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Ahmady S, Habibi A, Tehrani S, Keyvanfar A R, Taghavian M A. Effect Of The DOPS Test On Clinical Skills Of
Infectious Disease Residents. Iranian Journal of Medical Education 2025; 25 :12-19
URL: http://ijme.mui.ac.ir/article-1-5844-en.html
URL: http://ijme.mui.ac.ir/article-1-5844-en.html
Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. , tehrani.shabnam89@yahoo.com
Abstract: (11 Views)
Introduction: The Direct Observation of Practical Skills (DOPS) is a novel clinical evaluation method. This study aimed to investigate the effect of the DOPS test on the clinical skills of infectious disease residents.
Methods: This before-after clinical trial was conducted with 18 infectious disease residents at Labbafinejad Hospital, from March 2021 to April 2023. Participants were enrolled using the census method. In the first phase, the residents demonstrated seven infectious disease-specific skills. An observer evaluated these skills using a translated version of the DOPS assessment form based on a Likert scale ranging from "lower than expected" to "higher than expected." The observer then provided feedback on the residents' strengths and weaknesses, along with strategies for improvement. In the second phase, all the steps mentioned above were repeated one month later. Additionally, these steps were repeated one month after the second phase. Finally, the residents' skill levels were compared before and after the intervention using the Friedman test with SPSS software version 23.
Results: In comparing the first and third phases of the overall assessment of residents' skills, the percentage of cases within or above the expected level significantly increased from 5.6% to 100% (χ2=32.000, P<0.001). Also, the percentage of cases at or above the expected level of ten DOPS items in the third phase had a significant increase compared to the first phase: proper understanding of the anatomy (+94.4%, P<0.001), obtaining informed consent (+78.8%, P<0.001), preparation method before the skill (+88.9%, P<0.001), anesthesia (+66.7%, P<0.001), ability to perform the skill (+88.9%, P<0.001), observance of sterile conditions (+66.7%, P<0.001), asking for help if needed (+83.3%, P<0.001), patient management after performing the skill (+100%, P<0.001), communication skills (+88.9%, P<0.001), and professional demeanor (+94.4%, P<0.001).
Conclusion: The study's findings indicated that the DOPS method enhanced the clinical skills of infectious disease residents.
Methods: This before-after clinical trial was conducted with 18 infectious disease residents at Labbafinejad Hospital, from March 2021 to April 2023. Participants were enrolled using the census method. In the first phase, the residents demonstrated seven infectious disease-specific skills. An observer evaluated these skills using a translated version of the DOPS assessment form based on a Likert scale ranging from "lower than expected" to "higher than expected." The observer then provided feedback on the residents' strengths and weaknesses, along with strategies for improvement. In the second phase, all the steps mentioned above were repeated one month later. Additionally, these steps were repeated one month after the second phase. Finally, the residents' skill levels were compared before and after the intervention using the Friedman test with SPSS software version 23.
Results: In comparing the first and third phases of the overall assessment of residents' skills, the percentage of cases within or above the expected level significantly increased from 5.6% to 100% (χ2=32.000, P<0.001). Also, the percentage of cases at or above the expected level of ten DOPS items in the third phase had a significant increase compared to the first phase: proper understanding of the anatomy (+94.4%, P<0.001), obtaining informed consent (+78.8%, P<0.001), preparation method before the skill (+88.9%, P<0.001), anesthesia (+66.7%, P<0.001), ability to perform the skill (+88.9%, P<0.001), observance of sterile conditions (+66.7%, P<0.001), asking for help if needed (+83.3%, P<0.001), patient management after performing the skill (+100%, P<0.001), communication skills (+88.9%, P<0.001), and professional demeanor (+94.4%, P<0.001).
Conclusion: The study's findings indicated that the DOPS method enhanced the clinical skills of infectious disease residents.
Keywords: Infectious Disease Residents, Clinical Skills, Direct Observation of Practical Skills (DOPS)
Type of Study: Original research article |
Subject:
Clinical Skills Evaluation
Received: 2025/01/24 | Accepted: 2025/05/19 | Published: 2025/05/31 | ePublished: 2025/05/31
Received: 2025/01/24 | Accepted: 2025/05/19 | Published: 2025/05/31 | ePublished: 2025/05/31
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