Medical students' experience of performing female pelvic examinations: Opportunities and barriers
Autor: | Harsh Bhoopatkar, Andy Wearn, Anna Vnuk |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male medicine.medical_specialty Students Medical education Young Adult 03 medical and health sciences Sex Factors 0302 clinical medicine Pregnancy Surveys and Questionnaires medicine Humans Learning In patient 030212 general & internal medicine Pelvic examination Curriculum Male gender Retrospective Studies Response rate (survey) Physician-Patient Relations Medical education Labor Obstetric 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Learning environment Obstetrics and Gynecology Patient Preference Retrospective cohort study General Medicine Self Efficacy Family medicine Female Gynecological Examination business Education Medical Undergraduate New Zealand Graduation |
Zdroj: | Australian and New Zealand Journal of Obstetrics and Gynaecology. 57:514-519 |
ISSN: | 0004-8666 |
Popis: | Background Teaching and learning female pelvic examination within the undergraduate medical curriculum offers some potential challenges. One such is the extent to which students are provided practice opportunities with patients in the clinical setting. Aims To quantify how many pelvic examinations, on real patients, have been performed by medical students at the point of graduation, and to explore opportunities and barriers to performing these examinations. Materials and methods A retrospective study using a self-completed, anonymous, electronic survey was developed as part of a multi-centre study. Data were collected in the immediate period after graduation from the medical programs at the University of Auckland and Flinders University in 2013. An ordinal set of range categories was used for recording numbers of examinations. Results The combined response rate for the survey was 42.9% (134/312). The median range category for the number of pelvic examinations performed in patients who were not in labour was 6–9 and in labour was 2–3. Thirty-three percent of medical students had never performed a pelvic examination in labour. Male medical students performed significantly fewer pelvic examinations compared with female students. Self-reported barriers to performing the pelvic exam include: gender of the student, ‘gate-keeping’ by other health professionals, lack of confidence and patient factors. Conclusions The majority of medical students have performed several pelvic examinations on real patients at graduation. Male gender and access being limited by midwives were the main barriers to performing female pelvic examinations. Medical curricula need to address these issues in the learning environment. |
Databáze: | OpenAIRE |
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