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MeSH Review

Clinical Competence

 
 
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Disease relevance of Clinical Competence

  • The American Board of Internal Medicine has called upon directors of pulmonary disease training programs to establish systems to evaluate, document, and substantiate those components of overall clinical competence considered essential for certification in the subspecialty [1].
 

Psychiatry related information on Clinical Competence

  • In the final year of the medical curriculum of the Faculty of Medicine of the Katholieke Universiteit Leuven (Belgium), a new methodology for teaching clinical skills was introduced: Problem Solving Clinical Seminars (PSCS) [2].
  • A factor analysis of the situations produced five factors that reflect the difficulty of doing home visitation: having a lack of clinical skill, addressing family difficulties, addressing parenting difficulties, resolving personal difficulties, and having a lack of experience [3].
 

High impact information on Clinical Competence

  • To study the relation between first-year postgraduate training and performance on a test of general clinical competence, we analyzed results on the Part III National Board Examination according to the type of residency chosen by 1514 graduates of Jefferson Medical College between 1970 and 1979 [4].
  • Certification of the essential components of clinical competence by the American Board of Internal Medicine [5].
  • Clinical competence in invasive cardiac electrophysiological studies. A statement for physicians from the ACP/ACC/AHA Task Force on Clinical Privileges in Cardiology [6].
  • ACCF/AHA/HRS/SCAI clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures. A report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training [7].
  • An on-going evaluation programme provided data for a variety of parameters ranging from 'theoretical knowledge' to 'clinical skills'. Results indicated that in most of performance the median FMG started at a level substantially lower than that of the median AMG and very slowly caught up [8].
 

Biological context of Clinical Competence

  • Since 1971 the directors of residency training programs in internal medicine have had the responsibility for evaluating the clinical skills of their trainees for the American Board of Internal Medicine. Satisfactory performance is required by the board as a qualification for admission to its written certifying examination [9].
 

Associations of Clinical Competence with chemical compounds

  • RESULTS: Factor analysis yielded factors that describe 4 distinct types of expectations: patient involvement in eye care, interpersonal manner, information about diagnosis and prognosis, and communication and clinical competence [10].
  • BACKGROUND: Medical schools increasingly employ the standardized patient interaction (SPI) as a teaching and testing modality to prepare students for USMLE Step 2 Clinical Skills (Step 2 CS) [11].
  • A factor analytic study of clinical competence in undergraduate psychiatry [12].
  • James Mackenzie Lecture 1993. Freedom and discipline: clinical practice and the assessment of clinical competence [13].
  • Female students had a significantly higher mean PAS score and lower mean NAS score than males, and were more likely to disagree that their communication and clinical skills were competent [14].
 

Gene context of Clinical Competence

  • METHODS: We conducted a cross-sectional survey of the levels of confidence and experience with a broad raft of clinical skills among early PGY1 trainees (interns), PGY2s and PGY3s within a university teaching hospital network in Sydney at the beginning of the clinical year in 1999 [15].
  • ANOVA revealed significant variation in individual residents' clinical skills as assessed by SPs (F = 4.56, p < 0.01), PNs (F = 11.09, p < 0.001), or both (F = 10.9, p < 0.001) [16].
  • RESULTS: Student IPS ratings were higher following the high clinical competence, high patient-centred interview (P < 0.0001) [17].
  • This study examines the relationship between EI and students' clinical skills in a required, comprehensive performance examination (CPX) [18].
  • METHOD: Simple Pearson correlations were computed between total examination scores for clinical competence and interpersonal and communication skills [19].
 

Analytical, diagnostic and therapeutic context of Clinical Competence

References

  1. Evaluation of clinical competence in pulmonary disease. Hudson, L.D., Benson, J.A. Am. Rev. Respir. Dis. (1988) [Pubmed]
  2. A new methodology for teaching clinical reasoning skills: problem solving clinical seminars. Struyf, E., Beullens, J., Van Damme, B., Janssen, P., Jaspaert, H. Medical teacher. (2005) [Pubmed]
  3. Improving the quality of home visitation: an exploratory study of difficult situations. Lecroy, C.W., Whitaker, K. Child abuse & neglect. (2005) [Pubmed]
  4. The impact of early specialization on the clinical competence of residents. Gonnella, J.S., Veloski, J.J. N. Engl. J. Med. (1982) [Pubmed]
  5. Certification of the essential components of clinical competence by the American Board of Internal Medicine. Benson, J.A., Taunton, O.D., Davies, N.E. Ann. Intern. Med. (1986) [Pubmed]
  6. Clinical competence in invasive cardiac electrophysiological studies. A statement for physicians from the ACP/ACC/AHA Task Force on Clinical Privileges in Cardiology. Akhtar, M., Williams, S.V., Achord, J.L., Reynolds, W.A., Fisch, C., Friesinger, G.C., Klocke, F.J., Ryan, T.J., Schlant, R.C. Circulation (1994) [Pubmed]
  7. ACCF/AHA/HRS/SCAI clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures. A report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training. Hirshfeld, J.W., Balter, S., Brinker, J.A., Kern, M.J., Klein, L.W., Lindsay, B.D., Tommaso, C.L., Tracy, C.M., Wagner, L.K., Creager, M.A., Elnicki, M., Hirshfeld, J.W., Lorell, B.H., Rodgers, G.P., Tracy, C.M., Weitz, H.H. J. Am. Coll. Cardiol. (2004) [Pubmed]
  8. Predicting success in psychiatric training for foreign medical graduates: II. Patterns in course. Weiss, J.M., Davis, D. Psychological medicine. (1977) [Pubmed]
  9. Evaluation of clinical skills for a specialty board during residency training. Futcher, P.H., Sanderson, E.V., Tusler, P.A. Journal of medical education. (1977) [Pubmed]
  10. Patient expectations regarding eye care: development and results of the Eye Care Expectations Survey (ECES). Dawn, A.G., McGwin, G., Lee, P.P. Arch. Ophthalmol. (2005) [Pubmed]
  11. Didactic lecture versus instructional standardized patient interaction in the surgical clerkship. Carter, M.B., Wesley, G., Larson, G.M. Am. J. Surg. (2005) [Pubmed]
  12. A factor analytic study of clinical competence in undergraduate psychiatry. McFarlane, A.C., Goldney, R.D., Kalucy, R.S. Medical education. (1989) [Pubmed]
  13. James Mackenzie Lecture 1993. Freedom and discipline: clinical practice and the assessment of clinical competence. Southgate, L. The British journal of general practice : the journal of the Royal College of General Practitioners. (1994) [Pubmed]
  14. Undergraduate students' attitudes to communication skills learning differ depending on year of study and gender. Cleland, J., Foster, K., Moffat, M. Medical teacher. (2005) [Pubmed]
  15. Clinical skills in early postgraduate medical trainees: patterns of acquisition of confidence and experience among junior doctors in a university teaching hospital. Marel, G.M., Lyon, P.M., Barnsley, L., Hibbert, E., Parise, A. Medical education. (2000) [Pubmed]
  16. Variability in the clinical skills of residents entering training programs in surgery. Sachdeva, A.K., Loiacono, L.A., Amiel, G.E., Blair, P.G., Friedman, M., Roslyn, J.J. Surgery (1995) [Pubmed]
  17. Medical students taking the role of the mother in paediatric interview evaluation. O'Keefe, M., Sawyer, M., Roberton, D. Medical education. (2004) [Pubmed]
  18. Emotional intelligence and clinical skills: preliminary results from a comprehensive clinical performance examination. Stratton, T.D., Elam, C.L., Murphy-Spencer, A.E., Quinlivan, S.L. Academic medicine : journal of the Association of American Medical Colleges. (2005) [Pubmed]
  19. Relationship between clinical competence and interpersonal and communication skills in standardized-patient assessment. Colliver, J.A., Swartz, M.H., Robbs, R.S., Cohen, D.S. Academic medicine : journal of the Association of American Medical Colleges. (1999) [Pubmed]
  20. American College of Cardiology/American Heart Association clinical competence statement on echocardiography: a report of the American College of Cardiology/American Heart Association/American College of Physicians--American Society of Internal Medicine Task Force on Clinical Competence. Quiñones, M.A., Douglas, P.S., Foster, E., Gorcsan, J., Lewis, J.F., Pearlman, A.S., Rychik, J., Salcedo, E.E., Seward, J.B., Stevenson, J.G., Thys, D.M., Weitz, H.H., Zoghbi, W.A., Creager, M.A., Winters, W.L., Elnicki, M., Hirshfeld, J.W., Lorell, B.H., Rodgers, G.P., Tracy, C.M., Weitz, H.H. Circulation (2003) [Pubmed]
 
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