Achieving physical examination competence through optimizing hands-on practice cycles: a prospective cohort comparative study of medical students

Background Deliberate practice (DP) was proposed for effective clinical skill training, which highlights focused, repetitive practice and feedback as the key points for practice. Although previous studies have investigated the effect of feedback in DP, little is known about the proper repetitive cyc...

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Autores principales:	Zinan Zhang, Zhenwei Tang, Fang Wang, Jingjia Yu, Youzhou Tang, Boyue Jiang, Yue Gou, Ben Lu, Anliu Tang, Xiaohong Tang
Formato:	article
Lenguaje:	EN
Publicado:	PeerJ Inc. 2021
Materias:	Physical examination Learning curve Chinese medical education Deliberate practice Practice cycles Medical teaching Medicine R
Acceso en línea:	https://doaj.org/article/db3f8909c42e4ff4a1c72f01294ee37f
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spelling	oai:doaj.org-article:db3f8909c42e4ff4a1c72f01294ee37f2021-12-03T15:05:10ZAchieving physical examination competence through optimizing hands-on practice cycles: a prospective cohort comparative study of medical students10.7717/peerj.125442167-8359https://doaj.org/article/db3f8909c42e4ff4a1c72f01294ee37f2021-12-01T00:00:00Zhttps://peerj.com/articles/12544.pdfhttps://peerj.com/articles/12544/https://doaj.org/toc/2167-8359Background Deliberate practice (DP) was proposed for effective clinical skill training, which highlights focused, repetitive practice and feedback as the key points for practice. Although previous studies have investigated the effect of feedback in DP, little is known about the proper repetitive cycles of clinical skills training especially in physical examination (PE) training. Methods We drew learning curves and designed a comparative study to find out the optimal number of hands-on practice cycles, an important aspect of DP, in abdominal PE training for medical students. A comparative study was conducted to validate the optimal number of hands-on practice by dividing students into two cohorts including Cohort A (high-frequency hand-on training) and B (low-frequency hand-on training). Results The learning curve study of 16 students exhibited a threshold of four repetitive practices when 81.25% students reached the competence score. A total of 74 students’ final exam scores were collected for analysis. Students in Cohort A (4–5 PEs) scored significantly higher than those in Cohort B (≤3 PEs) (84.41 ± 11.78 vs 76.83 ± 17.51] in the final exam (P = 0.030)). Conclusion High-frequency practice can improve students’ competence of abdominal PE skill. We recommend four cycles of hands-on practice for each student in a training course like PE training.Zinan ZhangZhenwei TangFang WangJingjia YuYouzhou TangBoyue JiangYue GouBen LuAnliu TangXiaohong TangPeerJ Inc.articlePhysical examinationLearning curveChinese medical educationDeliberate practicePractice cyclesMedical teachingMedicineRENPeerJ, Vol 9, p e12544 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Physical examination Learning curve Chinese medical education Deliberate practice Practice cycles Medical teaching Medicine R
spellingShingle	Physical examination Learning curve Chinese medical education Deliberate practice Practice cycles Medical teaching Medicine R Zinan Zhang Zhenwei Tang Fang Wang Jingjia Yu Youzhou Tang Boyue Jiang Yue Gou Ben Lu Anliu Tang Xiaohong Tang Achieving physical examination competence through optimizing hands-on practice cycles: a prospective cohort comparative study of medical students
description	Background Deliberate practice (DP) was proposed for effective clinical skill training, which highlights focused, repetitive practice and feedback as the key points for practice. Although previous studies have investigated the effect of feedback in DP, little is known about the proper repetitive cycles of clinical skills training especially in physical examination (PE) training. Methods We drew learning curves and designed a comparative study to find out the optimal number of hands-on practice cycles, an important aspect of DP, in abdominal PE training for medical students. A comparative study was conducted to validate the optimal number of hands-on practice by dividing students into two cohorts including Cohort A (high-frequency hand-on training) and B (low-frequency hand-on training). Results The learning curve study of 16 students exhibited a threshold of four repetitive practices when 81.25% students reached the competence score. A total of 74 students’ final exam scores were collected for analysis. Students in Cohort A (4–5 PEs) scored significantly higher than those in Cohort B (≤3 PEs) (84.41 ± 11.78 vs 76.83 ± 17.51] in the final exam (P = 0.030)). Conclusion High-frequency practice can improve students’ competence of abdominal PE skill. We recommend four cycles of hands-on practice for each student in a training course like PE training.
format	article
author	Zinan Zhang Zhenwei Tang Fang Wang Jingjia Yu Youzhou Tang Boyue Jiang Yue Gou Ben Lu Anliu Tang Xiaohong Tang
author_facet	Zinan Zhang Zhenwei Tang Fang Wang Jingjia Yu Youzhou Tang Boyue Jiang Yue Gou Ben Lu Anliu Tang Xiaohong Tang
author_sort	Zinan Zhang
title	Achieving physical examination competence through optimizing hands-on practice cycles: a prospective cohort comparative study of medical students
title_short	Achieving physical examination competence through optimizing hands-on practice cycles: a prospective cohort comparative study of medical students
title_full	Achieving physical examination competence through optimizing hands-on practice cycles: a prospective cohort comparative study of medical students
title_fullStr	Achieving physical examination competence through optimizing hands-on practice cycles: a prospective cohort comparative study of medical students
title_full_unstemmed	Achieving physical examination competence through optimizing hands-on practice cycles: a prospective cohort comparative study of medical students
title_sort	achieving physical examination competence through optimizing hands-on practice cycles: a prospective cohort comparative study of medical students
publisher	PeerJ Inc.
publishDate	2021
url	https://doaj.org/article/db3f8909c42e4ff4a1c72f01294ee37f
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Achieving physical examination competence through optimizing hands-on practice cycles: a prospective cohort comparative study of medical students

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