Greener Journal of Medical Sciences

Open Access


Greener Journal of  Medical Sciences, October 2017.

 ISSN: 2276-7797 © 2017 Greener Journals


Manuscript Number: 092117002



Innovative Application of Skills Lab Methodology for Effective Teaching of Clinical Medicine at the Kenya Medical Training College


 Janet Mukelule Amanya

 SM/PG/ME 01/14


A Thesis Report Submitted To

 The Department of Medical Education, School of Medicine, MOI University,

In the Partial Fulfillment of the Requirements for the Degree of Masters of Science in Medical Education





Skills laboratory methodology is an evolving innovative simulation based Medical Education. Its purpose is to bridge the gap between theory and practice in medical training. Its effective application in training of Clinical Medicine, directly influences health care outcomes. This study determined the innovative application of skills lab methodology for effective teaching of Clinical Medicine at Kenya Medical Training College.  The study determined availability of resources, perception and the relationship between resources and clinical competence.


Methods: It was a quantitative descriptive cross sectional survey targeting Clinical medicine students sampled randomly from 7 Kenya Medical Training campuses. Questionnaires were used to collect data after consent and approval by Institutional research and Ethics Committee. The data was analyzed using descriptive and inferential statistics by Statistical Packages of Social Sciences version 19.


Results: Skills lab methodology is applied at Kenya Medical Training College, although with varied commitment.  Low fidelity manikins and standardized patients are mainly used. It is perceived to be useful by 89.9%; the resources are inadequate as confirmed by 75.8%; there was a statistically significant relationship between adequate resources and students’ skill competence (OR 2.3; 95% CI (1.1—4.7); P 0.03).


Conclusion: Although skills lab methodology is integrated in the clinical medicine curriculum, it faces challenges in resources, infrastructure, and administrative support. It is therefore concluded that Skills lab methodology is not effectively applied in teaching of Clinical Medicine at Kenya Medical Training College.


Key words: Innovative application, skills lab methodology, effective teaching, Clinical Medicine, simulation approaches.


Association of American Medical Colleges (AAMC) (20O8), (2011). Recommendations for Clinical Skills Curricula for Undergraduate Medical Education. Task Force on the Clinical Skills Education of Medical Students. In


Boulay et al (1999). The clinical skills resource; a review of the current practice; Southampton Clinical Skills Project report and recommendations; Southampton Medical School Southampton.


Sadiasyed (2011). health learning resources; the interactive video conferencing and other computer simulation.


Werner et al (2013). The Best practice model (BPSL); clinical skills training


Abdulmohsen H. (2007). Medicine and Clinical Skills Laboratories; Journal, Family Community Med. 2007 May-Aug; 14(2): 59–63.


International Confederation of Midwivesʼ (ICM) (2012):  Model Curriculum Outlines for Professional Midwifery Education, Resource Packet #4; Teaching and Learning in a Competency-Based Curriculum.


Carmichael (2008). National Clinical Training Review; Medical deans Australian and new-Zea land; Clinical skills learning environment.


Dawson, (2004). Video recording feedback: a feasible and effective approach to teaching history-taking and physical examination skills in undergraduate pediatric medicine. Medical Education. 1998;32:332–336. [PubMed)


Curationis (2010). phases of the skills lab method; University of the Western cape 33 (2): 51—59


Akaike. et. al (2012): Simulation-based medical education in clinical skills Laboratory (SBME); Department of Medical Education and Research Center for Education of Health Biosciences, the University of Tokushima Graduate School, Tokushima, Japan. The Journal of Medical Investigation Vol. 59 2012


Anastakis et al. (2012). as cited in simulation based Medical Education in the clinical skills lab


Gillbody et al (2012) as cited in the simulation based medical education: perception of tranee and assesors on cardaveric surgery.


Dacre et al (1996). The learning matrix for students of medicine and nursing; Best Practice Clinical skills Learning Environments; Radcliffe medical press.


Community Medical Journal (2007) Learning manual and procedural clinical skills through simulation in health Division of Physiotherapy Department of Medical and Health Sciences


Omaswa et al (2014), the development of clinical skills lab; Medical Education Partnership Initiative; MEPI Newsletter 2014.


Boruet et al (2007), Creating a skillslab for KMTC; challenges of establishing Skillslab in a developing country.


Kimeu et al (2013). Building faculty capacity in family planning using skills labs e learning in the centre of excellence Kitui MTC: International conference on family planning Addis Ababa Ethiopia. Kimeu et al (2014); African Medical and Research Foundation, 2013.Kirkpatrick Level 1 Evaluation


Takayesu et al (2010). Students perspective on simulation based teaching; How do clinical clerkship students experience simulator-based teaching?  A qualitative analysis simulation Health c 2006 ; 1; 215-219.  PubMed; Yale journal of Biology and Medicine; U.S National library of medicine.


McGaghie W. et. al (2010). A critical review of simulation based medical education research : 2003-2009. Medical  Education  44 : 50-63, 2010; Blackwell Publishing Ltd 2009.  Feinberg School of medicine, North Western University, Chicago, Illinois USA.


Chege et al, (2009); assess level of improvement in the quality of training at KMTC: End evaluation report – VVOB-KMTC Skills lab project.


Harden et al 2001 Dundee Ready Education Environment Measure (DREEM); learning environment.


Mascol et al (2005). as cited in Curationis (2010), phases of the skills lab method; University of the Western Cape   33 (2): 51—59


Mutema, et al (1999). innovative medical education (experiential learning model) Nakuru Egerton University; educational learning materials


Best et al (2006). as cited in learning manual and procedural clinical skills through simulation in health care education; Division of Physiotherapy; Department of Medical and Health Sciences Linköping University 2012.  Sweden.


Kothari C. R. (2004). Research methodology; methods and techniques; new age international publishers.
Martineau, et al (2012) Integrating clinical skills in a Problem Based Learning curriculum Université de Sherbrooke