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Review article

New Paradigm in Training of Undergraduate Clinical Skills: the NEPTUNE-CS project at the Split University School of Medicine

Vladimir J. Šimunović ; Unit for Science and Research, University Hospital Split, and Split University School of Medicine, Split, Croatia
Izet Hozo ; Department of Gastroenterology, University Hospital Centre Split and Split University School of Medicine, Split, Croatia
Mladen Rakić ; Department of Anaesthesiology, University Hospital Centre Split and Split University School of Medicine, Split, Croatia
Marko Jukić ; Department of Anaesthesiology, University Hospital Centre Split and Split University School of Medicine, Split, Croatia
Snježana Tomić ; Department of Pathology, University Hospital Centre Split and Split University, School of Medicine, Split, Croatia
Slaven Kokić ; Department of Endocrinology, University Hospital Centre Split and Split University School of Medicine, Split, Croatia
Dragan Ljutić ; Department of Nephrology, University Hospital Centre Split and Split University, School of Medicine, Split, Croatia
Nikica Družijanić ; Department of Surgery, University Hospital Centre Split and Split University School of Medicine, Split, Croatia
Ivica Grković ; Deapartment of Anatomy, Split University School of Medicine, Split, Croatia
Filip Šimunović ; Massachusetts General Hospital, Harvard University, Cambridge, mass, USA
Dujomir Marasović ; Department of Dermatology University Hospital Centre Split and Split, University School of Medicine, Split, Croatia


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Abstract

Clinical skills’ training is arguably the weakest point in
medical schools’ curriculum. This study briefly describes
how we at the Split University School of Medicine cope
with this problem. We consider that, over the last decades,
a considerable advancement in teaching methodologies,
tools, and assessment of students has been made. However,
there are many unresolved issues, most notably: (i)
the institutional value system, impeding the motivation of
the teaching staff; (ii) lack of a strong mentoring system;
(iii) organization, timing, and placement of training in the
curriculum; (iv) lack of publications pertinent to training;
and (v) unwillingness of patients to participate in student
training. To improve the existing training models we suggest
increased institutional awareness of obstacles, as well
as willingness to develop mechanisms for increasing the
motivation of faculty. It is necessary to introduce changes
in the structure and timing of training and to complement
it with a catalog, practicum, and portfolio of clinical
skills. At Split University School of Medicine, we developed
a new paradigm aimed to improve the teaching of clinical
skills called “Neptune-CSS,” which stands for New Paradigm
in Training of Undergraduate Clinical Skills in Split.

Keywords

medical education; clinical skills’ training; clinical skills laboratory; mentorship; clinical instructors; curriculum reform; catalogue of clinical skills; portfolio (logbook) of clinical skills; practicum of clinical skills

Hrčak ID:

63514

URI

https://hrcak.srce.hr/63514

Publication date:

15.10.2010.

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