South African–Cuban Medical Collaboration: students’ perceptions of training and perceived competence in clinical skills at a South African institution

Figures & data

Figure 1: Process and flow of SACMC students.

Table 1: Matthews’ (2012) list of skills within nine clinical skills categories at NRMSM⁸ (moved to addendum)

Adult physical examination
General examination
Cardiovascular
Respiratory
Abdominal
Neurological
Obstetrical
Gynaecological
Neck and thyroid examination
Examination of the male external genitalia
Rectal examination
Newborn examination
General examination of the newborn
Radiological interpretations
Chest radiograph
Abdominal radiograph
Radiographs of bones and joints
Specimen collection
Fungal scrapes
Wound swabs
Blood culture
Nasal and throat swab
Urine and stool specimen
Gastric washings
Sputum collection
Pus aspiration
Pus swabs
Urine collection (mid-stream urine, catheter specimen urine)
Use of urine dipstick
Obstetric and gynaecology procedures
Pap smear and plating of smear
Speculum insertion
Labour and delivery assistance using a model
Airway management procedures
Insertion of oropharyngeal airway
Cricoid pressure
Suctioning of airway
Bag–valve mask reservoir ventilation
Orotracheal intubation
Oxygen administration
Use of nasal cannulae
Use of laryngeal mask airway
Use of face masks
Asthma handling and manipulation
Peak flow meter
Metred dose inhaler
Spacer devices
Nebulisation
General procedures
Rapid cholesterol test
Glucogel administration
Administration of 50% dextrose
Haemoglucotest
Measuring body temperature
Rapid HIV test
Mantoux test
12 lead ECG
Infant anthropometry (weight and length of infant)
Adult anthropometry (body mass index, skin fold thickness (triceps, biceps, scapular), mid-arm circumference, waist-to-hip ratio)
Peripheral IV cannulation
Insertion of central venous line
Lumbar puncture
Spinal block
Nasogastric tube insertion
Blood collection
Urinary catheterisation
Resuscitation skills
One man CPR for an adult, child, infant
Preparation and attachment of 3 lead ECG monitoring equipment
Automated electrical defibrillation
Defibrillator
Neonatal resuscitation
Recognition of cardiac arrest arrhythmias
Communication skills
Initiation of medical consultation
General history taking
Cardiovascular history
Respiratory history
Gastrointestinal history
Neurological history
Obstetric history
Gynaecological history
Urinary history
Bereavement counselling/breaking bad news
Counselling of HIV-positive patient (pre- and post-test counselling)

Table 2: Skill exposure and perceived competence in clinical skills

Skills categories	Number of skills in this category	Number of skills where ≥ 51% of students indicated no exposure	Number of skills where ≥ 51% of students indicated exposure	No. of skills where ≥ 51% students perceived their ability to do the skill independently
Adult physical examination	10	0	10	0
Newborn examination	1	0	1	0
Radiological interpretation	3	0	3	0
Specimen collection	11	7	4	0
Obstetrics and gynaecology procedures	3	2	1	0
Airway management procedures	9	6	3	0
Asthma handling and manipulation	4	4	0	0
General procedures	17	9	8	1
Resuscitation skills	6	5	1	0
Communication skills	11	2	9	3
Totals	75	35	40	4

Matthews, M. Overview of clinical skills training in the MBChB programme Presentation to HPCSA for Undergraduate skills training and curriculum review. UKZN: School of Medicine, 2012.

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