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Related Experiment Videos

Rectal examination in general practice.

T W Hennigan1, P J Franks, D B Hocken

  • 1Department of Surgery, Charing Cross and Westminster Medical School, London.

BMJ (Clinical Research Ed.)
|September 8, 1990
PubMed
Summary
This summary is machine-generated.

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General practitioners perform fewer rectal examinations due to patient reluctance, time constraints, and lack of confidence. Increasing diagnostic confidence and improving medical training could enhance rectal examination frequency.

Area of Science:

  • General Practice
  • Clinical Decision-Making
  • Diagnostic Procedures

Background:

  • Rectal examination is a crucial diagnostic tool for anorectal and urinary symptoms.
  • Factors influencing its use in primary care require investigation.

Purpose of the Study:

  • To identify factors affecting general practitioners' decisions to perform rectal examinations.
  • To understand variations in rectal examination frequency among general practitioners.

Main Methods:

  • A postal questionnaire survey was distributed to general practitioners in inner London and Devon.
  • Data were collected on the number of monthly rectal examinations, indication scores, and diagnostic confidence.

Main Results:

  • Fewer rectal examinations were associated with smaller partnerships, female practitioners, and perceived patient reluctance or need for repeat examinations.

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  • Lack of time, insufficient chaperones, and long outpatient waiting times also deterred the procedure.
  • Higher diagnostic confidence, perceived adequate medical school training, and being a male practitioner correlated with more frequent examinations.
  • Conclusions:

    • Clinical judgment alone does not determine rectal examination frequency; patient factors, practice அமைப்பு, and practitioner confidence play significant roles.
    • Larger group practices, enhanced diagnostic confidence, and improved undergraduate/postgraduate teaching may increase rectal examination rates.