Background:

The physical examination (PE) skills of residents are often not improved since medical school. Unfortunately, how residents learn PE is not well understood. There is a paucity of research on the factors involved and the differences between resident and faculty perspectives. The authors sought to determine resident and faculty perceptions about the value of PE, the major barriers to learning PE, and the most effective teaching methods.

Methods:

Based on a rigorous process of literature review and semi-structured interviews, the authors developed an online survey which was sent to 406 internal medicine residents and 93 faculty at 3 institutions. Residents and faculty answered questions about both their own opinions and about their perception of the other group’s opinions.

Results:

About 283 residents (70%) and 61 faculty (66%) completed the survey. Both residents and faculty rated the importance of PE similarly. Residents rated being too busy, followed by a lack of feedback, as the most significant barriers to learning PE. Faculty rated a lack of feedback, followed by a lack of resident accountability, as the most significant barriers. Both groups rated the availability of abnormal findings as the least significant barrier. Both groups agreed that faculty demonstration at the bedside was the most effective teaching method.

Conclusion:

This survey can serve as a needs assessment for educational interventions to improve the PE skills of residents by focusing on areas of agreement between residents and faculty, specifically faculty demonstration at the bedside combined with feedback about residents’ skills.

中文翻译：

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发展住院医师体检技能：比较住院医师和教职员工对价值观、障碍和教学方法的看法

背景：

自医学院以来，居民的体检（PE）技能通常没有提高。不幸的是，居民如何学习体育还不是很清楚。关于所涉及的因素以及居民和教师观点之间的差异的研究很少。作者试图确定居​​民和教师对体育价值、学习体育的主要障碍以及最有效的教学方法的看法。

方法：

基于严格的文献回顾和半结构化访谈，作者开发了一项在线调查，该调查发送给了 3 个机构的 406 名内科住院医师和 93 名教职员工。居民和教职员工回答了关于他们自己的观点以及他们对其他群体观点的看法的问题。

结果：

大约 283 名居民 (70%) 和 61 名教员 (66%) 完成了调查。居民和教师都对体育的重要性进行了类似的评价。居民认为太忙，其次是缺乏反馈，是学习体育的最大障碍。教师认为缺乏反馈，其次是缺乏居民问责制，是最重要的障碍。两组都将异常发现的可用性评为最不重要的障碍。两组都一致认为，在床边进行教师演示是最有效的教学方法。

结论：

这项调查可以作为教育干预的需求评估，通过关注住院医师和教职员工之间达成一致的领域，特别是在床边的教职人员演示以及对住院医师技能的反馈，从而提高住院医师的体育技能。