Clinical skill learning for tomorrow’s doctors - a step towards better obstetric care

Gayathri Linganagouda Patil; Tejaswi Vittal Pujar; Seema BN; Linganagouda S. Patil; Sushanth R. Nayak; Seema Chigateri; Radhika Suresh Deshpande; Shashikala P.

doi:10.18203/2320-1770.ijrcog20161672

Authors

Gayathri Linganagouda Patil Department of Obstetrics and Gynaecology, S. S. Institute of Medical Sciences and research centre, Davangere, Karnataka, India
Tejaswi Vittal Pujar
Seema BN Department of Obstetrics and Gynaecology, S. S. Institute of Medical Sciences and research centre, Davangere, Karnataka, India
Linganagouda S. Patil Department of Oncosurgery, S. S. Institute of Medical Sciences and research centre, Davangere, Karnataka, India
Sushanth R. Nayak Department of Obstetrics and Gynaecology, S. S. Institute of Medical Sciences and research centre, Davangere, Karnataka, India
Seema Chigateri Department of Obstetrics and Gynaecology, S. S. Institute of Medical Sciences and research centre, Davangere, Karnataka, India
Radhika Suresh Deshpande Department of Obstetrics and Gynaecology, S. S. Institute of Medical Sciences and research centre, Davangere, Karnataka, India
Shashikala P. Co-ordinator MEU, S.S. Institute of Medical Sciences and research centre, Davangere, Karnataka, India 577005

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20161672

Keywords:

Female urethral catheterization, Skill

Abstract

Background: Female urethral catheterization is the most commonly performed procedure in obstetrics and gynecology, for the assessment of urinary output. Many times catheterization is done by junior colleagues with improper technique resulting in improper catheterization and urethral injury. It is a must to know skill for every graduating medical student to avoid devastating consequences of performing it poorly. The objectives of this study are to evaluate the effectiveness of four step method of skill learning of bladder catheterization in female patients by interns and demonstrate the competency in the proper insertion and removal of an indwelling urinary catheter and also the study aimed to determine the effectiveness of bladder simulator training for medical interns.

Methods: A prospective, observational and skill imparting study done using a specially designed model, after ethical committee approval. 30 Interns were divided in to six groups of five each for skill learning. It was done with Kirkpatrik model using specially designed objective structured clinical examination forms and scoring sheets. Sample paired t test was used.

Results: 80% of the interns could perform the skill with maximum scores.

Conclusions: It is an innovative teaching learning method for incoming interns which will help them to improve knowledge and practice and finally reduce the risk of complications and injury.

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References

Vellanki VS, Gillellamudi SB. Teaching surgical skills in obstetrics using a simulator – bringing simulation to life. Advances in Medical Education and Practice. 2010;1:85-9.

AFMC National clinical skills working group evidence based clinical skills document. Available on clinicalskills.machealth.ca/index.php/content/intro

Bissett L. Reducing the risk of catheter-related urinary tract infection. J Nursing. 2005;101(12):64-7.

Rodney Peyton’s four step approach. MJA. 2004;181(6).

Krautter M, Weyrich P, Schultz JH, Buss SJ, Maatouk I, Jünger J, et al. Effects of Peyton’s Four step approach on objective performance measure in technical skills training: a controlled trial. Teach Learn Med. 2011;23(3):244-50.

Lake FR, Hamdarf JM. Teaching on the run tips 5: Teaching a skill. MJA. 2004;181(6).

Thirukovela J. Interns skill training of male catheterization with Rodney Peyton’s four step technique - Assessment by OSCE, 2015, unpublished project conducted at Gandhi medical college, Secunderabad, India.

Naylor RA, Holett LA, Mitchell IC, Bowling MW. Can medical students achieve skills proficiency through simulation training? Skills Poster. Am J Surg. 2009;198(2):277-82.

Manalo M, Lapitan MCM, Buckley BS. Medical interns' knowledge and training regarding urethral catheter insertion and insertion-related urethral injury in male patients.BMC Medical Education. 2011;11:73.

Eziyi AK, Ademuyiwa SO, Eziyi JAE, Aderounmu OA, Oyedeji ASA. Knowledge and experience of medical students with male uretheral catheterization. East Cent Afr J Surg. 2009;14(2).