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A pilot Tuning Project-based national study on recently graduated medical students’ self-assessment of competences - the TEST study

Overview of attention for article published in BMC Medical Education, December 2015
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Title
A pilot Tuning Project-based national study on recently graduated medical students’ self-assessment of competences - the TEST study
Published in
BMC Medical Education, December 2015
DOI 10.1186/s12909-015-0517-9
Pubmed ID
Authors

Pedro Grilo Diogo, Joselina Barbosa, Maria Amélia Ferreira

Abstract

The Tuning Project is an initiative funded by the European Commission that developed core competences for primary medical degrees in Europe. Students' grouped self-assessments are used for program evaluation and improvement of curricula. The TEST study aimed to assess how do Portuguese medical graduates self-assess their acquisition of core competences and experiences of contact with patients in core settings according to the Tuning framework. Translation of the Tuning's competences (Clinical Practice - CP), Knowledge (K) items and Clinical Settings (CS) was performed. Questionnaires were created in paper and electronic formats and distributed to 1591 graduates from seven Portuguese medical schools (July 2014). Items were rated in a 6-point Likert scale (0-5) of levels of competence. Exploratory factor analysis (EFA) was conducted and Cronbach's alpha was used to evaluate the internal consistency of the questionnaire. Kruskal-Wallis and Dunn's tests were used for multiple comparisons. Three hundred eighty seven questionnaires were analyzed, corresponding to 24 % of the target population. EFA yielded an 11-factor solution for CP and a 6-factor solution for K items. The median value of CP factors was 2.8 (p25 = 2.0; p75 = 3.5) and the median value of K factors was 2.6 (2.0; 3.2). Factor scores ranged from 1.3 (Legal principles) to 4.0 (Ethical principles). Clinical presentations, psychological aspects of illness, evidence-based medicine and promotion of health showed the highest results. Lower scores were detected in medical emergencies, practical procedures, prescribing drugs and legal principles. More than 90 % of graduates experienced having contact with patients in 8 CS but only 24 % of graduates had contact in all 14 CS. Graduates had the least contact with patients in the emergency rooms, intensive care units, palliative, rehabilitation and anesthetic care. Significant differences (p < 0.05) among schools were detected in 8 factors and 7 settings. We developed a valid questionnaire supporting national SWOT analysis on the acquisition of core competences in medical education. Results suggest that Portuguese graduates are not fully prepared for clinical practice. Curricular improvements in core competences and the educational development of the transition period between undergraduate and postgraduate education ought to be considered. Outcome-based program evaluation relying on graduates' grouped self-assessments contributes to inform changes in medical education.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 131 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Iraq 1 <1%
United States 1 <1%
Brazil 1 <1%
Unknown 128 98%

Demographic breakdown

Readers by professional status Count As %
Researcher 23 18%
Student > Master 20 15%
Student > Doctoral Student 12 9%
Student > Ph. D. Student 11 8%
Student > Bachelor 7 5%
Other 27 21%
Unknown 31 24%
Readers by discipline Count As %
Medicine and Dentistry 41 31%
Nursing and Health Professions 16 12%
Social Sciences 12 9%
Psychology 9 7%
Chemistry 2 2%
Other 17 13%
Unknown 34 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 January 2016.
All research outputs
#18,432,465
of 22,835,198 outputs
Outputs from BMC Medical Education
#2,742
of 3,323 outputs
Outputs of similar age
#280,876
of 388,809 outputs
Outputs of similar age from BMC Medical Education
#59
of 69 outputs
Altmetric has tracked 22,835,198 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,323 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.4. This one is in the 5th percentile – i.e., 5% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 388,809 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 16th percentile – i.e., 16% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 69 others from the same source and published within six weeks on either side of this one. This one is in the 7th percentile – i.e., 7% of its contemporaries scored the same or lower than it.