Emphasizing High Value, Cost-Effective Care in Physical Examination Instruction – A Qualitative Content Analysis of Interviews with Expert Educators
Introduction Physical examination and cost consciousness are critical competencies for medical trainees, but the intersection of these two skill domains is not described. We aimed to elucidate the role of physical examination in providing high value, cost conscious care (HVC) and to explore how c...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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F1000 Research Ltd
2018-03-01
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| Series: | MedEdPublish |
| Subjects: | |
| Online Access: | https://www.mededpublish.org/Manuscripts/1526 |
| _version_ | 1818336586877632512 |
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| author | Paul A. Bergl Jeanne M. Farnan Evelyn C.Y. Chan |
| author_facet | Paul A. Bergl Jeanne M. Farnan Evelyn C.Y. Chan |
| author_sort | Paul A. Bergl |
| collection | DOAJ |
| description | Introduction
Physical examination and cost consciousness are critical competencies for medical trainees, but the intersection of these two skill domains is not described. We aimed to elucidate the role of physical examination in providing high value, cost conscious care (HVC) and to explore how clinical skills curricula could integrate principles of HVC.
Methods
We conducted a qualitative study of semi-structured interviews with 20 experts in the instruction and clinical applications of physical examination. We identified experts through purposeful sampling and snowball sampling. Audio-recorded interviews were coded using qualitative content analysis. Coded passages were categorized and reported as key themes and recommendations.
Results
Experts affirmed physical examination's indispensable role in clinical reasoning. When integrated with history-taking and additional diagnostic data, physical examination can further the aims of HVC. However, experts noted that the pace and demands of contemporary clinical practice present barriers to the idealized application of physical examination. In turn, participants discussed how to improve clinical skills curricula, both broadly and to promote HVC.
Discussion
To advance HVC through physical examination curricula, the clinical relevance of bedside skills needs to be emphasized across the training spectrum. Key strategies include revisiting evidence-based medicine principles and integrating physical examination instruction with teaching clinical reasoning. |
| first_indexed | 2024-12-13T14:41:41Z |
| format | Article |
| id | doaj.art-e35ed80905c24141be9ba0ce93b893a8 |
| institution | Directory Open Access Journal |
| issn | 2312-7996 |
| language | English |
| last_indexed | 2024-12-13T14:41:41Z |
| publishDate | 2018-03-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | MedEdPublish |
| spelling | doaj.art-e35ed80905c24141be9ba0ce93b893a82022-12-21T23:41:37ZengF1000 Research LtdMedEdPublish2312-79962018-03-0171Emphasizing High Value, Cost-Effective Care in Physical Examination Instruction – A Qualitative Content Analysis of Interviews with Expert EducatorsPaul A. Bergl0Jeanne M. Farnan1Evelyn C.Y. Chan2Medical College of WisconsinUniversity of ChicagoMedical College of WisconsinIntroduction Physical examination and cost consciousness are critical competencies for medical trainees, but the intersection of these two skill domains is not described. We aimed to elucidate the role of physical examination in providing high value, cost conscious care (HVC) and to explore how clinical skills curricula could integrate principles of HVC. Methods We conducted a qualitative study of semi-structured interviews with 20 experts in the instruction and clinical applications of physical examination. We identified experts through purposeful sampling and snowball sampling. Audio-recorded interviews were coded using qualitative content analysis. Coded passages were categorized and reported as key themes and recommendations. Results Experts affirmed physical examination's indispensable role in clinical reasoning. When integrated with history-taking and additional diagnostic data, physical examination can further the aims of HVC. However, experts noted that the pace and demands of contemporary clinical practice present barriers to the idealized application of physical examination. In turn, participants discussed how to improve clinical skills curricula, both broadly and to promote HVC. Discussion To advance HVC through physical examination curricula, the clinical relevance of bedside skills needs to be emphasized across the training spectrum. Key strategies include revisiting evidence-based medicine principles and integrating physical examination instruction with teaching clinical reasoning.https://www.mededpublish.org/Manuscripts/1526Clinical skillsCurriculum developmentHiigh value carePhysical diagnosisClinical reasoning |
| spellingShingle | Paul A. Bergl Jeanne M. Farnan Evelyn C.Y. Chan Emphasizing High Value, Cost-Effective Care in Physical Examination Instruction – A Qualitative Content Analysis of Interviews with Expert Educators MedEdPublish Clinical skills Curriculum development Hiigh value care Physical diagnosis Clinical reasoning |
| title | Emphasizing High Value, Cost-Effective Care in Physical Examination Instruction – A Qualitative Content Analysis of Interviews with Expert Educators |
| title_full | Emphasizing High Value, Cost-Effective Care in Physical Examination Instruction – A Qualitative Content Analysis of Interviews with Expert Educators |
| title_fullStr | Emphasizing High Value, Cost-Effective Care in Physical Examination Instruction – A Qualitative Content Analysis of Interviews with Expert Educators |
| title_full_unstemmed | Emphasizing High Value, Cost-Effective Care in Physical Examination Instruction – A Qualitative Content Analysis of Interviews with Expert Educators |
| title_short | Emphasizing High Value, Cost-Effective Care in Physical Examination Instruction – A Qualitative Content Analysis of Interviews with Expert Educators |
| title_sort | emphasizing high value cost effective care in physical examination instruction a qualitative content analysis of interviews with expert educators |
| topic | Clinical skills Curriculum development Hiigh value care Physical diagnosis Clinical reasoning |
| url | https://www.mededpublish.org/Manuscripts/1526 |
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