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Implementing a skillslab training program in a developing country.

Trung Quang Tran1, Albert Scherpbier, Jan van Dalen

  • 1Medical Education Center, University of Medicine and Pharmacy at Ho Chi Minh City, 217 Hong Bang St, District 5, Ho Chi Minh City, Vietnam, Vietnam.

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Summary

Most Vietnamese medical schools face challenges implementing a national skills training program. While one school successfully trained all 56 basic skills, resource limitations hinder widespread adoption of these essential medical competencies.

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Area of Science:

  • Medical Education
  • Healthcare Simulation
  • Skills Training

Background:

  • Eight skills laboratories (skillslabs) were established in Vietnam with international support.
  • A national list of basic medical skills for training was developed, alongside equipment and trained staff.
  • The study assessed the implementation of these skills across eight Vietnamese medical schools.

Purpose of the Study:

  • To evaluate the extent to which eight Vietnamese medical schools implemented a national list of basic clinical skills.
  • To identify barriers and facilitators to skillslab utilization in Vietnam's largest medical school.

Main Methods:

  • Analysis of reports from eight skills laboratories.
  • Surveys of students and trainers at the largest university regarding training quality.
  • Assessment of student skill performance and focus group discussions with trainers.
  • Quantitative data analyzed using SPSS 16 with cluster analysis.

Main Results:

  • Only one of the eight medical schools successfully trained all 56 proposed basic skills.
  • The largest university's skillslab training was largely successful, based on student assessments and perceptions.
  • Identified barriers included insufficient training aids, inappropriate models, unclear skill requirements, inadequate training time, and need for curriculum integration.

Conclusions:

  • The success of one school suggests broader potential for implementing the national skills list in Vietnam.
  • Significant challenges remain for most medical schools in fully realizing the national skillslab training program.
  • Resource limitations and curriculum integration are key issues for developing countries in medical education.