Introduction of Directly Observed Procedural Skills (DOPS) as a Part of Competency-Based Medical Education in Otorhinolaryngology

The objectives of the study were: (1) To prepare lists of Oto-rhino-laryngology procedures for DOPS, (2) To conduct Orientation program of DOPS for the participants, (3) To prepare a structured list of items for th e rating scale, (4) To facilitate and conduct DOPS encounters of different Oto-rhino-laryngology procedures. The study was conducted in a tertiary care medical college hospital from April 2018 to August 2018. Thirty-three trainees and 5 trainers participated. The 421 DOPS encounters involved 41 Oto- rhino-laryngology procedures. For checking the association between average time and clinical settings and Oto-rhino-laryngology procedures and DOPS encounters, the nonparametric test χ2 test was employed. Male trainees (63.63%) outnumbered female trainees. Mostly trainees (91%) were aged 22 –25 years. Approximately half (49%) of the Oto-rhino-laryngology procedures (20/41) and 9/10th (86.22%) of DOPS encounters (363/421) were conducted in OPD. The average time taken to complete the E.N.T. procedures and DOPS encounters was 15 min or less in the majority (91% and 98%) of the Oto-rhi no-laryngology procedures (38/41) and DOPS encounters (414/421). DOPS was introduced as a learning tool in the Oto-rhino-laryngology Department of our medical college. For assessing the “competency level” of trainees for E.N.T. procedures, DOPS is a high quality instrument as it tests the candid ate at the “does” level.
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - Category: ENT & OMF Source Type: research