scholarly journals Feasibility of clinical performance assessment of medical students on a virtual sub-internship in the United States

2021 ◽  
Vol 18 ◽  
pp. 12
Author(s):  
John Woller ◽  
Sean Tackett ◽  
Ariella Apfel ◽  
Janet Record ◽  
Danelle Cayea ◽  
...  
Keyword(s):  
United States ◽  
Medical Students ◽  
Physical Examination ◽  
Performance Assessment ◽  
Clinical Performance ◽  
The United States ◽  
Clinical Performance Assessment ◽  
Assessment Measures

We aimed to determine whether it was feasible to assess medical students as they completed a virtual sub-internship. Six students (out of 31 who completed an in-person sub-internship) participated in a 2-week virtual sub-internship, caring for patients remotely. Residents and attendings assessed those 6 students in 15 domains using the same assessment measures from the in-person sub-internship. Raters marked “unable to assess” in 75/390 responses (19%) for the virtual sub-internship versus 88/3,405 (2.6%) for the in-person sub-internship (P=0.01), most frequently for the virtual sub-internship in the domains of the physical examination (21, 81%), rapport with patients (18, 69%), and compassion (11, 42%). Students received complete assessments in most areas. Scores were higher for the in-person than the virtual sub-internship (4.67 vs. 4.45, P<0.01) for students who completed both. Students uniformly rated the virtual clerkship positively. Students can be assessed in many domains in the context of a virtual sub-internship.

A New Look at Child Health

PEDIATRICS ◽  
1967 ◽  
Vol 39 (4) ◽  
pp. 636-636
Author(s):  
THOMAS E. CONE
Keyword(s):  
United States ◽  
Great Britain ◽  
Medical Students ◽  
Child Health ◽  
The United States ◽  
The State ◽  
Changing Patterns ◽  
New Look

This little paperback book is a gem which may escape the attention of readers on this side of the Atlantic because it deals mainly with the state of contemporary pediatrics in Great Britain. For us not to be aware of this book would be a mistake; many of the problems and shortcomings which Drs. Joseph and MacKeith discuss are equally germane to the United States. The authors attempt to define in 11 chapters such elusive things as just what pediatrics really is, what are the crucial current problems, how the changing patterns of death and morbidity in childhood have altered the demands on pediatricians, and—throughout the book as a leitmotiv—how to make medical students and physicians more aware of preventive aspects of medicine.

scholarly journals Validation of the Revised Physical Therapist Clinical Performance Instrument (PT CPI): Version 2006

2012 ◽  
Vol 92 (3) ◽  
pp. 416-428 ◽  
Author(s):  
Kathryn E. Roach ◽  
Jody S. Frost ◽  
Nora J. Francis ◽  
Scott Giles ◽  
Jon T. Nordrum ◽  
...  
Keyword(s):  
United States ◽  
Student Performance ◽  
Physical Therapist ◽  
Clinical Performance ◽  
The United States ◽  
Final Evaluation ◽  
Convenience Sample ◽  
Evaluation Data ◽  
Physical Therapist Students ◽  
Clinical Performance Instrument

Background Based on changes in core physical therapy documents and problems with the earlier version, the Physical Therapist Clinical Performance Instrument (PT CPI): Version 1997 was revised to create the PT CPI: Version 2006. Objective The purpose of this study was to validate the PT CPI: Version 2006 for use with physical therapist students as a measure of clinical performance. Design This was a combined cross-sectional and prospective study. Methods A convenience sample of physical therapist students from the United States and Canada participated in this study. The PT CPI: Version 2006 was used to collect CPI item–level data from the clinical instructor about student performance at midterm and final evaluation periods in the clinical internship. Midterm evaluation data were collected from 196 students, and final evaluation data were collected from 171 students. The students who participated in the study had a mean age of 24.8 years (SD=2.3, range=21–41). Sixty-seven percent of the participants were from programs in the United States, and 33% were from Canada. Results The PT CPI: Version 2006 demonstrated good internal consistency, and factor analysis with varimax rotation produced a 3-factor solution explaining 94% of the variance. Construct validity was supported by differences in CPI item scores between students on early compared with final clinical experiences. Validity also was supported by significant score changes from midterm to final evaluations for students on both early and final internships and by fair to moderate correlations between prior clinical experience and remaining course work. Limitations This study did not examine rater reliability. Conclusion The results support the PT CPI: Version 2006 as a valid measure of physical therapist student clinical performance.

scholarly journals Clinical Preventive Services and Self-Management Practices Among Adult Cancer Survivors in the United States Over Time

2021 ◽  
Vol 28 ◽  
pp. 107327482110591
Author(s):  
Patricia A. Findley ◽  
R. Constance Wiener ◽  
Chan Shen ◽  
Nilajana Dwibedi ◽  
Usha Sambamoorthi
Keyword(s):  
United States ◽  
Physical Examination ◽  
Cancer Survivors ◽  
The United States ◽  
Normal Weight ◽  
Medical Expenditure ◽  
Dental Visit ◽  
Influenza Immunization ◽  
Health Promoting ◽  
Over Time

The objective of this research was to determine if the engagement/participation in health promotion activities of cancer survivors in the United States (US) changed between 2006 and 2015. We pooled two independent cross-sectional data of cancer survivors using Medical Expenditure Panel Surveys from 2006 (N = 791; weighted N = 9,532,674) and 2015 (N = 1067; weighted N = 15,744,959). Health promoting activities consisted of past year influenza immunization, routine physical examination, and dental visit. Self-care included maintaining normal weight, not smoking, and engagement in recommended vigorous physical activity. We conducted unadjusted and adjusted logistic regression analyses to examine the change in engagement in health promoting activities over time. We found rates of annual influenza immunization (66.8% vs 70.3%), dental visit (71.8% vs 70.3%), and normal weight (33.9% vs 33.5%) did not change from 2006 to 2015. The percent with physical examination (90.8% vs 93.8%; P = .03) and non-smokers increased (87.9% vs 91.2; P = .04). Between 2006 and 2015, despite guidelines and recommendations for personalized cancer survivorship health plans, health promoting activities among cancer survivors did not change significantly.

The Scope of Plastic Surgery According to 2434 Allopathic Medical Students in the United States

2014 ◽  
Vol 133 (4) ◽  
pp. 947-956 ◽  
Author(s):  
Russell E. Kling ◽  
Harry S. Nayar ◽  
Michael O. Harhay ◽  
Patrick O. Emelife ◽  
Ernest K. Manders ◽  
...  
Keyword(s):  
United States ◽  
Medical Students ◽  
Plastic Surgery ◽  
The United States

Nonoperative Management of Abdominal Aortic Aneurysms

2015 ◽  
Author(s):  
John P. Davis ◽  
Gilbert R Upchurch Jr
Keyword(s):  
United States ◽  
Physical Examination ◽  
Nonoperative Management ◽  
Abdominal Aortic Aneurysms ◽  
The United States ◽  
Aortic Aneurysms ◽  
Surveillance Period ◽  
Abdominal Aortic ◽  
Normal Diameter ◽  
Average Adult

Abdominal aortic aneurysms (AAAs) are characterized by dilation of the abdominal aorta at least 1.5 times the normal diameter of the average adult, which is approximately 2 cm in men and 1.5 cm in women. Although the incidence is relatively low, this disease can be devastating, with AAAs accounting for roughly 15,000 deaths annually in the United States. This review covers the focused history and physical examination of a patient with a known AAA, evaluation of small and large AAAs, and surveillance of AAAs. Tables highlight recommendations for best medical management of small AAAs during the surveillance period, and information on nicotine replacement and nonnicotinic pharmacotherapy. Figures show a calcific rim consistent with the atherosclerotic rim of an AAA, a small AAA, a small inflammatory AAA, and age-adjusted effects of lifestyle characteristics and risk of AAA. An algorithm provides an approach to nonoperative management of stable AAAs. This review contains 5 figures, 3 tables, and 86 references.

scholarly journals Perception of medical students and residents about virtual interviews for residency applications in the United States

PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0238239 ◽  
Author(s):  
Ali Seifi ◽  
Alireza Mirahmadizadeh ◽  
Vahid Eslami
Keyword(s):  
United States ◽  
Medical Students ◽  
The United States

scholarly journals Evaluation of a new clinical performance assessment tool : A reliability study

2012 ◽  
Vol 68 (3) ◽  
Author(s):  
C. Joseph ◽  
J. Frantz ◽  
C. Hendricks ◽  
M. Smith
Keyword(s):  
Clinical Practice ◽  
Performance Assessment ◽  
Internal Consistency ◽  
Quantitative Research ◽  
Assessment Tool ◽  
Clinical Performance ◽  
Intraclass Correlation ◽  
Cross Sectional ◽  
Clinical Educators ◽  
Clinical Performance Assessment

Clinical practice is an essential requirement of any graduatephysiotherapy programme. For this purpose, valid and reliable assessment toolsare paramount for the measurement of key competencies in the real-worldsetting. This study aims to determine the internal consistency and inter-raterreliability of a newly developed and validated clinical performance assessmentform. A cross-sectional quantitative research design was used, which includedpaired evaluations of 32 (17 treatment and 15 assessment) student examinationsperformed by two independent clinical educators. Chronbachs alpha was computedto assess internal consistency and intraclass correlation coefficient (ICC’s) withconfidence intervals of 95% were computed to determine the percentage agreement between paired examiners. Thedegree of internal consistency was substantial for all key performance areas of both examinations, except for timeand organisational management (0.21) and professionalism (0.42) in the treatment and evaluation examinationsrespectively. The overall internal consistency was 0.89 and 0.73 for both treatment and assessment examinations,indicating substantial agreement. With regard to agreement between raters, the ICC’s for the overall marks were0.90 and 0.97 for both treatment and assessment examinations. Clinical educators demonstrated a high level ofreliability in the assessment of students’ competence using the newly developed clinical performance assessment form.These findings greatly underscore the reliability of results obtained through observation of student examinations, andadd another tool to the basket of ensuring quality assurance in physiotherapy clinical practice assessment.

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