1. Copyright © 2015 by the American Osteopathic Association.
From: Curricular Analysis of Competency-Based Osteopathic Medical Education: Application of a Matrix for Quality Enhancement to a Standardized Patient Encounter Example
J Am Osteopath Assoc. 2009;109(9): doi: /jaoa
Figure Legend:
Potential palpation targets in the sympathetic nervous system and methods of addressing the chief complaint as used in medical microbiology coursework standardized patient (SP) encounters. The approximate vertical distance of anticipated tissue texture change is indicated in parentheses. The authors analyze a set of SP encounters to illustrate their application of the Matrix for Quality Enhancement as developed at Kirksville (Mo) College of Osteopathic Medicine-A.T. Still University. As described, SPs were trained to expect palpation of at least one of the nine target sites listed. The student was evaluated for proper oral identification of the target region (or organ) and palpating that site. The student was then given a “findings card” that stated positive findings appropriate to the case depicted by the SP (eg, muscle hypertonicity, warmth, local edema, increased sweat gland activity, evidence of somatic dysfunction). For all nine target sites, motion testing was required in all three planes: rotation, left and right; sidebending, left and right; and flexion-extension. Abbreviations: GI, gastrointestinal tract; HEENT, head, eyes, ear, nose and throat; L, lumbar vertebrae; T, thoracic vertebrae.
Date of download: 10/16/2017
Copyright © 2015 by the American Osteopathic Association.
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