Is learning physical examination skills at General practice effective? – Using GPs to teach physical examination skills to pre-clinical medical students

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Palagama, Sujeewa
Pathirana, Thanya
Williams, Jen
Lane, Margo
Ariana, Armin
Anstey, Christopher
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2020
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Dundee, UK

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Background: Teaching clinical skills in the preclinical phase of the medical program is traditionally conducted using simulated patients, guided by clinical tutors. Previous studies have shown that early exposure to clinical skills programs has improved the understanding, confidence, clinical reasoning and subsequently improving their OSCE results, and ultimately benefiting patients. Summary of Work: We piloted a method of teaching physical examination skills to first year medical students by General practitioners at their clinics using real patients – called “General Practioner Longitudinal Program” (GPLP). This new method was applied to year 1 medical students who are based at Sunshine Coast while a traditional method was applied to a control group based at Gold Coast. Both cohorts of students followed the same Griffith MD curriculum. Participating General practitioners were trained by specialist consultants to standardise their teaching. A survey was administered to measure their self-evaluated knowledge, experience and confidence before and after the GPLP program and its control. Mann Whitney U test was used to evaluate the change in knowledge, experience and confidence. A separate set of questions were given to evaluate their clinical reasoning capacity. Wilcoxon sign rank test was used to measure the change in clinical reasoning capacity. All analyses were done in SPSS version 25 Summary of Results: There was a statistically significant increase in the mean of knowledge, experience and confidence from pre to post GPLP, being, 6.24, 6.17, 6.5 respectively and there is a statistically significant difference between the two groups p = 0.001, 0.02, 0.01 respectively. There was a statistically significant increase in the clinical reasoning capacity from pre to post GPLP, being 2.06 and p = 0.000. Discussion and Conclusions: Teaching physical examination skills by general practitioners using real patients at their practice has shown to be very effective in increasing students’ knowledge, experience and confidence as well as clinical reasoning capacity. Take-home Messages: Physical examination can be taught more effectively by GPs using real patients at their practices compared to traditional method.

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AMEE 2020: The Virtual Conference

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Education assessment and evaluation

Work integrated learning (incl. internships)

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Ariana, A; Palagama, S; Pathirana, T; Williams, J; Lane, M; Anstey, C, Is learning physical examination skills at General practice effective? – Using GPs to teach physical examination skills to pre-clinical medical students, AMEE 2020: The Virtual Conference, 2020, pp. 146-146