Evidence map›Paper›PMID 33757503›Full record

ArticleBMC medical education2021

Comparison of 'Mental training' and physical practice in the mediation of a structured facial examination: a quasi randomized, blinded and controlled study.

Arne Nelskamp, Benedikt Schnurr, Alexandra Germanyuk, Jasmina Sterz, Jonas Lorenz, Robert Sader, Miriam Rüsseler, Lukas B Seifert

Abstract readClinical Study
In one paragraph

Article in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Trial
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

8 authors.

Arne NelskampDepartment of Oral, Cranio-Maxillofacial, and Facial Plastic Surgery, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
Benedikt SchnurrDepartment of Oral, Cranio-Maxillofacial, and Facial Plastic Surgery, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
Alexandra GermanyukDepartment of Urology, Medical Faculty of Saarland University, Saarbrücken, Germany.
Jasmina SterzDepartment of Trauma, Reconstructive and Hand Surgery, Goethe University, Frankfurt, Germany.
Jonas LorenzDepartment of Oral, Cranio-Maxillofacial, and Facial Plastic Surgery, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
Robert SaderDepartment of Oral, Cranio-Maxillofacial, and Facial Plastic Surgery, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
Miriam RüsselerDepartment of Trauma, Reconstructive and Hand Surgery, Goethe University, Frankfurt, Germany.
Lukas B SeifertDepartment of Oral, Cranio-Maxillofacial, and Facial Plastic Surgery, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany. lukasbenedikt.seifert@kgu.de.ORCID http://orcid.org/0000-0002-0069-9961

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe correct performance of a structured facial examination presents a fundamental clinical skill to detect facial pathologies. However, many students are not adequately prepared in this basic clinical skill. Many argue that the traditional 'See One, Do One' approach is not sufficient to fully master a clinical skill. 'Mental Training' has successfully been used to train psychomotor and technical skills in sports and other surgical fields, but its use in Oral and Maxillofacial Surgery is not described. We conducted a quasi-experimental to determine if 'Mental Training' was effective in teaching a structured facial examination.

methodsSixty-seven students were randomly assigned to a 'Mental Training' and 'See One, Do One' group. Both groups received standardized video instruction on how to perform a structured facial examination. The 'See One, Do One' group then received 60 min of guided physical practice while the 'Mental Training' group actively developed a detailed, stepwise sequence of the performance of a structured facial examination and visualized this sequence subvocally before practicing the skill. Student performance was measured shortly after (T1) and five to 10 weeks (T2) after the training by two blinded examiners (E1 and E2) using a validated checklist.

resultsGroups did not differ in gender, age or in experience. The 'Mental Training' group averaged significantly more points in T1 (pE1 = 0.00012; pE2 = 0.004; dE1 = 0.86; dE2 = 0.66) and T2 (pE1 = 0.04; pE2 = 0.008, dE1 = 0.37; dE2 = 0.64) than the 'See One, Do One' group. The intragroup comparison showed a significant (pE1 = 0.0002; pE2 = 0.06, dE1 = 1.07; dE2 = 0.50) increase in clinical examination skills in the 'See One, Do One' group, while the 'Mental Training' group maintained an already high level of clinical examination skills between T1 and T2. DISCUSSION: 'Mental Training' is an efficient tool to teach and maintain basic clinical skills. In this study 'Mental Training' was shown to be superior to the commonly used 'See One, Do One' approach in learning how to perform a structured facial examination and should therefore be considered more often to teach physical examination skills.

Indexed as

Clinical CompetencePhysical ExaminationHumansLearningResearch DesignStudents

Identifiers

PMID33757503
PMCPMC7986263

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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.