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Physical Examination Skills of US and International Medical Graduates
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To the Editor: Physical diagnostic skills are considered essential for the practice of medicine,1 but several studies have noted declining clinical skills among US medical school graduates (USMGs).2-4 We conducted a study to measure recent medical school graduates' ability to perform the abdominal examination.
Methods
We defined criterion standards for 13 specific abdominal examination skills (Table 1) in accordance with a textbook that is widely used in US medical schools to teach physical diagnosis.5 These skills relate to performing a general examination of the abdomen as well as examination for suspected acute appendicitis.
Table appears in full text version.
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Table. Performance of Abdominal Examination Maneuvers by US and International Medical Graduates*
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We studied 148 first-year residents in internal medicine and pediatrics at our institutions, of whom 113 were USMGs and 35 were international medical graduates (IMGs). Subjects were asked to examine the abdomen of a young adult patient, and each examination was directly observed by . . . [Full Text of this Article]
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