Increasing Physical Exam Teaching on Family-Centered Rounds Utilizing a Web-Based Tool

Patel, Aarti; Unaka, Ndidi; Holland, Deborah; Schuler, Christine L.; Mangeot, Colleen; Sucharew, Heidi; Younts, Angela; Maag, Logan; Treasure, Jennifer D.; Sobolewski, Brad; Statile, Angela

doi:10.1097/pq9.0000000000000032

Cited by 4 publications

(3 citation statements)

References 24 publications

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“…It demonstrated that residents’ perceptions of bedside physical examination teaching frequency increased, although it was not quantified and was not the study’s primary aim. 12 A future project could specifically look at this tool’s effect, our tip sheet, or others on bedside teaching quality.…”

Section: Discussionmentioning

confidence: 99%

“…This tool increased self-reported physical examination teaching at the bedside. 12 We sought to determine the impact of multiple rounding interventions to increase bedside physical examination teaching, time at the bedside, and rounding satisfaction.…”

Section: Problem Descriptionmentioning

confidence: 99%

“…This tool increased self-reported physical examination teaching at the bedside. 12 …”

Section: Introductionmentioning

confidence: 99%

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A Resident-driven Initiative to Increase Bedside Teaching on Interdisciplinary Rounds

Becker

Frosch

Argraves

et al. 2021

Pediatric Quality &Amp; Safety

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Section: Discussionmentioning

confidence: 99%

Section: Problem Descriptionmentioning

confidence: 99%

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A Resident-driven Initiative to Increase Bedside Teaching on Interdisciplinary Rounds

Becker

Frosch

Argraves

et al. 2021

Pediatric Quality &Amp; Safety

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Will clinical signs become myth? Developing structured Signs Circuits to improve medical students’ exposure to and confidence examining clinical signs

Merriott

Ransley

Aziz

et al. 2022

Medical Education Online

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Background Correctly eliciting and interpreting physical examination (PEx) signs contributes to successful diagnosis and is fundamental to patient care. A significant decline in the time spent acquiring these skills by medical students, and the decreased ability to elicit and recognise signs is widely acknowledged. However, organising teaching to counteract this in the busy clinical environment is challenging. We evaluated the prior exposure to clinical signs, and experience of examination teaching among a cohort of final-year medical students. Following this, we assessed the utility of a structured circuit-based approach (Signs Circuits) using hospital inpatients and junior doctors to provide high-yield PEx teaching and overcome these limitations. Materials and methods Qualitative and quantitative survey feedback, including a standardised list of 62 clinical signs, was sought from final-year medical students during their rotations at a teaching hospital in London, UK, before and after the provision of Signs Circuits. Results Prior to the course the 63 students reported limited exposure to even the most common clinical signs. For example, the murmurs of mitral and tricuspid regurgitation and the sound of lung crackles eluded 43%, 87%, and 32%, respectively. From qualitative feedback, the reasons for this included that much of their prior PEx experience had focused on the performance of appropriate examination steps and techniques in patients without pathology. During the course, students were exposed to an average of 4.4 new signs, and left with increased confidence examining and eliciting signs, and a firmer belief in their importance to diagnosis. Conclusion Medical students continue to have limited exposure to clinical signs in medical school. This signs-focused approach to PEx teaching is an effective and reproducible way to counter the deficiencies identified in signsexposure.

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The Best of Both Worlds: Strengthening Medical Education Research and Evaluation Using Quality Improvement

Rooholamini

Smith

Beck

2021

Hospital Pediatrics

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Increasing Physical Exam Teaching on Family-Centered Rounds Utilizing a Web-Based Tool

Abstract: Supplemental Digital Content is available in the text.

Cited by 4 publications

References 24 publications

A Resident-driven Initiative to Increase Bedside Teaching on Interdisciplinary Rounds

A Resident-driven Initiative to Increase Bedside Teaching on Interdisciplinary Rounds

Will clinical signs become myth? Developing structured Signs Circuits to improve medical students’ exposure to and confidence examining clinical signs

The Best of Both Worlds: Strengthening Medical Education Research and Evaluation Using Quality Improvement

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