Procedural Observation of Medical Students: Is There a Relationship Between Direct Observation and Procedural Instruction and Assistance? David A. Wald, DO, Jeffrey Barrett, MD Department of Emergency Medicine, Temple University School of - PowerPoint PPT Presentation

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Procedural Observation of Medical Students: Is There a Relationship Between Direct Observation and Procedural Instruction and Assistance? David A. Wald, DO, Jeffrey Barrett, MD Department of Emergency Medicine, Temple University School of

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Title: Procedural Observation of Medical Students: Is There a Relationship Between Direct Observation and Procedural Instruction and Assistance? David A. Wald, DO, Jeffrey Barrett, MD Department of Emergency Medicine, Temple University School of


1
Procedural Observation of Medical Students Is
There a Relationship Between Direct
Observation and Procedural Instruction and
Assistance?David A. Wald, DO, Jeffrey Barrett,
MDDepartment of Emergency Medicine, Temple
University School of Medicine, Philadelphia, PA
  • BACKGROUND
  • Previously, it has been reported that direct
    observation of
  • commonly performed procedures by medical
    students
  • during a fourth year emergency medicine
    clerkship is
  • variable1
  • It is unclear how direct observation impacts on
  • undergraduate medical education
  • STUDY OBJECTIVES
  • To determine if a relationship exists between
    procedural
  • observation and instruction and assistance
    by the
  • supervising physician
  • METHODS
  • Prospective, observational study
  • University emergency department and 5 clinical
    affiliate

Procedures Performed
Procedures Observed
Procedures Not Observed
  • CONCLUSIONS
  • Our data suggests that medical students are
  • more likely to receive both procedural
  • instruction and assistance if selected
  • procedures are directly observed by a
  • supervising physician
  • Direct observation of procedural skills in the
  • emergency department setting may enhance
  • medical student education

Procedure Total Obs / Inst
NObs / Inst P value Obs /
Asst NObs / Asst P
value ABG 66 30 / 18
(60) 36 / 6 (17) 0.001 30 / 9
(30) 36 / 0 (0) 0.001
ID 103 93 / 77 (83) 10 /
2 (20) lt0.0005 93 / 41 (44)
10 / 0 (0) 0.006
Laceration Repair 206 134 / 93 (69)
72 / 26 (36) lt0.0005 134 / 22 (65)
72 / 2 (3) 0.007 Phlebotomy
270 26 / 18 (69) 244 / 8 (3)
lt0.0005 26 / 8 (31) 244 / 3 (1)
lt0.0005 Splinting 60 41
/ 32 (78) 19 / 5 (26) 0.001 41 /
24 (59) 19 / 0 (0) lt0.0005
1. Wald DA, Barrett J, Lafferty K. Observation
of Medical Students During a Fourth Year
Emergency Medicine Clerkship. Ann Emerg Med
200342S102.
Yates Corrected Chi-Square Fisher Exact
Pearson Chi-Square
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