Can we teach a gentler rectal examination?

Abstract:

:A total of 201 first-year medical students were trained in a standard method of rectal examination; half of the year were additionally instructed to mimic a rectal examination using a clenched left fist (Group 2, n = 103). Competence in rectal examination was assessed during an objective structured clinical skills examination.Technique was assessed using a standardized marking scheme alongside global examiner assessments of gentleness and adequacy (on scales of 1, very poor to 5, very good). Students demonstrated a high standard for the technique (mean 85.1%), with no difference between groups for this score or for adequacy, though group 2 scored significantly better for gentleness. The addition of a simple, practical teaching technique of using the fist to mimic the anus and rectum resulted in an appropriately gentle examination.This approach should help students to develop the confidence to perform the examination when required and whilst ensuring patient comfort.

journal_name

Med Teach

journal_title

Medical teacher

authors

Bradley P

doi

10.1080/01421599979888

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

207-8

issue

2

eissn

0142-159X

issn

1466-187X

journal_volume

21

pub_type

杂志文章
  • Prevalence of lapses in academic integrity in two Pakistani medical colleges.

    abstract:OBJECTIVE:To determine prevalence of professionalism lapses related to academic integrity by students Pakistani medical colleges. SUBJECTS:520 students. STUDY DESIGN:Cross sectional. DATA COLLECTION:A validated and customized version of Dundee Polyprofessional Inventory-1 for use in Pakistani medical schools was use...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2014.947928

    authors: Shukr I,Roff S

    更新日期:2015-05-01 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

  • Pharmacases.de - a student-centered e-learning project of clinical pharmacology.

    abstract:AIM:The aim of the project Pharmacases.de was to develop an innovative concept for creating high-quality e-learning content which integrates and promotes the theoretical and cooperative skills of final-year medical students and is easily adoptable by cooperating institutes and hospitals. METHODS AND RESULTS:A peer-tea...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2013.759642

    authors: Zollner B,Sucha M,Berg C,Muß N,Amann P,Amann-Neher B,Oestreicher D,Engelhardt S,Sarikas A

    更新日期:2013-01-01 00:00:00

  • Assessing self-regulatory processes during clinical skill performance: a pilot study.

    abstract:BACKGROUND:Self-regulated learning (SRL) is a cyclical process involving the proactive use of strategies and feedback to optimise performance. Previous research has used SRL microanalysis to assess and inform the training of athletic skills but there has been no previous research in clinical contexts. AIMS:The aim of ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2011.577464

    authors: Cleary TJ,Sandars J

    更新日期:2011-01-01 00:00:00

  • Clinical teachers' tacit knowledge of basic pedagogic principles.

    abstract::Academic faculty members in medical schools rarely receive formal instruction in basic pedagogic principles; nevertheless many develop into competent teachers. Perhaps they acquire tacit knowledge of these principles with teaching experience. This study was designed to assess clinical teachers' tacit knowledge of basi...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590310001643154

    authors: McLeod PJ,Meagher T,Steinert Y,Schuwirth L,McLeod AH

    更新日期:2004-02-01 00:00:00

  • PBL curriculum improves medical students' participation in small-group tutorials.

    abstract:BACKGROUND:Group learning is the core of problem-based learning (PBL) but has not been extensively studied, especially in Asian students. METHODS:This study compared students of PBL and non-PBL curricula in students' talking time and participation in small-group tutorials in a medical school in Asia. The proportions o...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590701294349

    authors: Wun YT,Tse EY,Lam TP,Lam CL

    更新日期:2007-09-01 00:00:00

  • Introducing HIV/AIDS to South African health sciences students.

    abstract::Given the burden of HIV/AIDS in South Africa, there is a need to introduce students to the issues health professionals face about the disease. We developed an introductory peer-led workshop on HIV/AIDS for first year students covering a range of biomedical and social issues. To evaluate the workshops, volunteer studen...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590500312995

    authors: Kent A,Myer L,Flisher AJ,Mathews C,Lombard C

    更新日期:2005-11-01 00:00:00

  • Critical incidents as a technique for teaching professionalism.

    abstract:BACKGROUND:The issue of professional behavior in medicine has been extensively discussed in the medical literature and clarity regarding what constitutes professional behavior, and strategies for assessing professionalism have begun to emerge. AIM:To address the information gap on effective strategies for teaching pro...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421590903197001

    authors: Rademacher R,Simpson D,Marcdante K

    更新日期:2010-01-01 00:00:00

  • A collaborative model for developing and maintaining virtual patients for medical education.

    abstract::There is great interest in using computer-assisted instruction in medical education, but getting computer-assisted instruction materials used broadly is difficult to achieve. We describe a successful model for the development and maintenance of a specific type of computer-assisted instruction - virtual patients - in m...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2011.540268

    authors: Berman NB,Fall LH,Chessman AW,Dell MR,Lang VJ,Leong SL,Nixon LJ,Smith S

    更新日期:2011-01-01 00:00:00

  • Curriculum Navigator: aspiring towards a comprehensive package for curriculum planning.

    abstract:BACKGROUND:Insightful frameworks for curriculum development were described in the literature. There is a need, however, to outline the approach we prefer, sometime unconsciously, in curriculum planning. AIMS:This article describes a novel conceptual framework called Curriculum Navigator, to explore our attitudes towar...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2012.689445

    authors: Al-Eraky MM

    更新日期:2012-01-01 00:00:00

  • The medical teacher's job: "Working together to zero in on patient safety, and zero out preventable errors" (Clinton 1999).

    abstract::The role of a medical teacher proposed 25 years ago is still recommended. Some teachers are born to greatness, but more careful and more thoughtful attention, rather than less, should be given to preparation for that role for those not born to greatness. In addition the penury of blueprint of the expected relevant pro...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590410001702274

    authors: Guilbert JJ

    更新日期:2004-06-01 00:00:00

  • Incorporating living from the heart into medical education.

    abstract::Medical training poses many challenges to trainees' wellbeing. To address the impact of learning in a high turnover, high volume, acute care setting in the General Internal Medicine Clinical Teaching Unit, the Chief Medical Resident, in this personal account, shares how she and the Spiritual Care Practitioner united t...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2018.1426849

    authors: Boggild MK,Gold WL,Richardson L,Kinoshita K

    更新日期:2018-06-01 00:00:00

  • Towards integration of health economics into medical education and clinical practice in Saudi Arabia.

    abstract::In an era of expanding health sectors and rising costs, doctors are expected to have a working knowledge of health economics to better use resources and improve outcomes and quality of health care. This article recognizes the dearth of knowledge and application of economic analyses in medical education and clinical pr...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2015.1006611

    authors: Da'ar OB,Al Shehri AM

    更新日期:2015-04-01 00:00:00

  • Medical education and the GCSE generation--a transferable activity-skills programme in medical sociology.

    abstract::The first major intake of medical students who studied the new GCSE occurred in Autumn 1990. These students have experienced a range of student-centred educational approaches to learning, but medical education in the UK remains committed to teacher-centred approaches. This mismatch of expectations is discussed. An inn...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421599109029029

    authors: Fox NJ,Dryden C

    更新日期:1991-01-01 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

  • Development of core entrustable professional activities linked to a competency-based veterinary education framework.

    abstract::Purpose: Despite the adoption of competency-based education in some veterinary schools over the past 15 years, only recently has a concerted effort been directed toward this in veterinary education internationally.Methods: In 2015, educational leaders from the Association of American Veterinary Medical Colleges (AAVMC...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2019.1643834

    authors: Molgaard LK,Chaney KP,Bok HGJ,Read EK,Hodgson JL,Salisbury SK,Rush BR,Ilkiw JE,May SA,Danielson JA,Frost JS,Matthew SM

    更新日期:2019-12-01 00:00:00

  • Psychological responses to the SARS outbreak in healthcare students in Hong Kong.

    abstract::This paper reports a cross-sectional questionnaire study that investigated perceived stress and psychological responses to the SARS outbreak in healthcare students at the height of the outbreak in Hong Kong in 2003. Non-healthcare university students served as controls. All the groups reported high levels of perceived...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590400006572

    authors: Wong JG,Cheung EP,Cheung V,Cheung C,Chan MT,Chua SE,McAlonan GM,Tsang KW,Ip MS

    更新日期:2004-11-01 00:00:00

  • Faculty development: From rubies to oak.

    abstract::Introduction: Faculty development has played a significant role in health professions education over the last 40 years. The goal of this perspective is to present a portrait of faculty development in Medical Teacher since its inception and to highlight emerging trends moving forward.Method: All issues of Medical Teach...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2019.1688769

    authors: Steinert Y

    更新日期:2020-04-01 00:00:00

  • Indigenous perspectives on education for sustainable healthcare.

    abstract::A range of global environmental changes are contributing to an increasing global burden of disease. Since human health and well-being are intimately associated with the health of our planet, healthcare providers will not only be charged with caring for this expanding disease burden but will also need to become more en...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2020.1791320

    authors: Redvers N,Schultz C,Vera Prince M,Cunningham M,Jones R,Blondin B

    更新日期:2020-10-01 00:00:00

  • Improving teachers' skills in working with 'problem' residents: a workshop description and evaluation.

    abstract::Working with 'problem' residents is a common challenge in medical education. This article describes a workshop designed to improve teachers' skills in this area as well as the results of an evaluation conducted to assess its effectiveness. Workshop modules focused on defining the problem, confirming the diagnosis, des...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590120048139

    authors: Steinert Y,Nasmith L,Daigle N,Franco ED

    更新日期:2001-05-01 00:00:00

  • Performance of paediatric Senior House Officers following changes in recruitment.

    abstract:BACKGROUND:Recruitment to Paediatric Senior House Officer (SHO) posts has traditionally been undertaken by each individual hospital trust. AIMS:This study looks at whether shortlisting and interview scores from a Central Paediatric SHO recruitment process are a reliable predicator of performance. METHODS:A questionna...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590701509670

    authors: Bindal T,Wall D,Goodyear HM

    更新日期:2007-06-01 00:00:00

  • Developing and evaluating ambulatory care: problem-based learning cases.

    abstract::Medical educators have raised concerns about the quality of teaching and learning in busy ambulatory care settings. Problem-based learning (PBL), which allows students to learn to diagnose and manage common ambulatory care problems as they discuss patients away from the clinical setting, is one possible solution for a...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159031000092517

    authors: Washington ET,Tysinger JW,Snell LM,Palmer LR

    更新日期:2003-03-01 00:00:00

  • Creation of an interprofessional clinical experience for healthcare professions trainees in a nursing home setting.

    abstract::Successful interprofessional teams are essential when caring for older adults with multiple complex medical conditions that require ongoing management from a variety of disciplines across healthcare settings. To successfully integrate interprofessional education into the healthcare professions curriculum, the most eff...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2013.787138

    authors: Ford CR,Foley KT,Ritchie CS,Sheppard K,Sawyer P,Swanson M,Harada CN,Brown CJ

    更新日期:2013-07-01 00:00:00

  • A qualitative study of the impact on learning of the mini clinical evaluation exercise in postgraduate training.

    abstract::The study was designed to illustrate how residents perceive the Mini Clinical Examination Exercise as an assessment tool and its influence on their approach to learning and studying. A phenomenographic approach was applied. All 16 residents from a cardiology training program in Buenos Aires were included. Results show...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590400013529

    authors: Alves de Lima A,Henquin R,Thierer J,Paulin J,Lamari S,Belcastro F,Van der Vleuten CP

    更新日期:2005-01-01 00:00:00

  • Using questionnaires to determine whether medical graduates' career choice is determined by undergraduate or postgraduate experiences.

    abstract:BACKGROUND:There has been increased interest in the factors influencing the career choice of doctors. Feminization of the medical workforce, changing health care needs, reform of training has ensured that this is an important issue for workforce planners and educationists. AIMS AND METHODS:Questionnaires were distribu...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590701551755

    authors: Watmough S,Taylor D,Ryland I

    更新日期:2007-10-01 00:00:00

  • A modified electronic key feature examination for undergraduate medical students: validation threats and opportunities.

    abstract::The purpose of our study was the development and validation of a modified electronic key feature exam of clinical decision-making skills for undergraduate medical students. Therefore, the reliability of the test (15 items), the item difficulty level, the item-total correlations and correlations to other measures of kn...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590500078471

    authors: Fischer MR,Kopp V,Holzer M,Ruderich F,Jünger J

    更新日期:2005-08-01 00:00:00

  • Experience of establishment of multiple mini structure interview as part of student admission policy at Faculty of Medicine, King Abdulaziz University, 2011-2012.

    abstract::Faculty of Medicine (FOM), King Abdulaziz University (KAU), requested for international recognition by the Laison Committee of Canadian Medical Education (LCME) during the period 2008-2010. Selection of medical students was a must standard in LCME. After obtaining a written permission from higher administration at KAU...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2013.765543

    authors: El Says F,Ayuob N,Fahmy AR,El Fayez F,Hasanian M,El Deek B

    更新日期:2013-01-01 00:00:00

  • Script-theory virtual case: A novel tool for education and research.

    abstract::Context/Setting: The script theory of diagnostic reasoning proposes that clinicians evaluate cases in the context of an "illness script," iteratively testing internal hypotheses against new information eventually reaching a diagnosis. We present a novel tool for teaching diagnostic reasoning to undergraduate medical s...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2016.1170776

    authors: Hayward J,Cheung A,Velji A,Altarejos J,Gill P,Scarfe A,Lewis M

    更新日期:2016-11-01 00:00:00

  • Organizational commitment of a health profession faculty: dimensions, correlates and conditions.

    abstract::Health professions depend on their faculties to prepare new practitioners, conduct research and provide essential services. Organizational commitment is an important aspect of faculty effectiveness and job performance, and may impact on turnover, absenteeism and interpersonal trust. A survey of organizational commitme...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590410001683221

    authors: Marchiori DM,Henkin AB

    更新日期:2004-06-01 00:00:00

  • Fitting it all in: integration of 12 cross-cutting themes into a School of Medicine curriculum.

    abstract::Changing demographic, social, economic and technological trends have impacted the expectations of the Academic Health Center in preparing physicians to serve the needs of the American society, resulting in revisions to current curricula. In addition to the traditional basic sciences and clinical disciplines, accredite...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590701288564

    authors: Kitzes JA,Savich RD,Kalishman S,Sander JC,Prasad A,Morris CR,Timm C

    更新日期:2007-06-01 00:00:00