ArticleBMC medical education2021
Using peer role-playing to improve students' clinical skills for musculoskeletal physical examinations.
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 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- A call for improving of musculoskeletal education on physical medicine and rehabilitation studies: a systematic review with meta-analysis.BMC medical education · 2024Pooled it
- Musculoskeletal education in undergraduate medical curricula-A systematic review.International journal of rheumatic diseases · 2023Pooled it
- Enhancing Clinical Competencies Through Peer Role-Play in Oncology Graduate Students: Mixed Methods Study.JMIR medical education · 2025Trial
- Application of situational simulation based on the Mini-CEX and DOPS rating scales in urology clinical training.Frontiers in medicine · 2024Article
- Impact of using peer role-playing on the clinical skills performance of pediatric trainees.BMC medical education · 2023Article
- Promoting medical student's clinical reasoning during COVID-19 pandemic.Korean journal of medical education · 2023Article
- Perception of medical students towards teaching basic clinical skills in otorhinolaryngology through peer physical examination (PPE).Journal of education and health promotion · 2023Article
- Community-engaged training in informed consent.Journal of clinical and translational science · 2023Article
- Faculty-or senior resident-led SNAPPS for postgraduate teaching in pediatrics.Journal of postgraduate medicineArticle
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe traditional curriculum for medical students in Japan does not include sufficient opportunities for students to develop their skills for musculoskeletal (MSK) examination and clinical reasoning and diagnosis. Therefore, an effective programme is required to help medical students and residents improve their clinical skills in MSK. This paper aims to assess the clinical skills of medical students who have participated in a peer role-playing simulation programme using a mini clinical evaluation exercise (mini-CEX).
methodsParticipants were 90 female medical students who were completing their first orthopaedic clinical clerkship. They were divided into two groups. The simulation group participated in a role-play focussed on MSK cases as low-fidelity simulation, a structured debriefing with the course supervisor, and a self-reflection on Day 1 (n = 64). The control group did not participate in the role-play due to randomised clerkship schedules (n = 26). On Day 2 of the intervention, we observed and assessed all participants' performances during MSK outpatient encounters using the mini-CEX. We compared the mini-CEX score between the simulation group and the control group; the Wilcoxon rank-sum test was used for statistical analysis.
resultsThe mini-CEX scores for physical examination, clinical reasoning and diagnosis, and overall clinical competency were significantly higher in the simulation group than in the control group (p < .05, physical examination: p = .014, clinical reasoning: p = .042, overall: p = .016). These findings suggest that medical students who partake in a peer role-playing simulation programme could experience improved clinical skills for physical examination, clinical reasoning and diagnosis, and overall clinical competency in real-life MSK outpatient encounters.
conclusionsThrough a mini-CEX assessment, our findings indicate that medical students who participated in our peer role-playing simulation programme have improved clinical skills. Peer role-playing as a low-fidelity simulation and practical educational opportunity will enable educators to polish the competency of medical students in musculoskeletal physical examinations and clinical reasoning and diagnosis in a clinical setting.
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