Humeral Fracture Fixation/Pre-Learning Clinical Confidence Assessment

Pre-Learning Clinical Confidence Assessment

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

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.

This article is issued from Appropedia. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.