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Post-Learning Clinical Confidence Assessment[edit | edit source]

Learner Identification
Date of Assessment (Year-Month-Day):
Name (First Name, Last Name):
Contact Information (email):
Country Code + Phone Number:
Total Years of Post-Fellowship Clinical Practice Experience:
Total Years of Residency and Fellowship Training Completed:
Clinical Skill To Be Tested: Uniplanar External Fixation of an Open Tibial Shaft Fracture
Amount of Experience or Training With Uniplanar External Fixation of an Open Tibial Shaft Fracture To Date:
Date Range Over Which the Training Materials Were Accessed (Year-Month-Day to Year-Month-Day):
Hours of Study of Online Materials:
Number of Times Procedure Was Practiced With the Simulator:
Duration of Simulator Practice Time:
Site of Clinical Evaluation (Facility Name, City, Country):
Name of Clinical Evaluator (First Name, Last Name):
Total Number of Clinical Procedures Performed On Patients:

For this pre-learning clinical confidence assessment, please rate your responses from 1-5, with 1 being “Disagree” to 5 being “Agree.

Cognitive
I know how to perform uniplanar external fixation of an open tibial shaft fracture. Disagree 1 2 3 4 5 Agree
I understand this module's content on uniplanar external fixation of an open tibial shaft fracture and can demonstrate it to others. Disagree 1 2 3 4 5 Agree
I can verbally explain the purpose and principles of uniplanar external fixation of an open tibial shaft fracture. Disagree 1 2 3 4 5 Agree
I can verbally explain the sequence and interrelationship between each procedural step of uniplanar external fixation of an open tibial shaft fracture. Disagree 1 2 3 4 5 Agree
Psychomotor
I can precisely imitate the instructed steps and actions of uniplanar external fixation of an open tibial shaft fracture. Disagree 1 2 3 4 5 Agree
I can smoothly complete the procedure steps of uniplanar external fixation of an open tibial shaft fracture. Disagree 1 2 3 4 5 Agree
I can monitor my uniplanar external fixation procedure of an open tibial shaft fracture for improvements. Disagree 1 2 3 4 5 Agree
I can monitor my uniplanar external fixation procedure of an open tibial shaft fracture and make proper adjustments as needed. Disagree 1 2 3 4 5 Agree

Adapted from the L-SES (Learning Self-Efficacy Scale) for Clinical skill assessment described in Kang Y-N, Chang C-H, Kao C-C, Chen C-Y, Wu C-C (2019) Development of a short and universal learning self-efficacy scale for clinical skills. PLoS ONE 14(1): e0209155. https://doi.org/10.1371/journal.pone.020915

Acknowledgements[edit | edit source]

This work is funded by a grant from the Intuitive Foundation. Any research, findings, conclusions, or recommendations expressed in this work are those of the author(s), and not of the Intuitive Foundation.

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Authors Medical Makers
License CC-BY-SA-4.0
Language English (en)
Translations French
Related 1 subpages, 2 pages link here
Impact 108 page views
Created October 21, 2022 by Medical Makers
Modified February 23, 2024 by Felipe Schenone
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