THE SEQUENTIAL FEEDBACK OF IRAQI MEDICAL GRADUATES PERFORMANCE

Abstract

Background; Iraqi medical graduates qualify (MB. Ch. B.) then assigned as intern resident doctors to commit uniform twelve months training in various clinical disciplines as apprentices in health care. Ministry of health has no formal apprenticeship program to ensure competency and quality of juniors. The objectives of medical colleges are to ensure eligible safe health providers qualified to acquire and refine clinical skills in medical disciplines. Outcomes feedbacks are recommended to promote faculty curriculum and to ensure graduates competence. This current appraisal of Karbala is the second whereas the first was at 2010.Aims; To promote curricula of medical colleges and establish a genuine apprenticeship legislation for resident doctors.Design; cross sectional self evaluation. Date; December 2012. Setting; CME Center, General directorate of Holy Kerbala, Kerbala, Iraq.Subjects and Methods; Recently assigned 45 medical graduates of academic year 2011-2012. Questionnaire consists of 50 items including clinical skill performance, curricular affairs, and graduates comments and opinions. The scoring levels assigned (+) if competent, (±) if equivocal, and (-) if non competent. Results; Response rate; 98%. Females; 71.1%. Kerbala graduates; 71.1%. Upgrade performance; 19 clinical skills. Downgrade performance; 25. Females are better in communications and clerkship skills, males are better in interventional and emergency management skills. Graduates recommend skill lab and asked for more practical and professional curriculum. Conclusions; Most of the upgrade skills are learned through skill lab. The low 25 skills are of clinical methods. Gender has strong impact on skill performance. Faculties curricula need renewal and health authority should apprentice graduates better to achieve an eligible national health services