Immunization competence retention in medical students: a comparation between conventional lectures and lectures with simulations method
Abstract: Immunization is
recognized as one of the strategies to reduce vaccine preventable diseases.
Competency related to immunization are consequently important for medical
students and the medical school needs to assure the competence acquisition. Objective
To assess competence related to immunization and its retention following
lectures with simulations compared to lectures only.
Methods A quasi-experimental study was conducted to the 5th year students
of University of Indonesia Medical School during the Child Adolescent Health
Module in 2012-2013. The intervention group had lectures with simulations and
the control group had lectures only. Immunization knowledge was assessed with a
30 multiple choice question (MCA) items performed before and after the module.
Competence retention was assessed by MCQ (knowledge) and OSCE (skills) 2-6
months afterwards.
Results Sixty eight subjects for each group with similar characteristics
were analyzed. There was significant difference after module MCQ score between
two groups. Competence retention in 2-6 months after module completion was
better in intervention group, both for the knowledge (median MCQ score of 70.00
(range 37-93) vs. mean score of 58.01 (SD 12.22), respectively; P<0.001) and
skill (OSCE mean scores of 75.21 (SD 10.74) vs. 62.62 (SD 11.89), respectively;
P < 0.001). Proportion of subjects in the intervention group who passed both
the MCQ and OSCE were also significantly greater.
Conclusion Lectures with simulations are proved to be more effective in
improving medical students’ immunization competence as well as its retention
compared to lectures only approach.
Author: Hartono Gunardi, Rini
Sekartini, Retno Asti Werdhani, Ardi Findyartini, Muhammad Arvianda Kevin
Kurnia
Journal Code: jpkedokterangg150279
