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Challenges in learning procedural skills: Student perspectives and lessons learned for curricular design

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dc.contributor.author Kodikara, K.
dc.contributor.author Seneviratne, T.
dc.contributor.author Godamunne, P.
dc.contributor.author Premaratna, R.
dc.date.accessioned 2023-07-04T05:21:44Z
dc.date.available 2023-07-04T05:21:44Z
dc.date.issued 2024
dc.identifier.citation Teaching and Learning in Medicine.2023;1-19(Online ahead of print.) en_US
dc.identifier.issn 1040-1334
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/26404
dc.description indexed in MEDLINE. en_US
dc.description.abstract PHENOMENON: Developing foundational clinical procedural skills is essential to becoming a competent physician. Prior work has shown that medical students and interns lack confidence and competence in these skills. Thus, understanding the student's perspective on why these skills are more difficult to acquire is vital for developing and reforming medical curricula. APPROACH: This study explored procedural skills learning experiences of medical students with qualitative methods. Through purposive sampling, 52 medical students from the third, fourth, and final years were selected for inclusion. Data were collected using six audio-recorded, semi-structured focus group discussions. Transcripts were manually coded and analyzed using inductive content analysis. FINDINGS: Students provided rich and insightful perspectives regarding their experiences in learning procedural skills that fell into three broad categories: 1) barriers to procedural learning, 2) reasons for learning, and 3) suggestions for better learning outcomes. Students described a range of barriers that stemmed from both patient and clinician interactions. Students were reluctant to make demands for their own benefit during clerkships. The most commonly expressed reason for wanting to learn procedural skills was the desire to be a competent and independent intern. The motivators suggested that students felt empathetic toward interns and visualized a successful internship as a learning goal. Participants suggested peer learning, improved teaching of procedural skills, assessments, and feedback to improve their learning. INSIGHTS: This study generated valuable information to promote critical reflection on the existing curriculum and pedagogical approaches to procedural skills development. Medical educators need to sensitize the clinical teachers to student perspectives and what students are really learning to make impactful changes to teaching and learning procedural skills. Students' self-advocacy skills and self-directed learning skills need to be developed for them to seek out learning opportunities and to promote life-long learning. Lessons from this study may also apply to curriculum design in general, especially in teaching clinical skills. Empowering the learner and embracing a learner-centered approach to teaching and learning procedural skills will benefit future clinicians and their patients. en_US
dc.language.iso en en_US
dc.publisher Routledge en_US
dc.subject Medical education en_US
dc.subject instructional design en_US
dc.subject learner perspective en_US
dc.subject medical students en_US
dc.subject procedural skills en_US
dc.title Challenges in learning procedural skills: Student perspectives and lessons learned for curricular design en_US
dc.type Article en_US


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