Clinical Care and Rehabilitation in Patient Care

Theoretical acquisition of given clinical skill’s process using materials available on e-studies. Substantive improvement of student’s clinical skills in METC simulated environment. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.

At the end of the 1st part (study year I) course, the student receives a "pass" if all tests and independent assignments have been successfully completed, and there are no missed lessons or they have been worked up. At the end of the 2nd part (II year of study) course – Objectively Structured Clinical Examination (OSKE) (rating in a 10-point system). Evaluation criteria for the objectively structured clinical exam (OSKE): 1. The objectively structured clinical exam is allowed to be taken if a "pass" has been received in all tests and independent works, as well as there are no missed classes or they have been worked up. OSKE Part 1 – the complex theory test, which includes 100 questions in the form of a test (Respondus Monitor and Lockdown Browser) attempts allowed: 1, Time limit: 1 hour 30 min (computerized). A successful test rating is applied if the student answers correctly to at least 55% of the total number of questions. In the final evaluation, the proportion of the test result of part 1 is 30% of the total evaluation. If the test is not passed successfully, the student does not continue to take part 2 of the test. Part 2 – the student takes the practical exam in person, which includes a practical test of the skills learned in the entire study course at 3 base stations, where the 1st base station is drug administration. 2. base station general skills. 3rd base station rehabilitation and patient care. Upon entering the examination room, the student draws a ticket with three skills, where one of the skills is medication administration, the second is general skill, and the third is rehabilitation and patient care skill. When answering and practically demonstrating the skill, the student must know the purpose of the skill, indications, contraindications, prepare appropriate equipment, demonstrate the skill, assess the patient before and after the procedure. In the final exam assessment, the share of the practical exam assessment is 70% of the total assessment. In order to receive a passing grade, the student must receive a positive grade at each base station. All base station units have received at least a rating of 1. The evaluation of the practical part is formed as follows: 1. The purpose of the skill, indications, contraindications 0 (zero) – rating is negative, the student did not answer or answered incorrectly the questions of the specific skill; 1 (one) – positive assessment, the student partially answered the questions of the specific skill correctly. 2 (two) – positive assessment, the student answered all the questions of the specific skill completely correctly. 2. Equipment. 0 (zero) – negative rating, the student has not prepared or incorrectly prepared the equipment for the specific base skill; 1 (one) – positive assessment, the student partially prepared the equipment for the specific basic skill. 2 (two) – a positive assessment, the student has completely correctly prepared the equipment for the specific basic skill. 3. Skill performance. 0 (zero) – negative rating, the student performed the skill incorrectly harming the patient.; 1 (one) – positive assessment, the student performed the skill accurately without harming the patient. 2 (two) – positive assessment, the student performed the skill completely correctly. 4. Patient assessment and education before and after procedure . 0 (zero) – the rating is negative, the student did not evaluate and educate the patient or did it incorrectly, which is necessary for the specific base skill; 1 (one) – positive assessment, the student partially correctly assessed and educated the patient on the specific basic skill; 2 (two) – positive assessment, the student has fully correctly assessed and educated the patient for the specific basic skill. 2 (two) – positive assessment, the student has fully correctly assessed and educated the patient for the specific basic skill. The sum of the points obtained in the 2nd part exam is divided by three and the final mark (points) is obtained. The assessment is based on a 10-point system: Excellent (10) – knowledge, skills and competence exceed the requirements of the study course, show the ability to conduct independent research and a deep understanding of problems; excellent (9) – knowledge, skills and competence fully meet the requirements of the study course, possess the ability to use the acquired knowledge independently; very good (8) – the study course learning requirements are fully met, but there is not a deep enough understanding of certain issues to use the knowledge independently in solving more complex problems; good (7) – in general, the requirements of the study course are met, but sometimes there is an inability to use the acquired knowledge independently; almost good (6) – the requirements of the study course have been met, but an insufficiently deep understanding of the problem and the inability to use the acquired knowledge can be detected; mediocre (5) – the study course has been mastered in general, but insufficient familiarity with some problems and the inability to use the acquired knowledge can be found; almost mediocre (4) – the study course has been mastered in general, however, insufficient understanding of some basic concepts can be found, there are significant difficulties in the practical use of the acquired knowledge; weak (3) – knowledge is superficial and incomplete, the student is unable to use it in specific situations; very weak (2) – there is only superficial knowledge of certain problems, the major part of the study course has not been mastered; very, very weak (1) – there is no understanding of the basic issues of the study subject, there is almost no knowledge of the study course. it is considered passed if the rating is not lower than 4 (almost mediocre), i.e. at least a rating of 1 has been received for all base station units. If the exam receives a rating of 3 (weak) or less, then it is considered that the exam has not been passed. In the case of an unpassed exam, you must agree with the head of the RSU MDAK department about the time of retaking the exam. The student takes the re-examination in person, a commission is formed from RSU MDAK lecturers. If the student does not come to the exam, it is considered that the exam received a negative evaluation and the student has the opportunity to take the exam with a specially created RSU MDAK lecturer commission. The cumulative grade at the end of the course is calculated according to the formula: (Assessment of tests and independent work 30% + 10% attendance, 10% independent work at the Medical Education Technology Center (RSU Liepāja branch) 50% OSKE assessment.