Hostname: page-component-848d4c4894-4hhp2 Total loading time: 0 Render date: 2024-04-30T15:15:34.241Z Has data issue: false hasContentIssue false
  • English
  • Français

Current Status of Clinical Education in Paramedic Programs: A Descriptive Research Project

Published online by Cambridge University Press:  28 June 2012

Kim C. Grubbs
Kim C. Grubbs*
Affiliation:
Johnson County Community College, Overland Park, Kansas
*
Paramedic Instructor, Johnson County Community College, 12345 College at Quivira, Overland Park, KS 66210USA, E-mail: Kgrubbs@johnco.cc.ks.us
Get access Rights & Permissions [Opens in a new window]

Abstract

Development of competence in exercising therapeutic judgment skills represents the goal of clinical education. Time (clock hours) is not a valid predictor of attainment of competence in paramedic clinical education. Quantity of patient contact experiences facilitates development of judgment skills, and offers a valid measure of progress toward competence. This project uses national survey data from accredited programs to describe the availability and accessibility of patient contact experiences within paramedic clinical education. Data from this local program supplements the national survey results. The components of clinical judgment are enumerated, and strategies to teach and evaluate clinical judgment skills are discussed.

Keywords

clinical decision makingclinical educationclinical judgmentcompetency-based modelsdescriptive dataevaluative methodologiesoutcomes assessmentparamedic educationrepetition and volume in clinical educationtherapeutic judgment
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 12 , Issue 4 , December 1997 , pp. 17 - 24
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Howe, KR, Holmes, M, Elstein, AS: Teaching clinical decision making. Journal of Medicine and Philosophy 1984;9:215–218.Google Scholar
2. Ford, CW (ed): Clinical Education for the Allied Health Professions. St. Loius: Mosby, 1978.Google Scholar
3. National Highway Traffic Safety Administration (NHTSA) Technical Assistance Team: State of Kansas An Assessment of Emergency Medical Services. 12–14 April 1994.Google Scholar
4. National Highway Traffic Safety Administration (NHTSA): Emergency Medical Technician-Paramedic: National Standard Curriculum Cours Guide - 1985. Appendix C.Google Scholar
5. National Association of State Emergency Medical Services Directors (NASEMSD): Training and Certification of EMS Personnel-1994.Google Scholar
6. Joint Review Committee on Educational Programs for the EMT-Paramedic: Accreditation of EMT-Paramedic Education Programs, General Operating Procedures. May 1990.Google Scholar
7. Stratton, SJ, Kane, G, Gunter, CS et al. : Prospective study of mannequin-only versus mannequin and human subject. Ann Emerg Med 1991; 20:1314–1318.CrossRefGoogle Scholar
8. Trooskin, S, Rabinowitz, S, Eldridge, C et al. : Teaching endotracheal intubation using animals and cadavers. Prehospital and Disaster Medicine. 1992;7:179–182.Google Scholar
9. Stratton, SJ: Letter. Ann Emerg Med 1992;21:1169.CrossRefGoogle Scholar
10. Rubens, AJ: Endotracheal intubation: The minimum for ACLS airway management training. Prehospital and Disaster Medicine 1991; 6:491.CrossRefGoogle Scholar
11. Stewart, RD: Effect of varied training techniques on field endotracheal intubation success rates. Ann Emerg Med 1984;13:1032–1038.CrossRefGoogle ScholarPubMed
12. Batsford, E: Advanced airway skills jump after mannequin-only training. EMT Today AAOS Newsletter. December 1995:1.Google Scholar
13. Letter from Morris Brown, Chairman, Acute Medicine Committee. American Society of Anesthesiologists, to JRCEMTP. 24 November 1992.Google Scholar
14. Wilson, ME: Assessing intravenous cannulation and tracheal intubation training. Anaesthesia 1991;46:578–579.CrossRefGoogle ScholarPubMed
15. Druckman, D, Bjork, RA (eds): In the Mind's Eye: Enhancing Human Performance. Washington, DC: National Research Council, 1991.Google Scholar
16. Tonesk, X: American Association of Medical Colleges Program to promote improved evaluation of students during clinical education. J Med Educ 1986;61:83–84.Google Scholar
17. Pietzman, SJ, Nieman, LZ, Gracely, EJ et al. : Comparison of “Fact Recall” with “Higher Order” questions in multiple choice examinations as predictors of clinical performance of medical students. Academic Medicine 1990;65:S59–S60.Google Scholar
18. EMS Insider. February 1997:3–4.Google Scholar