Tibial Fracture Fixation Team Logo.jpg

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

Learner Identification
Date of Assessment (Year-Month-Day):
Name (First Name, Last Name):
Age (years):
Gender: 🔲 Male
🔲 Female
🔲 Non-Binary
Country of Practice:
Contact Information (email):
Country Code + Phone Number:
Clinician Status: 🔲 Resident
🔲 Attending Physician
🔲 Attending Surgeon
Discipline/Specialty:
🔲 Medical Officer (Non-Specialist Physician)
🔲 General Surgery
🔲 Neurological Surgery
🔲 Obstetrics and Gynecology
🔲 Ophthalmic Surgery
🔲 Oral and Maxillofacial Surgery
🔲 Otolaryngology
🔲 Pediatric Surgery
🔲 Plastic and Reconstructive Surgery
🔲 Thoracic Surgery
🔲 Urology
🔲 Vascular Surgery
🔲 Other:________________________
Total Years of Post-Fellowship Clinical Practice Experience:
Work Environment: 🔲 Community facility
🔲 Primary health center
🔲 First-level hospital
🔲 Second-level hospital
🔲 Third-level hospital
Total Years of Residency and Fellowship Training Completed:
Clinical Skill To Be Tested: Modular External Fixation of an Open Humeral Shaft Fracture
Amount of Experience or Training With Modular External Fixation of an Open Humeral Shaft Fracture To Date:
Amount of Experience or Training With Modular External Fixation of an Open Humeral 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):
Clinical Evaluator(s):
Number of Procedures in Patients:

For this post-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 modular external fixation of an open humeral shaft fracture. Disagree 1 2 3 4 5 Agree
I understand the content of modular external fixation of an open humeral shaft fracture and can demonstrate it to others. Disagree 1 2 3 4 5 Agree
I can verbally explain the purpose and principle of operating modular external fixation of an open humeral shaft fracture. Disagree 1 2 3 4 5 Agree
I can verbally explain the sequence and interrelationship between each step. Disagree 1 2 3 4 5 Agree
Psychomotor
I can precisely imitate the instructed steps and actions of modular external fixation of an open humeral shaft fracture. Disagree 1 2 3 4 5 Agree
I can smoothly complete the operation steps of modular external fixation of an open humeral shaft fracture. Disagree 1 2 3 4 5 Agree
I can monitor my modular external fixation of an open humeral shaft fracture for improvements Disagree 1 2 3 4 5 Agree
I can monitor my modular external fixation of an open humeral shaft fracture operations 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.0209155

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.

FA info icon.svg Angle down icon.svg Page data
Authors Medical Makers
License CC-BY-SA-4.0
Language English (en)
Related 0 subpages, 2 pages link here
Impact 12 page views (more)
Created August 5, 2022 by Medical Makers
Last modified February 23, 2024 by Felipe Schenone
Cookies help us deliver our services. By using our services, you agree to our use of cookies.