The Structured Clinical Instruction Module: A Novel Strategy for Improving the Instruction of Clinical Skills

Sloan, David A.; Donnelly, Michael B.; Zweng, Thomas N.; Lieber, Arthur; Yu, George; Griffith, Charles H.; Schwartz, Richard W.; Strodel, William E.

doi:10.1006/jsre.1995.1095

Cited by 23 publications

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“…Other studies from our university have demonstrated the SCIM format to be as effective in the instruction of medical students. [17][18][19] A second limitation of the study is that the study group received instruction from one author (MH), and the control group received instruction from another author (CM). The teaching style or quality conceivably could influence performance on the OSCE; however, both instructors have received University of Kentucky teaching awards, and stu- Mean raw score on each item of the OSCE that assesses students' performance of regional anesthesia techniques.…”

Section: Discussionmentioning

confidence: 99%

Perioperative Pain Management Education: A Short Structured Regional Anesthesia Course Compared with Traditional Teaching Among Medical Students

Hanna

Donnelly

Montgomery

et al. 2005

Regional Anesthesia and Pain Medicine

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Section: Discussionmentioning

confidence: 99%

Perioperative Pain Management Education: A Short Structured Regional Anesthesia Course Compared with Traditional Teaching Among Medical Students

Hanna

Donnelly

Montgomery

et al. 2005

Regional Anesthesia and Pain Medicine

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“…20,22 The Structured Clinical Instruction Module (SCIM), which incorporates both of these elements in a modification of the objective structured clinical examination (OSCE) format, is a promising venue that has been shown to be highly effective in increasing the skills and knowledge of PCPs in breast cancer detection and treatment. 23 Clearly, interactive methods of teaching PCPs in women's health topics are desirable and ultimately would benefit women patients.…”

Section: Discussionmentioning

confidence: 99%

Need for comprehensive women's health continuing medical education among primary care physicians

Kwolek

Donnelly

Carr

et al. 2000

Journal of Continuing Education in the Health Professions

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“…Furthermore, by giving feedback on performance to nurses immediately after the standardized patient interaction, this form of testing could be used as an instructional program for hospice personnel. 24…”

Section: Discussionmentioning

confidence: 99%

Cancer Pain Assessment and Management Recommendations by Hospice Nurses

Sloan

Vanderveer

Snapp

et al. 1999

Journal of Pain and Symptom Management

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Pain is often the most prevalent symptom among cancer patients referred to hospice or palliative care programs. This study was designed to use performance-based testing to evaluate the skills of hospice nurses in assessing the severe pain of a cancer patient and the pain management recommendations they would present to the patient's primary care physician. Twenty-seven hospice nurses (ranging in experience from 1 month to 10 years) were presented with the same standardized patient with cancer pain. In Part A (7 minutes), one of the investigators checked for predetermined behaviors as the nurses performed the clinical pain assessment. In Part B (7 minutes), the nurses answered questions regarding their recommendations for pain management for the patient seen in Part A. In the admission pain assessment, hospice nurses did well in assessing pain intensity (85%), pain location (70%), and pain-relieving factors (59%). However, only 48% of the nurses adequately assessed the pain onset, and only 44% adequately assessed other symptoms the patient might be experiencing. In Part B, 96% of the nurses recommended opioids, 96% recommended the oral route of administration, and 82% recommended regular dosing of the opioids. Fifty-six percent of nurses included a breakthrough medication in their analgesic recommendations. All of the hospice nurses treated the patient's fear of addiction in an appropriate manner, and 93% of the nurses recommended increasing the patient's opioid dosage to treat the persisting pain problem. There were no significant differences among nurses with regard to length of time as a hospice nurse or hospice certification on any of the items in either Part A or Part B. Most practicing hospice nurses were judged to be competent in the assessment and management of the severe pain of the standardized cancer patient, although some deficits were noted. Regular oral opioids were the analgesics of choice. Co-analgesics were rarely recommended.

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The Structured Clinical Instruction Module: A Novel Strategy for Improving the Instruction of Clinical Skills

Cited by 23 publications

References 0 publications

Perioperative Pain Management Education: A Short Structured Regional Anesthesia Course Compared with Traditional Teaching Among Medical Students

Perioperative Pain Management Education: A Short Structured Regional Anesthesia Course Compared with Traditional Teaching Among Medical Students

Need for comprehensive women's health continuing medical education among primary care physicians

Cancer Pain Assessment and Management Recommendations by Hospice Nurses

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