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. 2007 Oct 6;22(12):1725–1730. doi: 10.1007/s11606-007-0409-8

Table 5.

Differences Between Overall Mean Perceived Utility and Self-Confidence in Individual Physical Examination Skills

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