Teaching physical diagnosis in the nursing home: a prospective, controlled trial.

Teaching physical diagnosis in the nursing home: a prospective, controlled trial. Research Abstract Details 

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Teaching physical diagnosis in the nursing home: a prospective, controlled trial. Abstract Text:

STUDY OBJECTIVE: To investigate the suitability of the nursing home as a site for teaching physical diagnosis to second-year medical students. DESIGN: Prospective comparison of teaching sessions in the nursing home to concurrent control sessions in acute care wards. SETTING: Nursing Home Care Unit (NHCU) and acute care hospital wards of a Veterans Affairs Medical Center. PATIENTS: Sessions with 38 NHCU patients and 68 hospital patients. MEASUREMENTS AND MAIN RESULTS: Patient interviews and student questionnaires were used to obtain responses on a 1-10 scale (1 = poor, 10 = excellent). Patient responses were very favorable in both settings for overall quality of experience (mean score NHCU vs control: 8.8 vs 8.6) and willingness to participate again (8.4 vs 8.2). Student ratings showed no significant differences for patient attitude (7.4 vs 8.4) or quality of exam (7.2 vs 7.7) while quality of history (6.0 vs 7.6) and overall quality of session (7.6 vs 8.6) were rated higher (P less than 0.05) for the control sessions. Students rated both environments highly (8.6 vs 8.4) but reported that fewer NHCU sessions were interrupted (15% vs 25%) or disrupted by noise (6% vs 30%, P less than 0.005). CONCLUSIONS: Advantages of the nursing home include readily available patients who view participation favorably, instructive physical findings, and a suitable environment. However, students rate the quality of the histories obtained there lower. This problem could be addressed by more careful patient selection and greater emphasis by course instructors on other goals of the history in addition to exploring the chief complaint.

Teaching physical diagnosis in the nursing home: a prospective, controlled trial. Publishing Authors By Initials

For similar investigative techniques: epidemiologic methods: epidemiologic study characteristics as topic: epidemiologic studies: cohort studies: longitudinal studies: prospective studies research abstracts see: investigative techniques: epidemiologic methods: epidemiologic study characteristics as topic: epidemiologic studies: cohort studies: longitudinal studies: prospective studies research

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Teaching physical diagnosis in the nursing home: a prospective, controlled trial. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of the American Geriatrics Society

VOLUME: 39

Page Numbers: 1085-8

Journal Abbreviation: J Am Geriatr Soc

ISSN: 0002-8614

DAY: 10

MONTH: Nov

YEAR: 1991

Teaching physical diagnosis in the nursing home: a prospective, controlled trial. Information

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LANGUAGE: eng

NlmUniqueID: 7503062

Teaching physical diagnosis in the nursing home: a prospective, controlled trial. Keywords Mesh Terms:

KEYWORDS: Prospective Studies

MESH TERMS: statistics & numerical data

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Grant and Affiliation Information for Teaching physical diagnosis in the nursing home: a prospective, controlled trial.

AFFILIATION: VAMC, Manchester, NH 03104.

Country: UNITED STATES

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MEDLINETA: J Am Geriatr Soc

REFSOURCE: J Am Geriatr Soc. 1992 Apr;40(4):427-8

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