Teaching Evidence-Based Physical Diagnosis: A Workshop for Hospitalists

Introduction Teaching on physical examination, especially evidence-based physical diagnosis, is at times lacking on general medicine rounds. We created a hospitalist faculty workshop on teaching evidence-based physical diagnosis. Methods The workshop included a systematic approach to teaching eviden...

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Main Authors: Zahir Kanjee, Anjala V. Tess
Format: Article
Language:English
Published: Association of American Medical Colleges 2022-04-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.11243
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author Zahir Kanjee
Anjala V. Tess
author_facet Zahir Kanjee
Anjala V. Tess
author_sort Zahir Kanjee
collection DOAJ
description Introduction Teaching on physical examination, especially evidence-based physical diagnosis, is at times lacking on general medicine rounds. We created a hospitalist faculty workshop on teaching evidence-based physical diagnosis. Methods The workshop included a systematic approach to teaching evidence-based physical diagnosis, multiple teaching resources, and observed peer teaching. A long-term follow-up session was offered several months after the workshop. Participants completed questionnaires before and after the workshop as well as after the long-term follow-up session. Results Four workshops were conducted and attended by 28 unique participants. Five hospitalists attended long-term follow-up sessions. Due to the COVID-19 pandemic, repeat sessions and long-term follow-up were limited. In paired analyses compared to preworkshop, respondents after the workshop reported a higher rate of prioritizing ( p = .008), having a systematic approach to ( p < .001), and confidence in ( p = .001) teaching evidence-based physical diagnosis. Compared to before the workshop, participants after the workshop were able to name more resources to inform teaching of evidence-based physical diagnosis ( p < .001). Informal feedback was positive. Respondents noted that the workshop could be improved by allowing more practice of the actual physical exam maneuvers and more observed teaching. Discussion We created and implemented a workshop to train hospitalists in teaching evidence-based physical diagnosis. This workshop led to improvements in faculty attitudes and teaching skills. Long-term outcomes were limited by low participation due in part to the COVID-19 pandemic.
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spelling doaj.art-640dea4e5b9a4a32959664cec3b28a4d2022-12-21T23:14:44ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652022-04-011810.15766/mep_2374-8265.11243Teaching Evidence-Based Physical Diagnosis: A Workshop for HospitalistsZahir Kanjee0Anjala V. Tess1Hospitalist, Department of Medicine, Beth Israel Deaconess Medical Center; Assistant Professor of Medicine, Harvard Medical SchoolHospitalist and Associate Vice Chair for Education, Department of Medicine, Beth Israel Deaconess Medical Center; Associate Professor of Medicine, Harvard Medical SchoolIntroduction Teaching on physical examination, especially evidence-based physical diagnosis, is at times lacking on general medicine rounds. We created a hospitalist faculty workshop on teaching evidence-based physical diagnosis. Methods The workshop included a systematic approach to teaching evidence-based physical diagnosis, multiple teaching resources, and observed peer teaching. A long-term follow-up session was offered several months after the workshop. Participants completed questionnaires before and after the workshop as well as after the long-term follow-up session. Results Four workshops were conducted and attended by 28 unique participants. Five hospitalists attended long-term follow-up sessions. Due to the COVID-19 pandemic, repeat sessions and long-term follow-up were limited. In paired analyses compared to preworkshop, respondents after the workshop reported a higher rate of prioritizing ( p = .008), having a systematic approach to ( p < .001), and confidence in ( p = .001) teaching evidence-based physical diagnosis. Compared to before the workshop, participants after the workshop were able to name more resources to inform teaching of evidence-based physical diagnosis ( p < .001). Informal feedback was positive. Respondents noted that the workshop could be improved by allowing more practice of the actual physical exam maneuvers and more observed teaching. Discussion We created and implemented a workshop to train hospitalists in teaching evidence-based physical diagnosis. This workshop led to improvements in faculty attitudes and teaching skills. Long-term outcomes were limited by low participation due in part to the COVID-19 pandemic.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11243Clinical Reasoning/Diagnostic ReasoningClinical Teaching/Bedside TeachingEvidence-Based Medicine/Knowledge TranslationFaculty DevelopmentHospital MedicinePhysical Examination
spellingShingle Zahir Kanjee
Anjala V. Tess
Teaching Evidence-Based Physical Diagnosis: A Workshop for Hospitalists
MedEdPORTAL
Clinical Reasoning/Diagnostic Reasoning
Clinical Teaching/Bedside Teaching
Evidence-Based Medicine/Knowledge Translation
Faculty Development
Hospital Medicine
Physical Examination
title Teaching Evidence-Based Physical Diagnosis: A Workshop for Hospitalists
title_full Teaching Evidence-Based Physical Diagnosis: A Workshop for Hospitalists
title_fullStr Teaching Evidence-Based Physical Diagnosis: A Workshop for Hospitalists
title_full_unstemmed Teaching Evidence-Based Physical Diagnosis: A Workshop for Hospitalists
title_short Teaching Evidence-Based Physical Diagnosis: A Workshop for Hospitalists
title_sort teaching evidence based physical diagnosis a workshop for hospitalists
topic Clinical Reasoning/Diagnostic Reasoning
Clinical Teaching/Bedside Teaching
Evidence-Based Medicine/Knowledge Translation
Faculty Development
Hospital Medicine
Physical Examination
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.11243
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