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The Soft Tissue Clinic Experience (SCTE): A sustainable way for early medical students to develop patient interaction and manipulative treatment skills

Journal: The AAO Journal Date: 2022/06, 32(2):Pages: 28. doi: Subito , type of study: cross sectional study

Free full text   (https://meridian.allenpress.com/aaoj/article/32/2/15/482674/LBORC-NUFA-Poster-Abstracts-2022-Students)

Keywords:

clinical competence [189]
clinical experience [6]
cross-sectional study [67]
medical students [402]
OMT [2951]
osteopathic manipulative treatment [2973]
patient interaction [2]
volunteering [1]

Abstract:

Introduction/Background: In 2017 the Soft Tissue Clinic Experience (STCE) was created to increase medical students’ exposure to history taking, musculoskeletal assessment, and practice of Osteopathic Manipulative Treatment (OMT). Hypothesis: Volunteering at the STCE will be correlated with increased student confidence working with patients and use of OMT during their 3rd and 4th year. Clinical Significance: Fostering a free, on-campus, student-run clinic, supervised by faculty may promote use of OMT in residency and clinical practice. Objective: To assess the relationships between students’ participation in the STCE, their use of OMT, comfort with performing OMT, taking a history, and making physical contact with patients. Methods: IRB approval was obtained (MWU-21068) to deploy a voluntary online survey to 3rd and 4th year students in the winter quarter of 2021 to assess prior clinical experience, and confidence in taking patient histories, touching patients, and OMM diagnosis/treatment. Data was collected on a secure website (REDCap) and processed with SPSS software with statistical significance at p<0.05. Students not participating in the STCE served as the control group. Results: 141 students responded to the survey with 24% participating in the STCE. Participation in the STCE was correlated to significantly greater use of OMT when allowed (U=2737.5; p<0.001), comfort with performing OMM diagnosis (U=2649.0; p<0.001), performing OMT (U=2906.5; p<0.001), comfort touching patients when rotations first started (U=2191.5, p=0.03) and at the time of the survey (U=2214.5, p=0.04). Conclusion: Students who volunteered with the STCE are more comfortable working with patients and using OMT during clinic rotations. Limitation: Survey was voluntary (35% of population), and data is correlational. Future research: The survey is longitudinal with a fiveyear goal to account for changes in the STCE associated with the pandemic.


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