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Physician performance and patient perceptions during the rectal examination.

T J Wilt1, A F Cutler

  • 1Minneapolis Veterans Affairs Medical Center, MN 55417.

Journal of General Internal Medicine
|November 1, 1991
PubMed
Summary

Internal medicine residents need more training on the rectal examination, including patient comfort and communication. Patients often lack understanding of the exam and their physicians do not always meet their comfort preferences.

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Area of Science:

  • Medical Education
  • Gastroenterology
  • Urology

Background:

  • The rectal examination is a crucial diagnostic tool in internal medicine.
  • Training and patient perspectives on the rectal examination are not well-documented.

Purpose of the Study:

  • To assess internal medicine residents' training and performance in rectal examinations.
  • To evaluate patients' attitudes and knowledge concerning the rectal examination.

Main Methods:

  • A descriptive survey was conducted among internal medicine residents and male veteran patients over 40.
  • Participants completed self-administered questionnaires regarding training, practice, indications, and patient comfort.

Main Results:

  • Residents showed variability in training, practice, and understanding of rectal examination indications.

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  • Many residents lacked formal instruction on patient comfort during the procedure.
  • Patients often misunderstood the exam's purpose and results, with differing comfort preferences compared to physicians.

    • Conclusions:

    • Enhanced supervised instruction in rectal examinations is recommended for medical training programs.
    • Training should encompass proper indications, patient communication, and comfort measures.
    • Addressing patient-physician discrepancies in comfort expectations is essential.