Self-reported training assessment of medical interns and fresh graduates of a tertiary care centre

Authors

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20150220

Keywords:

Medical internship, Interns, Training, Fresh graduates

Abstract

Background: In India internship training is considered to be a period of learning entrusted with clinical responsibilities. This study helps to know the self-reported preparedness of fresh graduates for internship as well as trained interns to be a practicising primary care doctor.

Methods: Cross sectional study was done in a tertiary care teaching hospital of South India. Thirty five interns who completed training and thirty five fresh graduates entering internship were randomly recruited for the study after getting ethics committee approval. Data was collected in a structured questionnaire which assessed the confidence levels of the participants in performing various skilled activities. The feedback regarding training and suggestions were also received. The data was analysed by SPSS 16. Both the groups were considered to be equally competent and hence non parametric test for 2 independent samples Mann Whitney U, Chi square test and Fisher’s exact test was done.  

Results: Apart from delivering health talks in local bodies and prescribing oral contraceptives there was significant difference (p<0.05) in the confidence levels of interns who completed training. Total scores of trained interns were greater than that of fresh graduates (p<0.001). 97.14 % participants wanted cardiology as a compulsory area of training for internship. Suggestions for improvement include orientation classes, exact procedure demonstrations, more seminars and active involvement of interns in management of the patients.

Conclusions: Internship training is effective in this tertiary care hospital and trained interns make better doctors than fresh doctors as the theoretical knowledge gained is put into practice.

Metrics

Metrics Loading ...

Author Biography

Dhanya S. Palappallil, Department of Pharmacology, Government TD Medical College, Alappuzha-688005, Kerala, India

Assistant Professor

Department of Pharmacology

References

Al-Moamary MS, Mamede S, Schmidt HG. Innovations in medical internship: benchmarking and application within the King Saud bin Abdulaziz University of Health Sciences. Educ Health (Abingdon). 2010;23:367.

Sood R. Medical education in India. Med Teach. 2008;30:585-91.

Gaarder K, Eide NA, Falck G. Clinical skills among interns. Tidsskr Nor Laegeforen. 2009;120:1512-7.

Eze BI, Oguego NC, Uche JN, Shiwoebi JO, Mba CN. Assessing the knowledge and skills in clinical ophthalmology of medical interns: survey results from Enugu, South-Eastern Nigeria. Middle East Afr J Ophthalmol. 2012;19:135-40.

Goroll AH, Sirio C, Duffy FD, LeBlond RF, Alguire P, Blackwell TA, et al. A new model for accreditation of residency programs in internal medicine. Ann Intern Med. 2004;140:902-9.

Neufeld VR, Maudsley RF, Pickering RJ, Turnbull JM, Weston WW, Brown MG, et al. Educating future physicians for Ontario. Acad Med. 1998;73:1133-48.

Grant JR. Changing postgraduate medical education: a commentary from the United Kingdom. Med J Australia. 2007;186:S9-13.

Schwarz MR, Wojtczak A. Global minimum essential requirements: a road towards competence-oriented medical education. Med Teach. 2002;24:125-9.

Harden RM, Sowden S, Dunn WR. Educational strategies in curriculum development: the SPICES model. Med Educ. 1984;18:284-97.

Hojat M , Paskin DL, Callahan CA, Nasca TJ, Louis DZ, Veloski J, et al. Components of postgraduate competence: analyses of thirty years of longitudinal data. Med Educ. 2007;41:982-9.

Gillard JH, Dent TH, Aarons EJ, Smyth-Pigott PJ, Nicholls MW. Preregistration house officers in eight English regions: survey of quality of training. BMJ. 1993;307:1180-4.

Paltridge D. Prevocational medical training in Australia: where does it need to go? Med J Aust. 2006;18:349-52.

Aretz HT. How good is the newly graduated doctor and can we measure it? Med J Aust. 2003;178:147-8.

Bajammal S, Zaini R, Abuznadah W, Al-Rukban M, Aly SM, Boker A, et al. The need for national medical licensing examination in Saudi Arabia. BMC Med Educ. 2008;8:53.

Medical Council of India. Graduate Medical Education Regulations. In: rules and regulations, 1997 (amended upto Febrauary 2012). Available at: http://www.mciindia.org/RulesandRegulations/GraduateMedicalEducationRegulations1997.aspx. Accessed 17 April 2015.

Ananthakrishnan N. Medical education in India: is it still possible to reverse the downhill trend? Natl Med J India. 2010;23:156-60.

Singhal K, Ramakrishnan K. Training needs of international medical graduates seeking residency training: evaluation of medical training in India and the United States. Internet J Fam Pract. 2004;3:1.

Abuhusain H, Chotirmall SH, Hamid N, O’Neill SJ. Prepared for internship? Ir Med J. 2009;102:82-4.

Dare A, Fancourt N, Robinson E, Wilkinson T, Bagg W. Training the intern: the value of a pre-intern year in preparing students for practice. Med Teach. 2009;31:e345-50.

Jayakaran, Bhardwaj P, Chavda N, Yadav P, Panwar A. Prescribing knowledge of intern doctors in India. Internet J Epidemiol. 2009;7:1.

Lakshminarayanan S, Bhardwaj P, Srivastava JP. Internship training in community medicine - need for reorientation and strengthening. Indian J Community Health. 2014;26:338-42.

Shrestha D, Mishra B. Learning, education and satisfaction after compulsory rotating internship in Kathmandu University Medical School: a qualitative study of interns’ response. Kathmandu Univ Med J (KUMJ). 2008;6:284-90.

Bansal RK. Need for strengthening of internship (rotatory housemanship) training in India. Educ Health (Abingdon). 2004;17:332-8.

Downloads

Published

2015-06-28

Issue

Section

Original Research Articles