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Related Experiment Videos

Pelvic examination training for interns: a randomized controlled trial.

Jerome E Herbers1, Lois Wessel, Jehan El-Bayoumi

  • 1Veterans Affairs Medical Center, Washington DC 20042, USA. jerome.herbers@med.va.gov

Academic Medicine : Journal of the Association of American Medical Colleges
|November 8, 2003
PubMed
Summary

Pelvic examination training significantly improved internal medicine interns' skills. Specialized trainers demonstrated effectiveness, with improvements sustained for at least three months.

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Area of Science:

  • Medical Education
  • Gynecologic Training
  • Clinical Skills Assessment

Background:

  • Pelvic examinations are a critical component of women's healthcare.
  • Standardized training for internal medicine interns in performing pelvic examinations is essential.
  • Variability in intern skill levels necessitates effective training interventions.

Purpose of the Study:

  • To assess the efficacy of a structured pelvic examination training program for internal medicine interns.
  • To determine if specialized trainers can effectively impart and improve these clinical skills.
  • To evaluate the durability of training effects over time.

Main Methods:

  • Eighty internal medicine interns participated in a randomized controlled trial.
  • Skills were assessed using a 29-item checklist at baseline and follow-up.

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  • Evaluators were blinded to group assignment, and interrater reliability was established.

    • Main Results:

    • Interns receiving specialized training showed significantly higher follow-up scores compared to the control group (0.79 vs. 0.57, p < 10(-6)).
    • Baseline skills varied significantly, with U.S. medical graduates outperforming international graduates.
    • Good interrater agreement (kappa=0.54) was achieved for audiotape-verified skills.

    Conclusions:

    • Specialized trainers can effectively enhance and reliably evaluate pelvic examination skills in interns.
    • Training-induced improvements in pelvic examination skills are evident and measurable up to three months post-intervention.
    • Further research should explore optimizing training efficiency and its impact on patient outcomes.