Acuity among Commercial Motorcyclists in Uturu, Nigeria
Aims: To determine and compare tactile acuity of commercial motorcyclists with that of their age and sex matched controls. Study Design: Cross sectional study. Place and Duration of Study: The study was done in Uturu, a...
Psychosomatic Disorders Affecting the Mouth: A Critical Review
Modern medicine has come to the realization that the human body cannot be treated in terms of a mere sum of its different parts, but must rather be dealt with in terms of the psychophysiological aspects of the organisms...