• Sao Paulo Med J · Jan 2023

    Cognitive abilities and medical students' practice of physical exams: A quasi-experimental study.

    • Lucas Moura Yamamoto, Matheus Landi Pavin, Giordano Bruno Duarte de Souza, Julio Lamartine Hayne Bastos de Oliveira, Raphael Raniere de Oliveira Costa, Adriano Yacubian Fernandes, and Alessandra Mazzo.
    • Undergraduate Medical Student, Faculdade de Odontologia de Bauru (FOB), Universidade de São Paulo (USP), Bauru (SP), Brazil.
    • Sao Paulo Med J. 2023 Jan 1; 141 (6): e2022564e2022564.

    BackgroundTo highlight the importance of clinical simulations and simulated laboratories for student training, especially in physical examination teaching.ObjectiveTo evaluate the gains obtained by medical students in their cognitive and practical performance of physical examinations (abdominal, cardiological, and pulmonary), as well as satisfaction and self-confidence in what they have learned, after concentrated practice developed in a skills and simulation laboratory.Design And SettingA quantitative and quasi-experimental study in which 48 students were evaluated at the Faculdade de Odontologia de Bauru, São Paulo, Brazil.MethodsA quantitative and descriptive study was conducted with regularly enrolled 2nd year medical students over 18 years of age who had content prior to data collection regarding anamnesis and physical examination remotely taught in a Moodle virtual learning environment. For data collection, the participants were subjected to a concentrated period of skill training (abdominal, cardiological, and pulmonary). Every day after the skill training session, they were subjected to a practical evaluation and completed a theoretical test before and after the practical activities. At the end of all activities, they answered the instrument to assess the simulated practices (self-confidence and satisfaction).ResultsAmong the 49 students evaluated, positive and significant theoretical and practical gains were identified in all three components (abdominal, cardiological, and pulmonary) (P = 0.000), as well as in the general evaluation (Theoretical 1 and Theoretical 2) (P = 0.000), satisfaction, and self-confidence (P = 0.000).ConclusionConcentrated laboratory practice resulted in positive improvements in students' physical examination skills.

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