Digital rectal examination: national survey of undergraduate medical training in Ireland

Fitzgerald, Deirdre; Connolly, Sheelah; Kerin, Michael J.

doi:10.1136/pgmj.2006.054825

Cited by 30 publications

(23 citation statements)

References 11 publications

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“…Our results show that only half of the participants reported that they were taught about DRE before their final year of medical school. This ratio was lower than the internationally reported rates of 80–90 per cent …”

Section: Discussioncontrasting

confidence: 71%

“…This survey highlights important points regarding the teaching and practising of DRE in medical colleges in Karachi, Pakistan. The awareness among participants about the importance of DRE in our study is comparable with internationally reported rates of more than 90 per cent among medical students . This is contrary to the observation that medical students and interns perceive DRE as being less important compared with other investigation modalities.…”

Section: Discussionsupporting

confidence: 55%

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Teaching and practising rectal examination in Pakistan

et al. 2015

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Section: Discussioncontrasting

confidence: 71%

Section: Discussionsupporting

confidence: 55%

Teaching and practising rectal examination in Pakistan

et al. 2015

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“…Limitations include the fact that the examiners are only able to estimate the prostate size in increments of 10 cc and the relatively small number of examinations; however, given that DRE is assessing only the posterior surface area of a three-dimensional structure, smaller increments would be imprecise. Also, the study design was focused on newly formed physicians who, when well motivated, perform about 5–10 DRE only in their training program [5]. …”

Section: Discussionmentioning

confidence: 99%

“…All DRE were performed in the standing-up position. To determine the number of DRE per student in the study design, the fact that most of them perform less than ten examinations during graduation was considered [5]. …”

Section: Methodsmentioning

confidence: 99%

Digital Rectal Examination Standardization for Inexperienced Hands: Teaching Medical Students

Reis

Simão

Baracat

et al. 2013

Advances in Urology

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Objectives. To standardize digital rectal examination (DRE) and set how it correlates with the comprehensive evaluation of lower urinary tract symptoms (LUTS). Methods. After scaled standardization of DRE based on fingertips graphical schema: 10 cubic centimeters—cc for each fingertip prostate surface area on DRE, four randomly selected senior medical students examined 48 male patients presenting with LUTS in an outpatient clinical setting, totaling 12 DRE each. Standardized DRE, international prostate symptom score (IPSS), serum PSA, transabdominal ultrasound (US), urodynamic evaluation, and postvoid residue were compared. Results. The mean and median PVs were US—45 and 34.7 cc (5.5 to 155) and DRE—39 and 37.5 cc (15 to 80). Comparing DRE and US by simple linear regression: US PV = 11.93 + 0.85 × (DRE PV); P = 0.0009. Among patients classified as nonobstructed, inconclusive, and obstructed, the US PVs were 29.8, 43.2, and 53.6 cc (P = 0.033), and DRE PVs were 20, 35, and 60 cc (P = 0.026), respectively. Conclusion. This is the first attempt to DRE standardization focusing on teaching-learning process, establishing a linear correlation of DRE and US PVs with only 12 examinations by inexperienced hands, satisfactorily validated in an outpatient clinical setting.

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“…Only 50 per cent felt that they could give an opinion on their findings. A survey of graduating Irish students in 2005 found that nearly a quarter of those who replied had never performed a DRE, and, of those who had, 20 per cent had only performed one on a manikin, and one‐third had no confidence in their findings 6 …”

Section: Introductionmentioning

confidence: 99%