Deakin University, AU.
University of Copenhagen, DK.
Perspect Med Educ. 2023 Apr 4;2(1):109-119. doi: 10.5334/pme.903. eCollection 2023.
Technology is increasingly present in the clinical environment. There is a dearth of investigation of the relationship between technology and touch concerning student learning of physical examination practices.
Integrative review methods were used to synthesise empirical literature to provide a comprehensive understanding of the relationship between physical examination, learning and technology in the context of health professional student clerkships.
Three databases including MEDLINE, CINAHL and Eric were searched for all articles published from 2014 to 2021 using terms relating to (i) physical examination, (ii) technology, and (iii) student clerkships. Thirty-three studies met the inclusion criteria. From the analysis, it is evident that technologies that intersect with learning of physical examination may broadly be apportioned into two categories: 1) technologies that mediate physical examination practices; and 2) technologies that mediate the learning of physical examination.
This review indicates that technologies may have multiple roles in the student learning of physical examination, including technology mediating increased diagnostic accuracy and access to supplementary learning material relating to physical examination that is integrated for the clinical clerkship environment. It highlights a need to further understand the touch versus technology relationship and explore the dynamic intersection.
技术在临床环境中越来越普及。关于技术和触摸与学生体检实践学习之间的关系，研究甚少。
综合审查方法用于综合实证文献，以全面了解健康专业学生实习中体检、学习和技术之间的关系。
使用与（i）体检、（ii）技术和（iii）学生实习相关的术语，从 2014 年至 2021 年在 MEDLINE、CINAHL 和 Eric 三个数据库中搜索了所有已发表的文章。符合纳入标准的有 33 项研究。从分析中可以明显看出，与体检学习相交的技术大致可以分为两类：1）介导体检实践的技术；和 2）介导体检学习的技术。
本综述表明，技术在学生体检学习中可能具有多种作用，包括技术提高诊断准确性和获得与体检相关的补充学习材料，并将其整合到临床实习环境中。它强调需要进一步了解触摸与技术的关系，并探索动态交叉点。
