Literature DB >> 17001147

Teaching foundational physical examination skills: study results comparing lay teaching associates and physician instructors.

Gwyn E Barley1, Jennifer Fisher, Brian Dwinnell, Kelly White.   

Abstract

BACKGROUND: The purpose of this pilot study was to determine differences in the physical exam skills of first-year medical students learning physical exam exclusively from standardized physical examination teaching associates (SPETAs) or physician faculty.
METHOD: In all, 144 first-year medical students were randomized to receive SPETA or physician-led physical examination instruction. Students participated in an OSCE assessment immediately following the end of the curriculum block.
RESULTS: SPETA-trained students performed equivalently to physician faculty trained students across all stations with a mean of 82.9% versus 81.2% (p = .226). Students taught by SPETAs performed significantly better on the abdominal OSCE with a mean score of 88.8%, while physician faculty taught students had a mean score of 85.4% (p = .03).
CONCLUSION: Findings from this study suggest that SPETAs can effectively teach foundational physical examination skills to medical students at a similar and sometimes better performance level as physician faculty.

Mesh:

Year:  2006        PMID: 17001147     DOI: 10.1097/00001888-200610001-00024

Source DB:  PubMed          Journal:  Acad Med        ISSN: 1040-2446            Impact factor:   6.893


  11 in total

1.  [Teaching in orthopaedic and trauma surgery].

Authors:  T Renkawitz; A Benditz; M Rüsseler; U Obertacke; J Grifka; M Weber
Journal:  Orthopade       Date:  2017-11       Impact factor: 1.087

2.  The impact of trained patient educators on musculoskeletal clinical skills attainment in pre-clerkship medical students.

Authors:  Anna E Oswald; Mary J Bell; Jeffrey Wiseman; Linda Snell
Journal:  BMC Med Educ       Date:  2011-09-23       Impact factor: 2.463

Review 3.  Physical examination in undergraduate medical education in the field of general practice - a scoping review.

Authors:  Dirk Moßhammer; Joachim Graf; Stefanie Joos; Rebekka Hertkorn
Journal:  BMC Med Educ       Date:  2017-11-25       Impact factor: 2.463

4.  Physical examination skills training: Faculty staff vs. patient instructor feedback-A controlled trial.

Authors:  Markus Krautter; Katja Diefenbacher; Jobst-Hendrik Schultz; Imad Maatouk; Anne Herrmann-Werner; Nadja Koehl-Hackert; Wolfgang Herzog; Christoph Nikendei
Journal:  PLoS One       Date:  2017-07-10       Impact factor: 3.240

5.  Conveying practical clinical skills with the help of teaching associates-a randomised trial with focus on the long term learning retention.

Authors:  Sebastian H Hoefer; Jasmina Sterz; Bernd Bender; Maria-Christina Stefanescu; Marius Theis; Felix Walcher; Robert Sader; Miriam Ruesseler
Journal:  BMC Med Educ       Date:  2017-03-28       Impact factor: 2.463

6.  Sustainability of physical exam skills in a resident-led curriculum in a large internal medicine program with competency based medical education.

Authors:  Don Thiwanka Wijeratne; Siddhartha Srivastava; Barry Chan; Wilma Hopman; Benjamin Thomson
Journal:  Can Med Educ J       Date:  2018-11-12

7.  Effects of a rater training on rating accuracy in a physical examination skills assessment.

Authors:  Gunther Weitz; Christian Vinzentius; Christoph Twesten; Hendrik Lehnert; Hendrik Bonnemeier; Inke R König
Journal:  GMS Z Med Ausbild       Date:  2014-11-17

8.  Sustained impact of a short small group course with systematic feedback in addition to regular clinical clerkship activities on musculoskeletal examination skills--a controlled study.

Authors:  Martin Perrig; Christoph Berendonk; Anja Rogausch; Christine Beyeler
Journal:  BMC Med Educ       Date:  2016-01-28       Impact factor: 2.463

9.  Basic practical skills teaching and learning in undergraduate medical education - a review on methodological evidence.

Authors:  Daniela Vogel; Sigrid Harendza
Journal:  GMS J Med Educ       Date:  2016-08-15

10.  Volunteer patients and small groups contribute to abdominal examination's success.

Authors:  Helen M Shields; Nielsen Q Fernandez-Becker; Sarah N Flier; Byron P Vaughn; Melissa H Tukey; Stephen R Pelletier; Douglas A Horst
Journal:  Adv Med Educ Pract       Date:  2017-11-01
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