A Diagnostic Practice. The introduction of speciality-based physical examination.
- VernacularTitle:診断学実習教育におけるｓｐｅｃｉａｌｉｔｙ ｂａｓｅｄ ｐｈｙｓｉｃａｌ ｅｘａｍｉｎａｔｉｏｎ（ＳＢＰＥ）方式の導入経験
- Author:
Yoshikazu GORIYA
;
Yukio YASUDA
;
Susumu SUGAI
;
Yasuyuki KAWARAI
;
Nobuo OHYA
- Publication Type:Journal Article
- Keywords:
specialty-based physical examination;
diagnostics;
basic clinical skills;
clinical examination
- From:Medical Education
1998;29(2):87-92
- CountryJapan
- Language:Japanese
-
Abstract:
To improve physical examination skills of medical students, our original system of specialty-based physical examination (SBPE) was introduced into the diagnostic medical practice for 4th-year students. SBPE consisted of clinical practice and tests of every part of the physical examination which were administered and judged by each specialist, thereby greatly reducing the doctors' burden compared with a nonspecialist system. Because of the difficulty of preparing enough simulated or standardized patients, the medical interview was omitted from the system. Instead, the medical interview was directed stepwise according to a separate curriculum. Thus, these characteristics made SBPE much more practical to introduce. Results with this SBPE and those with a previous non-SBPE system were compared; the SBPE succeeded in reducing the number of “poor” grades and increasing the number of “good” grades on the test. These results demonstrate that SBPE is clinically efficacious because specialists could make an accurate evaluation and because the introduction of SBPE strongly motivated students.
