How do novices learn physical examination skills? A systematic review of the literature.
Med Educ Online
; 24(1): 1608142, 2019 Dec.
Article
en En
| MEDLINE
| ID: mdl-31032719
ABSTRACT
BACKGROUND:
Physical Examination (PE) skills are vital for patient care, and many medical students receive their first introduction to them in their pre-clinical years. A substantial amount of curriculum time is devoted to teaching these skills in most schools. Little is known about the best way to introduce PE skills to novice learners.OBJECTIVE:
Our objective was to conduct a systematic review of how medical students are first taught PE skills and the evidence supporting these strategies.DESIGN:
We searched ERIC, SCOPUS, MEDLINE, PubMed and EMBASE for descriptions of complete PE curricula for novice learners. Inclusion criteria were (1) English language; (2) subjects were enrolled in medical school and were in the preclinical portion of their training; (3) description of a method to teach physical examination skills for the first time; (4) description of the study population; (5) Description of a complete PE curriculum. We used the Medical Education Research Study Quality Instrument (MERSQI) score to evaluate the quality of evidence provided.RESULTS:
Our search returned 5,418 articles; 32 articles met our inclusion criteria. Two main types of curricula were reported comprehensive 'head-to-toe' PE curricula (18%) and organ system-based curricula (41%). No studies compared these directly, and only two evaluated trainees' clinical performance. The rest of the articles described interventions used across curricula (41%). Median MERSQI score was 10.1 Interquartile range 8.1-12.4. We found evidence for the use of non-faculty teaching associates, technology-enhanced PE education, and the addition of clinical exposure to formal PE teaching.CONCLUSIONS:
The current literature on teaching PE is focused on describing innovations to head-to-toe and organ system-based curricula rather than their relative effectiveness, and is further limited by its reliance on short-term outcomes. The optimal strategy for novice PE instruction remains unknown.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Examen Físico
/
Educación Médica
Tipo de estudio:
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
Med Educ Online
Asunto de la revista:
EDUCACAO
Año:
2019
Tipo del documento:
Article
País de afiliación:
Estados Unidos