Document Detail

An appraisal of the literature on teaching physical examination skills.
MedLine Citation:
PMID:  22925956     Owner:  NLM     Status:  In-Data-Review    
AIMS AND OBJECTIVES: To discover which models for teaching physical examination skills have been proposed, and to appraise the evidence for each.
METHODS: We conducted a narrative review of relevant literature from 1990-2010. We searched the databases MEDLINE, PsycINFO, and ERIC (The Education Resource Information Centre) for the terms: 'physical examination' AND 'teaching' as both MESH terms and keyword searches. We excluded web-based or video teaching, non-physical examination skills (e.g. communication skills), and articles about simulated patients or models.
RESULTS: We identified five relevant articles. These five studies outlined several approaches to teaching physical examination skills, including Peyton's 4-step model, an adaptation of his model to a 6-step model; the silent run through; and collaborative discovery. There was little evidence to support one method over others. One controlled trial suggested that silent run-through could improve performance of complex motor tasks, and another suggested that collaborative discovery improves students' ability to recognise key findings in cardiac examinations. Comments: There are several models for teaching physical examinations, but few are designed specifically for that purpose and there is little evidence to back any one model over another. We propose an approach which adopts several key features of these models. Future research could usefully evaluate the effectiveness of the proposed models, or develop innovative practical models for teaching examination skills.
Graham Easton; James Stratford-Martin; Helen Atherton
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Education for primary care : an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors     Volume:  23     ISSN:  1473-9879     ISO Abbreviation:  Educ Prim Care     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-08-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101141280     Medline TA:  Educ Prim Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  246-54     Citation Subset:  IM    
Deputy Director of Primary Care Education, Department of Primary Care and Public Health, Imperial College London, UK.
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