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Implementing work place based assessment: The modified direct observation of procedural skills (DOPS) across medical specialties - An experience from a developing country

Author(s)
Saeed Sadiq Hamid Department of Medicine Aga Khan University, Karachi, Pakistan
Tabassum Zehra Department of Educational Development, Aga Khan University, Karachi, Pakistan
Muhammad Tariq Department of Educational Development, Aga Khan University, Karachi, Pakistan
Azam Saeed Afzal Department of Educational Development, Aga Khan University, Karachi, Pakistan
Hashir Majid Department of Medicine Aga Khan University, Karachi, Pakistan
Erfan Hussain Department of Medicine Aga Khan University, Karachi, Pakistan
Abstract
Objective: To assess the skill level of residents regarding central venous catheterisation insertion, and to assess the reliability of scores in a simulated situation. Methods: The quasi-experimental study with pre- and post-test design was conducted from February to June 2013 at the Aga Khan University, Karachi, and comprised four workshops attended by residents. The workshops were video-recorded for feedback and self-assessment. At the end of the workshops, knowledge and procedural skills were assessed using a self-generated 38-item, task-specific instrument after ensuring its content validity. Data was analysed using SPSS 19. Results: There were 40 residents in the sample. The self-generated instrument was reliable with Cronbach's alpha value 0.83 and inter-rater coefficient 0.79. There was significant improvement in the skills level post-intervention compared to the baselines mean values (p=0.001). The subjects were satisfied with the workshops, as indicated by a mean score of 8.83±1.367. Conclusions: The workshops appeared to improve the central venous catheterisation insertion skills of the residents.
Publication Details
Page(s) 620-624
DOI 10.47391/JPMA.970
Published Journal: Journal of Pakistan Medical Association, Volume: 72, Issue: 4, Year: 2022

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Keywords
Postgraduate medical education, Resident, Workplace-based assessment, Direct observation of procedural skills, Central venous catheterisation
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