ePoster
100% Page: /
Presentation Description
Interns' Self-Assessment of Clinical Skills and Upskills Needs
Dr.Chestsada Tonusin,MD.
Sunprasitthiprasong Hospital, Thailand
Background:
The Thai Medical Council (TMC) has launched an internship program for newly graduated doctors since 1994 to enhance skills needed for medical practice. During internship, all interns are assessed by using workplace-based assessment (WPA); EPA, DOPS, and multi-source feedback to assess clinical skills, procedural skills, attitudes, communication skills, and professionalism, by the intern training center. About 2,700 doctors participate in internship each year, but their individual learning needs during this period might be specific. The program does not focus on their needs and views. This study focuses on interns' perspectives during their internship and aimed to find out which tasks interns perceived as weak points in their medical practice and need to improve before finishing an internship.
Summary of work:
Forty-seven doctors who participated in the internship program at Sunpasitthiprasong Hospital in 2023 were assigned to complete online questionnaires. The questionnaires assessed their self-rated proficiency in clinical and procedural skills based on the TMC criteria and their identification of areas needing improvement. Thirty-nine from 47 questionnaires were sent back.
Summary of Results:
Interns rated their clinical skills fair to exellent(94.9%, 37 interns), and need to improve (5.1%,2 interns). Interns expressed highest confidence in history taking(37.9%, 30 interns), physical examination(26.6%, 21 interns), Diagnosis(15.2%, 12 interns), investigation and interpretation(19%,15 interns). During internship, 33 of 39 interns requested more training mainly on medical procedures, including emergency procedures. 11 interns requested emergency management training, one requested information on the referral system, and four requested no further training.
Discussion:
According to their self-assessments, 94.9% of interns met TMC clinical skill standards. While most interns need to upskills , especially on clinical procedures and emergency management.
Conclusion:
The intern training center should provide faculty activities focused on clinical procedures during internship. Future researches direction on exploring types of procedural training for interns should be performed.
Take-home Message:
Targeted procedural training during internship boosts confidence and preparedness for emergencies.
Reference:
1. Thai Medical Council. (2023, February 14). Internship program 2023. Retrieved from https://www.tmc.or.th/tmc_clinical/Clinical-2566.php