Performance of Physical Examination Skills in Medical Students during Diagnostic Medicine Course in a University Hospital of Northwest China
Identifieur interne : 000F62 ( Main/Merge ); précédent : 000F61; suivant : 000F63Performance of Physical Examination Skills in Medical Students during Diagnostic Medicine Course in a University Hospital of Northwest China
Auteurs : Yan Li ; Na Li ; Qunying Han ; Shuixiang He ; Ricard S. Bae ; Zhengwen Liu ; Yi Lv ; Bingyin ShiSource :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
This study was conducted to evaluate the performance of physical examination (PE) skills during our diagnostic medicine course and analyze the characteristics of the data collected to provide information for practical guidance to improve the quality of teaching. Seventy-two fourth-year medical students were enrolled in the study. All received an assessment of PE skills after receiving a 17-week formal training course and systematic teaching. Their performance was evaluated and recorded in detail using a checklist, which included 5 aspects of PE skills: examination techniques, communication and care skills, content items, appropriateness of examination sequence, and time taken. Error frequency and type were designated as the assessment parameters in the survey. The results showed that the distribution and the percentage in examination errors between male and female students and among the different body parts examined were significantly different (
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DOI: 10.1371/journal.pone.0109294
PubMed: 25329685
PubMed Central: 4198092
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Performance of Physical Examination Skills in Medical Students during Diagnostic Medicine Course in a University Hospital of Northwest China</title><author><name sortKey="Li, Yan" sort="Li, Yan" uniqKey="Li Y" first="Yan" last="Li">Yan Li</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Li, Na" sort="Li, Na" uniqKey="Li N" first="Na" last="Li">Na Li</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Han, Qunying" sort="Han, Qunying" uniqKey="Han Q" first="Qunying" last="Han">Qunying Han</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="He, Shuixiang" sort="He, Shuixiang" uniqKey="He S" first="Shuixiang" last="He">Shuixiang He</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Bae, Ricard S" sort="Bae, Ricard S" uniqKey="Bae R" first="Ricard S." last="Bae">Ricard S. Bae</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Liu, Zhengwen" sort="Liu, Zhengwen" uniqKey="Liu Z" first="Zhengwen" last="Liu">Zhengwen Liu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Lv, Yi" sort="Lv, Yi" uniqKey="Lv Y" first="Yi" last="Lv">Yi Lv</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Shi, Bingyin" sort="Shi, Bingyin" uniqKey="Shi B" first="Bingyin" last="Shi">Bingyin Shi</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25329685</idno><idno type="pmc">4198092</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198092</idno><idno type="RBID">PMC:4198092</idno><idno type="doi">10.1371/journal.pone.0109294</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002369</idno><idno type="wicri:Area/Pmc/Curation">002369</idno><idno type="wicri:Area/Pmc/Checkpoint">000A46</idno><idno type="wicri:Area/Ncbi/Merge">003383</idno><idno type="wicri:Area/Ncbi/Curation">003383</idno><idno type="wicri:Area/Ncbi/Checkpoint">003383</idno><idno type="wicri:Area/Main/Merge">000F62</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Performance of Physical Examination Skills in Medical Students during Diagnostic Medicine Course in a University Hospital of Northwest China</title><author><name sortKey="Li, Yan" sort="Li, Yan" uniqKey="Li Y" first="Yan" last="Li">Yan Li</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Li, Na" sort="Li, Na" uniqKey="Li N" first="Na" last="Li">Na Li</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Han, Qunying" sort="Han, Qunying" uniqKey="Han Q" first="Qunying" last="Han">Qunying Han</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="He, Shuixiang" sort="He, Shuixiang" uniqKey="He S" first="Shuixiang" last="He">Shuixiang He</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Bae, Ricard S" sort="Bae, Ricard S" uniqKey="Bae R" first="Ricard S." last="Bae">Ricard S. Bae</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Liu, Zhengwen" sort="Liu, Zhengwen" uniqKey="Liu Z" first="Zhengwen" last="Liu">Zhengwen Liu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Lv, Yi" sort="Lv, Yi" uniqKey="Lv Y" first="Yi" last="Lv">Yi Lv</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Shi, Bingyin" sort="Shi, Bingyin" uniqKey="Shi B" first="Bingyin" last="Shi">Bingyin Shi</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This study was conducted to evaluate the performance of physical examination (PE) skills during our diagnostic medicine course and analyze the characteristics of the data collected to provide information for practical guidance to improve the quality of teaching. Seventy-two fourth-year medical students were enrolled in the study. All received an assessment of PE skills after receiving a 17-week formal training course and systematic teaching. Their performance was evaluated and recorded in detail using a checklist, which included 5 aspects of PE skills: examination techniques, communication and care skills, content items, appropriateness of examination sequence, and time taken. Error frequency and type were designated as the assessment parameters in the survey. The results showed that the distribution and the percentage in examination errors between male and female students and among the different body parts examined were significantly different (<italic>p</italic><0.001). The average error frequency per student in females (0.875) was lower than in males (1.375) although the difference was not statistically significant (<italic>p</italic> = 0.167). The average error frequency per student in cardiac (1.267) and pulmonary (1.389) examinations was higher than in abdominal (0.867) and head, neck and nervous system examinations (0.917). Female students had a lower average error frequency than males in cardiac examinations (<italic>p</italic> = 0.041). Additionally, error in examination techniques was the highest type of error among the 5 aspects of PE skills irrespective of participant gender and assessment content (<italic>p</italic><0.001). These data suggest that PE skills in cardiac and pulmonary examinations and examination techniques may be included in the main focus of improving the teaching of diagnostics in these medical students.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="York, Nl" uniqKey="York N">NL York</name></author><author><name sortKey="Niehaus, Ah" uniqKey="Niehaus A">AH Niehaus</name></author><author><name sortKey="Markwell, Sj" uniqKey="Markwell S">SJ Markwell</name></author><author><name sortKey="Folse, Jr" uniqKey="Folse J">JR Folse</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcelhinney, E" uniqKey="Mcelhinney E">E McElhinney</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Martineau, B" uniqKey="Martineau B">B Martineau</name></author><author><name sortKey="Mamede, S" uniqKey="Mamede S">S Mamede</name></author><author><name sortKey="St Onge, C" uniqKey="St Onge C">C 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