Clinical Skills Competition Research Articles

Clinical skills competition expanded to include dental therapists

Clinical skills competition expanded to include dental therapists

The national dental undergraduate clinical skills competition known as the Guanghua Cup: an innovative and effective program that promoted undergraduate dental education in China

BackgroundThe National Dental Undergraduate Clinical Skills Competition known as the Guanghua Cup was held in Guangzhou, China, for three consecutive years from 2017 to 2019 to promote the clinical teaching of undergraduate dental education and to enhance communication among different universities. The present study aimed to introduce the organization, procedures, and consequences of the competition, in addition to analyzing the influences of competition on the reform of undergraduate dental education.MethodsBy analyzing the descriptive statistics of the Guanghua Cup, the competitions’ organization, the participating students’ performances, and the outcomes of competitions were analyzed. After distributing questionnaires to all participants of the 2nd and 3rd Cups, their attitudes towards the competition and their evaluation of the role of the competitions in promoting undergraduate dental education were analyzed.ResultsA total of 24 schools participated in the 3 competition years. The contents of the competitions covered cariology, endodontics, periodontology, prosthodontics, oral and maxillofacial surgery, dental anatomy, and first aid (e.g., operative skills and theoretical knowledge). Compared with those of the 2nd Cup, the mean scores of the operative skills significantly improved in the stations related to periodontology, prosthodontics, and dental anatomy (p < 0.05) in the 3rd Cup. In addition, 338 valid questionnaires were collected, for a response rate of 87.79 %. Overall, the participants spoke highly of the Guanghua Cup. Based on their self-perception and self-evaluation, the majority of interviewees agreed that the competition helped develop collegiality and teamwork among the participating students, improved the students’ clinical skills and promoted the improvement of teaching resources (e.g., purchasing and updating equipment, models or experimental materials).ConclusionsThe competition enjoyed the widest coverage since it involved dental schools from all of the different geographical regions of China. Dental students could exhibit their clinical skills in a competitive environment and develop collegiality and teamwork. Future competitions should be optimized through their organization and contents. The education quality of the participating schools affected by such competition should be investigated in a more objective and comparable way.

Qualitative Study of the Learning Process of Resident Physicians in China

Background: In clinical education, the resident learning environment has shifted from classrooms to hospitals, where residents must engage with patients and cultivate the ability to care for and treat patients. Residents transitioning to this new work environment face new challenges and establish new learning methods. Methods: To explore the challenges, learning methods, and response strategies that Chinese residents face as they interact with various environmental factors during the learning process. The participants were interviewed in depth. The interview outline covered four major themes: clinical learning experience and reflection on learning, experience interacting with patients, experience working with other medical staff, and future learning direction. 29 residents participated in the study. Findings: In the early stage of clinical education, residents are challenged by patients’ distrust in them due to their identity, medical skills, and communication skills. Residents have a higher level of motivation to learn clinical-related contents. Residents learn more effectively when their teachers have excellent teaching skills and the use of a balanced direction. A balanced direction indicates that teachers allow students to gain hands-on experience in clinical operations and provide them with assistance and guidance when required. Residents learn from not only senior physicians but also other health professionals in the work environment. Formal curriculum guides resident learning, and other events that occur during residency training, such as clinical skills competition, also improve resident learning performance. In residency training, residents experience burnout because of heavy workload and poor doctor–patient relations, with some residents even opting for a career change after their residency training. Interpretation: Residents’ learning performance is not based solely on the curriculum but also on the interactive effects of different elements related to them and their learning environment, such as patients, physicians, other health professionals, the workplace, and residents’ perception of self-identity. Funding Statement: This study was funded by the Higher Education Reform Project of Guangdong Province, China (Project No. 2017465). Declaration of Interests: The authors declare that there are no conflicts of interest. Ethics Approval Statement: This study was reviewed and approved by the Institutional Review Board of Qingyuan People’s Hospital in Guangdong, China (IRB: QPH-IRB-A0141).

Review and thinking of fifth national clinical skill competition of acupuncture-moxibustion and tuina

Through the review and summary of the 5th national clinical skill competition of acupuncture-moxibustion and tuina, it is recognized that the strict security of training, the concentrated training items, active competition of training and the diversity of training patterns are the keys of achievement. Besides, the suggestions are proposed in terms of tuina manipulations and the recitation content of classic in competition. It hopes that the competition greatly play its role in promoting learning, teaching and education construction.

The first JPS student clinical skills competition

The first JPS student clinical skills competition

Analysis of knowledge and clinical skill competition results in general practitioners attending grass-roots health post training

The knowledge and clinical skill competition scores of 331 general practitioners (GPs), who attended the grassroots health posts training in Sichuan Province and Chengdu Municipality in 2016 and 2017, were documented. The factors influencing the competition results were analyzed. The mean knowledge test score of 331 participants were higher than the clinical skill score [(76.89±6.56) vs. (54.13±10.91) , P 0.05). The levels of clinical skills of general practitioners at the grass-roots level need to be further improved, according to relevant influencing factors. Key words: General practitioner; Clinical knowledge; Clinical skill

The National Clinical Skills Competition Promotes the Construction of a Comprehensive Training Program for Chinese Medical Students

To explore an efficient training program based on an analysis in organizing seven sessions for the National ClinicalSkills Competition in China. Each year, 6-12 excellent medical students of our university are selected as anobservation team. Comparisons of the teaching characteristics were performed in this study. An optimal curriculumimplementation, specific clinical teaching scenarios and evaluation methods were gradually obtained and improved.Teaching effects were satisfactory. Among seven sessions, the eighth session was the best. Curriculum constructionand training team building are formed synchronously through this National Clinical Skills Competition. Clinicalskills training should be designed and evaluated effectively in order to increase the comprehensive capacities ofmedical students.

Inspiration on building medical emergency clinical teaching platform brought by college student clinic skill competition

Based on the clinical skill competition of college students of the advanced medical colleges and universities nationwide, we aimed at the analysis on the weaknesses of medical emergency clinical practical teaching and emphasis on the theoretical education and neglect the practical education, and hu-manistic care, etc. In the clinical practice teaching of emergency, we combined the clinical skill training with physician occupation quality training, pay attention to the practice of advanced simulation ex-ercises, gradual transition, clinical thinking, training medical students hands-on, team cooperation ability and humane accomplishment, to improve their ability of analyzing and solving problems and eventually optimize medical emergency clinical practical teaching, formulate the clinical practice standards as well as promote the reform and innovation of clinical teaching. Key words: Clinical skills competition; Clinical practice teaching; Enlightenment

Teaching reform of diagnostics based on clinical skill competition

In view of the current situation of the teaching of diagnostics, this paper analyzes the existing problems and deficiencies, and puts forward the teaching reform of the National Medical College Students' skills competition. Through the construction of experimental teaching demonstration center of skills, we set up the clinical skills association among the students, boldly try innovative training, strengthen humanistic education and take other measures to improve the quality of practice teaching of diagnostics, so as to achieve the purpose of the competition focusing on promote teaching, learning and using by competition. Key words: Clinical skills competition; Diagnostics; Teaching reform

National Clinical Skills Competition for Medical Students in China.

National Clinical Skills Competition for Medical Students in China.

The practice and exploration of improving the teaching quality of clinical practice under the background of the outstanding doctor training

In 2012, the Ministry of Education, Ministry of Health jointly issued the notice of implementation of the outstanding doctor training plan, which stressed the need to identify the dominant position of students in learning, and strengthened the training of medical ethics and clinical practice ability of medical students. Our hospital actively explored how to improve the teaching quality of clinical practice under the culture background of excellent doctor education. We constructed undergraduate clinical practice teaching management framework of school /secondary college — educational department /teaching and research section — three disciplines / subspeciality, established clinical skills teaching and research sec-tion, cleared responsibilities of all levels, improved the clinical teaching management system, and strengthened the practice teaching and medical students' clinical skills training, and standardized teaching rounds and lectures. We also promoted the teaching and learning through clinical skills competition, and at the same time, we paid attention to the cultivation of students' medical humanities and medical science spirit, so that students could obtain better clinical practice effect, and promote the development of the reform and development of hospital education and teaching. Key words: Outstanding doctor training; Clinical practice; Teaching management; Clinical skills training; Medical humanities education

National Clinical Skills Competition: an effective simulation-based method to improve undergraduate medical education in China

BackgroundThe National Clinical Skills Competition has been held in China for 5 consecutive years since 2010 to promote undergraduate education reform and improve the teaching quality. The effects of the simulation-based competition will be analyzed in this study.MethodsParticipation in the competitions and the compilation of the questions used in the competition finals are summarized, and the influence and guidance quality are further analyzed. Through the nationwide distribution of questionnaires in medical colleges, the effects of the simulation-based competition on promoting undergraduate medical education reform were evaluated.ResultsThe results show that approximately 450 students from more than 110 colleges (accounting for 81% of colleges providing undergraduate clinical medical education in China) participated in the competition each year. The knowledge, skills, and attitudes were comprehensively evaluated by simulation-based assessment. Eight hundred and eighty copies of the questionnaires were distributed to 110 participating medical schools in 2015. In total, 752 valid responses were received across 95 schools. The majority of the interviewees agreed or strongly agreed that competition promoted the adoption of advanced educational principles (76.8%), updated the curriculum model and instructional methods (79.8%), strengthened faculty development (84.0%), improved educational resources (82.1%), and benefited all students (53.4%).ConclusionsThe National Clinical Skills Competition is widely accepted in China. It has effectively promoted the reform and development of undergraduate medical education in China.

The exploration and practice of "the holistic thinking on the treatment of severe medicine in the training of the national college students' clinical skills competition

The holding of national college students' clinical skills competition reflects importance of medical education for clinical practice training. Although through intensive itemized skills drills, competitors can complete each individual operation with satisfaction, due to lack of clinical experience, in integrated circuit training, they will easily stray into question stem trap. The concrete analysis of national college students' clinical skills contest competition reflects medical students' insufficient recognition of clinical skills, lack of overall concept of intensive medical treatment, not flexible and insufficient mastery of connotation of clinical skills, which seriously restricts improvement of clinical education. Therefore this article raises special suggestions, referring to training focusing on Airway and Circulation, developing critical care thinking based on the relationship of multiorgan and improving firstaid capability of team work, so as to provide reference for improvement of training effect. Key words: Critical care medicine; National medical college students' clinical skills competitions; Training; Exploration; Practice

Teaching research of improving hand hygiene skills among medical students

Objective On the background of the clinical skills competition for national medical students in the higher medical colleges and universities, to investigate medical students' mastery of hand hygiene knowledge and skills, explore the effective methods of teaching, and improve the medical students' hand hygiene compliance and accuracy in clinical practice. Methods 90 medical students at a tertiarylevel teaching hospital clinical practice stage were randomly selected for the study, and performed hand hygiene theoretical knowledge and practical skills training in special education. Special teaching investigation was made before and after training, to investigate the students' hand hygiene compliance rate in clinical practice. And the correct rate of hand hygiene were examined and medical students' hand hygiene compliance rate and correct rate were compared before and after the special teaching and training. Statistical analysis was made by using chi square test 2. Results After theory teaching and additional special skills training the students' hand hygiene compliance and accuracy were improved significantly (79.00% vs. 35.50%, P=0.000). The correct rate of hand hygiene was also significantly higher than before training (92.22% vs. 61.11%, P=0.000). Conclusion Hand hygiene knowledge and skills training can significantly improve the medical students' hand hygiene compliance and accuracy in the clinical practice, and is conducive to the prevention of the spread of infection in hospitals, and then reduce the incidence of hospital infection. Key words: \versities; Hand hygiene; Healthcare-associated infection; Medical students; Special skills training

The significance and prospects of clinical practice teaching in the influence of clinical skills competition

Since participating in the clinical skills competition, the hospital has made considerable progress in the clinical practice teaching equipment, teachers, atmosphere and standards. This paper aims to explore the significance of competition to promote clinical practice teaching and suggests that under the existing conditions, we should improve the clinical skills curriculum and assessment, establish training standards, improve the level of clinical practice teaching, to give comprehensive support for cultivating excellent medical talents Key words: Clinical practice education; Clinical skills competition; Standards of clinical practice skills training; Progress and prospects

The evaluation of educational measurement indexes from the Undergraduates Clinical Skills Competition in a medical university

Objective The purpose of this study was to analyze and evaluate the educational measurem ent indexes from the undergraduates clinical skills competition in a medical university. The rationality of the competition was discussed in the view of education survey. Methods 84 students' results which selected from the China Medical University 2nd Clinical Skills Competition were the research objects in this study. The indexes of the difficulty, discrimination, reliability and criterion-related validity of the competition were evaluated based on the Education surveying principle. The difficulty was calculated by subjective topic difficulty computing formula, and other indexes were carried out with SPSS 18.0 except the difficulty index. Results The average difficulty of the questions of this university was 0.61, the average discrimination was 0.77 and the overall reliability was 0.926. The OSCE scores of the participating students were taken as the criterion in this study. The calculated criterion-related validity was 0.416. Conclusion The college students' clinical skills competition has good reliability, discrimination and effective criterion-related validity. For the selective competition, the difficulty can be further improved while considering the scope of the topic. Key words: Clinical skills competition; Reliability; Difficulty; Discrimination; Criterionrelated validity

The application of computer network scoring system in national clinical skills competition

The clinical skills competitions for national medical students in China have been well organized for five times. Experience has been accumulated, and much has been emphasized on the low assessment efficacy throughout the competitions. However, few solutions has been brought about to conquer such problem. This article mainly focused on introducing a computerized clinical skill assessment system based on current clinical skills competition assessment. The system realizes functions such as team management, online marking, score calculation, data analysis, and real-time result presentation. Such appliance of computer, internet and information technology on conventional clinical skills evaluation could hopefully replace the traditional manual calculating procedures, improving the efficiency of the future competitions, to ensure their openness, impartiality, and equitability, as well as to deliver observatory appeal among audience. Key words: Paperless; Computer networking; Assessment system; National clinical skills competition

Preliminary application of the revised objective structure clinical examination stations

Objective To explore the feasibility and effectiveness of the revised OSCE stations. Methods 106 sstudents of grade 2008 and 2009 from Xinhua clinical medical school of Shanghai Jiaotong University School of Medicine were involved, 32 of whom (experimental group) tool modified OSCE examination and 74 of whom (control group) tool traditional OSCE examination. The revised OSCE exam was the one which on the basis of original OSCE test station setup, improved the operating part of the test stand, adopted clinical cases as stem, asked the students to make possible diagnosis, and perform the corresponding operation. We evaluated the students based on the OSCE scores from the school exam and the overall performances in the national clinical skills competition. Comparison between the two groups was performed by using t test. Results All students who have received the new training methods agreed that it stood closer to the clinical setting. Revised-OSCE trained group of students test scores than traditional OSCE trained group of students, though it didn't have statistical significance. Students from the revised-OSCE group had the score of (80.50±15.45), while the traditional group had the score of (78.30±17.68). By taking the revised-OSCE trainings, all the students have improved their clinical skills and two years in a row to win the Shanghai Jiaotong University School of Medicine Clinical Skills Competition. Conclusions Case-based OSCE stations are well accepted. The new OSCE stations are much closer to clinical teaching and can make better objective assessment of students, so it plays a good role in improving medical students' overall performances. Key words: Case-based learning; Objective structure clinical examination; Medical education

Hints for success in ASHP's Clinical Skills Competition.

ASHP’s Clinical Skills Competition (CSC) is a team-based analysis of a patient case for pharmacy students. It provides students the opportunity to enhance their skills in collaborative practice with physicians in the provision of direct patient care.1 The national CSC is held during the annual ASHP Midyear Clinical Meeting. It involves teams from schools of pharmacy accredited by the Accreditation Council for Pharmacy Education (ACPE). Students compete in pairs on a timed case study, demonstrating their skills in assessing and presenting patient information and current therapy. They work to prioritize treatment goals, identify problems with existing drug therapies, and formulate a comprehensive patient care plan. Participants first compete at a school-level CSC that consists of a written evaluation and assessment of a patient case. Teams then present their recommendations to a panel of faculty judges. The participants are evaluated based on standardized evaluation criteria. The winning team subsequently represents the school at the national CSC, where the top 10 finalists are given the opportunity to present their plan to a panel of judges.

Clinical simulation training improves the clinical performance of Chinese medical students

BackgroundModern medical education promotes medical students’ clinical operating capacity rather than the mastery of theoretical knowledge. To accomplish this objective, clinical skill training using various simulations was introduced into medical education to cultivate creativity and develop the practical ability of students. However, quantitative analysis of the efficiency of clinical skill training with simulations is lacking.MethodsIn the present study, we compared the mean scores of medical students (Jinan University) who graduated in 2013 and 2014 on 16 stations between traditional training (control) and simulative training groups. In addition, in a clinical skill competition, the objective structured clinical examination (OSCE) scores of participating medical students trained using traditional and simulative training were compared. The data were statistically analyzed and qualitatively described.ResultsThe results revealed that simulative training could significantly enhance the graduate score of medical students compared with the control. The OSCE scores of participating medical students in the clinical skill competition, trained using simulations, were dramatically higher than those of students trained through traditional methods, and we also observed that the OSCE marks were significantly increased for the same participant after simulative training for the clinical skill competition.ConclusionsTaken together, these data indicate that clinical skill training with a variety of simulations could substantially promote the clinical performance of medical students and optimize the resources used for medical education, although a precise analysis of each specialization is needed in the future.