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Related Experiment Videos

The effectiveness of the structured clinical instruction module

A V Blue1, T D Stratton, M Plymale

  • 1Department of Family Medicine, Medical University of South Carolina College of Medicine, Charleston 29425-2201, USA.

American Journal of Surgery
|July 31, 1998
PubMed
Summary

The Structured Clinical Instruction Module (SCIM) improved medical students' clinical skills in breast examinations. Students using SCIM modules performed significantly better in objective structured clinical examinations (OSCEs) compared to traditional lectures.

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Area of Science:

  • Medical Education
  • Clinical Skills Training
  • Patient Simulation

Background:

  • The Structured Clinical Instruction Module (SCIM) offers structured learning for clinical skills on specific topics.
  • This study investigated the impact of SCIM on student performance in breast-related objective structured clinical examinations (OSCEs).

Purpose of the Study:

  • To evaluate the effectiveness of the SCIM in enhancing medical students' performance on breast-related OSCE stations.
  • To compare SCIM-based instruction with traditional lecture-based methods for clinical skills acquisition.

Main Methods:

  • Three groups of students received different breast care instruction: lecture only (A), SCIM with lecture and manual (B), and SCIM only (C).
  • All participants completed a surgery OSCE, including standardized patient encounters for breast history taking and physical examinations.

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Main Results:

  • Students in groups B and C (utilizing SCIM) achieved significantly higher mean scores than those in group A (lecture only).
  • Analysis of variance (ANOVA) confirmed the statistical significance (P < 0.05) of these performance differences.

Conclusions:

  • The SCIM demonstrates effectiveness as a patient-based, standardized instructional tool.
  • SCIM enhances the teaching and learning of essential clinical skills for medical students.