Teaching Focused Histories and Physical Exams in Ambulatory Care: A Multi-Institutional Randomized Trial

Citation Detail

Title:

Teaching Focused Histories and Physical Exams in Ambulatory Care: A Multi-Institutional Randomized Trial.

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Authors:

Peltier, Deborah¹ Deborah.Peltier@dartmouth.edu
Regan-Smith, Martha²
Wofford, James³
Whelton, Sean⁴
Kennebecks, Greg⁵
Carney, Patricia A.⁶

Source:

Teaching & Learning in Medicine; Summer2007, Vol. 19 Issue 3, p244-250, 7p, 4 charts

Document Type:

Article

Subject Terms:

*CLINICAL trials
*CLINICAL competence
*MEDICAL students
*AMBULATORY medical care
*PERIODIC health examinations
*EDUCATIONAL evaluation
*DIAGNOSTIC services
*MEDICAL education
RANDOMIZED controlled trials

NAICS/Industry Codes:

621493 Freestanding Ambulatory Surgical and Emergency Centers
621498 All Other Outpatient Care Centers
621999 All Other Miscellaneous Ambulatory Health Care Services
611310 Colleges, Universities, and Professional Schools

Abstract:

Purpose: We needed specific strategies for students in diverse outpatient settings to more uniformly learn focused history and physical exam skills. Methods: We conducted a randomized control trial to test the use of focused history and physical exam scripts in enhancing 3rd-year medical students' clinical skills at twomedical schools. The article based scripts outlined focused outpatient encounters. The outcome measure was blinded analysis of progress notes using a standardized scale. Descriptive statistics were used to assess differences among student in each school, and study groups were compared using a t test. Results: Five of 11 variables were statistically higher in the scripts group. These included history taking, physical examination, and overall score. Conclusion: Focus Scripts facilitated a specific task of learning to document focused evaluations in acute and chronic office visits. [ABSTRACT FROM AUTHOR]

 

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Author Affiliations:

¹Department of Medicine Dartmouth Medical School, Hanover and Lebanon, New Hampshire, USA
²Department of Medicine Dartmouth Medical School, Hanover, New Hampshire, USA
³Department of Medicine Wake Forrest, University School of Medicine, Winston-Salem, North Carolina, USA
⁴Department of Medicine, Georgetown University School of Medicine, Washington, DC, USA
⁵Department of Medicine, Oregon Health Sciences University, Portland, Oregon, USA
⁶Department of Family Medicine and Public Health and Preventive Medicine, Oregon Health Sciences University, Portland, Oregon, USA

ISSN:

10401334

DOI:

10.1080/10401330701366465

Accession Number:

25536442

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Academic Search Premier

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