Approaches to Teaching the Physical Exam to Preclerkship Medical Students: Results of a National Survey

Academic Medicine : Journal of the Association of American Medical Colleges
Toshiko UchidaRonald Silvestri

Abstract

To assess current approaches to teaching the physical exam to preclerkship students at U.S. medical schools. The Directors of Clinical Skills Courses developed a 49-question survey addressing the approach, pedagogical methods, and assessment methods of preclerkship physical exam curricula. The survey was administered to all 141 Liaison Committee on Medical Education-accredited U.S. medical schools in October 2015. Results were aggregated across schools, and survey weights were used to adjust for response rate and school size. One hundred six medical schools (75%) responded. Seventy-nine percent of schools (84) began teaching the physical exam within the first two months of medical school. Fifty-six percent of schools (59) employed both a "head-to-toe" comprehensive approach and a clinical reasoning approach. Twenty-three percent (24) taught a portion of the physical exam interprofessionally. Videos, online modules, and simulators were used widely, and 39% of schools (41) used bedside ultrasonography. Schools reported a median of 4 formative assessments and 3 summative assessments, with 16% of schools (17) using criterion-based standard-setting methods for physical exam assessments. Results did not vary significantly by school s...Continue Reading

Citations

Apr 30, 2019·Medical Education Online·Aaron R DanielsonSamuel O Clarke
Feb 15, 2020·Perspectives on Medical Education·Arati Kelekar, Nelia Afonso
Jul 23, 2020·Journal of Medical Education and Curricular Development·Aaron W BernardTodd Cassese
Aug 14, 2020·Science Advances·Diane B WayneEric G Neilson
Sep 17, 2020·Science Advances·Diane B WayneEric G Neilson

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