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.