Evidence map›Paper›PMID 30223814›Full record

ArticleBMC medical education2018

Calibration of confidence and assessed clinical skills competence in undergraduate paediatric OSCE scenarios: a mixed methods study.

Dara O'Donoghue, Gail Davison, Laura-Jo Hanna, Ben McNaughten, Michael Stevenson, Andrew Thompson

Abstract read
In one paragraph

Article in BMC medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Article
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  14. Emergency Medicine Obstetrics and Gynecology: A Case-Based Curriculum for Residents.MedEdPORTAL : the journal of teaching and learning resources · 2023
    Article
  15. Article
  16. Article
  17. Knowledge, skills, and confidence among healthcare staff in urinary catheterization.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dara O'DonoghueRoyal Belfast Hospital for Sick Children, 180-184 Falls Road, Belfast, BT12 6BE, UK. d.odonoghue@qub.ac.uk.ORCID http://orcid.org/0000-0001-5046-2092
Gail DavisonRoyal Belfast Hospital for Sick Children, 180-184 Falls Road, Belfast, BT12 6BE, UK.
Laura-Jo HannaRoyal Belfast Hospital for Sick Children, 180-184 Falls Road, Belfast, BT12 6BE, UK.
Ben McNaughtenRoyal Belfast Hospital for Sick Children, 180-184 Falls Road, Belfast, BT12 6BE, UK.
Michael StevensonCentre for Medical Education, Queen's University, Whitla Medical Building, 97 Lisburn Road, Belfast, BT97AE, UK.
Andrew ThompsonRoyal Belfast Hospital for Sick Children, 180-184 Falls Road, Belfast, BT12 6BE, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between confidence and competence in clinical skills development is complex but important. This study aims to determine undergraduate paediatric student confidence in performing three common paediatric clinical skills framed as Objective Structured Clinical Examination (OSCE) scenarios and to compare this with subsequent assessed performance. The study also aims to explore possible barriers to successful paediatric skills completion.

methodsA mixed-methods study was conducted on medical students. Cross-sectional questionnaire data relating to confidence in performing a number of paediatric skills were compared with assessed paediatric skills competency. Focus groups were carried out to identify themes in paediatric skills completion to triangulate this data.

resultsEighty-five medical students participated in the study. Students had high levels of pre-test confidence in their ability to perform paediatrics skills. However agreement between pre-test confidence and subsequent task performance was poor and students had significantly greater belief in their skills ability than was subsequently demonstrated. Focus groups identified paediatric skills complexity, conflicting teaching and having limited supervised skills opportunities and as being possible contributory factors to this discrepancy.

conclusionsStudent paediatric skills confidence is not matched by performance. The reasons for this are diverse but mostly modifiable. A major factor is the lack of supervised skills experience with appropriate feedback to support students in learning to calibrate their confidence against their competence. A number of recommendations are made including the introduction of formative assessment opportunities.

Indexed as

Clinical CompetenceEducation, Medical, UndergraduateSelf-Evaluation ProgramsStudents, MedicalCross-Sectional StudiesEducational MeasurementFocus GroupsHumansPediatricsSurveys and QuestionnairesUnited KingdomCalibrationCompetenceConfidenceSkills

Identifiers

PMID30223814
PMCPMC6142704

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.