Theme
10AA Surgery
INSTITUTION
Department of Surgery, Faculty of Medicine, Prince of Songkla University
- Logbooks are one of tools to evaluate curricular objectives, particularly clinical skills.
- The utility of using logbooks as self-reporting that reflects clinical performance remains controversial.
- This study focused on the correlation between self-recorded logbooks and the final Objective Structured Clinical Examination (OSCE) scores.
The OSCE scores of 5 procedures of 139 first clinical-year medical students, rotated at the department of surgery during April-December 2014, were evaluated in correlation to the volume of surgical skills self-recorded logbooks.
- Intravenous fluid (IVF) cannulation
- Foley catheterization
- Nasogastric tube insertion
- Wound suture
- Wound dressing
Huang GC, Almeida JM, Roberts DH. Reaching the limits of mandated self-reporting: Clinical logbooks do not predict clerkship performance. Medical Teacher 2012; 34: e185-8.
Poisson R, Gelb DJ, Oh MF, Gruppen LD. Experience may not be the best teacher: Patient logs do not correlate with clerkship performance. Neurology 2009; 72: 699-704.
Ferenchick G, Mohmand A, Mireles J, Solomon D. Using patient encouter logs for mandated clinical encouters in an internal medicine clerkship. Teach Learn Med 2009; 21: 299-304.
- Financial support from Faculty of Medicine, Prince of Songkla University, Thailand.
- Median volume of all basic surgical skills-reported was 3 (0-3).
- Median OSCE scores for all skills ranged from 78.5-95.
- Correlation coefficients between volume of each surgical skill and OSCE scores were less than 0.3, indicating poor correlation.
- Only IVF cannulation skill showed significantly inverse correlation with the score (r = -0.22, p = 0.01).
Our findings show a negligible relationship between logbooks as an educational process measure and educational outcomes.
- Though a self-recorded logbook was a simple tool, it might be interfered and not truly reflected as competency.
- With the cultural differences, logbooks possibly are not as effective as in Western countries.
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