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2 . 2020

Factors affecting the results of primary accreditation of students in the specialty “general medicine”

Abstract

This article is concerned with assessment of influence of various factors on the results of primary accreditation of medical students.

The aim of the study was to examine the interrelationships between students' perceptions about complexity of the accreditation stages and its outcomes, as well as to evaluate possible influence on these indicators of experience in working in medical settings and preferred learning style.

Materials and methods. This study was conducted using a questionnaire that included 10 questions to assess socio-demographic characteristics of respondents and complexity of coming examination on a five-point scale, as well as to choose the preferred learning style and for selecting database of examination sessions of accreditation and simulation center of the North-Western State Medical University named after I.I. Mechnikov for 2019. Statistical analysis was performed using SAS University Edition software (SAS Institutes Inc., Cary, NC, USA). The study engaged 100 sixth-year students of the North-Western State Medical University named after I.I. Mechnikov, randomly selected from 468 medical students (aged 22-30 years) using a random number generator.

Results. Analysis of the results showed that there was no reliable connection between preliminary evaluation of accreditation stages in terms of complexity and its results. What calls attention to itself is the fact that almost all students successfully completed quite difficult OSCE (Objective Structured Clinical Examination) stations. In addition, combining work with learning did not prevent students from better preparing for the testing phase and demonstrating the best results from the first attempt. Reliably better results when testing and solving problems were found among students who preferred kinesthetic learning.

Conclusions. 1. Students' assessment of the accreditation stages, according to the survey results, showed that 20% of graduates find it very difficult to pass all three stages of the exam. Proportion of students who rated the tasks as the most difficult stage of accreditation was significantly higher, and averaged 23%. 2 Comparison of the preliminary assessment of the complexity of all stages of accreditation and its results did not demonstrate significant differences. 3. The presence of length of work in a medical organization affected the test results and problem solving, which was confirmed by a significantly higher proportion of students who completed these tasks on the first attempt, compared with students without experience. 4. Most students prefer learning new information through mastering practical skills. Only 1% of all participants chose listening as the preferred method, which indirectly confirms inefficiency of passive learning methods.

Keywords:medical education, primary accreditation, objective structured clinical examination, length of work in the positions of middle-level medical personnel, learning styles

Funding. The study had no sponsor support.

Conflict of interests. The authors declare no conflict of interests.

For citation: Kuznetsova O.Yu., Plavinskiy S.L., Lopatin Z.V., Bogdanova M.O., Frolova O.I., Nikitina D.E., Rossiyskaya K.Yu., Fedorova E.K. Factors influencing the results of the primary accreditation of students of general medicine. Meditsinskoe obrazovanie i professional'noe razvitie [Medical Education and Professional Development]. 2020; 11 (2): 82-90. DOI: 10.24411/2220-8453-2020-12006 (in Russian)

References

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CHIEF EDITOR
CHIEF EDITOR
Balkizov Zalim Zamirovich
Secretary General of the Russian Society of Medical Education Specialists, Director of the Institute of Training of Medical Education Specialists of the Russian Medical Academy of Continuing Professional Education, 125993, Moscow, Russian Federation, Professor of the Department of Vocational Education and Educational Technologies of the N.I. Pirogov RNIMU of the MOH of Russia, CEO of GEOTAR-Med, Advisor President of the National Medical Chamber, Moscow, Russian Federation

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