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PMID- 28923535
OWN - NLM
STAT- In-Data-Review
LR  - 20180319
IS  - 1878-7452 (Electronic)
IS  - 1878-7452 (Linking)
VI  - 75
IP  - 2
DP  - 2018 Mar - Apr
TI  - Creation of a Novel Digital Rectal Examination Evaluation Instrument to Teach and
      Assess Prostate Examination Proficiency.
PG  - 434-441
LID - S1931-7204(17)30365-3 [pii]
LID - 10.1016/j.jsurg.2017.08.012 [doi]
AB  - OBJECTIVE: To create a validated tool to measure digital rectal examination
      proficiency and aid with teaching of the examination. DESIGN: The Digital Rectal 
      Examination Clinical Tool was created using a modified Delphi method with 5
      urologists and 5 radiation oncologists. The instrument was then validated in a
      population of preclinical medical students examining male urological teaching
      associates, and clinical trainees (third- and fourth-year medical students and
      urology resident physicians) examining prospectively enrolled subjects. Trainees 
      completed paired examinations with an attending urologist, and responses were
      scored with reference to the attending responses. SETTING: The instrument was
      validated at the University of Virginia in the urology clinic, endoscopic
      operating room, and main operating room settings. PARTICIPANTS: We tested the
      instrument on consenting subjects consisting of male urologic teaching associates
      (n = 12), clinic patients (n = 4), and operating room patients (n = 64). The
      participants were undergraduate (n = 302) and graduate (n = 9) medical trainees. 
      RESULTS: In preclerkship trainees, improved scores in subjects without abnormal
      compared to those with abnormal findings demonstrated validity. In clinical
      trainees, scores on the Digital Rectal Examination Clinical Tool increased by 2% 
      for each additional year of training, demonstrating construct validity.
      CONCLUSIONS: We used an expert panel to create a novel instrument for measuring
      digital rectal examination proficiency and validated it with preclinical and
      clinical trainee cohorts at our institution.
CI  - Copyright (c) 2017 Association of Program Directors in Surgery. Published by
      Elsevier Inc. All rights reserved.
FAU - Clements, Matthew B
AU  - Clements MB
AD  - Department of Urology, University of Virginia, Charlottesville, Virginia.
      Electronic address: [email protected]
FAU - Schmidt, Karen M
AU  - Schmidt KM
AD  - Department of Psychology, University of Virginia, Charlottesville, Virginia.
FAU - Canfield, Steven E
AU  - Canfield SE
AD  - Division of Urology, University of Texas at Houston, Houston, Texas.
FAU - Gilbert, Scott M
AU  - Gilbert SM
AD  - Department of Urology, Moffitt Cancer Center, Tampa, Florida.
FAU - Khandelwal, Shiv R
AU  - Khandelwal SR
AD  - Department of Radiation Oncology, University of Virginia, Charlottesville,
      Virginia.
FAU - Koontz, Bridget F
AU  - Koontz BF
AD  - Department of Radiation Oncology, Duke Cancer Institute, Durham, North Carolina.
FAU - Lallas, Costas D
AU  - Lallas CD
AD  - Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania.
FAU - Liauw, Stanley
AU  - Liauw S
AD  - Department of Radiation and Cellular Oncology, University of Chicago, Chicago,
      Illinois.
FAU - Nguyen, Paul L
AU  - Nguyen PL
AD  - Department of Radiation Oncology, Harvard Medical School, Boston, Massachusetts.
FAU - Showalter, Timothy N
AU  - Showalter TN
AD  - Department of Radiation Oncology, University of Virginia, Charlottesville,
      Virginia.
FAU - Trabulsi, Edouard J
AU  - Trabulsi EJ
AD  - Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania.
FAU - Cathro, Helen P
AU  - Cathro HP
AD  - Department of Pathology, University of Virginia, Charlottesville, Virginia.
FAU - Schenkman, Noah S
AU  - Schenkman NS
AD  - Department of Urology, University of Virginia, Charlottesville, Virginia.
FAU - Krupski, Tracey L
AU  - Krupski TL
AD  - Department of Urology, University of Virginia, Charlottesville, Virginia.
LA  - eng
PT  - Journal Article
DEP - 20171012
PL  - United States
TA  - J Surg Educ
JT  - Journal of surgical education
JID - 101303204
OTO - NOTNLM
OT  - Patient Care
OT  - Practice-Based Learning and Improvement
OT  - clinical skills
OT  - digital rectal examination
OT  - patient care
OT  - prostate cancer
OT  - prostate examination
EDAT- 2017/09/20 06:00
MHDA- 2017/09/20 06:00
CRDT- 2017/09/20 06:00
PHST- 2017/05/23 00:00 [received]
PHST- 2017/07/16 00:00 [revised]
PHST- 2017/08/05 00:00 [accepted]
PHST- 2017/09/20 06:00 [pubmed]
PHST- 2017/09/20 06:00 [medline]
PHST- 2017/09/20 06:00 [entrez]
AID - S1931-7204(17)30365-3 [pii]
AID - 10.1016/j.jsurg.2017.08.012 [doi]
PST - ppublish
SO  - J Surg Educ. 2018 Mar - Apr;75(2):434-441. doi: 10.1016/j.jsurg.2017.08.012. Epub
      2017 Oct 12.