Table 5.
Physical examination skill | Difference | Perceived utility | Self-confidence |
---|---|---|---|
Distinguishing between a mole and melanoma | 1.5 | 4.7 [0.6]* | 3.2 [1.0] |
Detecting a thyroid nodule | 1.4 | 4.2 [0.8] | 2.8 [0.9] |
Interpreting a diastolic murmur | 1.3 | 4.2 [0.8] | 2.9 [0.9] |
Detecting a breast mass in a female patient | 1.2 | 4.6 [0.6] | 3.4 [0.9] |
Nondilated fundoscopic examination using an ophthalmoscope to assess retinal vasculature | 1.2 | 3.7 [0.9] | 2.5 [1.1] |
Measuring jugular venous pressure | 1.0 | 4.0 [0.9] | 3.0 [1.0] |
Detecting splenomegaly | 0.9 | 4.1 [0.8] | 3.2 [0.9] |
Detecting a pleural effusion | 0.8 | 4.3 [0.7] | 3.5 [0.9] |
Interpreting a systolic murmur | 0.6 | 4.2 [0.6] | 3.6 [0.8] |
Detecting ascites | 0.4 | 4.3 [0.8] | 3.9 [0.8] |
Measuring blood pressure | 0.2 | 4.9 [0.3] | 4.7 [0.6] |
Determining vertical liver span | 0.2 | 3.7 [0.9] | 3.5 [1.0] |
Detecting a positive straight-leg raise sign | −0.1 | 3.8 [0.9] | 3.9 [1.0] |
Detecting clubbing | −0.7 | 3.5 [1.1] | 4.2 [0.9] |
Perceived utility scale: 1 = “Not at all Useful”; 3 = “Neutral”; 5 = “Very Useful.” Self-confidence scale: 1 = “Not at all Confident”; 3 = “Neutral”; 5 = “Very Confident”
*Standard deviation is in brackets