Understanding Sexual Complaints and History Taking: A Standardized Patient Case on Dyspareunia for Obstetrics and Gynecology Clerkship Students

Introduction Learning to elicit a sexual history and counsel patients on sexual pain aligns with the Association of Professors of Gynecology and Obstetrics clerkship objectives. This topic can be challenging to cover due to lack of exposure in clinical encounters and inadequate coverage in preclinic...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Jill M. Hagey, Jordan Toole, Kelly Branford, Tracey Reynolds, Elizabeth Livingston, Sarah K. Dotters-Katz
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Standardized Patient Curriculum Development OB/GYN Clinical Skills Assessment/OSCEs Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/902a6ac04deb40e28cbed9ad992ed728
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:902a6ac04deb40e28cbed9ad992ed728
record_format	dspace
spelling	oai:doaj.org-article:902a6ac04deb40e28cbed9ad992ed7282021-11-19T14:53:17ZUnderstanding Sexual Complaints and History Taking: A Standardized Patient Case on Dyspareunia for Obstetrics and Gynecology Clerkship Students10.15766/mep_2374-8265.110012374-8265https://doaj.org/article/902a6ac04deb40e28cbed9ad992ed7282020-10-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11001https://doaj.org/toc/2374-8265Introduction Learning to elicit a sexual history and counsel patients on sexual pain aligns with the Association of Professors of Gynecology and Obstetrics clerkship objectives. This topic can be challenging to cover due to lack of exposure in clinical encounters and inadequate coverage in preclinical studies. Methods Second-year medical students in the OB/GYN clerkship participated in a standardized patient (SP) encounter on dyspareunia, receiving formative feedback on sexual history taking, differential diagnosis and management plan, and their SP's comfort during the encounter. Student feedback was obtained mid- and postclerkship. Summary statistics and regression models comparing SP encounter scores with shelf exam and clerkship scores are reported. Results From September 2018 through July 2019, 101 students completed the encounter. Students asked an average of 3.9 of 13 sexual history questions. Sixty-six percent of students identified a correct diagnosis; 48% provided a management plan. The majority of students were very good or excellent at creating a safe environment. Most reported the encounter enhanced their learning (62%) and identified knowledge gaps (72%). SP encounter score was not associated with shelf exam score or clerkship letter grade but was associated with final clerkship score (unadjusted ß = 0.2, p = .009; adjusted ß = 0.1, p = .2). A summary didactic session was developed following student feedback. Discussion This SP encounter and summary didactic session allowed students to improve their sexual history taking and may be associated with clerkship performance. These skills are necessary to advocate for patients with sensitive complaints across specialties.Jill M. HageyJordan TooleKelly BranfordTracey ReynoldsElizabeth LivingstonSarah K. Dotters-KatzAssociation of American Medical CollegesarticleStandardized PatientCurriculum DevelopmentOB/GYNClinical Skills Assessment/OSCEsMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Standardized Patient Curriculum Development OB/GYN Clinical Skills Assessment/OSCEs Medicine (General) R5-920 Education L
spellingShingle	Standardized Patient Curriculum Development OB/GYN Clinical Skills Assessment/OSCEs Medicine (General) R5-920 Education L Jill M. Hagey Jordan Toole Kelly Branford Tracey Reynolds Elizabeth Livingston Sarah K. Dotters-Katz Understanding Sexual Complaints and History Taking: A Standardized Patient Case on Dyspareunia for Obstetrics and Gynecology Clerkship Students
description	Introduction Learning to elicit a sexual history and counsel patients on sexual pain aligns with the Association of Professors of Gynecology and Obstetrics clerkship objectives. This topic can be challenging to cover due to lack of exposure in clinical encounters and inadequate coverage in preclinical studies. Methods Second-year medical students in the OB/GYN clerkship participated in a standardized patient (SP) encounter on dyspareunia, receiving formative feedback on sexual history taking, differential diagnosis and management plan, and their SP's comfort during the encounter. Student feedback was obtained mid- and postclerkship. Summary statistics and regression models comparing SP encounter scores with shelf exam and clerkship scores are reported. Results From September 2018 through July 2019, 101 students completed the encounter. Students asked an average of 3.9 of 13 sexual history questions. Sixty-six percent of students identified a correct diagnosis; 48% provided a management plan. The majority of students were very good or excellent at creating a safe environment. Most reported the encounter enhanced their learning (62%) and identified knowledge gaps (72%). SP encounter score was not associated with shelf exam score or clerkship letter grade but was associated with final clerkship score (unadjusted ß = 0.2, p = .009; adjusted ß = 0.1, p = .2). A summary didactic session was developed following student feedback. Discussion This SP encounter and summary didactic session allowed students to improve their sexual history taking and may be associated with clerkship performance. These skills are necessary to advocate for patients with sensitive complaints across specialties.
format	article
author	Jill M. Hagey Jordan Toole Kelly Branford Tracey Reynolds Elizabeth Livingston Sarah K. Dotters-Katz
author_facet	Jill M. Hagey Jordan Toole Kelly Branford Tracey Reynolds Elizabeth Livingston Sarah K. Dotters-Katz
author_sort	Jill M. Hagey
title	Understanding Sexual Complaints and History Taking: A Standardized Patient Case on Dyspareunia for Obstetrics and Gynecology Clerkship Students
title_short	Understanding Sexual Complaints and History Taking: A Standardized Patient Case on Dyspareunia for Obstetrics and Gynecology Clerkship Students
title_full	Understanding Sexual Complaints and History Taking: A Standardized Patient Case on Dyspareunia for Obstetrics and Gynecology Clerkship Students
title_fullStr	Understanding Sexual Complaints and History Taking: A Standardized Patient Case on Dyspareunia for Obstetrics and Gynecology Clerkship Students
title_full_unstemmed	Understanding Sexual Complaints and History Taking: A Standardized Patient Case on Dyspareunia for Obstetrics and Gynecology Clerkship Students
title_sort	understanding sexual complaints and history taking: a standardized patient case on dyspareunia for obstetrics and gynecology clerkship students
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/902a6ac04deb40e28cbed9ad992ed728
work_keys_str_mv	AT jillmhagey understandingsexualcomplaintsandhistorytakingastandardizedpatientcaseondyspareuniaforobstetricsandgynecologyclerkshipstudents AT jordantoole understandingsexualcomplaintsandhistorytakingastandardizedpatientcaseondyspareuniaforobstetricsandgynecologyclerkshipstudents AT kellybranford understandingsexualcomplaintsandhistorytakingastandardizedpatientcaseondyspareuniaforobstetricsandgynecologyclerkshipstudents AT traceyreynolds understandingsexualcomplaintsandhistorytakingastandardizedpatientcaseondyspareuniaforobstetricsandgynecologyclerkshipstudents AT elizabethlivingston understandingsexualcomplaintsandhistorytakingastandardizedpatientcaseondyspareuniaforobstetricsandgynecologyclerkshipstudents AT sarahkdotterskatz understandingsexualcomplaintsandhistorytakingastandardizedpatientcaseondyspareuniaforobstetricsandgynecologyclerkshipstudents
_version_	1718420026968506368

Understanding Sexual Complaints and History Taking: A Standardized Patient Case on Dyspareunia for Obstetrics and Gynecology Clerkship Students

Ejemplares similares