DREAM: Empowering Preclinical Medical Students With Labor Support
| Autor: | Hannah Shakartzi, Dona Rodrigues, Natalie Pierre-Joseph, Jodi Abbott, Eduardo Valle, Larissa M. Wenren, Monique Meade, Rachel Marino, Nicole St. Omer Roy, Samantha Fernandes |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Medicine (General) Students Medical media_common.quotation_subject Original Publication education Pediatrics Doulas Education R5-920 Labor Support Humans Dream Program Development media_common Medical education Parturition Labor support General Medicine Obstetrics Program development Female Power Psychological Psychology Boston Education Medical Undergraduate |
| Zdroj: | MedEdPORTAL, Vol 14 (2018) MedEdPORTAL : the Journal of Teaching and Learning Resources |
| ISSN: | 2374-8265 |
| DOI: | 10.15766/mep_2374-8265.10665 |
| Popis: | Introduction Delivery Resources, Experiences, and Advocacy for Moms (DREAM) is an interprofessional service-learning program that empowers preclinical medical students by training them to provide labor support. Boston Medical Center is a safety-net hospital featuring an in-house doula service with limited coverage capacity. Consequently, many patients do not receive continuous labor support, although evidence shows that continuous labor support improves outcomes and may help reduce birth-outcome health disparities. We present a pragmatic approach to integrating preclinical students as labor-support staff and outline the methods and content of the training process as well as the evaluations used to assess program effectiveness. Methods Students were trained by doulas (Birth Sisters) and midwives to provide prenatal, labor, and postpartum support. Students completed an orientation and training workshop and then partnered with a Birth Sister for one prenatal visit, labor, and postpartum visit prior to working independently. Student leaders provided structure, mentoring, and support for preclinical students. Pre- and postsurveys assessed student confidence and obstetric knowledge acquisition. Budget, logistics, and program evaluation process are reviewed. Results Students demonstrated increased knowledge, as well as confidence in communication, advocacy, and support. Although balancing DREAM with academics was stressful, students continued to meet academic standards and felt their participation was gratifying and worthwhile. Student reflections and patient statements on their experience show the program was mutually beneficial. Discussion Preclinical students need gratifying clinical opportunities to develop confidence in communication and advocacy skills. Partnering them with underserved women to provide labor support is a pragmatic and clinically valuable intervention. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|