Document Detail

Assessing physical examination skills of senior medical students: knowing how versus knowing when.
MedLine Citation:
PMID:  14557088     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Literature has documented a lack of physical examination proficiency among medical students. To investigate UCLA medical students' physical examination proficiency, this study compared their performance on a multiple-station Clinical Performance Examination (CPX) focused on clinical cases with that on a thorough physical examination objective structured clinical examination (OSCE) of the same organ systems. METHOD: One hundred sixty-three beginning fourth-year students participated in the study. Four organ systems were included in both the CPX and OSCE. Pearson's correlation coefficients and paired-sample t-tests were conducted to determine the correlations between and differences in the two tests. RESULTS: The physical examination scores on the CPX were significantly (p <.001) lower both by organ subscale and in total than those on the OSCE. Correlation coefficients between the two tests were negligible. CONCLUSIONS: The study suggests that fourth-year medical students may demonstrate competency in directed examination of organ systems while being unable to correctly apply those examination skills to the work-up of clinical cases.
LuAnn Wilkerson; Ming Lee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Academic medicine : journal of the Association of American Medical Colleges     Volume:  78     ISSN:  1040-2446     ISO Abbreviation:  Acad Med     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-10-14     Completed Date:  2003-11-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8904605     Medline TA:  Acad Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S30-2     Citation Subset:  AIM; IM    
David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-1722, USA.
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MeSH Terms
Clinical Competence / standards*
Computer Simulation
Education, Medical, Undergraduate / standards
Educational Measurement*
Physical Examination / standards*
Students, Medical*

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