Australian medical students have fewer opportunities to do physical examination of peers of the opposite gender

Purpose Peer physical examination (PPE), by which junior medical students learn physical examination skills before practicing on patients, is a widely implemented and accepted part of medical curricula. However, the ethical implications of PPE have been debated, since issues including student gender...

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Main Authors: Silas Taylor, Boaz Shulruf
Format: Article
Language:English
Published: Korea Health Personnel Licensing Examination Institute 2016-11-01
Series:Journal of Educational Evaluation for Health Professions
Subjects:
Online Access:http://jeehp.org/upload/jeehp-13-42.pdf
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author Silas Taylor
Boaz Shulruf
author_facet Silas Taylor
Boaz Shulruf
author_sort Silas Taylor
collection DOAJ
description Purpose Peer physical examination (PPE), by which junior medical students learn physical examination skills before practicing on patients, is a widely implemented and accepted part of medical curricula. However, the ethical implications of PPE have been debated, since issues including student gender impact on its acceptability. Research has previously demonstrated the phenomenon of ‘attitude-behavior inconsistency’ showing that students’ predictions about their participation in PPE differ from what they actually do in practice. This study asks whether gender and student self-ratings of outlook affect engagement in PPE. Methods This study gathered data from students who had completed PPE with the objective of determining what factors have the greatest impact on the actual practice of PPE by students. Data were used to derive the number of opportunities students had to examine a peer, for various body parts. Respondent gender and self-ratings of outlook were recorded. Results Responses from 130 students were analysed: 74 female (57%) and 56 male (43%). Students have fewer opportunities to examine peers of the opposite gender; this is statistically significant for all body parts when male students examine female peers. Conclusion Gender is the factor of overriding importance on whether these peer interactions actually occur, such that students have fewer opportunities to examine peers of the opposite gender, particularly male students examining female peers. Student outlook has little impact. We speculate that the more acceptable PPE is to participants, paradoxically, the more complicated these interactions become, possibly with implications for future practice.
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spelling doaj.art-d370e74598044aaea5c4296a26add8252023-09-03T05:19:18ZengKorea Health Personnel Licensing Examination InstituteJournal of Educational Evaluation for Health Professions1975-59372016-11-011310.3352/jeehp.2016.13.42227Australian medical students have fewer opportunities to do physical examination of peers of the opposite genderSilas TaylorBoaz ShulrufPurpose Peer physical examination (PPE), by which junior medical students learn physical examination skills before practicing on patients, is a widely implemented and accepted part of medical curricula. However, the ethical implications of PPE have been debated, since issues including student gender impact on its acceptability. Research has previously demonstrated the phenomenon of ‘attitude-behavior inconsistency’ showing that students’ predictions about their participation in PPE differ from what they actually do in practice. This study asks whether gender and student self-ratings of outlook affect engagement in PPE. Methods This study gathered data from students who had completed PPE with the objective of determining what factors have the greatest impact on the actual practice of PPE by students. Data were used to derive the number of opportunities students had to examine a peer, for various body parts. Respondent gender and self-ratings of outlook were recorded. Results Responses from 130 students were analysed: 74 female (57%) and 56 male (43%). Students have fewer opportunities to examine peers of the opposite gender; this is statistically significant for all body parts when male students examine female peers. Conclusion Gender is the factor of overriding importance on whether these peer interactions actually occur, such that students have fewer opportunities to examine peers of the opposite gender, particularly male students examining female peers. Student outlook has little impact. We speculate that the more acceptable PPE is to participants, paradoxically, the more complicated these interactions become, possibly with implications for future practice.http://jeehp.org/upload/jeehp-13-42.pdfAttitudeAustraliaPeer groupMedical studentsPhysical examination
spellingShingle Silas Taylor
Boaz Shulruf
Australian medical students have fewer opportunities to do physical examination of peers of the opposite gender
Journal of Educational Evaluation for Health Professions
Attitude
Australia
Peer group
Medical students
Physical examination
title Australian medical students have fewer opportunities to do physical examination of peers of the opposite gender
title_full Australian medical students have fewer opportunities to do physical examination of peers of the opposite gender
title_fullStr Australian medical students have fewer opportunities to do physical examination of peers of the opposite gender
title_full_unstemmed Australian medical students have fewer opportunities to do physical examination of peers of the opposite gender
title_short Australian medical students have fewer opportunities to do physical examination of peers of the opposite gender
title_sort australian medical students have fewer opportunities to do physical examination of peers of the opposite gender
topic Attitude
Australia
Peer group
Medical students
Physical examination
url http://jeehp.org/upload/jeehp-13-42.pdf
work_keys_str_mv AT silastaylor australianmedicalstudentshavefeweropportunitiestodophysicalexaminationofpeersoftheoppositegender
AT boazshulruf australianmedicalstudentshavefeweropportunitiestodophysicalexaminationofpeersoftheoppositegender