Assessing the head-to-toe physical examination skills of medical students.

Abstract:

:Second-year medical students performed a head-to-toe screening physical examination on trained patient instructors (PIs) as a high-stakes examination before beginning clinical clerkships. PIs completed a 138-item checklist and instructed the students in the proper performance of any incorrectly executed or omitted items. To assess the accuracy of the PI ratings, 'monitor' PIs watching the encounter by video completed checklists for 11 retests of failed students in 2001 and for 28 randomly selected encounters in 2002. Checklist-level discrepancies measured by mean absolute checklist difference were 8% in 2001 and 9% in 2002. Case-level mean difference between raters in 2002 was -2.9%. The inter-rater reliability for a single rater, estimated by the intra-class correlation coefficient for total encounter scores, was 0.95. The assessment and feedback were well received by the students. The Head-to-Toe examination provides a reliable assessment of a student's ability to carry out a complete screening physical examination. Patient instructors can be trained to acceptable accuracy and reliability despite the length and complexity of the exercise, and can provide effective feedback and teaching targeted to individual student deficiencies.

journal_name

Med Teach

journal_title

Medical teacher

authors

Yudkowsky R,Downing S,Klamen D,Valaski M,Eulenberg B,Popa M

doi

10.1080/01421590410001696452

keywords:

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

415-9

issue

5

eissn

0142-159X

issn

1466-187X

pii

6LWJTCQPYH96R28X

journal_volume

26

pub_type

杂志文章
  • Interprofessional collaborative reasoning by residents and nurses in internal medicine: Evidence from a simulation study.

    abstract::Clinical reasoning has been studied in residents or nurses, using interviews or patient-provider encounters. Despite a growing interest in interprofessional collaboration, the notion of collaborative reasoning has not been well studied in clinical settings. Our study aims at exploring resident-nurse collaborative reas...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2017.1286309

    authors: Blondon KS,Maître F,Muller-Juge V,Bochatay N,Cullati S,Hudelson P,Vu NV,Savoldelli GL,Nendaz MR

    更新日期:2017-04-01 00:00:00

  • Enhancement of temporal bone anatomy learning with computer 3D rendered imaging software.

    abstract:AIM:To determine whether the use of 3D anatomical models is helpful to students and enhances their anatomical knowledge. METHODS:First year undergraduate students on the speech therapy or hearing aid practitioner courses attended either a lecture alone or a lecture followed by a 3D anatomy based tutorial, the latter w...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2010.490280

    authors: Venail F,Deveze A,Lallemant B,Guevara N,Mondain M

    更新日期:2010-01-01 00:00:00

  • Introducing medical educators to qualitative study design: Twelve tips from inception to completion.

    abstract::Many research questions posed by medical educators could be answered more effectively by the application of carefully selected qualitative research design than traditional quantitative research methods. Indeed, in many cases using mixed methods research would expand the scope of a study and yield meaningful qualitativ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2015.1035244

    authors: Ramani S,Mann K

    更新日期:2016-05-01 00:00:00

  • Twelve tips for integrating massive open online course content into classroom teaching.

    abstract::Massive open online courses (MOOCs) are a novel and emerging mode of online learning. They offer the advantages of online learning and provide content including short video lectures, digital readings, interactive assignments, discussion fora, and quizzes. Besides stand-alone use, universities are also trying to integr...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2019.1571569

    authors: de Jong PGM,Pickering JD,Hendriks RA,Swinnerton BJ,Goshtasbpour F,Reinders MEJ

    更新日期:2020-04-01 00:00:00

  • Twelve tips for early career medical educators.

    abstract::The first 10 years of career development pose unique challenges for MD- and PhD-trained faculty members working in medical education. These may include publishing peer-reviewed articles, winning grant funding, teaching, maintaining a clinical practice, and supporting professional communities both within and external t...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2015.1062084

    authors: Cristancho S,Varpio L

    更新日期:2016-01-01 00:00:00

  • Evaluation of a computer program ('disect') to consolidate anatomy knowledge: a randomised-controlled trial.

    abstract:BACKGROUND:The teaching of anatomy to medical undergraduates continues to develop. Medical imaging can accurately demonstrate anatomy. 'disect' is a computer program which manipulates and reconstructs real CT images in 3-D. AIM:To implement and assess a novel computer-based imaging resource. METHODS:Third-year underg...

    journal_title:Medical teacher

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/01421590903144110

    authors: Tam MD,Hart AR,Williams SM,Holland R,Heylings D,Leinster S

    更新日期:2010-01-01 00:00:00

  • The CanMEDS initiative: implementing an outcomes-based framework of physician competencies.

    abstract:BACKGROUND:Outcomes-based education in the health professions has emerged as a priority for curriculum planners striving to align with societal needs. However, many struggle with effective methods of implementing such an approach. In this narrative, we describe the lessons learned from the implementation of a national,...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590701746983

    authors: Frank JR,Danoff D

    更新日期:2007-09-01 00:00:00

  • Twelve tips for efficient procedural simulation.

    abstract::Procedural simulation (PS) is increasingly being used worldwide in healthcare for training caregivers in psychomotor competencies. It has been demonstrated to improve learners' confidence and competence in technical procedures, with consequent positive impacts on patient outcomes and safety. Several frameworks can gui...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2017.1391375

    authors: Rivière E,Saucier D,Lafleur A,Lacasse M,Chiniara G

    更新日期:2018-07-01 00:00:00

  • Designing simulator-based training: an approach integrating cognitive task analysis and four-component instructional design.

    abstract::Most studies of simulator-based surgical skills training have focused on the acquisition of psychomotor skills, but surgical procedures are complex tasks requiring both psychomotor and cognitive skills. As skills training is modelled on expert performance consisting partly of unconscious automatic processes that exper...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2012.687480

    authors: Tjiam IM,Schout BM,Hendrikx AJ,Scherpbier AJ,Witjes JA,van Merriënboer JJ

    更新日期:2012-01-01 00:00:00

  • Twelve tips for introducing simulation based assessment in the objective structured clinical examination.

    abstract::The use of simulation as a tool for assessment in medical examinations is expanding. We describe 12 practical tips for the implementation of simulation based critical evaluation for the Objective Structured Clinical Examination (OSCE). The material in this article is a combination of personal experience and the availa...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2020.1789084

    authors: Brown C,Morse J,Nesvadba D,Meldrum A

    更新日期:2020-07-21 00:00:00

  • A tutorial/essay project to expand the learning experience in undergraduate medical pharmacology.

    abstract::To lessen fact overload and to enhance the teaching of pharmacologic principles in an undergraduate course we introduced a tutorial/essay project into our traditional lecture-based course. Under the guidance of a faculty tutor, each student researched an assigned topic, developed a paper incorporating the results of t...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421599209018853

    authors: McLeod P,Cuello C,Capek R,Collier B

    更新日期:1992-01-01 00:00:00

  • An explanatory mixed methods study on the validity and validation of students' assessment results in the undergraduate surgery course.

    abstract:BACKGROUND/PURPOSE:There is inadequate evidence of reported validity of the results of assessment instruments used to assess clinical competence. This study aimed at combining multiple lines of quantitative and qualitative evidence to support interpretation and use of assessment results. METHOD:This study is a mixed m...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2018.1465181

    authors: Hamed O,Jabbad HH,Saadah OI,Al Ahwal MS,Al-Sayes FM

    更新日期:2018-09-01 00:00:00

  • Scheduling lectures in a teaching hospital.

    abstract::A modelling technique has been devised that can be used to assist in scheduling lectures for medical students in teaching hospitals. The model takes into account the various clinical commitments that are faced by students and the fact that some of these commitments have a fixed timetable while others are relatively fl...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421598909146417

    authors: Gallivan S,Scott L

    更新日期:1989-01-01 00:00:00

  • Health and lifestyle needs assessment of medical students in the United Arab Emirates.

    abstract::Medical students represent a significant community investment and promoting their health preserves this investment. In order to design health promotion programs for medical students in the United Arab Emirates, students' needs were assessed by means of a cross-sectional self-administered questionnaire survey. Major fi...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590310001605633

    authors: Carter AO,Elzubeir M,Abdulrazzaq YM,Revel AD,Townsend A

    更新日期:2003-09-01 00:00:00

  • Illuminating the relationship between shared learning and the workplace.

    abstract::This investigation represents an attempt to illuminate issues in the relationship between shared learning, aspects of organizational climate, teamwork practices and inter-personal contact between health professionals. The study, completed in 1998 and conducted over the previous 3 years, involved 57 post-qualified heal...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590220145752

    authors: Kennard J

    更新日期:2002-07-01 00:00:00

  • Rethinking health professions' education leadership: Developing 'eco-ethical' leaders for a more sustainable world and future.

    abstract::In this commentary, we discuss health professions' education (HPE) leadership in relation to planetary health emergencies, suggesting that an 'eco-ethical leadership' approach is highly relevant. Building on both traditional and more contemporary leadership approaches and the need for HPE to be socially and environmen...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2020.1748877

    authors: McKimm J,McLean M

    更新日期:2020-08-01 00:00:00

  • Peer assisted learning in surgical skills laboratory training: a pilot study.

    abstract:BACKGROUND:Peer assisted learning (PAL) has been rarely investigated in surgical skills training. AIMS:Describe feedback residents give peers on surgical skills with and without guidelines, determine the association between feedback and actual performance, evaluate resident satisfaction with PAL. METHOD:Participants ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2012.706340

    authors: Beard JH,O'sullivan P,Palmer BJ,Qiu M,Kim EH

    更新日期:2012-01-01 00:00:00

  • Awareness and usage of evidence-based learning strategies among health professions students and faculty.

    abstract::Introduction: Learning is essential and life-long for faculty and students. Often students and teachers use ineffective learning strategies and are not aware of evidence-based strategies.Methods: A multicenter, international, cross-sectional, online survey-based assessment of awareness of evidence-based learning strat...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2019.1645950

    authors: Piza F,Kesselheim JC,Perzhinsky J,Drowos J,Gillis R,Moscovici K,Danciu TE,Kosowska A,Gooding H

    更新日期:2019-12-01 00:00:00

  • 'It's really, really good, but it could be a lot better': qualitative evaluation of a rural clinical school, four years on.

    abstract:INTRODUCTION:In their first clinical year 25% of Western Australia's medical students undertake a clinical longitudinal integrated clerkship in rural and remote Western Australia. Annual evaluations are undertaken. METHOD:All students, academic and administrative staff employed by the university were interviewed. Qual...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421590902849537

    authors: Denz-Penhey H,Murdoch JC

    更新日期:2009-10-01 00:00:00

  • An evaluation of the cost of designing, delivering and assessing an undergraduate communication skills module.

    abstract::Communication skills courses are considered expensive to run in terms of time, human resource and finance. This paper reports on the financial cost of designing, delivering and assessing a communication skills module delivered to fifth-year medical students. Costs are classified into three categories: personnel, stand...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590400005475

    authors: Kelly M,Murphy A

    更新日期:2004-11-01 00:00:00

  • Automatic scoring of medical students' clinical notes to monitor learning in the workplace.

    abstract:BACKGROUND:Educators need efficient and effective means to track students' clinical experiences to monitor their progress toward competency goals. AIM:To validate an electronic scoring system that rates medical students' clinical notes for relevance to priority topics of the medical school curriculum. METHOD:The Vand...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2013.849801

    authors: Spickard A 3rd,Ridinger H,Wrenn J,O'brien N,Shpigel A,Wolf M,Stein G,Denny J

    更新日期:2014-01-01 00:00:00

  • Case studies in outcome-based education.

    abstract::Outcome-based education is one of the most significant global developments in medical education in recent years. This paper presents four case studies of outcome-based education from medical schools in different parts of the world; Scotland; USA; Pakistan; and Singapore. The outcome-based curricula have either been in...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590701691429

    authors: Davis MH,Amin Z,Grande JP,O'Neill AE,Pawlina W,Viggiano TR,Zuberi R

    更新日期:2007-09-01 00:00:00

  • Medical education in India.

    abstract::Medical schools in India produce the largest number of doctors than anywhere else in the world (30,408 from 271 medical schools), corresponding to the rapid proliferation of medical colleges in the last two decades, especially within the private sector. The Medical Council of India (MCI), the regulatory body, is requi...

    journal_title:Medical teacher

    pub_type: 杂志文章,评审

    doi:10.1080/01421590802139823

    authors: Sood R

    更新日期:2008-01-01 00:00:00

  • Assessment steers learning down the right road: impact of progress testing on licensing examination performance.

    abstract::Although it is generally accepted that assessment steers learning, this is generally viewed as an undesirable side effect. Recent evidence suggests otherwise. Experimental studies have shown that periodic formative assessments can enhance learning over equivalent time spent in study (Roediger & Karpicke 2006). However...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2010.486063

    authors: Norman G,Neville A,Blake JM,Mueller B

    更新日期:2010-01-01 00:00:00

  • Validation of undergraduate clinical data by electronic capture (barcode).

    abstract::Assessment of clinical activity is common in dental schools. An audit project to confirm that dental undergraduate clinical activity recorded by electronic data capture is an accurate representation of the clinical case entry is reported. A printout of clinical activity for a period of a week was generated retrospecti...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590220125312

    authors: Chadwick BL,Oliver RG,Gyton J

    更新日期:2002-03-01 00:00:00

  • Discourses of professionalism: Metaphors, theory and practice.

    abstract::Professionalism is a contested concept and different discourses have differed by scope and epistemology. The theory of communicative action integrates epistemology (knowledge interests) with that of scope (lifeworld). AIM:To pragmatically inform learning of professionalism. METHODS:apply the theory of communicative ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2018.1442565

    authors: Links MJ,Wilkinson T,Campbell C

    更新日期:2019-01-01 00:00:00

  • Examiners are most lenient at the start of a two-day OSCE.

    abstract:BACKGROUND:OSCEs can be both reliable and valid but are subject to sources of error. Examiners become more hawkish as their experience grows, and recent research suggests that in clinical contexts, examiners are influenced by the ability of recently observed candidates. In OSCEs, where examiners test many candidates ov...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2014.947934

    authors: Hope D,Cameron H

    更新日期:2015-01-01 00:00:00

  • Personal view: medical education in sweden: urgently needed reforms.

    abstract::I have been licensed as a physician in Sweden for more than 50 years, working for most of this time at the Royal University of Lund, the Royal University of Gothenburg and the Royal University of Uppsala. My experience has been mostly as Professor of Medicine, but I have also had considerable experience in Anatomy, th...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421597909023831

    authors: Ask-Upmark E

    更新日期:1979-01-01 00:00:00

  • A systematic review of the published literature on team-based learning in health professions education.

    abstract:PURPOSE:Summarize the published literature on team-based learning (TBL) in health professions education (HPE) using the TBL conceptual framework to identify gaps that can guide future research Methods: PubMed, Web of Science, ERIC, and Google Scholar were searched through May 2016 for English-language articles regardin...

    journal_title:Medical teacher

    pub_type: 杂志文章,评审

    doi:10.1080/0142159X.2017.1340636

    authors: Reimschisel T,Herring AL,Huang J,Minor TJ

    更新日期:2017-12-01 00:00:00

  • Twelve tips for addressing medical student and resident physician lapses in professionalism.

    abstract::Medical educators have gained significant ground in the practical and scholarly approach to professionalism. When a lapse occurs, thoughtful remediation to address the underlying issue can have a positive impact on medical students and resident physicians, while failure to address lapses, or to do so ineffectively, ca...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2014.1001730

    authors: Rougas S,Gentilesco B,Green E,Flores L

    更新日期:2015-01-01 00:00:00