Evidence map›Paper›PMID 32958002›Full record

ArticleBMC medical education2020

Informed self-assessment versus preceptor evaluation: a comparative study of pediatric procedural skills acquisition of fifth year medical students.

Muhammed Elhadi, Hazem Ahmed, Ala Khaled, Wejdan K Almahmoudi, Samah S Atllah, Ahmed Elhadi, Hamida Esahli

Open access · goldAbstract read
In one paragraph

Article in BMC medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 1 institution in 1 country.

Muhammed ElhadiFaculty of Medicine, University of Tripoli, Tripoli, 13275, Libya. Muhammed.elhadi.uot@gmail.com.ORCID http://orcid.org/0000-0001-6406-4212
Hazem AhmedFaculty of Medicine, University of Tripoli, Tripoli, 13275, Libya.
Ala KhaledFaculty of Medicine, University of Tripoli, Tripoli, 13275, Libya.
Wejdan K AlmahmoudiDepartment of Pediatrics, Faculty of Medicine, University of Tripoli, Tripoli, Libya.
Samah S AtllahDepartment of Pediatrics, Faculty of Medicine, University of Tripoli, Tripoli, Libya.
Ahmed ElhadiFaculty of Medicine, University of Tripoli, Tripoli, 13275, Libya.
Hamida EsahliDepartment of Pediatrics, Faculty of Medicine, University of Tripoli, Tripoli, Libya.
University of Tripoli · LY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSimulation training is widely used in medical education as students rarely perform clinical procedures, and confidence can influence practitioners' ability to perform procedures. Thus, this study assessed students' perceptions and experiences of a pediatric skills program and compared their informed self-assessment with their preceptor-evaluated performance competency for several pediatric clinical procedures.

methodsA total of 65 final-year medical students attended a weeklong pediatric skills training course by the University of Tripoli that used a manikin and various clinical scenarios to simulate real-life cases. Participants completed questionnaires self-assessing their performance skills, while examiners evaluated each students' competency on five procedural skills (lumbar puncture, nasogastric tube insertion, umbilical vein catheterization, intraosseous access, and suprapubic aspiration) using an objective structured clinical examination (OSCE) model. Differences between agreement levels in question responses were evaluated through a nonparametric chi-square test for a goodness of test fit, and the relationship between confidence levels and the OSCE scores for each procedure was assessed using Spearman's rank-order correlation.

resultsAll participants completed the informed self-assessment questionnaire and OSCE stations. The frequency differences in agreement levels in students' questionnaire responses were statistically significant. No significant differences were found between students' self-assessment and preceptors' evaluation scores. For each procedure's passing score rate, umbilical vein catheterization had the highest passing rate (78.5%) and nasogastric tube placement the lowest (56.9%). The mean performance scores were above passing for all procedures. The Wilcoxon signed-rank test revealed no significant differences between participants' self-assessment and their preceptor-evaluated competency; students correctly perceived and assessed their ability to perform each procedure.

conclusionsHigh competence in several life-saving procedures was demonstrated among final-year medical students. The need for consistent and timely feedback, methods to increase medical students' confidence, and further development and improvement of competency-based assessments are also highlighted.

Indexed as

Students, MedicalChildClinical CompetenceEducational MeasurementFeedbackHumansPhysical ExaminationSelf-AssessmentEducationMedical student educationPediatricsSelf-assessmentSimulation

Identifiers

PMID32958002
PMCPMC7504596
OpenAlexW3087476200

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.