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Digital rectal examination skills: first training experiences, the motives and attitudes of standardized patients

Nikendei, Christoph ; Diefenbacher, Katja ; Köhl-Hackert, Nadja ; Lauber, Heike ; Huber, Julia ; Herrmann-Werner, Anne ; Herzog, Wolfgang ; Schultz, Jobst-Hendrik ; Jünger, Jana ; Krautter, Markus

In: BMC Medical Education, 15 (2015), Nr. 7. pp. 1-12. ISSN 1472-6920

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Download (477kB) | Lizenz: Creative Commons LizenzvertragDigital rectal examination skills: first training experiences, the motives and attitudes of standardized patients by Nikendei, Christoph ; Diefenbacher, Katja ; Köhl-Hackert, Nadja ; Lauber, Heike ; Huber, Julia ; Herrmann-Werner, Anne ; Herzog, Wolfgang ; Schultz, Jobst-Hendrik ; Jünger, Jana ; Krautter, Markus underlies the terms of Creative Commons Attribution 3.0 Germany

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Abstract

Background: Physical clinical examination is a core clinical competence of medical doctors. In this regard, digital rectal examination (DRE) plays a central role in the detection of abnormalities of the anus and rectum. However, studies in undergraduate medical students as well as newly graduated doctors show that they are insufficiently prepared for performing DRE. Training units with Standardized Patients (SP) represent one method to deliver DRE skills. As yet, however, it is little known about SPs’ attitudes. Methods: This is a qualitative study using a grounded theory approach. Interviews were conducted with 4 standardized patients about their experiences before, during and after structured SP training to deliver DRE competencies to medical students. The resulting data were subjected to thematic content analysis. Results: Results show that SPs do not have any predominant motives for DRE program participation. They participate in the SP training sessions with relatively little prejudice and do not anticipate feeling highly vulnerable within teaching sessions with undergraduate medical students. Conclusions: The current study examined SPs’ motives, views, expectations and experiences regarding a DRE program during their first SP training experiences. The results enabled us to derive distinct action guidelines for the recruitment, informing and briefing of SPs who are willing to participate in a DRE program.

Item Type: Article
Journal or Publication Title: BMC Medical Education
Volume: 15
Number: 7
Publisher: BioMed Central
Place of Publication: London
Date Deposited: 06 Oct 2016 13:09
Date: 2015
ISSN: 1472-6920
Page Range: pp. 1-12
Faculties / Institutes: Medizinische Fakultät Heidelberg > Medizinische Universitäts-Klinik und Poliklinik
Medizinische Fakultät Heidelberg > Psychosomatische Universitätsklinik
Subjects: 610 Medical sciences Medicine
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