EXPERIMENTAL VALIDATION OF THE INTEGRATIVE CLINICAL COMPETENCE DEVELOPMENT MODEL: EVIDENCE FROM THREE UZBEK MEDICAL INSTITUTIONS

Authors

  • Suyarov Shoxrux Murodil ugli Fergana Public Health Medical Institute, Fergana, Uzbekistan

Keywords:

ICCDM, experimental study, clinical competency, quasi-experimental design, Student's t-test, medical education, Uzbekistan, USMLE, effectiveness, integrative methodology

Abstract

This article reports the findings of a quasi-experimental study evaluating the effectiveness of the Integrative Clinical Competence Development Model (ICCDM) in developing clinical competency among future physicians at three medical institutions in Uzbekistan. The study involved 465 students enrolled in clinical medicine programs at Fergana Public Health Medical Institute, Andijan State Medical Institute, and Bukhara State Medical Institute. Using a pre-test/post-test control group design, the research assessed student competency development across four criteria—motivational, cognitive, communicative-activity, and perceptual-reflective—before and after implementation of the ICCDM. Statistical analysis using Student's t-test confirmed statistically significant improvements in the experimental group across all four criteria, with an overall effectiveness coefficient of 1.14–1.15 (14–15% improvement over the control group). These findings provide robust empirical support for the ICCDM's effectiveness and its suitability for broad adoption in Uzbekistan's medical education system.

References

Boursicot, K., & Roberts, T. (2005). Assessing the Clinical Skills of Medical Students. Medical Education, 39(4), 369–377.

Campbell, D.T., & Stanley, J.C. (1963). Experimental and Quasi-Experimental Designs for Research. Chicago: Rand McNally.

Cook, D.A., & Hatala, R.M. (2020). Simulation-Based Education in the Health Professions. Medical Education, 54(2), 131–146.

Deci, E.L., & Ryan, R.M. (1985). Intrinsic Motivation and Self-Determination in Human Behavior. New York: Plenum.

Kogan, J.R., & Holmboe, E.S. (2019). The Assessment of Clinical Competence in USMLE and Beyond. Academic Medicine, 94(3), 356–364.

Motola, I., & Devine, L.A. (2013). Simulation-Based Training: The Next Revolution in Medical Education. Academic Medicine, 88(8), 1108–1114.

Nestel, D., & Bearman, M. (2015). Simulated Patient Methodology: Theory, Evidence and Practice. Chichester: Wiley-Blackwell.

Papadakis, M., & Hodgson, C. (2018). The Step Exams and Clinical Preparedness of Graduates. New England Journal of Medicine, 378(7), 595–597.

Rudolph, J.W., & Simon, R. (2008). The Art of Debriefing in Simulation-Based Education. Simulation in Healthcare, 3(3), 155–167.

Swanson, D.B., & Case, S.M. (1997). Assessment in Basic Science Instruction. Academic Medicine, 72(10), 62–66.

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Published

2026-02-19

How to Cite

Suyarov Shoxrux Murodil ugli. (2026). EXPERIMENTAL VALIDATION OF THE INTEGRATIVE CLINICAL COMPETENCE DEVELOPMENT MODEL: EVIDENCE FROM THREE UZBEK MEDICAL INSTITUTIONS. Ethiopian International Journal of Multidisciplinary Research, 13(2), 1050–1053. Retrieved from https://eijmr.org/index.php/eijmr/article/view/5221