Faculty Resources for Clinical Skills

General Texts and Handbooks

• Bickley’, Lynn. “Bates’ Guide to Physical Examination and History Taking, 13e. Wolters Kluwer; 2021.

This is JABSOM's required textbook for clinical skills.  It is comprehensive.  Anyone with a hawaii.edu email can access this text from the JABSOM Health Sciences Library

•  Orient, Jane. Sapira’s Art and Science of Bedside Diagnosis. Lippincott, Williams and Wilkens.

This is another comprehensive textbook on the physical examination, with a special emphasis on history and (some)

basic pathophysiology interjected. This book is particularly useful when you have that “tough” learning issue about

the rationale for specific physical examination maneuvers. We don’t suggest you rush out to purchase this one, but

you might want to familiarize yourself with it.

• Coulehan JL, Block MR. The Medical Interview: Mastering Skills for Clinical Practice. F.A. Davis.

This is a terrific book about the medical interviewing process and communication skills. Well-organized, with easy

to read format. Worth checking out.

• DeGowin RL, Brown DD. DeGowin’s Diagnostic Examination. McGraw-Hill.

This is a “classic”. More of a reference book than a beginner’s learning aid. Fairly extensive explanation of

abnormal physical findings.

• Gomella LG, Haist SA. eds. Gomella and Haist’s Clinician’s Pocket Reference, 12e. McGraw Hill; 2022.

This is useful and practical for clerkship preparation.

• Talley NJ, O’Connor S. Talley and O'Connor's Clinical Examination, 9e. Elsevier; 2022.

Excellent and concise book with very good photos.

Problem-Based Learning at JABSOM

https://www.youtube.com/watch?v=QsVvShPmMYQ

General Medicine Websites   (many of these websites will require a hawaii.edu login)

• Stanford 25. This is one of the most popular clinical skills resources available.

• JoVE. This site has a nice collection of short clinical skills videos and is comprehensive, including some POCUS. 

Of note, you will need to register your Hawaii.edu email address to get free full access.

• Loyola University – Chicago clinical skills website. Has some photos and offers a fairly extensive menu of physical

examination steps.

• Martindale’s Virtual Medical Center. Has links to various online videos, including pediatric physical exam, etc.

martindalecenter.com/MedicalClinical_Exams.html 

• University of Washington School of Medicine website. Has nice video clips and audio clips. Worth checking out.

• UCSD Practical Guide to Clinical Medicine

• physicaldiagnosispdx.com/ 

CLINICAL REASONING:

• Clinical Problem-Solving Course by Catherine Lucey

Clinical Problem Solving YouTube course

UCSF Intro to clinical reasoning    https://www.youtube.com/watch?v=acJspBatjJE

Diagnostic schema  https://www.youtube.com/watch?v=cbbj8eo6niQ

Resources for MD 2: Cardiovascular and Pulmonary Health Problems

1. New England Journal of Medicine clinical videos

IVJ, JVP:

EKG monitor:

e-FAST:

Cardiac ultrasound:

ABI:

2. Teaching medicine - reviews how to teach clinical skills: clinical cases, EKGs, CXRs, ABGs, imaging (must register)

https://www.teachingmedicine.com

Resources for MD 3: Renal and Hematologic Health Problems

1. IVJ, JVP

2. e-FAST

Resources for MD 4: GI and Endocrine Health Problems

1. Thyroid palpation

https://stanfordmedicine25.stanford.edu/the25/thyroid.html

2. Deep tendon reflexes focus on biceps and ankle

https://stanfordmedicine25.stanford.edu/the25/tendon.html

3. Monofilament sensory test

https://www.youtube.com/watch?v=ZzP_gijk6TA

4. Vibration sensory test - use 128 Hz tuning fork- test 

https://www.youtube.com/watch?v=zgM90zmYvM0

5. Proprioception test - check position sense of first toe (up or down)

https://www.youtube.com/watch?v=V75Bc35Qr7I

6. Exam of liver

https://stanfordmedicine25.stanford.edu/the25/liver.html

7. Liver palpation and percussion demonstration - liver scratch test demonstration

https://www.youtube.com/watch?v=DBif1jjAfKk

8. Another example of liver palpation and hooking technique demonstration

https://www.youtube.com/watch?v=839KX_-B1O0

9. Tests for ascites - shifting dullness and fluid wave

https://stanfordmedicine25.stanford.edu/the25/avp.html

10. Murphy's sign

https://www.youtube.com/watch?v=2T0XUQ1M-x0

11. McBurney's point

https://www.youtube.com/watch?v=Fp8txG-DBDM

12. Spleen exam 

https://stanfordmedicine25.stanford.edu/the25/spleen.html

Resources for MD 6: Locomotor, Neurological and Behavioral Health Problems

1. Hip exam:

https://stanfordmedicine25.stanford.edu/the25/HipRegionExam.html

https://www-nejm-org.eres.library.manoa.hawaii.edu/doi/full/10.1056/NEJMvcm2000815 

2. Hand exam:

https://stanfordmedicine25.stanford.edu/the25/hand.html

https://www-nejm-org.eres.library.manoa.hawaii.edu/doi/full/10.1056/NEJMvcm1407111

3. Carpal tunnel:

https://stanfordmedicine25.stanford.edu/the25/carpaltunnel.html

4. Knee exam:

https://stanfordmedicine25.stanford.edu/the25/knee.html

https://www-nejm-org.eres.library.manoa.hawaii.edu/doi/full/10.1056/NEJMvcm0803821 

5. Knee arthrocentesis

https://www-nejm-org.eres.library.manoa.hawaii.edu/doi/full/10.1056/NEJMvcm051914 

6. Low back exam:

https://stanfordmedicine25.stanford.edu/the25/BackExam.html

7. Shoulder exam:

https://stanfordmedicine25.stanford.edu/the25/shoulder.html

https://www-nejm-org.eres.library.manoa.hawaii.edu/doi/full/10.1056/NEJMvcm1212941 

8. Tarsal tunnel exam:

https://stanfordmedicine25.stanford.edu/the25/tarsaltunnel.html

9. Pupillary exam:

https://stanfordmedicine25.stanford.edu/the25/pupillary.html

10. Fundoscopic exam:

https://stanfordmedicine25.stanford.edu/the25/fundoscopic.html

https://www-nejm-org.eres.library.manoa.hawaii.edu/doi/full/10.1056/NEJMvcm1308125 

11. Gait exam:

https://stanfordmedicine25.stanford.edu/the25/gait.html

12. Internal capsule stroke exam/findings:

https://stanfordmedicine25.stanford.edu/the25/ics.html

13. Involuntary movement exam:

https://stanfordmedicine25.stanford.edu/the25/involuntary-movements-and-tremors.html

14. Parkinson’s disease findings:

https://stanfordmedicine25.stanford.edu/the25/parkinsondisease.html

Resources for MD 7: The Life Cycle

1. Modified Checklist for Autism in Toddlers

https://mchatscreen.com/

2. CDC A Guide to Sexual History Taking

https://www.cdc.gov/std/treatment/sexualhistory.pdf

3. CDC developmental milestones

https://www.cdc.gov/ncbddd/actearly/milestones/index.html

4.  American Academy of Pediatrics

http://pediatrics.aappublications.org/content/138/1/e20161420

https://www.aap.org/en-us/about-the-aap/aap-press-room/campaigns/suicide-prevention/Pages/default.aspx

5. Oral presentations

-Wolpaw, TW,  Wolpaw, TR, and Papp, KK. SNAPPS: A Learner-centered Model for Outpatient Education.  Academic Medicine, vol.78, Sept 2003.

-Picchinoni M. Primer to the Internal Medicine Clerkship. Second edition. AAIM publications: 2008.

-Guerrasio J.  Remediation of the Struggling Medical Learner. Second edition.  Association for Hospital Medical Education: 2018.

-Academic Alliance in Internal Medicine - Subinternship curriculum 2018

https://drive.google.com/drive/folders/1QE9k9JXfCm_8zFAGkEzZI1xoLRI05ECL

6. Core Entrustable Professional Activities for Entering Residency (CEPAER) - From AAMC

https://www.aamc.org/media/20196/download?attachment

7. Rectal exam:

https://www-nejm-org.eres.library.manoa.hawaii.edu/doi/full/10.1056/NEJMvcm1510280   

8. Pelvic exam:

https://www-nejm-org.eres.library.manoa.hawaii.edu/doi/full/10.1056/NEJMvcm061320