Using Direct Observation of Procedural Skills (DOPS) and Online Learning Materials in Teaching Orthotic Fabrication: Improving Occupational Therapy Students' Competency

Kuan-Yi Li ； Hwei-Tau Huang ； Chung-Hsien Chaou ； Ching-Kai Huang ； Yi-Hui Wu ； Chiu-Wen Chen

《Journal of Medical Education》 27卷1期 (2023/03) Pp. 41-56

https://doi.org/10.6145/jme.202303_27(1).0003

摘要

Background: Direct Observation of Procedural Skills (DOPS) is a widely used competency-based assessment tool for evaluating clinical procedural skill learning and competency among clinical trainees. In the clinical teaching of orthotic fabrication, the online learning materials and the application of DOPS for assessment have been sporadically investigated. Objectives: This study examined the effect of online learning materials and using DOPS for the assessment of the orthotic fabrication-related learning outcomes of occupational therapy students. Methods: We conducted a retrospective review of data from 39 occupational therapy students relating to their clinical fieldwork. The self-developed DOPS for Orthotic Fabrication was used to assess students before and after a three-week training period. All participants completed pretest and posttest assessments to measure their learning in three domains: "choosing and measuring the proper materials," "fitting and fabricating orthotics on the client," and "communicating with and educating the client and their family." Five clinical educators performed DOPS assessments. A paired sample t-test was used to test the data for measurable learning effects. Results: A significant improvement was observed from pretest to posttest in the total mean score (p = .001) as well as the "choosing and measuring the proper materials" (p = .02) and "fitting and fabricating orthotics on the client" (p = .004) content areas. However, no significant improvement was seen in "communicating with and educating the client and their family" (p = .23). Conclusions: The current study demonstrated the utility of DOPS for assessing orthotic fabrication when combined with online learning materials.

關鍵字

clinical competence ； occupational therapy student ； DOPS ； online learning ； orthotic fabrication

參考文獻

: Application of direct observation of procedural skills (DOPS) in occupational therapy internship in mental health. J Taiwan Occup Ther Res Prac 2018; 14: 1-10.

: Impact of outcome-based assessment on student learning and faculty instructional practices. J Vet Med Educ 2013; 40: 128-38.

: The role of assessment in competency-based medical education. Med Teach 2010; 32: 676-82.

J Hand Ther 2020; 33: 119–26.

Physiother Theory Pract 2022; 38: 2160–9.