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Related Experiment Videos

The development of a course in basic physical examination skills

L I Alvarado1

  • 1Department of Pediatrics, Ponce School of Medicine, Puerto Rico.

Boletin De La Asociacion Medica De Puerto Rico
|September 12, 1998
PubMed
Summary

A new clinical skills curriculum, grounded in adult learning principles, was developed to address observed deficiencies. Pilot testing showed increased student confidence and satisfaction with the new instructional and evaluation strategies.

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Area of Science:

  • Medical Education
  • Clinical Skills Training

Background:

  • Undergraduate medical education often fails to observe basic clinical skills, leading to deficiencies noted in physicians during residency.
  • Healthcare systems demand competent graduates with strong foundational clinical skills, particularly generalists for managed care.
  • Ponce School of Medicine identified a need for improved clinical skills instruction based on student and faculty feedback.

Purpose of the Study:

  • To develop and evaluate a new curriculum for basic clinical skills instruction.
  • To incorporate adult learning principles into medical education for enhanced skill acquisition.
  • To improve the effectiveness of clinical skills training at the undergraduate level.

Main Methods:

  • A new curriculum framework was designed with clear objectives, effective instructional strategies, and performance-based evaluation.

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  • Adult learning principles formed the foundation of the curriculum's design.
  • The musculoskeletal examination unit was pilot tested to evaluate the curriculum's components.

    • Main Results:

    • Pilot testing of the musculoskeletal examination unit indicated high satisfaction with the curriculum's objectives.
    • Learners reported satisfaction with the instructional and evaluation strategies employed.
    • Participants demonstrated improved confidence and perceived usefulness of the learned clinical skills.

    Conclusions:

    • A well-structured basic clinical skills curriculum incorporating adult learning principles can enhance learner confidence and proficiency.
    • Effective instructional and evaluation strategies are crucial for successful clinical skills development.
    • Improved clinical skills training is essential for producing competent physicians prepared for modern healthcare demands.