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Use of a Mechanical Simulator to Assess Pelvic Examination Skills
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To the Editor: Inherent difficulties in assessing clinical competence have spawned wide use and evaluation of objective structured clinical examinations (OSCEs) with standardized patients.1-2 Despite costly and time-consuming implementation, numerous academic medical centers report successful clinical skills evaluations using OSCEs, including data gathering, data interpretation, and patient-physician communication.3-4 However, objective evaluation of technical skills remains difficult.5-6
We performed a study to determine whether there are specific, detectable differences in clinical female pelvic examination skills between experienced clinicians and medical students when evaluated using a newly developed simulation tool, the e-Pelvis simulator.
Methods
The e-Pelvis, an electronic mannequin, allows examiners and instructors to visualize on a computer screen the location and intensity of touch applied during simulated pelvic examinations. While examiners perform clinical assessments on the simulator, performance data may be collected and stored in an electronic data file. In the assessment mode, examiners are not allowed to view their performance on . . . [Full Text of this Article]
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