Teaching the testicular exam: a model curriculum from "A" to "Zack".
Autor: | Taylor JS; Department of Family Medicine, Brown Medical School, Providence, Rhode Island, USA. Julie_Taylor@brown.edu, Dube CE, Pipas CF, Fuller BK, Lavallee LK, Rosen R |
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Jazyk: | angličtina |
Zdroj: | Family medicine [Fam Med] 2004 Mar; Vol. 36 (3), pp. 209-13. |
Abstrakt: | Background and Objectives: The testicular exam was not explicitly taught at our medical schools before 2002. In this article, we explore different phases of curriculum development, implementation, and evaluation of a method for teaching the testicular exam. Methods: Medical students participated in surveys and focus groups, and male patients participated in focus groups. From the results of the focus groups, we developed a comprehensive testicular exam module that includes (1) a PowerPoint lecture, (2) a video, (3) reading materials, and (4) an artificial male model ("Zack"). These materials were then incorporated into family medicine clerkships. Students and faculty have evaluated the project. Results: Initially, students expressed discomfort discussing sexual issues with patients, especially those of the opposite gender, and knew little about testicular cancer. Male patients had limited knowledge of the testicular self-exam and felt that their physical exam training had not been ideal. Faculty and students agreed that a lecture on the testicular exam and practice with Zack were useful in improving their exam skills, while the video and readings were less so. Conclusions: To address curricular deficits, a self-contained module on the testicular exam has been successfully incorporated into family medicine clerkships at two different medical schools. This module is easily adaptable to other settings and institutions. |
Databáze: | MEDLINE |
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