Preliminary Evaluation of a Genitourinary Skills Training Curriculum for Medical Students

Kaplan, Adam; Kolla, Surendra B.; Gamboa, Aldrin Joseph R.; Box, Geoffrey N.; Louie, Michael K.; Andrade, Lorena A.; Santos, Rosanne; Gan, Jennifer; Moskowitz, Ross; Shell, Cynthia; Gustin, William C.; Clayman, Ralph V.; McDougall, Elspeth M.

doi:10.1016/j.juro.2009.04.037

Cited by 18 publications

(14 citation statements)

References 12 publications

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“…This seems surprising given that there are a variety of methodological teaching approaches to deliver DRE skills, such as training on part-task trainers [ 11 ], finger movement simulators including video feedback [ 12 , 13 ], rectal and urological teaching associates (RTA; UTA; specially trained laypersons to assist in DRE or even serve as a probands for practice) [ 11 , 14 ] and standardized patients [ 15 - 17 ]. Although simulators show high validity [ 18 , 19 ] and lead to reduced inhibition and fear with regard to DRE [ 20 ], standardized patients are regarded as one of the most useful methods to deliver DRE skills [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Digital rectal examination skills: first training experiences, the motives and attitudes of standardized patients

et al. 2015

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BackgroundPhysical clinical examination is a core clinical competence of medical doctors. In this regard, digital rectal examination (DRE) plays a central role in the detection of abnormalities of the anus and rectum. However, studies in undergraduate medical students as well as newly graduated doctors show that they are insufficiently prepared for performing DRE. Training units with Standardized Patients (SP) represent one method to deliver DRE skills. As yet, however, it is little known about SPs’ attitudes.MethodsThis is a qualitative study using a grounded theory approach. Interviews were conducted with 4 standardized patients about their experiences before, during and after structured SP training to deliver DRE competencies to medical students. The resulting data were subjected to thematic content analysis.ResultsResults show that SPs do not have any predominant motives for DRE program participation. They participate in the SP training sessions with relatively little prejudice and do not anticipate feeling highly vulnerable within teaching sessions with undergraduate medical students.ConclusionsThe current study examined SPs’ motives, views, expectations and experiences regarding a DRE program during their first SP training experiences. The results enabled us to derive distinct action guidelines for the recruitment, informing and briefing of SPs who are willing to participate in a DRE program.

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Section: Introductionmentioning

confidence: 99%

Digital rectal examination skills: first training experiences, the motives and attitudes of standardized patients

et al. 2015

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“…A similar multipart survey study conducted by the Department of Urology at our institution has demonstrated very encouraging results 7. Second‐year UC Irvine medical students, upon completing a mandatory 5.5‐hour genitourinary skills (i.e., Foley catheter placement, suturing and knot tying, digital rectal exam) training session, reported greater overall knowledge and comfort with performing elements of the genitourinary exam.…”

Section: Introductionmentioning

confidence: 77%

“…Ninety‐five (94.1%) and 77 (76.2%) medical students completed pre‐ and postsurveys, respectively. Mean Likert rating scores were compared between pre‐ and postsurveys similar to Kaplan et al using an unpaired Student's t ‐test with a significance level of 0.05 7. The results of students' comfort level ratings are summarized in Table I.…”

Section: Resultsmentioning

confidence: 99%

Preliminary evaluation of junior medical students' exposure and comfort with performing the basic head and neck examination

Passy

Armstrong

2011

The Laryngoscope

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“…Students frequently fail to acquire such skills owing to lack of resources or fear of harming the patients or they may not attend urology classes at all. [7][8][9] Therefore, easier and novel approaches to epididymis examination have been introduced, albeit still insufficient. This is because these approaches are not fully applied in anterior epididymis positions and examinations are carried out when the patients are supine.…”

Section: Discussionmentioning

confidence: 99%

Do positional variations of epididymis affect infertility?

Akınsal¹,

Baydilli²,

Ekmekçioğlu³

et al. 2017

European Urology Supplements

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Objective: To determine the ratio of epididymal position variations and whether this had any effect on seminal parameters. Material and methods: Scrotal examination results and epididymal positions were retrospectively assessed in subjects presenting to our clinic for infertility, varicocele, and sexual developmental delay. Scrotal examination consisted of epididymal position, testicular volumes, and vas deferens and varicocele presence. The subjects were categorized according to sperm counts per mL. Data were assessed whether there was a significant difference in terms of epididymal positions among the groups. Results: A total of 5812 epididymides were examined. There was no significant difference with respect to one or two epididymides being in an anterior position between the groups allocated with respect to a sperm count above 15 million per mL, between 5 and 15 million per mL, and below 5 million per mL (p=0.542). Sperm counts and motility did not differ according to the position of the epididymis in analyzes performed separately within each group. Conclusion: Positional variations of epididymis can be seen at a considerable rate. Nevertheless, there was no clear relationship between these variations and infertility. In terms of avoiding possible misdiagnoses and treatment complications possible epididymal position variations should be kept in mind during clinical practice.

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Preliminary Evaluation of a Genitourinary Skills Training Curriculum for Medical Students

Cited by 18 publications

References 12 publications

Digital rectal examination skills: first training experiences, the motives and attitudes of standardized patients

Digital rectal examination skills: first training experiences, the motives and attitudes of standardized patients

Preliminary evaluation of junior medical students' exposure and comfort with performing the basic head and neck examination

Do positional variations of epididymis affect infertility?

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