Abstract
International Journal of Medicine and Public Health,2017,7,4,187-190.DOI:10.5530/ijmedph.2017.4.39Published:November 2017Type:Original ArticleObjective Assessment of Orthopaedic SkillsSimerjit Singh, Avneet Kaur, and Harmanpreet Singh Simerjit Singh1*, Avneet Kaur2, Harmanpreet Singh3 1MS, Orthopaedics, Associate Professor, Department of Orthopaedics, Universiti Tunku Abdul Rahman, Kuala Lumpur, MALAYSIA. 2Lecturer, Department of Physiology, Universiti Tunku Abdul Rahman, Kuala Lumpur, MALAYSIA. 3Associate Professor, Department of Pharmacy, Lovely Professional University, Jalandhar, INDIA. Abstract:Introduction: We have been using task trainers for teaching various techniques such as injections for carpal tunnel, trigger finger and tenosynovitis and knee lavage. However, at present these skills are being taught in a nonsystematic manner and we do not have an objective method of evaluating them. The aim of this study was to device an objective tool for measurement of these skills. Methods: A total of 80 fourth year MBBS students participated in the study. A MCQ test was used for base line assessment of student’s knowledge of the knee anatomy. The students were divided into three groups for instruction on knee joint injection i.e. didactic (lecture), video and hands on training group. The three groups performed a task of simulated knee joint injection on an anatomical knee model and assessed using a newly prepared assessment tool. A second MCQ test was conducted after the joint injection task. Each participant was asked to rate his or her confidence in performing knee joint injections with use of l0-point Likert scale before and after the instruction. Results: On comparing the means by one-way Anova, the mean score was highest for the hands on training group (26.32) followed by video group (20.46) and lecture group (16.15) respectively. The difference in the scores between three groups was statistically significant (p<0.000). Participants in all three groups showed gain in knowledge and confidence at performing the task. The overall internal consistency (cronbach’s alpha) of the assessment tool developed was 0.63. However high convergent validity (inter-item correlation) was found for 8 out of 9 items of the assessment tool. Conclusion: Availability of an objective assessment tool for orthopaedic skills will systemize the delivery and evaluation of these skills. Further the experience gained through this study will be used to develop objective assessment tools to evaluate the skills in other medical disciplines. Keywords:Injection skills., Joint injection, Knee arthrocentesis, Knee injection, Procedural skills, Skill assessmentView:PDF (134.06 KB)
Highlights
We have been using task trainers for teaching various techniques such as injections for carpal tunnel, trigger finger and tenosynovitis and knee lavage
A total of 80 MBBS students were recruited in the study on voluntary basis
A total of 80 fourth year MBBS students participated in the study
Summary
We have been using task trainers for teaching various techniques such as injections for carpal tunnel, trigger finger and tenosynovitis and knee lavage At present these skills are being taught in a nons ystematic manner and we do not have an objective method of evaluating them. Realizing the need to teach these skills in an organized manner Vogelgesang et al developed an instructional program to teach aspiration and injection techniques of the knee and shoulder to medical students and residents. They used didactic lecture and hands-on workshop using anatomical models made of synthetic materials. They found that didactic and workshop trained students outperformed the traditional group and were more confident in doing procedures.[7]
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