Mohammad Reza Mahmoodi
Abstract
Objectives The purpose of this study was to evaluate the improvement of students’ ability to answer consecutive patient management problem (PMP) and modified essay question (MEQ) exams, to assess its relationship with academic progress, and to determine whether consecutive PMP-MEQ exams can improve ...
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Objectives The purpose of this study was to evaluate the improvement of students’ ability to answer consecutive patient management problem (PMP) and modified essay question (MEQ) exams, to assess its relationship with academic progress, and to determine whether consecutive PMP-MEQ exams can improve the students’ clinical reasoning skills by improving the test scores. Methods This descriptive, analytical, cross-sectional study consisted of 67 third-year nutrition students in three consecutive years, who were asked to prepare for a multiple-choice question (MCQ) test and consecutive PMP-MEQ exams. The students were required to answer PMP-MEQ exam, which comprised of two queries of five-choice question (PMP) and three short-answer questions (MEQ). Repeated measures ANOVA, independent -test, paired -test, and Pearson’s correlation test were used for statistical analysis. Results The mean difference in PMP scores was significant between the three periods (P = 0.0001). However, the difference in the mean score of PMP exam between students with grade point average (GPA) ≥ 16 and GPA < 16 was not significant, except for PMP3 (P = 0.001). An increase was observed in the scores of students in both groups by continuous PMP examination. The significant mean difference in PMP3 exam showed that improvement of students with GPA ≥ 16 was greater than that of students with GPA < 16 (P = 0.001). The difference in the mean scores of MCQ and PMP exams was significant, except for the third PMP exam in students with GPA ≥ 16 (P = 0.143). Conclusions Use of PMP-MEQ exams in reasoning-based clinical education can be a suitable approach for clinical evaluation of undergraduate students. Also, continuous PMP-MEQ examination can improve the clinical reasoning of students, mainly those with GPA ≥ 16.
Sara Afshar; Dorsa Hamedi; Nasibeh Noori-Moombeini; Nazila Akbarfahimi
Volume 13, Issue 5 , January 2017, , Pages 468-475
Abstract
Background & Objective: The ultimate goal of medical universities is clinical efficacy in their students Students evaluation of selfefficacy can be a good guide to predicting their clinical skills Therefore this research was designed to evaluate the effect of occupational therapy clinical training ...
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Background & Objective: The ultimate goal of medical universities is clinical efficacy in their students Students evaluation of selfefficacy can be a good guide to predicting their clinical skills Therefore this research was designed to evaluate the effect of occupational therapy clinical training during one semester on selfefficacy and clinical reasoning in students and the relationship between these two factors Methods: This descriptiveanalytical and crosssectional study was conducted on 42 third and fourth year undergraduate students of occupational therapy who were passing the clinical education course The study was conducted in all occupational therapy clinical centers of Jundishapur University of Medical Sciences Ahvaz Iran through census sampling in 2014 The General SelfEfficacy Scale (10 questions) and SelfAssessment of Clinical Reflection and Reasoning (26 questions) were used in this study Data were analyzed using descriptive statistics and parametric tests such as paired ttest independent ttest and the Pearson correlation coefficient in SPSS software Results: Results indicated a significant change (from 2997 ± 387 in pretest to 3180 ± 404 in posttest) in students selfefficacy during one semester (P = 0009) However the increase in mean scores of clinical reasoning and selfreflection at the end of the semester was not significant (P = 0460) There was a weak correlation between the selfefficacy variable and clinical reasoning and selfreflection (P = 0010 r = 039) Scores did not show statistically significant differences in either cases and between the two sexes Conclusion: According to the results of this study clinical training program in the field of occupational therapy led to the creation and promotion of selfefficacy in students but does not increase clinical reasoning among them Therefore revision of clinical training of students and improvement of their clinical courses plans seems necessary
