Patient-management problem in the evaluation of intensive medicine

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Published Apr 6, 2024
https://doi.org/10.62438/tunismed.v102i4.4537
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Vol. 102 No. 4 (2024): Tunis Med apr 2024

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Ahlem Trifi
Medical intensive care unit, la Rabta hospital, Tunis, Tunisia
https://orcid.org/0000-0001-5088-2310
Aida Benzarti
Occupational medicine department, La Rabta Hospital, Tunis, Tunisia
Asma Mehdi
Medical intensive care unit, la Rabta hospital, Tunis, Tunisia
Eya Seghir
Medical intensive care unit, la Rabta hospital, Tunis, Tunisia
Lynda Messaoud
Medical intensive care unit, la Rabta hospital, Tunis, Tunisia
Sami Abdellatif
Medical intensive care unit, la Rabta hospital, Tunis, Tunisia

Abstract

Introduction: In intensive care medicine (ICM), the use of Patient-Management Problem (PMP) remains limited and no feedback from students is available.


Aim: To compare the feasibility of employing PMP referring to clinical cases (CC) as assessment tools for appraising the knowledge and competencies in ICM students; and to gather the students’ perception regarding this experience.


Methods: it was a cross-sectional randomized trial. Were included, external students in the 3rd year of the 2nd cycle of medical studies (3rd-SCMS) during their ICM externship. All the participants underwent two random draws (the 1st one for assessment tool to be started (PMP or CC) and the 2nd for the passage order for PMP. Two PMPs versus two grouped QCMs-CC were prepared and a satisfaction questionnaire was distributed. The main judgment criterion was the effect of each assessment tool on the students' decision-making process. This focused on the relevance of the elements provided by each technique, the implication and the difficulty felt. The secondary endpoint was the scores taken for each tool tested.


Results: 20 students were included. All participants had previous experience with PMPs and only nine were familiar with grouped MCQs-CC. PMP scores were 14.9 for the 1st theme and 15.8 for the 2nd theme. The median of the grouped MCQs-CC scores was 14 [12-16] for both. The scores didn’t differ between the two techniques. For the 1st theme: the scores were negatively correlated (r=-0.58 and p=0.007). Students felt a better satisfaction for PMP evaluation  ......( abstract truncated at 250 words).

Keywords:

Evaluation, Medical education, Questionnaire, Medical student, Management, Intensive care, Patient Management Problem

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References

  1. Jouquan J. L’évaluation des apprentissages des étudiants en formation médicale initiale. Pédagogie Médicale. 2002;3(1):38-52.
  2. McCarthy WH, Gonnella JS. The simulated Patient Management Problem: a technique for evaluating and teaching clinical competence. Br J Med Educ. 1967;1(5):348-52.
  3. Jackson M, Cairns T. Care of the critically ill patient. Surgery (Oxf). 2021;39(1):29-36.
  4. doi: 10.1016/j.mpsur.2020.11.002
  5. Tabbane C. Conception et Construction d'un P.M.P (Patient Management Problem). Eléments d'Introduction aux Ateliers de Pédagogie Médicale: Centre de Publication Universitaire. 2000. p. 135-44
  6. Marquis Y, Chaoulli J, Bordage G, Chabot JM, Leclere H. Patient-management problems as a learning tool for the continuing medical education of general practitioners. Med Educ. 1984;18(2):117-124. doi:10.1111/j.1365-2923.1984.tb00984.x
  7. Afroza S. Use of a PMP manual as a teaching tool to accelerate paediatric teaching in Bangladesh. Med Teach. 2000;22(4):365-9.
  8. Eisenberg H, Gordon S. Computer assisted teaching program: a pulmonary patient management problem. Int J Clin MonitComput. 1987;4(4):195-7.
  9. Euvrard GC, Poteaux N. Le débriefing comme clé de l’accompagnement réflexif en formation et en pratique de l’éducation thérapeutique du patient. Pédagogie Médicale. 2023 (on line) https://doi.org/10.1051/pmed/2023004
  10. Darmiani S, Ebrahimipour S. Comparison of Two Methods of Dental Students Assessment (MCQ and PMP) and their correlation with the total grade-point average. Journal of Dentomaxillofacial 15 Radiology, Pathology and Surgery. 2022;11(1):14-8. http://dx.doi.org/
  11. Ben Abdelaziz R, Hajji H, Boudabous H, Ben Chehida A, MradMazigh S, Azzouz H, et al. Patient-management Problem (PMP) for paediatrics learning: Value and students perceptions. Tunis Med. 2018;96(1):1-5.
  12. Esmaeili S, Sajadi FS, Mahmoodi MR, Zangiabadi P. Comparison of Dental Students’ Ability to Answer PMP-MEQ and MCQ Tests and Its Association with Educational Progress. Sch. J. Dent. Sci.2015;2(5):330-5.
  13. Reyna J.WRITING EFFECTIVE MULTIPLE-CHOICE QUESTIONS IN MEDICAL EDUCATION. 2023, INTED Proceedings. https://doi.org/10.21125/inted.2023
  14. Mahmoudi MR. Do consecutive Patient Management Problem (PMP) and Modified Essay Question (MEQ) Examinations Improve Clinical Reasoning in Students? Strides in Development of Medical Education. 2019. In Press(In Press):e86566.
  15. DOI: 10.5812/sdme.86566
  16. Bruna J, Wen PY. Patient Management Problem: Self-Assessment and CME. Continuum (Minneap Minn) 2015;21(2):535–40.