title: A CRASH course in procedural skills improves medical students' self-assessment of proficiency, confidence, and anxiety.
abstract: BACKGROUND
  Medical students enter the clinical education years with minimal exposure to procedural skills. This study aims to determine the effect of a pre-clinical skills course on students' ratings of proficiency, confidence, and anxiety levels.
  
  
  METHODS
  An elective pre-clinical course in procedural skills was given to medical students prior to clinical rotations. Self-assessment of proficiency, confidence, and anxiety in performing these skills was made prior to and on completion of the course.
  
  
  RESULTS
  Course participants reported low proficiency and confidence, and high anxiety regarding performing procedural skills. Following the course, there was significant improvement in self-assessed proficiency, confidence, and anxiety. There were no gender differences in responses.
  
  
  CONCLUSIONS
  Medical students entering clinical rotations have poor self-assessment of proficiency, low confidence, and high anxiety regarding procedural skills. A concentrated course in procedural skills significantly improved students' assessment of their proficiency, confidence, and anxiety levels.
authors.affiliation: Department of General Surgery and Office of Medical Student Programs, Rush University Medical Center, 1653 W. Congress Parkway, Chicago, IL 60612, USA. Robyn_Stewart@rush.edu
authors.forename: Robyn A
authors.initials: RA
authors.lastname: Stewart
authors.forename: Linnea S
authors.initials: LS
authors.lastname: Hauge
authors.forename: Robert D
authors.initials: RD
authors.lastname: Stewart
authors.forename: Robert L
authors.initials: RL
authors.lastname: Rosen
authors.forename: Angella
authors.initials: A
authors.lastname: Charnot-Katsikas
authors.forename: Richard A
authors.initials: RA
authors.lastname: Prinz
mesh_terms: D001007:Anxiety / Q000517:prevention & control* / Q000523:psychology; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004504:Education, Medical, Undergraduate / Q000379:methods*; D004521:Educational Measurement; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D020377:Self Efficacy; D012647:Self-Assessment; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires