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A LUMP MODEL FOR MEDICAL STUDENTS' CLINICAL EVALUATION.

S A Ademola1,2, A I Michael1,2, A O Takure1,2

  • 1Department of Surgery, Faculty of Clinical Sciences, College of Medicine. University of Ibadan, Ibadan, Nigeria.

Annals of Ibadan Postgraduate Medicine
|June 28, 2024
PubMed
Summary

Medical students positively perceived a low-cost lump model for surgical skills assessment. While effective for demonstrating basic lump characteristics, further refinements are needed for simulating more complex signs in Objective Structured Clinical Examinations.

Keywords:
Lump modelMedical studentsObjective structured clinical examinationSimulation

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Area of Science:

  • Medical Education
  • Surgical Training
  • Clinical Skills Assessment

Background:

  • Soft tissue masses are common, necessitating proficiency in physical examination for medical students.
  • Limited patient encounters highlight the need for effective teaching and evaluation models.
  • Objective Structured Clinical Examination (OSCE) is a key assessment tool for clinical competency.

Purpose of the Study:

  • To evaluate graduating medical students' perceptions of a novel, low-cost lump model.
  • To assess the model's utility in simulating physical examination findings for OSCEs.
  • To identify areas for model improvement in clinical skills training.

Main Methods:

  • A cross-sectional survey was administered to final-year medical students following an OSCE using a low-cost lump model.
  • 130 out of 160 students (81.3%) completed the questionnaire.
  • Student perceptions regarding the model's ability to simulate various lump characteristics were collected.

Main Results:

  • 87.5% of students passed the skills assessment using the model.
  • 67.2% of students felt the model simulated a true lump.
  • High agreement was found for demonstrating site, size, shape, and transillumination; lower agreement for tenderness, attachment, and warmth; disagreement for pulsatility.

Conclusions:

  • Medical students generally reported a positive perception of the low-cost lump model for OSCEs.
  • The model effectively demonstrated several key physical examination signs.
  • Further model development is recommended to enhance the simulation of a broader range of clinical signs.