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Identifying Essential Procedural Skills for Medical Students: A Modified Delphi Technique
Kaumudee Kodikara1, Thilanka Seneviratne2, Ranjan Premaratna3
1Department of Medical Education, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Sri Lankan medical students require 35 essential procedural skills, as determined by expert consensus. A new pre-clerkship curriculum is recommended to enhance procedural expertise for graduating doctors.
Area of Science:
- Medical Education
- Surgical Skills Training
- Competency-Based Education
Background:
- Undergraduate medical training in Sri Lanka lacks consensus on essential procedural skills.
- This study addresses the need to define key skills and expertise levels for medical students.
Purpose of the Study:
- To achieve expert consensus on essential procedural skills for Sri Lankan medical students.
- To determine the required level of expertise for these skills upon internship.
- To assess the need for a pre-clerkship procedural training curriculum.
Main Methods:
- A three-round online modified Delphi study was conducted with 17 clinical experts.
- Questionnaires were developed from existing literature and logbooks.
- Consensus was defined as >75% agreement.
Main Results:
- 35 essential procedural skills were identified for Sri Lankan medical graduates.
- Experts rated the expected level of procedural expertise for interns.
- Strong support was found for a pre-clerkship procedural curriculum.
Conclusions:
- 35 procedural skills are essential for Sri Lankan medical graduates.
- A pre-clerkship curriculum is needed to improve procedural expertise.
- Aligning curricula with competency-based medical education is crucial.
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