TY - JOUR T1 - Self-perceived versus objectively measured competence in performing clinical practical procedures by final year medical students AU - Katowa-Mukwato, P. AU - Banda, S. KW - clinical competence KW - self-perceived KW - objectively measured competence KW - medical students KW - clinical practical procedures KW - PY - 2016/04/30 Y1 - 2016/04/09 VL - 7 N1 - doi: 10.5116/ijme.5709.2a7e DO - 10.5116/ijme.5709.2a7e M3 - doi: 10.5116/ijme.5709.2a7e JO - Int J Med Educ SP - 122 EP - 129 PB - IJME SN - 2042-6372 UR - http://www.ijme.net/archive/7/self-perceived-versus-objectively-measured-competence/ L1 - http://www.ijme.net/archive/7/self-perceived-versus-objectively-measured-competence.pdf N2 - Objectives: To determine and compare the self-perceived and objectively measured competence in performing 14 core-clinical practical procedures by Final Year Medical Students of the University of Zambia.Methods: The study included 56 out of 60 graduating University of Zambia Medical Students of the 2012/2013 academic year. Self-perceived competence: students rated their competence on 14 core- clinical practical procedures using a self-administered questionnaire on a 5-point Likert scale. Objective competence: it was measured by Objective Structured Clinical Examination (OSCE) by faculty using predetermined rating scales. Rank order correlation test was performed for self-perceived and objectively measured competence.Results: Two thirds 36 (66.7%) of the participants perceived themselves as moderately competent, 15 (27.8%) rated themselves as highly competent while 3 (5.6%) had low self-perception. With objective competence, the majority 52 (92.8%) were barely competent while 4 (7.2%) were absolutely competent. When overall self-perception was compared to objectively measured competence, there was a discordance which was demonstrated by a negative correlation (Spearman rho -.123).Conclusions: Significant numbers of students reported low self-competence in performing procedures such as endotracheal intubation, gastric lavage and cardiopulmonary resuscitation which most never performed during the clinical years of medical education. In addition, the negative correlation between self-perceived and objectively measured competence demonstrated the inability of students to assess and rate themselves objectively due to fear that others may know their weaknesses and realize that they are not as competent as expected at a specific level of training. ER -