Use of Standardized Patients for Teaching and Evaluating the Genitourinary Examination Skills of Internal Medicine Residents

Abstract Background Point-of-care (POC) ultrasound has been shown to improve procedural outcomes and physical examination accuracy in multiple settings. There are limited data regarding the optimal way to train nonradiologists in POC ultrasound. This is a primary barrier to more widespread use of ultrasound in the physical examination. Objective We created a workshop to instruct postgraduate year (PGY)-2 and PGY-3 internal medicine residents in POC ultrasound imaging of the abdominal aorta and kidneys. Methods A half-day simulation center workshop was created to review ultrasound operations and teach residents to independently obtain ultrasound images of the abdominal aorta and kidneys on standardized patients with normal anatomy. The workshop incorporated didactic instruction and hands-on ultrasound practice in small groups. Each resident's ability to independently obtain ultrasound images was assessed using a preworkshop and postworkshop skills examination with a standardized patient. Resident knowledge and attitudes toward POC ultrasound were also assessed using a preworkshop and postworkshop test and survey. Results A total of 58 residents completed the workshop, and 84% were able to independently obtain high-quality images of the abdominal aorta and kidney after workshop completion, compared with 16% on the preworkshop test. Residents demonstrated a statistically significant increase in their self-reported confidence with ultrasound operation and image acquisition. Conclusions Training using standardized patients can prepare residents to independently obtain POC ultrasound images of the aorta and kidneys. Training resulted in increased resident confidence with POC ultrasound and self-reported likelihood of future use.

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Skills of Internal Medicine Residents in Disclosing Medical Errors: A Study Using Standardized Patients

Academic Medicine ◽

10.1097/acm.0b013e3181bf9fef ◽

2009 ◽

Vol 84 (12) ◽

pp. 1803-1808 ◽

Cited By ~ 36

Author(s):

Lynfa Stroud ◽

Jodi McIlroy ◽

Wendy Levinson

Keyword(s):

Internal Medicine ◽

Medical Errors ◽

Standardized Patients ◽

Internal Medicine Residents

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Abstract #789520: Transgender Health Care: Evaluation of the Perception of Competence and Comfort Level Among Internal Medicine Residents

Endocrine Practice ◽

10.1016/s1530-891x(20)39432-5 ◽

2020 ◽

Vol 26 ◽

pp. 179

Author(s):

Beatriz Martinez Quintero

Keyword(s):

Internal Medicine ◽

Health Care ◽

Comfort Level ◽

Transgender Health ◽

Internal Medicine Residents ◽

Health Care Evaluation ◽

Care Evaluation

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Critical Care Communication Skills Training for Internal Medicine Residents

MedEdPORTAL ◽

10.15766/mep_2374-8265.10212 ◽

2015 ◽

Vol 11 (1) ◽

Author(s):

Laura Rock ◽

Nina Gadmer ◽

Robert Arnold ◽

David Roberts ◽

Asha Anandaiah ◽

...

Keyword(s):

Internal Medicine ◽

Critical Care ◽

Communication Skills ◽

Skills Training ◽

Communication Skills Training ◽

Internal Medicine Residents

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Learning Electrocardiogram Interpretation: Insights from Residents and a Proposed Solution in an Observational Study (Preprint)

10.2196/preprints.19645 ◽

2020 ◽

Author(s):

Mohammad Alakchar ◽

Abdisamad M. Ibrahim ◽

Mohsin Salih ◽

Mukul Bhattarai ◽

Nitin Tandan ◽

...

Keyword(s):

Internal Medicine ◽

Correlation Coefficient ◽

Online Survey ◽

Cross Sectional Study ◽

Cross Sectional ◽

Resident Attitudes ◽

Internal Medicine Residents ◽

Life Threatening ◽

Degree Of Participation ◽

Electrocardiogram Interpretation

BACKGROUND Interpretation of electrocardiograms (EKG) is an essential tool for every physician. Despite this, the diagnosis of life-threatening pathology on EKG remains suboptimal in trainees. The purpose of this study is to study resident attitudes and behaviours towards EKGs, and describe an innovative way to teach EKGs. OBJECTIVE Study attitudes and behaviours towards EKGs. Describe an innovative way to teach EKGs. METHODS Design: An observational cross-sectional study through an anonymous online survey of resident attitudes and comfort with EKG interpretation. This was followed by creation of a WhatsApp group for discussion and interpretation of EKGs with peers. At the end of the day, the official EKG interpretation was posted. Setting: Internal medicine residency at Southern Illinois University. Participants: Internal medicine residents Interventions: Creation of WhatsApp group to aid with EKG interpretation Measurements: A 17 item questionnaire, followed by detection of degree of participation in a WhatsApp group. RESULTS Forty-one out of 63 residents (65%) completed the survey. 85% of respondents thought that an interactive way to teach EKGs is the best method of teaching, and 73% did not feel confident interpreting EKGs. 30% often rely on automated EKG interpretation. Further analysis indicated that PGY-1 residents reported ordering fewer EKGs (correlation coefficient -0.399, p = 0.012) and were uncomfortable diagnosing QT prolongation on an EKG (correlation coefficient -0.310, p = 0.049). Residents in the third or greater year of training ordered more EKGs (correlation coefficient 0.379, p = 0.015), less frequently relied on the computer for EKG diagnosis (correlation coefficient 0.399, p = 0.010), and were comfortable diagnosing an acute myocardial infarction and atrial arrhythmias. CONCLUSIONS In conclusion, most IM trainees do not feel comfortable interpreting EKG, however, this does improve with PGY year. WhatsApp is a possible platform for teaching EKGs.

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