A Blended Curriculum to Improve Resident Physical Exam Skills for Patients With Neuromuscular Disability

Introduction Children with neuromuscular disabilities (NMD) receive care in a wide variety of clinical settings. Residents lack training to develop physical examination skills for evaluating patients with NMD. We devised a curriculum to teach residents how to examine patients with NMD using a system...

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Autores principales:	Jennifer C. Benjamin, Judith Groner, Jennifer Walton, Garey Noritz, Gregg M. Gascon, John D. Mahan
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Curriculum Physical Examination Pediatric Residents Neurodisability Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/ddd92e1b013048e18510a113dd13b110
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spelling	oai:doaj.org-article:ddd92e1b013048e18510a113dd13b1102021-11-22T13:39:10ZA Blended Curriculum to Improve Resident Physical Exam Skills for Patients With Neuromuscular Disability10.15766/mep_2374-8265.107922374-8265https://doaj.org/article/ddd92e1b013048e18510a113dd13b1102019-01-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10792https://doaj.org/toc/2374-8265Introduction Children with neuromuscular disabilities (NMD) receive care in a wide variety of clinical settings. Residents lack training to develop physical examination skills for evaluating patients with NMD. We devised a curriculum to teach residents how to examine patients with NMD using a systematic and simplified approach. Methods Creation of this resource was a response to a survey of final-year residents that revealed the need for education focused on developing physical examination skills. The curriculum has four components—multimedia PowerPoint with embedded video, knowledge assessment, clinical exam (CEX) assessment, and module feedback—and was completed by 37 residents over an 8-month period from January to September 2016. We utilized knowledge assessment, direct clinical skills observation using the CEX, and module-feedback responses as part of the evaluation. Results All 37 residents completed the curriculum, with an overall knowledge score of greater than 80%. Residents demonstrated most of the desired patient care behaviors on the CEX assessment and provided positive feedback on the quality, usefulness, and applicability of the module, in addition to requesting more curricula to develop their physical examination skills. Discussion The CEX assessment provided a unique opportunity for faculty feedback on residents’ physical exam performance. After completing the module, residents achieved high scores in most areas of the standardized CEX and were able to conduct the NMD physical exam in a sensitive manner. The assessment highlighted the need to improve residents’ skills of detecting abnormal clinical findings and communicating with the patient during the physical exam.Jennifer C. BenjaminJudith GronerJennifer WaltonGarey NoritzGregg M. GasconJohn D. MahanAssociation of American Medical CollegesarticleCurriculumPhysical ExaminationPediatric ResidentsNeurodisabilityMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Curriculum Physical Examination Pediatric Residents Neurodisability Medicine (General) R5-920 Education L
spellingShingle	Curriculum Physical Examination Pediatric Residents Neurodisability Medicine (General) R5-920 Education L Jennifer C. Benjamin Judith Groner Jennifer Walton Garey Noritz Gregg M. Gascon John D. Mahan A Blended Curriculum to Improve Resident Physical Exam Skills for Patients With Neuromuscular Disability
description	Introduction Children with neuromuscular disabilities (NMD) receive care in a wide variety of clinical settings. Residents lack training to develop physical examination skills for evaluating patients with NMD. We devised a curriculum to teach residents how to examine patients with NMD using a systematic and simplified approach. Methods Creation of this resource was a response to a survey of final-year residents that revealed the need for education focused on developing physical examination skills. The curriculum has four components—multimedia PowerPoint with embedded video, knowledge assessment, clinical exam (CEX) assessment, and module feedback—and was completed by 37 residents over an 8-month period from January to September 2016. We utilized knowledge assessment, direct clinical skills observation using the CEX, and module-feedback responses as part of the evaluation. Results All 37 residents completed the curriculum, with an overall knowledge score of greater than 80%. Residents demonstrated most of the desired patient care behaviors on the CEX assessment and provided positive feedback on the quality, usefulness, and applicability of the module, in addition to requesting more curricula to develop their physical examination skills. Discussion The CEX assessment provided a unique opportunity for faculty feedback on residents’ physical exam performance. After completing the module, residents achieved high scores in most areas of the standardized CEX and were able to conduct the NMD physical exam in a sensitive manner. The assessment highlighted the need to improve residents’ skills of detecting abnormal clinical findings and communicating with the patient during the physical exam.
format	article
author	Jennifer C. Benjamin Judith Groner Jennifer Walton Garey Noritz Gregg M. Gascon John D. Mahan
author_facet	Jennifer C. Benjamin Judith Groner Jennifer Walton Garey Noritz Gregg M. Gascon John D. Mahan
author_sort	Jennifer C. Benjamin
title	A Blended Curriculum to Improve Resident Physical Exam Skills for Patients With Neuromuscular Disability
title_short	A Blended Curriculum to Improve Resident Physical Exam Skills for Patients With Neuromuscular Disability
title_full	A Blended Curriculum to Improve Resident Physical Exam Skills for Patients With Neuromuscular Disability
title_fullStr	A Blended Curriculum to Improve Resident Physical Exam Skills for Patients With Neuromuscular Disability
title_full_unstemmed	A Blended Curriculum to Improve Resident Physical Exam Skills for Patients With Neuromuscular Disability
title_sort	blended curriculum to improve resident physical exam skills for patients with neuromuscular disability
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/ddd92e1b013048e18510a113dd13b110
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A Blended Curriculum to Improve Resident Physical Exam Skills for Patients With Neuromuscular Disability

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