Digital rectal examination for prostate and rectal tumour: knowledge and experience of final year medical students

West Afr J Med. 2009 Sep-Oct;28(5):318-22. doi: 10.4314/wajm.v28i5.55011.

Abstract

Background: It is most pertinent that medical students are taught the necessary skills for digital rectal examination (DRE) before they become doctors.

Objective: The study is to assess the knowledge and experience of final year medical students regarding DRE for prostate and rectal tumours.

Methods: Well-structured questionnaire were administered to each of the final year medical students of Ladoke Akintola University of Technology a week to their final examinations.

Results: Response was received from 127 (60%) of the students, 124 (97.6%) agreed that they have been taught DRE. Most of the students, 102 (80.3%), have done one to five DRE, three (2.4%) and have never performed DRE while none of the students have done more than ten DRE. Only in 49 (38.6%) of cases were the findings of the students on DRE always confirmed by a doctor. Nine students (7.1%) have never felt a clinical BPH and none had felt it more than five times. Sixty-six (52.0%) have never felt a malignant prostate and none of the students have felt it up to three times. Most of the students, 106 (83.5%), have never felt a rectal tumour on DRE Only five (3.9%) felt very confident of their ability to give an opinion based on their findings on DRE while 105 (82.7%) felt reasonably confident

Conclusions: The students have been taught DRE and a good number of them have performed it. Few of the DRE done by the students were cross-checked by a doctor. Most of the students have problems differentiating BPH from cancer of the prostate and many of them were not very confident of their findings on DRE.

MeSH terms

  • Adult
  • Clinical Competence
  • Digital Rectal Examination*
  • Education, Medical*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Nigeria
  • Prostatic Neoplasms / prevention & control*
  • Rectal Neoplasms / prevention & control*