Table 1 Design of SP DRE training session
Time | Training steps | Content |
|---|---|---|
Preparation | Introduction | Provision of written script for SPs |
Day 1 | Overview | ● Presentation of goals and focal points of the training program |
● Theoretical overview of anatomy of the abdomen with focus on the rectum in frontal and lateral view | ||
● Development of the role to be played | ||
Peyton Step 1 | ● Video of the examination of the abdomen and DRE | |
Peyton Step 2 | ● Explanation and performance of DRE by the trainer on the SP in a 1:1 setting | |
Peyton Step 3 | ● Recapitulation of examination techniques by SP: One SP performs DRE on a part-task trainer being guided by another SP | |
Discussion | ● Emphasis on patient safety and discussion of DRE as a “taboo subject” for students | |
Peyton Step 4 | ● Run-through of the complete training scenario. Role-play with SP as doctor | |
- history-taking | ||
- patient education about the examination | ||
- performance of the DRE on part-task trainer | ||
- communication of examination results | ||
● Feedback given by trainer | ||
Day 2 | Dress rehearsal | ● Performance of the learned examination under supervision of doctor |
First training session | ● Field-testing in training session for final year students |