[5] Is there a correlation between cognitive and technical skills during urology objective structured clinical examinations (OSCEs)?
Objective: To assess the relationship between technical and cognitive skills during objective structured clinical examinations (OSCEs). Methods: During a semi-annual urology OSCE, postgraduate trainees (PGTs) from the four urology training programmes were recruited for this study. Participants were...
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| Autores principales: | , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Taylor & Francis Group
2018
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/66caea01c173425d8fecac1980477807 |
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| Sumario: | Objective: To assess the relationship between technical and cognitive skills during objective structured clinical examinations (OSCEs). Methods: During a semi-annual urology OSCE, postgraduate trainees (PGTs) from the four urology training programmes were recruited for this study. Participants were from postgraduate year (PGY) 3, 4, and 5. Technical skills were assessed during two OSCE stations; photo-selective vaporisation of the prostate (PVP) and intracorporeal knot (ICK). Competency passing scores were calculated using the norm-referenced method. PGTs who obtained competency in ICK and PVP tasks were considered competent in technical skills. Furthermore, cognitive skills were assessed during 13 OSCE stations. Correlation between technical and cognitive skills was performed. Results: In all, 29 PGTs with a mean (SD) age of 29.5 (0.7) years participated in this study. Participants vaporised the right lobe of a 30 g normal prostate with a mean (SD) global score of 146.7 (10) and performed the ICK with a mean (SD) normalised score of 78 (3.6). Furthermore, they completed the 13 cognitive tasks stations with a mean (SD) total score of 62.5 (1.3)%. PGTs competent in technical skills obtained significantly higher percentage scores in cognitive tasks. Nonetheless, there was no significant correlation between the percentage cognitive tasks score and the global score of the PVP task (r = 0.24; P = 0.20), and the normalised ICK score of the ICK task (r = 0.28; P = 0.13). Similarly, there was no significant correlation between the normalised ICK score of the ICK task and the global score of the PVP task (r = 0.29; P = 0.11). Conclusion: Competency in technical skills was associated with higher percentage cognitive tasks scores. However, the lack of correlation between each sole technical skill and the percentage cognitive tasks score, and between the two technical skills, highlights the importance of practice and training in order to acquire each sole technical skill. |
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