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2016 ; 10
(7-8
): 281-285
Nephropedia Template TP
gab.com Text
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English Wikipedia
Missing the mark: Current practices in teaching the male urogenital examination
to Canadian undergraduate medical students
#MMPMID27878052
McAlpine K
; Steele S
Can Urol Assoc J
2016[Aug]; 10
(7-8
): 281-285
PMID27878052
show ga
INTRODUCTION: The urogenital physical examination is an important aspect of
patient encounters in various clinical settings. Introductory clinical skills
sessions are intended to provide support and alleviate students' anxiety when
learning this sensitive exam. The techniques each Canadian medical school uses to
guide their students through the initial urogenital examination has not been
previously reported. METHODS: This study surveyed pre-clerkship clinical skills
program directors at the main campus of English-speaking Canadian medical schools
regarding the curriculum they use to teach the urogenital examination. RESULTS: A
response rate of 100% was achieved, providing information on resources and
faculty available to students, as well as the manner in which students were
evaluated. Surprisingly, over one-third of the Canadian medical schools surveyed
failed to provide a setting in which students perform a urogenital examination on
a patient in their pre-clinical years. Additionally, there was no formal
evaluation of this skill set reported by almost 50% of Canadian medical schools
prior to clinical training years. CONCLUSIONS: To ensure medical students are
confident and accurate in performing a urogenital examination, it is vital they
be provided the proper resources, teaching, and training. As we progress towards
a competency-based curriculum, it is essential that increased focus be placed on
patient encounters in undergraduate training. Further research to quantify
students' exposure to the urogenital examination during clinical years would be
of interest. Without this commitment by Canadian medical schools, we are doing a
disservice not only to the medical students, but also to our patient population.