Volume : 5, Issue : 8, August - 2016

DIRECTLY OBSERVED PROCEDURAL SKILL (DOPS) ENHANCES INTERNS COMPETENCY IN PERFORMING SKILLS

Prof. K. Siva Prakasam, Dr. Sri Lakshmi Rao, Dr. Jai Vinod Kumar

Abstract :

<p>&nbsp;ASSESSMENT OF CLINICAL SKILLS FOR UNDERGRADUATES DURING THE TEACHING PROCESS HAS BEEN A VERY IMPORTANT ISSUE. CERTAIN PROCEDURES WHICH THE HOUSE SURGEONS (CRRI) ARE ALLOWED TO PERFORM DURING THEIR CLINICAL TRAINING NEED ADEQUATE SUPERVISION AND IN SPITE OF ALL OBSERVATIONS SOME MINOR PROCEDURES TOO CAN TURN OUT DISASTROUS IF THE REQUIRED SKILL HAS NOT PROPERLY INSTALLED IN THEM. URETHRAL CATHETERIZATION IS A SIMPLE PROCEDURE; IT CAN HAVE DEVASTATING CONSEQUENCES WHEN PERFORMED INCORRECTLY. THE CURRENT PROJECT WAS UNDERTAKEN TO ASSESS WHETHER DIRECTLY OBSERVED PROCEDURAL SKILL (DOPS) ENHANCES THE COMPETENCY OF THE MEDICAL INTERNS TO PERFORM THE URETHRAL CATHETERIZATION PROCEDURE CORRECTLY AND INDEPENDENTLY. THE COMPETENCY OF 30 INTERNS WHO WERE POSTED IN GENERAL SURGERY IN PERFORMING A URETHRAL CATHETERIZATION WAS TESTED USING A MANNEQUIN. EACH INTERN WAS ASSESSED (PRE-TEST) USING A CHECK LIST. A PROTOCOL OF TRAINING WAS FRAMED WHICH INCLUDES DEMONSTRATION OF THE PROCEDURE ON THE MANNEQUIN IN SMALL GROUP. DIRECTLY OBSERVED PROCEDURAL SKILL (DOPS) ASSESSMENT (POST-TEST) WAS DONE FOR EACH INTERN SEPARATELY ON INDIVIDUAL PATIENT UNDER DIRECT SUPERVISION OF SKILLED GENERAL SURGEON. THE RESULTS OF OUR PROJECT SHOWED THAT THERE IS A DEFINITE IMPROVEMENT IN THE COMPETENCY OF THE INTERNS IN PERFORMING URETHRAL CATHETERIZATION AFTER UNDERGOING THE DIRECTLY OBSERVED PROCEDURAL SKILL (DOPS) TRAINING PROGRAMME</p>