An investigation into first year medical students' competence and honesty in recording blood pressure (BP) using a life/form blood pressure simulator.
2005
Ability to accurately measure BP is a core skill required of
undergraduate medics. Studies suggest that there are still
deficiencies in the teaching and performance of BP
measurement, but there is a paucity of data regarding
students’ honesty/professionalism in a clinical skills setting.
This study evaluates: training and competence in BP
measurement and students’ confidence and
professionalism. 94 students watched an in-house video
production illustrating the technique for manual BP
measurement in patients and using BPSTAs. Students
practised the technique with trained facilitators and
colleagues. Ability to measure BP was subsequently
assessed in a formative OSCE using BPSTAs whose volume
of pre-recorded Korotkoff’s sounds was adjusted to mimic
those heard in patients. Students were examined using
BPSTAs calibrated to read 105/75 mmHg or 136/90mmHg.
Post OSCE, students completed questionnaires which
included questions relating to demography, competence
and confidence in BP measurement.
Of the 94 students, 82 obtained an answer which fell within
the pre-determined limits for this study. Analysis of student
questionnaires is progressing.
Conclusions: BP training was a successful, although timeconsuming
exercise. Preliminary analysis suggests that
training has improved students’ technique, procedural
understanding of, and confidence in, BP measurement.
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