Abstract:
PURPOSE:Current training in the United States for pelvic speculum examinations (PSEs) has a primary focus on the physician-centered goal of visualizing the cervix but may not inform practitioners of potential iatrogenic effects. Such oversight leaves trainees unprepared and unskilled in preventing and addressing adverse outcomes. This article incorporates a literature review into a step-by-step guide to aid the teaching of PSEs. SUMMARY:Iatrogenic effects of PSEs may include mild discomfort, extreme pain, anxiety, psychological (re)traumatization, and sexual pain disorders. A literature-based guide is presented to identify patients at risk for adverse outcomes, set up the exam room, set up the patient, perform the exam, calm distressed patients, and avoid exam-interfering behaviors. CONCLUSIONS:Although PSEs can lead to adverse outcomes, awareness of the iatrogenic effects allows clinicians to utilize techniques to prevent or reduce negative effects. A method of incorporating techniques described in this article into teaching is provided.
journal_name
Teach Learn Medjournal_title
Teaching and learning in medicineauthors
Williams AA,Williams Mdoi
10.1080/10401334.2013.827969subject
Has Abstractpub_date
2013-01-01 00:00:00pages
383-91issue
4eissn
1040-1334issn
1532-8015journal_volume
25pub_type
杂志文章abstract::Phenomenon: An increasing number of refugees in recent years has led to changes in healthcare delivery. Historically, health care providers did not receive systematic and longitudinal training in refugee health. There is increasing interest among educators in developing educational opportunities for medical students t...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2020.1779071
更新日期:2020-10-01 00:00:00
abstract:PROBLEM:Systems-based practice focuses on the organization, financing, and delivery of medical services. The American Association of Medical Colleges has recommended that systems-based practice be incorporated into medical schools' curricula. However, experiential learning in systems-based practice, including practical...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1146606
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:The Accreditation Council for Graduate Medical Education requires residency training programs to develop methods to teach and assess communication skills in residents to ensure competence as a practitioner. In response, we piloted a communication curriculum for emergency medicine residents. We describe the c...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330903228604
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:Medical schools are increasingly using community practice sites (CPS) for clerkship training. PURPOSES:We compared the test performance of all students assigned to CPS with all students trained at an academic medical center (AMC) for their pediatric clerkship for the past 5 years. METHODS:Baseline comparab...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1603_5
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:The Systems-Based Practice competency expanded the scope of graduate medical education. Innovative approaches are needed to teach this material. PURPOSE:We have designed and implemented a rotation in Systems-Based Practice focused on the interrelationships of patient care, clinical revenue, and the physicia...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330701332201
更新日期:2007-04-01 00:00:00
abstract::Phenomenon: Given the growing number of medical science educators, an examination of institutions' promotion criteria related to educational excellence and scholarship is timely. This study investigates the extent to which medical schools' promotion criteria align with published standards for documenting and evaluatin...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2019.1686983
更新日期:2020-04-01 00:00:00
abstract:PROBLEM:Clinical procedural skills are formally taught to medical students in clinical skills centers using mannequins. Exposure to procedural skills involving patients and opportunities to practice under the supervision of doctors are limited. INTERVENTION:A bedside supervision program was piloted at a district gener...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2015.1077130
更新日期:2015-01-01 00:00:00
abstract:UNLABELLED:PHENOMENON: In higher education, reflection sessions are often used when participants learn in the workplace. In the Netherlands, all General Practitioner training programs include regular meetings called Exchange of Experiences, in which General Practitioner trainees are expected to learn collaboratively fr...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2015.1107486
更新日期:2016-01-01 00:00:00
abstract:PROBLEM:Mindfulness training includes mindfulness meditation, which has been shown to improve both attention and self-awareness. Medical providers in the intensive care unit often deal with difficult situations with strong emotions, life-and-death decisions, and both interpersonal and interprofessional conflicts. The e...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2018.1462186
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Developing effective transformational leaders is essential for a diverse and complex academic medical system. The purpose of this study is to elicit faculty perspectives on their leadership skills before and after participation in a Leadership in Academic Medicine (LAM) Program. SUMMARY:The two-part study c...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2011.611773
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:Graduating medical students, when surveyed, noted a deficit in training in physical examination skills. PURPOSES:In an attempt to remedy this deficit we implemented a pilot program for 3rd-year medical students consisting of twice-weekly bedside diagnosis rounds as part of their 8-week medicine clerkship. ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2013.857329
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:The ability to accurately interpret electrocardiogram (ECG) abnormalities is a core competency for graduating medical students (GMS). Incorrect interpretation of ECG findings can result in adverse patient outcomes. To our knowledge, there has been no published study evaluating the level of competency in ECG ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2014.918882
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Further dissemination of medical education work presented at national meetings is limited. PURPOSES:The purpose of this study was to explore dissemination outcomes of scholarly work in pediatric medical education. METHODS:Council on Medical Student Education in Pediatrics (COMSEP) members who presented at ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2013.857332
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Our study examined whether GRIEV_ING improved death notification skills of medical students, whether pretesting with simulated survivors primed learners and improved results of the intervention, and whether feedback on the simulated encounter improved student performance. METHODS:GRIEV_ING train...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330903018450
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Integrated inpatient-outpatient firms developed in residencies with single institutions may not be applicable to residency programs with multiple inpatient and outpatient training sites. Our objective was to develop a firm in a multisite residency program that improved education and patient care. DESCRIPTIO...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1403_9
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:Inadequate physician training may be a barrier to physician-patient discussions of advance directives (ADs). DESCRIPTION:The purpose of this study was to determine the effects of an ADs course, which includes completing a directive, on medical students' perceived knowledge of and preparedness for discussing...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401331003656678
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Summative evaluation of medical students is a critical component of the educational process. Despite extensive literature on evaluation, few studies have centered on affiliate faculty members' attitudes toward summative evaluation of students, though it has been suggested that these attitudes influence their...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.641478
更新日期:2012-01-01 00:00:00
abstract::Phenomenon: This scoping literature review summarizes current Canadian health science education and training aimed to lessen health gaps between Aboriginal and non-Aboriginal peoples. APPROACH:Keyword searches of peer-reviewed and gray literature databases, websites, and resources recommended by local Aboriginal comm...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,评审
doi:10.1080/10401334.2016.1234960
更新日期:2017-04-01 00:00:00
abstract:PROBLEM:Longitudinal patient contacts are being implemented worldwide as a way to enhance a patient-centered orientation among medical students. In large medical schools, longitudinal integrated clerkships may not be feasible, so other ways must be sought to expose students to prolonged contact with patients. INTERVEN...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2018.1524330
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Qualitative markers of performance are routinely used for medical student assessment, though the extent to which such markers can be readily translated to actionable pieces of information remains uncertain. PURPOSE:To explore (a) the perceived value to be indicated by descriptor phrases commonly used for de...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.741545
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Full-time clinician educators are becoming more predominant in China, yet their effect is unknown. PURPOSES:The purpose of this study was to compare the teaching quality of full-time (FT) faculty with that of part-time (PT) faculty in one Chinese medical school. METHODS:In 3 consecutive years, 881 3rd year...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,随机对照试验
doi:10.1080/10401334.2014.892393
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Firearm injury prevention training is lacking in pediatric residency programs. DESCRIPTION:This study aimed to evaluate a web-based curriculum teaching residents how to provide injury prevention anticipatory guidance, emphasizing firearm injury prevention. Ninety-two residents participated and completed pre...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.715254
更新日期:2012-01-01 00:00:00
abstract:ISSUE:Healthcare costs have spiraled out of control, yet students and residents may lack the knowledge and skills to provide high value care, which emphasizes the best possible care while reducing unnecessary costs. EVIDENCE:Mainly national campaigns are aimed at physicians to reconsider their test ordering behaviors,...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2015.1077132
更新日期:2016-01-01 00:00:00
abstract:THEORY:Clerkship evaluation and grading practices vary widely between U.S. medical schools. Grade inflation continues to exist, and grade distribution is likely to be different among U.S. medical schools. HYPOTHESES:Increasing the number of available grades curtails "grade inflation." METHOD:A national survey of all ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1164605
更新日期:2016-07-01 00:00:00
abstract::Construct: Valid score interpretation is important for constructs in performance assessments such as objective structured clinical examinations (OSCEs). An OSCE is a type of performance assessment in which a series of standardized patients interact with the student or candidate who is scored by either the standardized...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,随机对照试验
doi:10.1080/10401334.2016.1202832
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Prior research on reducing variation in housestaff handoff procedures have depended on proprietary checkout software. Use of low-technology standardization techniques has not been widely studied. PURPOSE:We wished to determine if standardizing the process of intern sign-out using low-technology sign-out too...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330902791354
更新日期:2009-04-01 00:00:00
abstract:PROBLEM:Point-of-care ultrasound has been a novel addition to undergraduate medical education at a few medical schools. The impact is not fully understood, and few rigorous assessments of educational outcomes exist. This study assessed the impact of a point-of-care ultrasound curriculum on image acquisition, interpreta...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1172012
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:In 2001, the Keck School of Medicine of the University of Southern California initiated a major curriculum reform with fully integrated teaching of the basic sciences. DESCRIPTION:The new curriculum integrated a set of selected clinical cases called the student practice profile (SPP). The SPP cases were des...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2010.512834
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:This article, prepared by the Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee, discusses the evolving challenges facing medical educators posed by social media and a new form of professionalism that has been termed e-professionalism. SUMMARY:E-professionalism...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2013.770741
更新日期:2013-01-01 00:00:00
abstract::Issue: The practice of medicine is intrinsically unpredictable. Clinicians must respond skillfully to this uncertainty; therefore, medical educators are using improvisational theater training methods to teach improvisational ability in areas such as communication and professionalism. This teaching approach is called "...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2018.1537880
更新日期:2019-06-01 00:00:00