A Novel Pediatric Clinical Skills Curriculum to Prepare Medical Students for Pediatrics Clerkship.

IF 1.9 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Medical Science Educator Pub Date : 2024-11-13 eCollection Date: 2025-02-01 DOI:10.1007/s40670-024-02191-w

Lindsay C Podraza, Lauren S Starnes, Joseph R Starnes, Anuj Patel, Rachel K P Apple

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引用次数: 0

Abstract

Introduction: Medical students feel poorly prepared to examine pediatric patients during clerkship. Our institution's introduction to clinical skills course lacked practice with pediatrics physical examination skills. We developed a novel clinical skills curriculum to increase students' confidence in examining pediatric patients.

Methods: Ericsson's deliberate practice conceptual framework guided curriculum design. We utilized a flipped-classroom model to teach the newborn examination. Students watched a video, then practiced with manikins and patients. For the child examination, students attended a lecture and practiced with hospitalized children and facilitators. Students then participated in a Home, Education, Eating/Exercise, Activities/Employment, Drugs, Suicidality, Sexuality, Safety (HEEADSSS) didactic and role play activity. Before and after participation, students completed REDCap surveys ranking confidence in performing pediatric examinations and identifying normal examination findings on a Likert scale (1 = "Not at all confident," 4 = "Extremely confident"). We analyzed data using Wilcoxon rank sum tests.

Results: A total of 97 students participated in the curriculum. Respectively, 56 (58%) and 32 (30%) students completed pre- and post-participation surveys. Post-participation, students reported increased confidence in identifying normal infant (median [interquartile range]; (2 [2,2] vs 4 [3,4]; p < 0.001) and child (2 [2,2] vs 3 [3,4]; p < 0.001) examination findings as well as HEEADSSS assessment components (2 [1.5,2] vs 4 [3,4]; p < 0.001), and had significantly higher scores on confidence performing infant (2 [2,2.5] vs 4 [3,4]; p < 0.001), child (2 [2,2] vs 3 [3,4]; p < 0.001), and HEEADSSS assessment (2 [2,3] vs 4 [3,4]; p < 0.001).

Discussion: This multi-modal curriculum emphasizing pediatric examination skills improved students' confidence in pediatric-specific knowledge and skills prior to clerkship.

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-024-02191-w.

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为医学生准备儿科见习的儿科临床技能课程。

导读：医学生在实习期间对儿科病人的检查准备不足。我院临床技能导论课程缺乏儿科体检技能的实践。我们开发了一个新的临床技能课程，以提高学生检查儿科病人的信心。方法：运用爱立信刻意练习概念框架指导课程设计。我们采用翻转课堂模式进行新生儿考试教学。学生们观看了一段视频，然后与人体模型和病人一起练习。对于儿童考试，学生们参加了一场讲座，并与住院儿童和辅导员一起练习。然后，学生们参加了家庭、教育、饮食/运动、活动/就业、毒品、自杀、性、安全（HEEADSSS）的教学和角色扮演活动。在参与之前和之后，学生完成REDCap调查，对进行儿科检查的信心进行排名，并在李克特量表上确定正常的检查结果（1 =“完全不自信”，4 =“非常自信”）。我们使用Wilcoxon秩和检验分析数据。结果：共有97名学生参加了课程。分别有56名（58%）和32名（30%）学生完成了参与前和参与后的调查。参与后，学生报告在识别正常婴儿方面的信心增加(中位数[四分位数范围]；(2 [2,2] vs . 4 [3,4]；讨论：这种强调儿科考试技能的多模式课程提高了学生在实习前对儿科专业知识和技能的信心。补充资料：在线版本提供补充资料，网址为10.1007/s40670-024-02191-w。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medical Science Educator Social Sciences-Education

CiteScore

2.90

自引率

11.80%

发文量

202

期刊介绍： Medical Science Educator is the successor of the journal JIAMSE. It is the peer-reviewed publication of the International Association of Medical Science Educators (IAMSE). The Journal offers all who teach in healthcare the most current information to succeed in their task by publishing scholarly activities, opinions, and resources in medical science education. Published articles focus on teaching the sciences fundamental to modern medicine and health, and include basic science education, clinical teaching, and the use of modern education technologies. The Journal provides the readership a better understanding of teaching and learning techniques in order to advance medical science education.