Markus Krautter1, Katja Diefenbacher2, Nadja Koehl-Hackert3, Beate Buss2, Lars Nagelmann2, Wolfgang Herzog2, Jana Jünger2, Christoph Nikendei2. 1. Department of Nephrology, University of Heidelberg, Heidelberg, Germany. Electronic address: markus.krautter@med.uni-heidelberg.de. 2. Department of General Internal Medicine and Psychosomatics, University of Heidelberg, Medical Centre, Heidelberg, Germany. 3. Department of General Internal Medicine and Psychosomatics, University of Heidelberg, Medical Centre, Heidelberg, Germany; Department. of General Practice and Health Services Research, University of Heidelberg, Heidelberg, Germany.
Abstract
BACKGROUND: The physical examination of patients is an important diagnostic competence, but little is known about the examination skills of final-year medical students. AIMS: To investigate physical examination skills of final-year medical students. METHODS: In a cross-sectional study, 40 final-year students were asked to perform a detailed physical examination on standardized patients. Their performances were video-recorded and rated by independent video assessors. RESULTS: Video ratings showed a mean success rate of 40.1 % (SD 8.2). As regards accompanying doctor-patient communication, final-year students achieved a mean of no more than 36.7 % (SD 8.9) in the appropriate use of the corresponding communication items. CONCLUSIONS: Our study revealed severe deficits among final-year medical students in performing a detailed physical examination on a standardized patient. Thus, physical examination skills training should aim to improve these deficits while also paying attention to communicative aspects.
BACKGROUND: The physical examination of patients is an important diagnostic competence, but little is known about the examination skills of final-year medical students. AIMS: To investigate physical examination skills of final-year medical students. METHODS: In a cross-sectional study, 40 final-year students were asked to perform a detailed physical examination on standardized patients. Their performances were video-recorded and rated by independent video assessors. RESULTS: Video ratings showed a mean success rate of 40.1 % (SD 8.2). As regards accompanying doctor-patient communication, final-year students achieved a mean of no more than 36.7 % (SD 8.9) in the appropriate use of the corresponding communication items. CONCLUSIONS: Our study revealed severe deficits among final-year medical students in performing a detailed physical examination on a standardized patient. Thus, physical examination skills training should aim to improve these deficits while also paying attention to communicative aspects.
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
Authors: C Nikendei; P Ganschow; J B Groener; S Huwendiek; A Köchel; N Köhl-Hackert; R Pjontek; J Rodrian; F Scheibe; A-K Stadler; T Steiner; J Stiepak; J Tabatabai; A Utz; M Kadmon Journal: GMS J Med Educ Date: 2016-08-15
Authors: Julia Knauber; Anna-Katharina König; Tobias Herion; Julia Tabatabai; Martina Kadmon; Christoph Nikendei Journal: GMS J Med Educ Date: 2018-08-15