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Related Concept Videos

Assessing Body Temperature - Rectal01:27

Assessing Body Temperature - Rectal

Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
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Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
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Endoscopic Procedures II: Colonoscopy

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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection
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Teaching and practising rectal examination in Pakistan.

Muhammad Asif1, Noman Shahzad1, Madeeha Ali1

  • 1Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.

The Clinical Teacher
|May 29, 2015
PubMed
Summary

Medical students recognize the importance of digital rectal examination (DRE) but receive limited training. Early, manikin-based DRE education and supervised practice are recommended to improve proficiency.

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Published on: August 1, 2019

Area of Science:

  • Medical Education
  • Clinical Skills Training
  • Urology

Background:

  • Digital rectal examination (DRE) is a crucial component of physical assessment.
  • Medical students' reluctance to learn DRE stems from a perceived decrease in its importance.
  • Evaluating current knowledge and attitudes towards DRE is essential for curriculum development.

Purpose of the Study:

  • To assess medical students' and interns' knowledge and attitudes regarding digital rectal examination (DRE) training and practice.
  • To identify barriers to DRE learning and practice among future physicians.

Main Methods:

  • A cross-sectional survey was conducted across four medical institutions in Karachi, Pakistan.
  • 398 medical students and interns participated in the study.

Main Results:

  • Nearly all participants (98%) acknowledged the importance of DRE.
  • Only half reported formal DRE training before their final medical year, with limited use of manikins (16%).
  • The median number of DREs performed was one, with patient refusal being a common barrier.

Conclusions:

  • Implement early, manikin-based DRE teaching sessions in medical school curricula.
  • Ensure a minimum number of supervised DREs are completed before internship conclusion.