• Eugene Orientale, Lynn Kosowicz, Anton Alerte, Carol Pfeiffer, Karen Harrington, Jane Palley, Stacey Brown, and Teresa Sapieha-Yanchak.
• Department of Family Medicine, University of Connecticut, USA. eorienta@stfranciscare.org
• Fam Med. 2008 Jul 1; 40 (7): 471-6.

Background And ObjectivesPhysical examination (PE) skills among U.S. medical students have been shown to be deficient. This study examines the effect of a Web-based physical examination curriculum on first-year medical student PE skills.MethodsWeb-based video clips, consisting of instruction in 77 elements of the physical examination, were created using Microsoft Windows Moviemaker software. Medical students' PE skills were evaluated by standardized patients before and after implementation of the Internet-based video.ResultsFollowing implementation of this curriculum, there was a higher level of competency (from 87% in 2002-2003 to 91% in 2004-2005), and poor performances on standardized patient PE exams substantially diminished (from a 14%-22%failure rate in 2002-2003, to 4% in 2004-2005.ConclusionsA significant improvement in first-year medical student performance on the adult PE occurred after implementing Web-based instructional video.

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