This subproject is one of many research subprojects utilizing theresources provided by a Center grant funded by NIH/NCRR. The subproject andinvestigator (PI) may have received primary funding from another NIH source,and thus could be represented in other CRISP entries. The institution listed isfor the Center, which is not necessarily the institution for the investigator.This is a study of the state of clinical skills among Medicine residents and the effect of a teaching curriculum on these skills. Current knowledge and skills related to physical examination will be assessed by means of a written and a clinical skills OSCE (objective structured clinical exam). Study subjects are Internal Medicine residents. Our intervention sample is the 2006 PGY1 batch, all of whom will take the written test. 50% (20) will take the OSCE test. The residents will be observed by faculty doing a patient exam and given a grade. The intervention is a physical diagnosis curriculum. The post-intervention written and OSCE tests will be administered to the same sample of residents during their third year. Our control group is the 2006 PGY3 residents who have not been exposed to the curriculum. We plan to make the following comparisons: (1) Pre and psot results of the intervention group; (2) Comparison of the control group and the intervention group; and (3) stratification of results by number of sessions attended to determine whether increased exposure to the curriculum leads to increased knowledege and skills. These comparisons will enable us to determine if the changes in test scores can be attributed to the intervention.
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