Article

Interventional training sessions. OBJECTIVES: To examine the
effectiveness of training medical students in the International Standards for
Neurological Classification of Spinal Cord Injury (ISNCSCI). SETTING: A Peking
University teaching hospital. METHODS: A total of 46 medical students were
involved in the study. First, they had a 2-h self-study session with the ISNCSCI
booklet, followed by a 10-item questionnaire. The booklet was allowed for use as
a reference during this assessment. Two days later, the questionnaire was
repeated without the use of reference. Students then had a session with case
discussion, followed by a final questionnaire. RESULTS: After the initial
self-study session, the mean score (max. 10) on the questionnaire was 7.67 +/-
1.49. Two days later, the mean score of the second test was 7.96 +/- 1.15. All
key points of the ISNCSCI were supplemented during the second session with case
presentations. The mean score of the final test increased significantly to 9.61
+/- 0.88 (P<0.01) in comparison with the previous tests. The overall correct
response rates by students in determining sensory level, motor level and American
Spinal Injury Association Impairment Scale of the training case were 89.1%, 84.8%
and 91.3%, respectively. CONCLUSION: The training effectiveness of ISNCSCI
through self-study is reliable. The correct answers to key points could remain
for at least 2 days without the need to use a reference. However, some
specialized knowledge could not be transmitted without more detailed discussions
and case presentations. Utilization of cases is a valuable method in training
ISNCSCI and can improve the overall training effectiveness.

Langue : ANGLAIS