Confidence in Procedural Skills before and after a Two-Year Master’s Programme in Family Medicine in Gezira State, Sudan

Table 1

Self-assessment in performing 46 clinical skills before and after the GFMP, Gezira state, Sudan (). Numbers represent means for each skill. Change is the absolute difference between the "after" result and the "before" result. Ratio is the relative change calculated by the "after" result divided by the "before" result.

Clinical skills categorized in disciplines	Before	After	Change	Ratio	value
Internal medicine	3.56	4.24	0.68	1.19	<0.001
ECG interpretation	2.54	3.83	1.29	1.51	<0.001
ECG taking	2.28	3.45	1.17	1.51	<0.001
Management of myocardial infarction	3.49	4.30	0.81	1.23	<0.001
Management of diabetic coma	3.76	4.38	0.62	1.16	<0.001
Cardiopulmonary resuscitation	3.50	4.11	0.61	1.17	<0.001
Insulin treatment in hyperglycaemia	3.92	4.47	0.55	1.14	<0.001
Inhaler technique	3.98	4.51	0.53	1.13	<0.001
Management of tuberculosis	3.63	4.08	0.45	1.12	0.012
Venipuncture and drip start	4.26	4.63	0.37	1.08	0.003
Management of asthma	4.25	4.60	0.35	1.08	<0.001
Laboratory skills	2.62	3.70	1.08	1.41	<0.001
Glucose measuring	2.42	3.75	1.33	1.55	<0.001
Urine analysis	2.30	3.47	1.17	1.51	<0.001
Haemoglobin measuring	2.79	3.86	1.07	1.38	<0.001
Blood film for malaria	2.98	3.75	0.77	1.26	<0.001
Obstetrics and gynaecology	3.32	3.84	0.52	1.16	<0.001
IUCD insertion	2.56	3.54	0.98	1.38	<0.001
Taking cervical smear	2.73	3.59	0.86	1.32	<0.001
Normal delivery	3.51	4.02	0.51	1.20	<0.001
Acute vaginal bleeding	3.44	3.84	0.40	1.12	0.018
Vaginal examination	4.10	4.43	0.33	1.08	0.012
Caesarean section	3.06	3.39	0.33	1.11	0.004
Evacuation after abortion	3.86	4.07	0.21	1.05	0.072
Minor surgery	3.90	4.30	0.40	1.10	<0.001
Plaster of minor fractures	3.21	3.80	0.59	1.18	<0.001
Management of urinary retention	3.70	4.18	0.48	1.13	<0.001
Urethral catheterization	4.13	4.49	0.36	1.09	<0.001
Suturing of wounds	4.47	4.65	0.18	1.04	0.010
Abscess drainage	4.38	4.54	0.16	1.04	0.038
Stopping epistaxis	3.51	4.14	0.63	1.18	<0.001
Major surgery	2.56	3.07	0.51	1.20	<0.001
Acute abdomen operation	2.11	2.76	0.65	1.31	<0.001
Appendectomy operation	3.01	3.38	0.37	1.12	0.003
Ophthalmology	2.34	3.68	1.34	1.57	<0.001
Visual acuity	2.64	4.25	1.61	1.61	<0.001
Eye fundoscopy	2.08	3.51	1.43	1.69	<0.001
Removal of foreign body from the eye	2.51	3.73	1.22	1.49	<0.001
Management of iridocyclitis	2.14	3.21	1.07	1.50	<0.001
Psychiatry	2.33	3.63	1.30	1.56	<0.001
Management of major depression	2.16	3.61	1.45	1.67	<0.001
Acute psychosis	2.49	3.65	1.16	1.47	<0.001
Other skills
Diagnosis of hearing loss	2.71	3.78	1.07	1.39	<0.001
Tonsillitis	4.37	4.46	0.09	1.02	0.546
Chest X-ray in infections	3.20	4.09	0.89	1.28	<0.001
X-ray interpretation in trauma	3.26	4.04	0.78	1.24	<0.001
Cholesteatoma operation	1.72	2.48	0.76	1.44	<0.001
Thoracal drainage	2.28	2.93	0.65	1.29	<0.001
Insertion of nasogastric tube	3.87	4.35	0.48	1.17	<0.001
Knee examination	3.90	4.32	0.42	1.11	<0.001
Malnutrition in children	3.99	4.41	0.42	1.11	<0.001
Stabilization of major fractures	2.71	3.24	0.53	1.20	<0.001
Measuring blood pressure	4.78	4.88	0.10	1.02	0.048
Total for all skills (mean)	3.23	3.93	0.70	1.22	<0.001