Improving Diagnosis in Healthcare: Local Versus National Adoption of Recommended Guidelines for The Clinical Breast Examination
| Autor: | Carla M. Pugh, Shlomi Laufer, Jay N. Nathwani, Anna Garren, Calvin Kwan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Students Medical education Physical examination Sample (statistics) Convenience sample Guidelines as Topic Article 03 medical and health sciences Breast Diseases 0302 clinical medicine Health care Curriculum development ComputingMilieux_COMPUTERSANDEDUCATION Medicine Humans 030212 general & internal medicine Curriculum Physical Examination Medical education medicine.diagnostic_test business.industry General Medicine Clinical breast examination 030220 oncology & carcinogenesis Surgery Female Clinical Competence Educational Measurement business Clinical skills Education Medical Undergraduate |
| Popis: | Background This study explores the long-term effectiveness of a newly developed clinical skills curriculum. Methods Students (N = 40) were exposed to a newly developed, simulation-based, clinical breast exam (CBE) curriculum. The same students returned one year later to perform the CBE and were compared to a convenience sample of medical students (N = 15) attending a national conferences. All students were given a clinical vignette and performed the CBE. CBE techniques were video recorded. Chi-squared tests were used to assess differences in CBE technique. Results Students exposed to a structured curriculum performed physical examination techniques more consistent with national guidelines than the random, national student sample. Structured curriculum students were more organized, likely to use two hands, a linear search pattern, and include the nipple-areolar complex during the CBE compared to national sample (p Conclusions Students exposed to a structured skills curriculum more consistently performed the CBE according to national guidelines. The variability in technique compared with the national sample of students calls for major improvements in adoption and implementation of structured skills curricula. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|