Introduction of clinical audit in obstetrics for undergraduate medical students

Authors

  • Seema Grover Department of Obstetrics Gynaecology, GGSMC and Hospital, Faridkot, Punjab, India
  • Shashi Kant Dhir Department of Paediatrics, GGSMC and Hospital, Faridkot, Punjab, India
  • Nishi Garg Department of Obstetrics Gynaecology, GGSMC and Hospital, Faridkot, Punjab, India
  • Balpreet Dhaliwal Department of Obstetrics Gynaecology, AIIMS, Bathinda, Punjab, India
  • Dinesh Badyal Department of Pharmacology, CMC and Hospital, Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20231530

Keywords:

Clinical audit, Final year MBBS, Caesarean section, Undergraduate

Abstract

Background: Clinical audit is becoming increasingly important in the healthcare system to ensure a high quality of patient care. Involving the undergraduate medical students in the audit process will help them to understand the subject better and will stimulate them to critically appraise a medical issue. Clinical audit is a hands-on practice of data collection, comparison of current clinical practice with standard and find root cause analysis-based intervention to implement change ideas. Aim and objectives of current study were to introduce audit as a teaching tool in clinical posting of obstetrics and evaluate its impact and acceptability.

Methods: Final year MBBS students were enrolled for the study. The caesarean section was selected as the topic for audit. A pre-test was given before the introduction of Clinical audit. Participants were trained to do a systematic clinical audit including analyzing the collected data. They worked in small groups along with a faculty supervisor. A post-test was taken after one month. Likert scale was used to evaluate the acceptability of this tool by students.

Results: A total of 50 MBBS students of the final semester completed the pre-test, training to use clinical audit and the post-test. The results of pre-test and post-test were compared and a statistically significant improvement was found in the performance of students. This method was found to be an acceptable tool for clinical teaching by 98% of the students.

Conclusions: Final year MBBS Students performed better when clinical audit was used as a teaching tool, which was also well accepted by them.

References

Jamtvedt G, Young JM, Kristoffersen DT, O’Brien MA, Oxman AD. Audit and feedback: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2006;2:CD000259.

Taylor L, Jones S. Clinical governance in practice: closing the loop with integrated audit systems. J Psychiatr Ment Health Nurs. 2006;13(2):228-33.

Clinical Audit. Available at: www.nice.org.uk/media /796/23/BestPracticeClinicalAudit.pdf. Accessed on 20 November 2022.

Copeland G. A practical handbook for clinical audit. Available at: https://www.bsuh.nhs.uk/. Accessed on 20 November 2022.

Brazil V. Audit as a learning tool in postgraduate emergency medicine training. Emerg Med Australas. 2004;16(4):348-52.

Al-Baho A, Serour M, Al-Weqayyn A, AlHilali M, Sadek AAA. Clinical audits in a postgraduate general practice training program: an evaluation of 8 years’ experience. PLoS One. 2012;7(9):e43895.

Mak DB, Miflin B. Clinical audit in the final year of undergraduate medical education: towards better care of future generations. Med Teach. 2012;34(4):e251-7.

Campion P, Stanley I, Haddleton M. Audit in general practice: students and practitioners learning together. Qual Health Care. 1992;1(2):114-8.

Wong BM, Etchells EE, Kuper A, Levinson W, Shojania KG. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39.

Windish DM, Reed DA, Boonyasai RT, Chakraborti C, Bass EB. Methodological rigor of quality improvement curricula for physician trainees: a systematic review and recommendations for change. Acad Med. 2009; 84(12):1677-92.

Kumar PR, Hashmi Y, Morad R, Dewan V. Clinical Audit Platform for Students (CAPS): a pilot study. Postgrad Med J. 2020.

Wise M, Kool B, Sadler L, Peiris-John R, Robb G, Wells S. Teaching quality improvement to medical students: over a decade of experience. NZ Med J. 2017;130(1466):45-52.

Tor E, Steketee C, Mak D. Clinical audit project in undergraduate medical education curriculum: an assessment validation study. Int J Med Educ. 2016;7: 309-19.

Benjamin A. Audit: how to do it in practice. BMJ. 2008;336(7655):1241-5.

Chong JA, Chew JKY, Ravindranath S, Pau A. Clinical audit teaching in record-keeping for dental undergraduates at International Medical University, Kuala Lumpur, Malaysia. J Dent Educ. 2014;78(2): 206-12.

Davis S, O’Ferrall I, Hoare S, Caroline B, Mak DB. Perceptions of medical graduates and their workplace supervisors towards a medical school clinical audit program. Int J Med Educ. 2017;8:244-51.

Nikkar-Esfahani A, Jamjoom AAB, Fitzgerald JEF. Extracurricular participation in research and audit by medical students: opportunities, obstacles, motivation and outcomes. Med Teach. 2012;34(5):e317-24.

Brazil V. Audit as a learning tool in postgraduate emergency medicine training. Emerg Med Australas. 2004;16(4):348-52.

McGeorge E, Coughlan C, Fawcett M, Klaber RE. Quality improvement education for medical students: a near-peer pilot study. BMC Med Educ. 2020;20(1): 128.

Bray B. Untapping the potential of medical trainees to improve the quality of healthcare. Future Hosp J. 2017; 4(1):51-2.

Downloads

Published

2023-05-26

Issue

Section

Original Research Articles