Effect of novel patient interaction on students’ performance of pregnancy options counseling
Autor: | Kristina Tocce, Abigail Nimz, Jeanelle Sheeder, Angela K. Shaddeau |
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Přispěvatelé: | Society of Family Planning, University of Colorado Academy of Medical Educators, Rymer Small Grants Program |
Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
Pregnancy test
Adult Counseling Male medicine.medical_specialty Colorado Students Medical Objective structured clinical examination media_common.quotation_subject education Abortion Education Young Adult Excellence Pregnancy medicine Humans options counseling OSCE abortion Curriculum Reproductive health media_common Medical education Physician-Patient Relations lcsh:LC8-6691 lcsh:R5-920 lcsh:Special aspects of education business.industry Communication General Medicine Pregnancy Unwanted Checklist humanities Patient Simulation Family medicine Female Clinical Competence business lcsh:Medicine (General) Unintended pregnancy Clinical psychology Research Article |
Zdroj: | Medical Education Online, Vol 20, Iss 0, Pp 1-6 (2015) Medical Education Medical Education Online; Vol 20 (2015) |
ISSN: | 1087-2981 |
Popis: | Background : Although options counseling is a fundamental skill for medical providers, previous research has identified gaps in medical school reproductive health education. Purpose : To determine if a 1-h novel patient interaction (NPI) improves student performance when caring for a standardized patient with an unintended pregnancy. Methods : From September 2012 to June 2013 we randomized third-year medical students at the University of Colorado School of Medicine to the standard curriculum plus an NPI, or the standard curriculum only. The NPI consisted of a 1-h small-group session with a patient who discussed her experiences with options counseling and her decision to terminate her pregnancy. Students completed an Objective Structured Clinical Examination (OSCE) at the rotation’s end, which included options counseling. The primary outcome was the proportion of participants achieving ‘excellence’ on the OSCE checklist. ‘Excellence’ was defined as a score ≥90%. Examinations were flagged as ‘unsatisfactory encounters’ if core competencies were not addressed. OSCE standardized patients and evaluators were blinded to group assignment. Results : In total, 135 students were eligible and randomized: 75 to NPI; 60 to control. During the OSCE, few students achieved ‘excellence’ (24% NPI vs. 28% control, p =0.57). There were no differences between scores for components of options counseling. More students in the control group ‘appeared somewhat uncomfortable’ delivering the pregnancy test results (5% NPI vs. 18% control, p =0.006). More than half (54%) of the intervention group and 67% of controls had ‘unsatisfactory encounters’ ( p =0.16), almost exclusively due to omission of adoption. Most students addressed abortion (96% NPI vs. 92% control, p =0.29). Conclusions : A 1-h NPI does not improve medical students’ performance of pregnancy options counseling and the option of adoption is routinely omitted. Adoption is clearly an area that needs greater attention when designing comprehensive reproductive health curriculum for medical students. Keywords: options counseling; OSCE; abortion (Published: 9 December 2015) Citation: Med Educ Online 2015, 20: 29401 - http://dx.doi.org/10.3402/meo.v20.29401 |
Databáze: | OpenAIRE |
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