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Family medicine residents' training in, knowledge about, and perceptions of digital rectal examination
Annick Bussières1, Alexandre Bouchard2, David Simonyan3
1General surgeon recently graduated from Laval University in Quebec city, Que. annick.bussieres.1@gmail.com.
Objective:
To evaluate family medicine residents' training in, knowledge about, and perceptions of digital rectal examination (DRE).
Design:
Descriptive study, using an online survey that was available in French and English.
Setting:
Quebec.
Participants:
A total of 217 residents enrolled in a family medicine program.
Main Outcome Measures:
Residents' demographic characteristics; the DRE teaching they received throughout their medical training; their reasons for omitting DRE; their recognition of DRE indications (strong vs weak) and application of DRE for 10 anorectal complaints; and their perceptions of the overall quality of the DRE training they received.
Results:
Of the 879 residents contacted, 217 (25%) responded to the survey. Throughout their training, one-third of respondents did not receive any supervision for or feedback on DRE technique. Seventy-one percent of respondents expressed their inability to identify the nature of abnormal examination findings at least once during their training. The most frequently reported reasons to omit DRE were patient refusal, inadequate setting, and lack of time.
Conclusion:
Most of the residents in this study had omitted DRE at least once in their clinical work despite recognizing its importance. There was discordance between recognition of a complaint requiring DRE and execution of this technique in a clinical setting. Family medicine education programs and continuing medical education committees should consider including DRE training.