دورية أكاديمية
أعرض في EDS

Improving diagnosis in healthcare: Local versus national adoption of recommended guidelines for the clinical breast examination.

التفاصيل البيبلوغرافية
العنوان: Improving diagnosis in healthcare: Local versus national adoption of recommended guidelines for the clinical breast examination.
المؤلفون: Nathwani JN; University of Wisconsin, General Surgery, Madison, WI, USA., Garren A; University of Wisconsin, General Surgery, Madison, WI, USA., Laufer S; University of Wisconsin, General Surgery, Madison, WI, USA., Kwan C; University of Wisconsin, General Surgery, Madison, WI, USA., Pugh CM; University of Wisconsin, General Surgery, Madison, WI, USA. Electronic address: pugh@surgery.wisc.edu.
المصدر: American journal of surgery [Am J Surg] 2018 Jun; Vol. 215 (6), pp. 995-999. Date of Electronic Publication: 2017 Dec 05.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0370473 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1883 (Electronic) Linking ISSN: 00029610 NLM ISO Abbreviation: Am J Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Belle Mead, NJ : Excerpta Medica
Original Publication: New York.
مواضيع طبية MeSH: Clinical Competence* , Curriculum* , Guidelines as Topic* , Students, Medical*, Breast Diseases/*diagnosis , Education, Medical, Undergraduate/*methods , Physical Examination/*methods, Educational Measurement ; Female ; Humans
مستخلص: Background: This study explores the long-term effectiveness of a newly developed clinical skills curriculum.
Methods: Students (N = 40) were exposed to a newly developed, simulation-based, clinical breast exam (CBE) curriculum. The same students returned one year later to perform the CBE and were compared to a convenience sample of medical students (N = 15) attending a national conferences. All students were given a clinical vignette and performed the CBE. CBE techniques were video recorded. Chi-squared tests were used to assess differences in CBE technique.
Results: Students exposed to a structured curriculum performed physical examination techniques more consistent with national guidelines than the random, national student sample. Structured curriculum students were more organized, likely to use two hands, a linear search pattern, and include the nipple-areolar complex during the CBE compared to national sample (p < 0.01).
Conclusions: Students exposed to a structured skills curriculum more consistently performed the CBE according to national guidelines. The variability in technique compared with the national sample of students calls for major improvements in adoption and implementation of structured skills curricula.
(Copyright © 2017 Elsevier Inc. All rights reserved.)
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معلومات مُعتمدة: R01 EB011524 United States EB NIBIB NIH HHS; T32 CA090217 United States CA NCI NIH HHS
فهرسة مساهمة: Keywords: Curriculum development; Medical student education; Physical examination
تواريخ الأحداث: Date Created: 20171213 Date Completed: 20190705 Latest Revision: 20240702
رمز التحديث: 20240702
مُعرف محوري في PubMed: PMC5988913
DOI: 10.1016/j.amjsurg.2017.11.030
PMID: 29229379
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-1883
DOI:10.1016/j.amjsurg.2017.11.030