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医学生对通过同伴体格检查(PPE)教授耳鼻咽喉科基本临床技能的看法。

Perception of medical students towards teaching basic clinical skills in otorhinolaryngology through peer physical examination (PPE).

作者信息

Gupta Vikas, Begum Yousuf, Singh Abhishek, Agrawal Deepika

机构信息

Department of Community Medicine, Government Medical College, Shahdol, Madhya Pradesh, India.

Department of Anatomy, College of Medicine, Iman Abdul Rehman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

J Educ Health Promot. 2023 May 31;12:172. doi: 10.4103/jehp.jehp_1165_21. eCollection 2023.

Abstract

BACKGROUND

Medical education is now largely learner centered with self-directed learning. The best method for teaching physical examination skills is difficult to determine. The process by which students examine each other as part of their learning process in anatomy and clinical skills is known as peer physical examination (PPE). The aim of this study was to demonstrate the perceptions of students toward PPE in ear, nose, throat, head, and neck.

MATERIALS AND METHODS

This cross-sectional study was conducted in 2018 among 100 medical students after obtaining ethical approval. In the PPE programme, students participated in a small group of 2-3 students. A self-administered questionnaire was also filled out by students before and after the program, which gathered demographic details and responses to the modified Peer Physical Examination Questionnaire (PPEQ). Significant associations ( < 0.05) were examined using ANOVA analysis.

RESULTS

In the present study, 81.5% of students have previously conducted examinations on fellow students. Prior to the program, the willingness to be examined (for throat) by a peer was 71.7%, which rose to 95.7% after the program. Most students replied that "I am concerned about being a possible object of sexual interest during PPE." A univariate analysis showed that age, gender, and residence of students were significantly associated with PPEQ scores ( < 0.05).

CONCLUSION

In the present study, it was observed that there was a change in the willingness for PPE before and after the programme and also that there was a change in the perception towards PPE following the program.

摘要

背景

医学教育如今很大程度上是以学习者为中心,强调自主学习。教授体格检查技能的最佳方法难以确定。学生在解剖学和临床技能学习过程中相互检查的过程被称为同伴体格检查(PPE)。本研究的目的是展示学生对耳鼻喉、头颈方面同伴体格检查的看法。

材料与方法

本横断面研究于2018年在获得伦理批准后,对100名医学生进行。在同伴体格检查项目中,学生以2至3人的小组形式参与。学生在项目前后还填写了一份自填式问卷,收集人口统计学细节以及对修改后的同伴体格检查问卷(PPEQ)的回答。使用方差分析检验显著相关性(<0.05)。

结果

在本研究中,81.5%的学生此前曾对同学进行过检查。在项目之前,愿意接受同伴(检查喉咙)检查的比例为71.7%,项目之后升至95.7%。大多数学生回答说“我担心在同伴体格检查期间成为性关注的可能对象”。单因素分析显示,学生的年龄、性别和居住地与同伴体格检查问卷得分显著相关(<0.05)。

结论

在本研究中,观察到项目前后同伴体格检查的意愿发生了变化,并且项目后对同伴体格检查的看法也发生了变化。

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Australian medical students have fewer opportunities to do physical examination of peers of the opposite gender.
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