Sayma Meelad, Williams Hywel Rhys
Peninsula College of Medicine and Dentistry, Plymouth, UK.
Adv Med Educ Pract. 2016 Feb 18;7:91-7. doi: 10.2147/AMEP.S100509. eCollection 2016.
Teaching effective physical examination is a key component in the education of medical students. Preclinical medical students often have insufficient clinical knowledge to apply to physical examination recall, which may hinder their learning when taught through certain understanding-based models. This pilot project aimed to develop a method to teach physical examination to preclinical medical students using "core clinical cases", overcoming the need for "rote" learning.
This project was developed utilizing three cycles of planning, action, and reflection. Thematic analysis of feedback was used to improve this model, and ensure it met student expectations.
A model core clinical case developed in this project is described, with gout as the basis for a "foot and ankle" examination. Key limitations and difficulties encountered on implementation of this pilot are discussed for future users, including the difficulty encountered in "content overload".
This approach aims to teach junior medical students physical examination through understanding, using a simulated patient environment. Robust research is now required to demonstrate efficacy and repeatability in the physical examination of other systems.
有效的体格检查教学是医学生教育的关键组成部分。临床前医学生往往缺乏足够的临床知识应用于体格检查回忆,这可能会在通过某些基于理解的模式进行教学时阻碍他们的学习。这个试点项目旨在开发一种使用“核心临床病例”向临床前医学生教授体格检查的方法,克服“死记硬背”学习的需求。
该项目通过规划、行动和反思的三个循环来开展。对反馈进行主题分析以改进该模式,并确保其符合学生的期望。
描述了本项目中开发的一个核心临床病例模型,以痛风作为“足踝”检查的基础。为未来的使用者讨论了在实施该试点过程中遇到的主要限制和困难,包括“内容过载”方面遇到的困难。
这种方法旨在通过模拟患者环境,让低年级医学生通过理解来学习体格检查。现在需要进行有力的研究,以证明在其他系统的体格检查中的有效性和可重复性。