Abstract
This project aims to complement and homogenise the teaching of indications and technique of digital rectal examination (DRE) through the use of simulators, and subsequently analysed the level of satisfaction with the training and skills acquired. The students were distributed into small groups. One of the workshop’s coordinators synthesised indications and procedures of DRE. A teaching video was made with all the contents and was distributed between the trainers. During the workshop, trainers explained the indications and the method of performing the DRE. Then, the selected clinical cases were presented, followed by the DRE by specific simulators. Once the students had completed each exploration, the trainers explained each case and discussed it with students. The following week, an anonymous questionnaire was given to participants to evaluate the workshop. Of the 232 participating students, 53 (23%) responded to the questionnaire. The overall level of satisfaction was higher than 98% (score 4–5), reaching 100% in the evaluation of the practical contents, and 93% of the students would recommend the continuity of the workshop in the next courses. The DRE workshop was well received among medical students, with a high degree of voluntary participation and response rate to the subsequent survey. With this project, we have achieved a greater homogenisation of teaching within the subject of Urology, and greater confidence for the students when facing their future clinical practice.
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References
Lawrentschuk N, Bolton DM (2004) Experience and attitudes of final-year medical students to digital rectal examination. Med J Aust 181:323–325
Dakum K, Ramyil VM, Agbo S, Ogwuche E, Makama BS, Kidmas AT (2007) Digital rectal examination for prostate cancer: attitude and experience of final year medical students. Niger J Clin Pract 10:5–9
Beena A, Jagadisan B (2019) Digital rectal examination in Indian graduates. Clin Teach 16:36–40. https://doi.org/10.1111/tct.12766
Carrasco J, Gómez E, García JH, Valero J, Sánchez A, Salamanca JJ, Campos JP, Requena MJ (2018) Impact of the use of simulators on the mental workload and confidence in a digital rectal examination and bladder catheterization workshop. Arch Esp Urol 71:537–542
Turner KJ (2000) Rectal examination and urethral catheterization by medical students and house officers: taught but not used. BJU Int 86:422–426. https://doi.org/10.1046/j.1464-410X.2000.00859.x
Isherwood J, Ashkir Z, Panteleimonitis S, Kumar N, Hemingway D, Miller AS, Norwood MN, Yeung JM (2013) Teaching digital rectal examination to medical students using a structured workshop - a point in the right direction? J Surg Educ 70:254–257. https://doi.org/10.1016/j.jsurg.2012.09.009
Rodríguez-Díez MC, Díez N, Merino I, Velis JM, Tienza A, Robles-García JE (2014) Simulators help improve student confidence to acquire skills in urology. Actas Urol españolas 38:367–372. https://doi.org/10.1016/j.acuro.2013.10.007
Eziyi AK, Ademuyiwa AO, Eziyi JAE, Salako AA (2009) Digital rectal examination for prostate and rectal tumour: knowledge and experience of final year medical students. West Afr J Med 28:318–322. https://doi.org/10.4314/wajm.v28i5.55011
Acknowledgements
We express our acknowledgment for the rest of group trainers contributing for the developing of the workshop: Agustín Asensio Matas, Manuel Ramirez Fabian, Nuria Orribo Morales, Daniel Hijazo Gascón, Laura Muñiz Suárez, Cristina Plaza Alonso, Olivia Matos Orozco, Marcela Castillo Jerez, Marta Viridiana Muñoz Rivero, Santiago Ezquerro Sáenz, Clara Gareta Alquézar, David Corbatón Gomollón, Víctor Galve Lahoz and Walter Orlandi Oliveira.
Funding
This study was funded by the Department of Surgery, Gynecology and Obstetrics. Urology area. School of Medicine, University of Zaragoza.
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed (in order of contribution) by Ángel Borque Fernando, Jorge Subirá Ríos, María Jesús Gil Sanz and Francisco Romero Fernández. The first draft of the manuscript was written by Mónica Sanz del Pozo and Cristina Redondo Redondo, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Approval was obtained from the ethics committee of University of Zaragoza.
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del Pozo, M.S., Redondo, C., Fernández, F.R. et al. Homogenizing the Teaching of Engaged Medical Examinations to Large Numbers of Students: the Experience of the Digital Rectal Examination. J Canc Educ 37, 81–87 (2022). https://doi.org/10.1007/s13187-020-01789-z
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DOI: https://doi.org/10.1007/s13187-020-01789-z