Submission ID 78074

Code P46
At the end of this workshop, participants will be able to:
Category Medical Education
Type Poster
Will the presenter be a: Student
Title Digital Rectal Examination Teaching in Medical Students: A Systematic Review
Background/Purpose The digital rectal examination (DRE) is a cost-effective clinical skill that is employed in numerous contexts. The DRE is key in clinically assessing for acute gastrointestinal bleeding, the screening and early diagnosis of anal cancers, and detecting increased prostate gland volumes. Despite the utility of the DRE, many medical students and newly graduated physicians do not feel sufficiently prepared to perform the DRE in practice.
Methods A literature search was performed on OVID MEDLINE, OVID EMBASE, Scopus, Web of Science, and ERIC for primary studies from database inception to February 3rd, 2022. Two reviewers independently screened titles, abstracts, and full texts, extracted data, and assessed quality and strength of evidence using the Medical Education Research Quality Instrument. Results were qualitatively synthesized and descriptive statistics were calculated.
Results The literature search yielded 2,985 citations, with 17 articles included for qualitative synthesis. The mean MERSQI score was 9.9 (2.6) out of 18. A total of 2,793 medical students were studied. Across the eight studies that looked at the impact of diverse interventions (i.e. standardized patient/supervisor instruction, simulator training) on DRE competence, four of the studies significantly favored the training/intervention in comparison to control. In four studies, confidence in performing the DRE increased significantly (p<0.001) after receiving standardized patient/supervisor or simulator training.
Discussion This systematic review provides one of the first comprehensive assessments of DRE teaching interventions for medical students. Training through an instructor or a simulator can significantly improve both confidence and competence for medical students in performing the DRE.
Keyword 1 Medical Education
Keyword 2 Clinical Skills
Keyword 3 Curriculum
Abstract content most relevant to: (check all that apply) Undergraduate Medical Education
Abstract Track - First Choice Teaching and learning
Teaching and Learning Clinical Skills
E-Learning/Technology
Standardized Patients
Authors Jason Profetto
Swarni Thakar
Lucy Lan
Randi Mao
Swarni Thakar
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