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Implementing a Blood Pressure Measurement Curriculum for First-Year Medical Students
Margaret Fisher1, Ariel Harris1, Thomas Koonce2
1University of North Carolina School of Medicine, Chapel Hill, NC USA.
Medical students learned to accurately measure blood pressure (BP) using a new curriculum. The program improved both student confidence and their practical BP measurement skills, as shown by OSCE scores.
Area of Science:
- Medical Education
- Clinical Skills Training
- Cardiovascular Assessment
Background:
- Accurate blood pressure (BP) measurement is a fundamental clinical skill for medical students.
- Deficiencies in BP measurement technique can lead to diagnostic and therapeutic errors.
- Standardized curricula are essential for effective clinical skills acquisition.
Purpose of the Study:
- To develop and evaluate a standardized curriculum for teaching accurate blood pressure measurement to first-year medical students.
- To assess the impact of the curriculum on student confidence and proficiency in BP measurement.
- To determine the feasibility and reception of the new educational program.
Main Methods:
- A curriculum incorporating online modules and a hands-on skills session was implemented for first-year medical students.
- Student knowledge and confidence were assessed using pre- and post-surveys.
- Practical skills were evaluated through an observed structured clinical encounter (OSCE).
Main Results:
- Student confidence in measuring BP significantly increased after curriculum completion.
- Mean OSCE scores improved dramatically, from 2.63 pre-curriculum to 6.51 post-curriculum (p < 0.001).
- The curriculum was found to be feasible and well-received by students.
Conclusions:
- The developed standardized curriculum effectively improved medical students' ability to obtain accurate blood pressure readings.
- This educational intervention enhanced both student confidence and objective performance in a core clinical skill.
- The program's feasibility and positive reception suggest its value for medical training.
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Measurement of Blood Pressure
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Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Pre-Procedural Guidelines for Assessing Blood Pressure
Equipments Used To Measure Blood Pressure
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...

