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Clinical competency evaluation of Brazilian chiropractic interns
Authors:Ana Paula A Facchinato  Camila C Benedicto  Aline G Mora  Dayane MC Cabral  Djalma J Fagundes
Abstract:ObjectiveThis study compares the results of an objective structured clinical examination (OSCE) between 2 groups of students before an internship and after 6 months of clinical practice in an internship.MethodsSeventy-two students participated, with 36 students in each cohort. The OSCEs were performed in the simulation laboratory before the participants'' clinical practice internship and after 6 months of the internship. Students were tested in 9 stations for clinical skills and knowledge. The same procedures were repeated for both cohorts. The t test was used for unpaired parametric samples and Fisher''s exact test was used for comparison of proportions.ResultsThere was no difference in the mean final score between the 2 groups (p = .34 for test 1; p = .08 for test 2). The performance of the students in group 1 was not significantly different when performed before and after 6 months of clinical practice, but in group 2 there was a significant decrease in the average score after 6 months of clinical practice.ConclusionsThere was no difference in the cumulative average score for the 2 groups before and after 6 months of clinical practice in the internship. There were differences within the cohorts, however, with a significant decrease in the average score in group 2. Issues pertaining to test standardization and student motivation for test 2 may have influenced the scores.Key Indexing Terms: Chiropractic, Internship, Measurement, Educational
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