The Improvement of Clinical Competence and Confidence of Neonatology Interns through ACoRN Tutorial Teaching
Objective:To explore the application of ACoRN(Acute Care of At-Risk Newborns)tutorials in neonatology clinical teaching and its impact on interns'clinical competence and confidence.Methods:A total of 120 medical students who rotated through the neonatology department of our hospital from January to June 2019 were randomly divided into two groups:the ACoRN teaching group and the traditional teaching group,with 60 students in each group.During their rotation,the traditional teaching group received only traditional clinical lectures,while the ACoRN teaching group received ACoRN tutorial teaching in addition to traditional lectures.Both groups of interns completed the same case scenario simulation test and confidence questionnaire on the 1st day(before teaching)and the 10th day(after teaching).The difference in scores between the two groups before and after teaching was compared to evaluate the impact of ACoRN tutorial teaching on clinical competence and confidence.Results:In the clinical decision-making assessment,the total score was 100 points.The average score of the traditional group before teaching was(58.00±3.59)points,and that of the ACoRN group was(58.08±4.63)points.After teaching,the average score of the traditional group was(71.00±6.81)points,and that of the ACoRN group was(84.33±6.12)points,with P<0.01.In the confidence questionnaire,the total score was 70 points.The average score of the traditional group before teaching was(28.80±3.72)points,and that of the ACoRN group was(28.72±4.29)points.After teaching,the average score of the traditional group was(37.62±3.99)points,and that of the ACoRN group was(43.82±5.37)points,with P<0.01.Conclusion:The application of ACoRN tutorials in neonatology clinical teaching can improve the clinical competence and confidence of interns.
Acute care of at-risk newbornsInternship teachingClinical competenceConfidenceScenario simulation