Table 2.
Distribution of Students’ Self-Perceived Competence for Each Enabling Competency (n=134)
| Learning Outcome, Mean Score (%) | Enabling Competency | Incompetent (%) |
Somewhat Incompetent (%) | Somewhat Competent (%) | Competent (%) | Mean Score (%) |
|---|---|---|---|---|---|---|
| 1. Demonstration of essential clinical skills 11.48/16 (71.78) | 1.1. Obtain an accurate and comprehensive medical history | 1 (0.7) | 16 (11.9) | 58 (43.3) | 59 (44) | 3.31 (82.8) |
| 1.2. Perform a complete systematic physical examination | 6 (4.5) | 31 (23.1) | 63 (47) | 34 (25.4) | 2.93 (73.3) | |
| 1.3. Perform competently the essential clinical procedures | 29 (21.6) | 53 (39.6) | 39 (29.1) | 13 (9.7) | 2.27 (56.8) | |
| 1.4. Critically analyze clinical data obtained through history, physical examination, and investigation |
1 (0.7) | 31 (23.1) | 72 (53.7) | 30 (22.4) | 2.98 (74.5) | |
| 2. Demonstration of clinical reasoning, decision making, and problem-solving skills 5.5/8 (68.75) | 2.1. Demonstrate reasoning skills to formulate and prioritize a differential diagnosis | 5 (3.7) | 23 (17.5) | 73 (54.5) | 33 (24.6) | 3 (75) |
| 2.2. Develop a management strategy taking into consideration the priorities of the patient’s problem (s) | 15 (11.2) | 54 (40.3) | 48 (35.8) | 17 (12.7) | 2.5 (62.5) | |
| 3. Management of life-threatening medical conditions 5.18/8 (64.75) | 3.1. Recognize and assess life or organ threatening conditions | 18 (13.4) | 35 (26.1) | 58 (43.3) | 23 (17.2) | 2.64 (66) |
| 3.2. Manage common medical emergencies | 21 (15.7) | 43 (32.1) | 47 (35.1) | 23 (17.2) | 2.54 (63.5) | |
| 4. Management of common medical problems 19.87/32 (62.09) | 4.1. Demonstrate the importance of psychosocial, spiritual, religious, and cultural factors in patient management | 5 (3.7) | 26 (19.4) | 65 (48.5) | 38 (28.4) | 3.01 (75.3) |
| 4.2. Select and apply the most appropriate and cost-effective diagnostic procedures | 25 (18.7) | 52 (38.8) | 43 (32.1) | 14 (10.4) | 2.34 (58.5) | |
| 4.3. Manage appropriately patients with acute and chronic physical and mental problems | 23 (17.2) | 60 (44.8) | 43 (32.1) | 8 (6) | 2.27 (56.8) | |
| 4.4. Recognize the need for multiple therapeutic modalities to address patient conditions | 18 (13.4) | 51 (38.1) | 51 (38.1) | 14 (10.4) | 2.46 (61.5) | |
| 4.5. Demonstrate the skills to write an appropriate prescription | 36 (26.9) | 60 (44.8) | 32 (23.9) | 6 (4.5) | 2.06 (51.5) | |
| 4.6. Recognize the principles of the amelioration of suffering and disability rehabilitation and palliative care, including appropriate pain management | 29 (21.6) | 61 (45.5) | 34 (25.4) | 10 (7.5) | 2.19 (54.8) | |
| 4.7. Make decisions in partnership with patients and/or their carers | 14 (10.4) | 39 (29.1) | 58 (43.3) | 23 (17.2) | 2.67 (66.8) | |
| 4.8. Demonstrate effective counseling skills | 7 (5.2) | 31 (23.1) | 69 (51.5) | 27 (20.1) | 2.87 (71.8) | |
| 5. Placing patients’ needs and safety at the center of the care process 16.33/24 (68.04) | 5.1. Demonstrate knowledge and skills in the area related to patient safety eg, root-cause analyses, safe prescription and procedures | 12 (9) | 50 (37.3) | 54 (40.3) | 18 (13.4) | 2.58 (64.5) |
| 5.2. Analyze the aftermath of medical errors | 25 (18.7) | 53 (39.6) | 40 (29.9) | 16 (11.9) | 2.35 (58.8) | |
| 5.3. Demonstrate reflection and learning from errors | 16 (11.9) | 23 (17.2) | 60 (44.8) | 35 (26.1) | 2.85 (71.3) | |
| 5.4. Identify and manage clinical risks | 13 (9.7) | 47 (35.1) | 58 (43.3) | 16 (11.9) | 2.57 (64.3) | |
| 5.5. Apply the essential principles of infection prevention and control in health care settings | 6 (4.5) | 27 (20.1) | 59 (44) | 42 (31.3) | 3.02 (75.5) | |
| 5.6. Report any concurrent physical, social, or mental ailment that would affect patient care to appropriate authorities | 9 (6.7) | 31 (23.1) | 52 (38.8) | 42 (31.3) | 2.95 (73.8) |