scholarly journals ‘PEER PHYSICAL EXAMINATION’ AS A TOOL FOR LEARNING HUMAN ANATOMY AND CLINICAL SKILLS

2019 ◽  
Vol 7 (2.1) ◽  
pp. 6404-6409
Author(s):  
Archana Damodharrao Kannamwar ◽  
◽  
Gajanan Laxmanrao Maske ◽  
Keyword(s):  
Physical Examination ◽  
Clinical Skills ◽  
Human Anatomy ◽  
Peer Physical Examination

scholarly journals Medical Student's Perception And Preferences About Peer Physical Examination (PPE)

2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Manjunath H ◽  
Venkatesh D ◽  
Taklikar R H ◽  
Vijayanath Vijayanath
Keyword(s):  
Medical Students ◽  
Physical Examination ◽  
Clinical Skills ◽  
Learning Experience ◽  
Skill Training ◽  
Standardized Patients ◽  
Clinical Exposure ◽  
Validated Questionnaire ◽  
Strongly Agree ◽  
Peer Physical Examination

There is greater emphasis on clinically oriented teaching and early clinical exposure for medical students. There is limitation to practice and perfect the skills on sick patients. Hence, standardized patients are used for practice of clinical skills. However non-availability of trained standardized patients, high cost of employing them poses a challenge to training medical students. The viable alternative is to use the peers for skill training. It can be a potential area of student discomfort or inappropriate behavior by classmates or tutors. Present study assesses the attitude of students towards Peer Physical Examination (PPE). Fifty three third term medical students (23 males and 30 females) were administered a structured and validated questionnaire with 15 questions to assess elements of comfort, professionalism, appropriateness and value of PPE. Students responded to questions using a five-point Likert scale, where 1 = strongly agree, and 5 = strongly disagree.The pattern of response was similar for male and female students. 81.82% were comfortable with PPE for practice of clinical skills. 32.90% were comfortable examining peers of opposite sex. 18.04% felt it was appropriate to perform breast, genital and rectal examinations on peers. 2.17% agreed to volunteer for such examination.Majority of students preferred PPE to standardized patients for practice of clinical skills. PPE was preferred as it provided valuable feedback, better learning experience, and felt examining classmates was comfortable & appropriate. However they felt inappropriate to volunteer or examine breast, inguinal, genital regions of classmate as a part of PPE.

scholarly journals DECLINE OF CLINICAL ART AND TECNOLOGICAL MEDICINE BOOM

2021 ◽  
pp. 123-133
Author(s):  
José Antonio Rodríguez Montes
Keyword(s):  
Physical Examination ◽  
Medical History ◽  
Medical Practice ◽  
New Technologies ◽  
Clinical Skills ◽  
Treatment Plan ◽  
Correct Diagnosis ◽  
Bedside Teaching ◽  
The Past

Currently there is a consensus that the clinical art have been greatly deteriorating during the past 50 years. This problem has raised worldwide attention through as increase in publications, courses, symposia and congress. The erosion of bedside teaching and the consequent decline of clinical skills, notably wrongfull and inadequate use of new technologies. At as result, it becomes difficult if not impossible obtain an appropiate collection of the synptoms sufferick for the sick. Together with the medical history, the physical examination is mandatory for the correct diagnosis and developing the treatment plan. In this paper, the decline of clinical art is exposed and how this ancient heritage of medical practice can be recovered.

scholarly journals Trigeminal Neuralgia as Nonodontogenic Toothache: A Case Report

2021 ◽  
Vol 6 (2) ◽  
pp. 57-60
Author(s):  
Yoshinobu Shoji
Keyword(s):  
Case Report ◽  
Trigeminal Neuralgia ◽  
Physical Examination ◽  
Clinical Skills ◽  
Dental Clinic ◽  
X Ray ◽  
Odontogenic Origin

Toothaches typically originate from the odontogenic structures such as dentin, pulp and periodontium. Toothaches which have an odontogenic origin are managed effectively in the dental clinic; however, toothaches with a nonodontogenic origin are often difficult to identify. This article presents a case of trigeminal neuralgia that was misdiagnosed as pain of odontogenic origin and initially treated surgically and endodontically, despite no abnormality detected in the physical examination or X-ray. The aim of this article is to present a case of trigeminal neuralgia that may mimic odontogenic toothache. This case highlights the importance of having thorough knowledge and the appropriate clinical skills to differentiate both odontogenic and nonodontogenic toothaches, as well as the need for careful diagnosis before undertaking any treatment.

scholarly journals S-Vest: a novel hybrid method to allow standardised patients to put on the objective physical examination findings of a disease

2019 ◽  
Vol 5 (2-3) ◽  
pp. 78-81
Author(s):  
Dale Berg ◽  
Katherine Berg
Keyword(s):  
Aortic Stenosis ◽  
Physical Examination ◽  
Clinical Skills ◽  
Low Cost ◽  
Simulated Patients ◽  
Teaching Tool ◽  
Educational Tools ◽  
Standardised Patients ◽  
Single Modality

BackgroundSimulation hybrids combine single modality simulation such as simulated patients (SP) with low-fidelity simulation to create a potentially more powerful set of educational tools. To make a hybrid that is credible, standardised and inexpensive remains a challenge. We describe the development of the simulation vest (S-Vest), an inexpensive, standardised teaching tool that is ‘worn’ by an SP to form a hybrid.MethodsWe have created a vest which contains a set of speakers placed in an anatomical manner and produce sounds. The sounds played from a multitrack audio player are recorded in vivo from a patient with the real disease findings. The SP provides history while the vest provides the objective palpable and auscultatory findings. The speakers are placed in the routine standardised locations taught in physical examination.ResultsWe have developed several case scenarios designed for the vest. One of these cases is an elderly patient with aortic stenosis. The aortic stenosis case audio file has four unique tracks recorded over the precordium. Each track is played at the speaker appropriate to the physical exam findings. The SP plays an elderly man with chest pain. The vest provides the sounds of a loud systolic murmur with marked diminishment of S2 and a palpable thrill.ConclusionsThe S-Vest is a low-fidelity, low-cost simulator to use in hybrid and simulation. The S-Vest can be used in a formative and summative Objective Structured Clinical Examination (OSCE) station and in skills attainment for learners in healthcare. We believe these tools will be of significant import to teaching clinical skills.

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