Undergraduate musculoskeletal examination teaching by trained patient educators--a comparison with doctor-led teaching

Rheumatology
N RajS C O'Reilly

Abstract

To compare the core hand and knee examination skills gained by undergraduates taught either by trained patient educators (PEs) or by doctors. A total of 50 final year medical students were randomized to receive training from PEs or doctors. Group A were taught hand examination by a PE with rheumatoid arthritis, and knee examination by a PE with osteoarthritis. Group B was taught hand and knee examination by a consultant rheumatologist plus an untrained patient with appropriate signs. All students were taught an established core skills set in small group workshops. Students then undertook two validated objective structured clinical examination (OSCE) stations with two blinded assessors. Pre- and post-teaching questionnaires established the students' self-reported levels of skills (SRS) and a student evaluation of teaching (SET). The study was analysed as an equivalence trial. A mean difference in OSCE scores of 10% was assumed to be of educational significance. Although the SET scores of both groups were high, the doctor-led group received higher scores. Aside from this, the two student groups did not differ significantly. There were no significant differences in mean hand OSCE (mean difference = 0.88, P = 0.28, 95% CI = -0.73 t...Continue Reading

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Citations

Jun 29, 2011·Current Reviews in Musculoskeletal Medicine·Seetha U MonradLisa A Diponio
Aug 27, 2014·Medical Teacher·Laura WattsSusan Burge
May 29, 2012·Medical Teacher·Andrew Hassell
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Jun 6, 2017·Journal of Veterinary Medical Education·Kenneth Royal

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