Development of otoscopy skills among general practitioners: how to improve the effectiveness of training?

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Abstract


The article presents the results of research of theoretical knowledge and practical skills of general practitioners with more than 5 years of experience.

The aim of the study is to assess the level of proficiency in otoscopy by General practitioners using a simulator, depending on various socio-demographic characteristics.

Materials and methods. The study was conducted at the Department of family medicine of North-Western State Medical University named after I.I. Mechnikov. Doctors who agreed to participate in the project filled out a socio-demographic questionnaire, tests to test theoretical knowledge, for the level of proficiency in otoscopy, was evaluated using a checklist. Statistical analysis of the data was performed using the SPSS 22.0 program (SPSS Inc., Chicago, Illinois, USA). The study involved 24 General practitioners with more than 5 years of experience.

Results. Analysis of the results showed that 66.7% of General practitioners rated their skill in otoscopy as “satisfactory” or higher, but only 54.1% were able to correctly perform 70% of the actions according to the checklist.

Conclusions. 1. The level of theoretical knowledge in otoscopy among General practitioners with experience who took part in the study was quite low: 62.5% of respondents did not achieve satisfactory results. A low level of proficiency in otoscopy among General practitioners was also revealed when evaluating the performance of manipulation on the simulator — only 20.8% of doctors correctly performed 80% of the actions according to the checklist. 2. Independent assessment of the level of proficiency in otoscopy in General practitioners is not a predictor of the success of its demonstration on the simulator in accordance with the checklist. 3. The level of proficiency in otoscopy in the study group of General practitioners did not have a statistically significant relationship with the basic level of theoretical knowledge, work experience and regular otoscopy in everyday practice.


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About the authors

Olga Yu. Kuznetsova

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: olga.kuznetsova@szgmu.ru
ORCID iD: 0000-0002-2440-6959
SPIN-code: 7200-8861
Scopus Author ID: 24448739500
ResearcherId: O-4056-2014

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

DSc, Professor, Head of the Department of Family Medicine

Zakhar V. Lopatin

North-Western State Medical University named after I.I. Mechnikov

Email: zakhar.lopatin@szgmu.ru

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Head of the Certification and Training Simulation Center

Ludmila N. Degtyareva

North-Western State Medical University named after I.I. Mechnikov

Email: ludmila.degtyareva@szgmu.ru
SPIN-code: 5942-8540

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

PhD, associate professor of the Department of Family

Karina V. Ovakimyan

North-Western State Medical University named after I.I. Mechnikov

Email: ursa-alba@yandex.ru

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Assistant Professor of the Department of Family Medicine

Olga I. Frolova

North-Western State Medical University named after I.I. Mechnikov

Email: frol13-13@list.ru

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Resident of the Department of Family Medicine

Al'bina R. Madysheva

North-Western State Medical University named after I.I. Mechnikov

Email: 123@mail.ru

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

6th-year student

Elizaveta A. Klyuchuk

North-Western State Medical University named after I.I. Mechnikov

Email: 345@mail.ru

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

6th-year student

Anastasiya S. Gunina

North-Western State Medical University named after I.I. Mechnikov

Email: 678@mail.ru

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

6th-year student

References

  1. Приказ Министерства здравоохранения и социального развития РФ от 15 мая 2012 г. № 543н «Об утверждении Положения об организации оказания первичной медико-санитарной помощи взрослому населению». [Order No. 543n Ministry of Health Russia “Ob utverzhdenii Polozheniya ob organizatsii okazaniya pervichnoy mediko-sanitarnoy pomoshchi vzroslomu naseleniyu”, dated 2012 May 15. (In Russ.)]. Доступно по: https://base.garant.ru/70195856/. Ссылка активна на 15.06.2020.
  2. Oyewumi M, Brandt MG, Carrillo B, et al. Objective evaluation of otoscopy skills among family and community medicine, pediatric, and otolaryngology residents. J Surg Educat. 2016;73(1):129-135. https://doi.org/ 10.1016/j.jsurg.2015.07.011.
  3. Методический центр аккредитации специалистов. Общая врачебная практика: семейная медицина [электронный ресурс]. [Metodicheskiy tsentr akkreditatsii spetsialistov. Obshchaya vrachebnaya praktika: semeynaya meditsina [elektronnyy resurs]. (In Russ.)]. Доступно по: https://fmza.ru/fos_primary_specialized/Obshchaya-vrachebnaya-praktika-%28semejnaya-medicina%29/. Ссылка активна на 15.06.2020.

Supplementary files

Supplementary Files Action
1.
Fig. 1. Results of self-assessment of the level of proficiency in otoscopy of general practitioners

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2.
Fig. 2. Results of assessing the level of theoretical knowledge and proficiency in otoscopy of general practitioners

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Copyright (c) 2020 Kuznetsova O.Y., Lopatin Z.V., Degtyareva L.N., Ovakimyan K.V., Frolova O.I., Madysheva A.R., Klyuchuk E.A., Gunina A.S.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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