Analyzing the perception and effectiveness of bedside clinics compared to simulated patients for acquiring orthopedic clinical skills: An exploratory study
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Abstract
Aim: To compare learner perceptions and efficacy between simulated patients (SPs) and bedside clinics (BSCs) as a teaching-learning method for the clinical skill training of orthopedic residents.
Methods: Our study was an exploratory study conducted at a tertiary care teaching institution in 2021. We randomly divided 21 residents into the BSC group (Group A) and the SP group (Group B). These participants underwent training in five essential clinical skills. We assessed the learners’ perceptions with a Likert scale and focus group discussion. The Likert scale covers seven important domains: liking, understanding, confidence in performance, memorization, interest, willingness to recommend to other faculty, and the need for alternative teaching methods. Furthermore, we effectively compared the efficacy of both approaches by analyzing scores obtained from the MCQ and OSCE examinations.
Results: Among the 23 invited participants, 21 participated (participation rate of 91.3%). There were 55 responses (A) and 50 from the group (B). The Likert scale scores for all the cases were not significantly different between the two groups for understanding and confidently performing the concept (P value < 0.05). Learners’ perceptions were similar between the two groups in most domains regarding neurological cases (p value <0.05). The perception was similar in domains such as interest and confidence for ortho cases. We assessed learner perceptions by conducting focus group discussions. There was no significant difference in the final scores obtained on the MCQ and OSCE.
Discussion: We can use SP as an alternative to BSC for training in orthopedic clinical skills. SPs are as effective as BSCs. Both methods have no uniformity in terms of learners’ perceptions of different domains.
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