The Training Needs of Malaysian House-Officers on Core Obstetrics and Gynecological Competencies

Nazimah Idris; Kavitha Nagandla; Sivalingam Nalliah

doi:10.22037/jme.v18i3.25821

Journal of Medical Education for Future Demands

Former Title: Journal of Medical Education | The Official Journal of School of Medical Education and Learning Technologies

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https://doi.org/10.22037/jme.v18i3.25821

The Training Needs of Malaysian House-Officers on Core Obstetrics and Gynecological Competencies

Author(s):

Nazimah Idris¹,

Kavitha Nagandla^{2, 3,*},

Sivalingam Nalliah³

1Clinical Professor, Obstetrics & Gynecology, Associate Dean (Clinical Affairs & Development), School of Medicine, International Medical University, Clinical Campus, Jalan Rasah, 70300 Seremban, Negeri Sembilan, Malaysia

2Associate Professor, Obstetrics & Gynecology, Programme Director, MBBS, School of Medicine, Specialist Obstetrician & Gynaecologist, Certified Colposcopist, International Medical University, Clinical Campus, Jalan Rasah, 70300 Seremban, Negeri Sembilan, Malaysia

3Department of Obstetrics & Gynaecology, International Medical University, Clinical Campus, Jalan Rasah, 70300 Seremban, Negeri Sembilan, Malaysia

Journal of Medical Education for Future Demands:Vol. 18, issue 3; e105685

Published online:Jan 11, 2020

Article type:Research Article

Received:Jun 05, 2019

Accepted:Nov 02, 2019

How to Cite:Idris N, Nagandla K, Nalliah S. The Training Needs of Malaysian House-Officers on Core Obstetrics and Gynecological Competencies. J Med Edu. 2019;18(3):e105685. doi: https://doi.org/10.22037/jme.v18i3.25821

Abstract

Background: Internship prepares a newly graduated medical practitioner to be fully conversant and confident with the routines during clinical practice. Information on competencies on basic core clinical skills at an early stage of training is essential. So appropriate measures can be implemented to ensure adequate competence is acquired in the available period. This study was performed to assess the training needs of house officers overtime and the outcome of their training on core obstetric and gynecological (Ob&Gyn) competencies.Methods: This was a longitudinal study of the level of competence and training needs of house-officers on the core (Ob&Gyn) competencies as required by the Ministry of Health Malaysia. Three domains of competencies that were the practical knowledge, procedural competencies, and the personal and professional attributes were assessed. The assessment was done at two points, which were the beginning and the end of the posting to enable evaluation of the level of competency and training needs over time.The data were obtained using a set of a questionnaire developed based on the competencies required by the Ministry of Health Malaysia. A Likert scale of 1-5 was used to measure the house officers’ perceptions of the items studied. A P value <0.05 was considered statistically significant.Results: Responses from 416 house-officers from eight participating hospitals were available for analysis. The mean entry scores at the beginning of (Ob&Gyn) rotation of three domains of assessment -practical knowledge, procedural competencies, and personal attributes- were 2.86 (SD 0.679), 2.21 (SD 0.222), and 3.72 (SD 0.734) and mean exit scores of the three domains of assessment at the end of the rotation were 3.84 (SD 0.553), 3.14 (SD 0.712), and 4.22 (SD 0.641), respectively. The improvements were statistically significant (P=0.0001 in all areas). Factors that were associated with higher scores at the entry-level were the female sex, number of prior clinical rotations, and where they graduated from.Conclusion: Whilst the training needs of the house-officers in the core (Ob&Gyn) competencies significantly reduced over time, specific areas of unpreparedness related to undergraduate medical training were identified. These areas need attention to ensure graduates are optimally prepared for starting work.

Keywords

House-Officers

Training Needs

Core Obstetrics & Gynecological Competencies

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Author(s):

Nazimah Idris:[PubMed][Scholar]
Kavitha Nagandla:[PubMed][Scholar]
Sivalingam Nalliah:[PubMed][Scholar]

Former Title: Journal of Medical Education | The Official Journal of School of Medical Education and Learning Technologies

Outlines

The Training Needs of Malaysian House-Officers on Core Obstetrics and Gynecological Competencies

Abstract

Fulltext

References

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