Abstract
Objective: Investigating loss of competence (LoC) in clinical skills of medical students over time, predictive factors on competency loss, and determining efficiency of refresher training on skill retention. Material and Methods: The second and third-year students (n=170 and 160 respectively), who gained skills of blood pressure measurement, taking pulse and body temperature in the first year of their medical education, were invited to vocational skills laboratory to perform these skills. Their performance for each skill was scored over 100 using standardized assessment forms. Socio-demographic characteristics and variables possibly effective on LoC were determined by a questionnaire. Next academic year, 159 third-year (former second-year) students received refresher training and performed the skills on real patients under observation. They sat for an objective structured clinical examination (OSCE) at the end of the third year. OSCE scores were used to explore efficiency of refresher training combined with real alife applications. Results: LoC was significant in all skills. Multiple regression analysis revealed that
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