Evidence map›Paper›PMID 30866922›Full record

Trial reportBMC medical education2019

A survey comparison of educational interventions for teaching pneumatic otoscopy to medical students.

Alanna Higgins Joyce, Maya Raman, Jennifer L Beaumont, Heather Heiman, Mark Adler, Suzanne M Schmidt

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alanna Higgins JoyceDepartment of Pediatrics, Northwestern University Feinberg School of Medicine, 225 East Chicago, Box 86, Chicago, IL, 60611, USA. adhiggins@luriechildrens.org.
Maya RamanDepartment of Pediatrics, Northwestern University Feinberg School of Medicine, 225 East Chicago, Box 86, Chicago, IL, 60611, USA.
Jennifer L BeaumontDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 633 N. Saint Clair Street, 19th Floor, Chicago, IL, 60611, USA.
Heather HeimanDepartment of Medicine, Northwestern University Feinberg School of Medicine, 51 East Huron Street, Galter Suite 3-150, Chicago, IL, 60611, USA.
Mark AdlerDepartment of Pediatrics, Northwestern University Feinberg School of Medicine, 225 East Chicago, Box 86, Chicago, IL, 60611, USA.
Suzanne M SchmidtDepartment of Pediatrics, Northwestern University Feinberg School of Medicine, 225 East Chicago, Box 86, Chicago, IL, 60611, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThough pneumatic otoscopy improves accurate diagnosis of ear disease, trainees lack proficiency. We evaluated the effect of three different training techniques on medical students' subsequent reported use of basic and pneumatic otoscopy in patient encounters.

methodsPediatric clerkship students participated in an ear exam workshop with randomization to one of three educational interventions: task trainer (Life/form®, Fort Atkinson WI), instructional video, or peer practice. Each student received an insufflator bulb and logbook to record otoscopic exams and completed an 18-item anonymous survey at clerkship conclusion.

results115 of 150 students (77%) completed the survey. There was no significant difference in number of basic or pneumatic otoscopic exams performed based on method of training. Most students (68-72%) felt more likely to perform pneumatic otoscopy after training. Though the majority of students performed basic otoscopy on patients when an ear exam was indicated, they used pneumatic otoscopy less than 10% of the time. Students reported significant barriers to otoscopy: time, access to equipment, cerumen impaction, patient hold, and anxiety. Student comments described a culture where insufflation was neither practiced nor valued by supervising physicians.

conclusionTraining in pneumatic otoscopy can increase student comfort, but barriers exist to using the skill in clinical practice.

Indexed as

Students, MedicalAdultAudiologyChildClinical CompetenceDiagnostic Techniques, OtologicalEar DiseasesEducational MeasurementFemaleHumansMaleManikinsOtoscopyPediatricsSimulation TrainingTeachingAmbulatory medicineMedical education researchMedical studentOtoscopyPediatricsSimulation

Identifiers

PMID30866922
PMCPMC6417091

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.