Internists Training Medical Residents in Pelvic Examination: Impact of an Educational Program

Goldstein, Cheryl E.; Helenius, Ira M.; Foldes, Cara; McGinn, Thomas; Korenstein, Deborah

doi:10.1207/s15328015tlm1703_13

Cited by 7 publications

(7 citation statements)

References 6 publications

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“…Some studies showed improvement in learners’ clinical skills performance as a result of training by patients. This improvement was measured through objective structured clinical examination (OSCE) scores, 14,16,28,46,55 assessment by teaching associates (such as GTAs), 18,56 skills assessment after teaching, 20,24–26,29,37,50,62,65,68,69 self‐assessment, 6,7,57,61,62 and increased ability to palpate anatomical structures (ovary, breast) or pathology (breast lumps) 35,39,43,60,71 . One study 32 reported improved clinical performance after mental exercise to recall the steps of gynaecological examination.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of articles described interventions amongst undergraduate medical students 3,5–8,14–55 . The remainder described outcomes amongst postgraduate trainees, 56–63 practising clinicians, 64–69 other health professionals 70 and other groups 71–73 (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…The remainder described outcomes amongst postgraduate trainees, [56][57][58][59][60][61][62][63] practising clinicians, [64][65][66][67][68][69] other health professionals 70 and other groups [71][72][73] ( Table 1).…”

Section: Samplesmentioning

confidence: 99%

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Patient involvement in teaching and assessing intimate examination skills: a systematic review

et al. 2010

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OBJECTIVES There are recognised difficulties in teaching and assessing intimate examination skills that relate to the sensitive nature of the various examinations and the anxiety faced by novice learners. This systematic review provides a summary of the evidence for the involvement of real patients (RPs) and simulated patients (SPs) in the training of health care professionals in intimate examination skills.METHODS For the review, 'intimate examinations' included pelvic, breast, testicular and rectal examinations. Major databases were searched from the start of the database to December 2008. The synthesis of findings is integrated by narrative structured to address the main research questions, which sought to establish: the objectives of programmes involving RPs and SPs as teachers of intimate examination skills; reasons why SPs have been involved in this training; the evidence for the effectiveness of such training programmes; the evidence for measures of anxiety in students learning how to perform intimate examinations; how well issues of sexuality are addressed in the literature; any reported negative effects of involvement in teaching on the patients, and suggestions for practical strategies for involving patients in the teaching of intimate examination skills.RESULTS A total of 65 articles were included in the review. Involving patients in teaching intimate examination skills offers advantages over traditional methods of teaching. Objective evidence for the effectiveness of this method is demonstrated through improved clinical performance, reduced anxiety and positive evaluation of programmes. Practical strategies for implementing such programmes are also reported.CONCLUSIONS There is evidence of a shortterm positive impact of patient involvement in the teaching and assessment of intimate examination skills; however, evidence of longer-term impact is still limited. The influences of sexuality and anxiety related to such examinations are explored to some extent, but the psychological impact on learners and patients is not well addressed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Patient involvement in teaching and assessing intimate examination skills: a systematic review

et al. 2010

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“…This scale has been used successfully in a number of other medical education studies investigating CPD and training. Goldstein et al (2005) used a 5-point Likert scale to evaluate an educational programme on pelvic examination for 1st year medical residents. They used the scale pre-and post-training to determine changes in attitude and competency.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a back stability CPD course

Norris

2008

Journal of Bodywork and Movement Therapies

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“…Survey questions were adapted from prior surveys used in studies focused on teaching IM residents and internists about women's health. 3,4…”

Section: Methodsmentioning

confidence: 99%

Introducing a Women’s Health Clinic Improves Resident Comfort and Competence in Performing Women’s Health Exams

Swedish

2019

J GEN INTERN MED

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Internists Training Medical Residents in Pelvic Examination: Impact of an Educational Program

Abstract: This program, in which internists trained medical residents in pelvic examination, utilized real patients, improved participants self-assessed competency, and may increase the likelihood of residents performing pelvic examination in primary care.

Cited by 7 publications

References 6 publications

Patient involvement in teaching and assessing intimate examination skills: a systematic review

Patient involvement in teaching and assessing intimate examination skills: a systematic review

Evaluation of a back stability CPD course

Introducing a Women’s Health Clinic Improves Resident Comfort and Competence in Performing Women’s Health Exams

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