Tibial Fracture Fixation Team Logo.jpg

Pre-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:

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 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.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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