Clinical Skills Clinical Skills FFor or OOur ur International StudentsInternational Students

1st Faculty of Medicine1st Faculty of MedicineGajan ChellappahGajan Chellappah

Are we getting the best use out of our Are we getting the best use out of our clinical years?clinical years?

“On the pedagogic side, modern medicine, likeall scientific teaching, is characterized byactivity. The student no longer merely watches,listens, memorizes: he does. His own activitiesin the laboratory and in the clinic are the mainfactors in his instruction and discipline. Aneducation in medicine nowadays involves bothlearning and learning how; the student cannot effectively know, unless he knows how.”

Abraham Flexner, 1910

After GraduationAfter Graduation Our Practical-Clinical skills are now a more essential part of job applications in Our Practical-Clinical skills are now a more essential part of job applications in modern medicine around the worldmodern medicine around the world

how many of you feel happy with your level of practical skills? how many of you feel happy with your level of practical skills?

Procedures that an F1 trainee should be competent and confident to perform:

• venepuncture and IV cannulation• arterial puncture in an adult• blood cultures from peripheral and central sites• urethral catheterisation• nasogastric tube insertion.

Why not get started Why not get started now?now?

Where are we Where are we `̀learning´clinical skills learning´clinical skills now?now?

First Aid 1st yearFirst Aid 1st year

Patient Care 2nd yearPatient Care 2nd year

Patient Care ClerkshipPatient Care Clerkship

InternalInternal/Surgical /Surgical PropaPropaeedeuticsdeutics 3rd year 3rd year

How beneficial were /are these to you?

How would you evaluate them?

What are your ideas?

TELL US!!

¨I can´t hear that murmur¨

¨How do you examine the abdomen? ¨

¨ Im too scared to suture or admin an injection ¨

¨Arterial blood gas measurement looks too hard ¨

How do we need to Learn?How do we need to Learn?adapted from `Curriculum for the foundation years in postgraduate education and training`

• reflecting and building upon their own experiences

• identifying what they have learnt and what they need to learn

• being involved in planning their education and training

• reflecting on the effectiveness of their learning and the nature of learning experiences

• observing role models

Skills as a Medical Student-IdeasSkills as a Medical Student-Ideas

Many medical schools have different ways Many medical schools have different ways of teaching and assessing their studentsof teaching and assessing their students’’

skills. skills.

¨Log books¨¨Log books¨

Clinical Skills Centres covering skills Clinical Skills Centres covering skills such as putting in IV lines, suturing etcsuch as putting in IV lines, suturing etc

After-School workshopsAfter-School workshops

Problem Based Learning sometimes Problem Based Learning sometimes involving actors involving actors

Should we think about introducing these ? ? Should we think about introducing these ? ? ??

What systems would you like to see here ? ? What systems would you like to see here ? ? ??

Our school is world-reknown and our Our school is world-reknown and our graduates have gone on to have graduates have gone on to have

distinguished distinguished careers in medicine careers in medicine

However, we must However, we must nevernever stop thinking about stop thinking about improving improving our course our course for the rigours of tomorrowfor the rigours of tomorrow

The 1The 1stst Faculty of Medicine Faculty of Medicine valuevalue your opinions/ideas/criticisms your opinions/ideas/criticisms!!

What is the point in keeping them to yourself? We all will be What is the point in keeping them to yourself? We all will be graduates of this university so its graduates of this university so its our responsiblity for ourselves our responsiblity for ourselves and those who come after usand those who come after us

Please share them with Please share them with the Sthe Student tudent CCouncil, Faculty Senateouncil, Faculty Senate or or DDeanean

Contact InformationContact Information

11stst Faculty of Medicine Senate Faculty of Medicine Senate President Marek Hilšer President Marek Hilšer mmarek.hilsearek.hilser@email.czr@email.cz

Vice-Dean For The EnglishVice-Dean For The English Parallel Parallel

Prof. Otomar KittnarProf. Otomar Kittnar M.D, CScM.D, CSc otomar.kittnar@lf1.cuni.czotomar.kittnar@lf1.cuni.cz

DeanDean of the 1st Faculty of Medicine of the 1st Faculty of Medicine

Prof.Prof.TomTomáš Zimaáš Zima M.D,DrSc,MBAM.D,DrSc,MBAzimatom@cesnet.czzimatom@cesnet.cz