Critical Synthesis Package: Hypothesis-Driven Physical Examination (HDPE)

Abstract This Critical Synthesis Package contains: (1) a Critical Analysis of the psychometric properties and application to health sciences education for the Hypothesis-Driven Physical Examination (HDPE), (2) a copy of the HDPE faculty handbook, a copy HDPE student handbook, and an example of HDPE...

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Main Authors: Toshiko Uchida, Heather L. Heiman
Format: Article
Language:English
Published: Association of American Medical Colleges 2013-06-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.9435
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author Toshiko Uchida
Heather L. Heiman
author_facet Toshiko Uchida
Heather L. Heiman
author_sort Toshiko Uchida
collection DOAJ
description Abstract This Critical Synthesis Package contains: (1) a Critical Analysis of the psychometric properties and application to health sciences education for the Hypothesis-Driven Physical Examination (HDPE), (2) a copy of the HDPE faculty handbook, a copy HDPE student handbook, and an example of HDPE scoring developed by Rachel Yudkowsky, MD. The HDPE is a method for assessing both students' physical exam skills and their diagnostic reasoning around the physical exam. Students are given two competing diagnoses and asked to list anticipated physical signs, perform the exam on a specially-trained patient instructor (PI), receive feedback from the PI, and revise their exam and working diagnosis. The HDPE is well grounded in educational theory, may be used to supplement the survey approach to teaching the physical exam (e.g., a “head-to-toe” approach), and may be most appropriate for students who already have a basic knowledge of the physical exam. The HDPE is not yet widely implemented but has been adapted for use by several medical schools for both teaching and assessment. There has been only one small study comparing a hypothesis-driven approach to a standard approach to the physical exam. More research is needed to know whether diagnostic accuracy and/or exam technique are improved with the HDPE.
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spelling doaj.art-510e469b08f641749ee78daaaa05b6a12022-12-21T19:48:48ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652013-06-01910.15766/mep_2374-8265.9435Critical Synthesis Package: Hypothesis-Driven Physical Examination (HDPE)Toshiko Uchida0Heather L. Heiman11 Northwestern University The Feinberg School of Medicine2 Northwestern University The Feinberg School of MedicineAbstract This Critical Synthesis Package contains: (1) a Critical Analysis of the psychometric properties and application to health sciences education for the Hypothesis-Driven Physical Examination (HDPE), (2) a copy of the HDPE faculty handbook, a copy HDPE student handbook, and an example of HDPE scoring developed by Rachel Yudkowsky, MD. The HDPE is a method for assessing both students' physical exam skills and their diagnostic reasoning around the physical exam. Students are given two competing diagnoses and asked to list anticipated physical signs, perform the exam on a specially-trained patient instructor (PI), receive feedback from the PI, and revise their exam and working diagnosis. The HDPE is well grounded in educational theory, may be used to supplement the survey approach to teaching the physical exam (e.g., a “head-to-toe” approach), and may be most appropriate for students who already have a basic knowledge of the physical exam. The HDPE is not yet widely implemented but has been adapted for use by several medical schools for both teaching and assessment. There has been only one small study comparing a hypothesis-driven approach to a standard approach to the physical exam. More research is needed to know whether diagnostic accuracy and/or exam technique are improved with the HDPE.http://www.mededportal.org/doi/10.15766/mep_2374-8265.9435Physical ExaminationEducational MeasurementClinical CompetenceDREAMDirectory and Repository of Educational Assessment MeasuresClinical Skills Assessment
spellingShingle Toshiko Uchida
Heather L. Heiman
Critical Synthesis Package: Hypothesis-Driven Physical Examination (HDPE)
MedEdPORTAL
Physical Examination
Educational Measurement
Clinical Competence
DREAM
Directory and Repository of Educational Assessment Measures
Clinical Skills Assessment
title Critical Synthesis Package: Hypothesis-Driven Physical Examination (HDPE)
title_full Critical Synthesis Package: Hypothesis-Driven Physical Examination (HDPE)
title_fullStr Critical Synthesis Package: Hypothesis-Driven Physical Examination (HDPE)
title_full_unstemmed Critical Synthesis Package: Hypothesis-Driven Physical Examination (HDPE)
title_short Critical Synthesis Package: Hypothesis-Driven Physical Examination (HDPE)
title_sort critical synthesis package hypothesis driven physical examination hdpe
topic Physical Examination
Educational Measurement
Clinical Competence
DREAM
Directory and Repository of Educational Assessment Measures
Clinical Skills Assessment
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.9435
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