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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 preclini...

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Autores principales: Hagey, Jill M., Toole, Jordan, Branford, Kelly, Reynolds, Tracey, Livingston, Elizabeth, Dotters-Katz, Sarah K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Association of American Medical Colleges 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7597941/
https://www.ncbi.nlm.nih.gov/pubmed/33150201
http://dx.doi.org/10.15766/mep_2374-8265.11001
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author Hagey, Jill M.
Toole, Jordan
Branford, Kelly
Reynolds, Tracey
Livingston, Elizabeth
Dotters-Katz, Sarah K.
author_facet Hagey, Jill M.
Toole, Jordan
Branford, Kelly
Reynolds, Tracey
Livingston, Elizabeth
Dotters-Katz, Sarah K.
author_sort Hagey, Jill M.
collection PubMed
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.
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spelling pubmed-75979412020-11-03 Understanding Sexual Complaints and History Taking: A Standardized Patient Case on Dyspareunia for Obstetrics and Gynecology Clerkship Students Hagey, Jill M. Toole, Jordan Branford, Kelly Reynolds, Tracey Livingston, Elizabeth Dotters-Katz, Sarah K. MedEdPORTAL Original Publication 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. Association of American Medical Colleges 2020-10-29 /pmc/articles/PMC7597941/ /pubmed/33150201 http://dx.doi.org/10.15766/mep_2374-8265.11001 Text en © 2020 Hagey et al. https://creativecommons.org/licenses/by/4.0/ This is an open-access publication distributed under the terms of the Creative Commons Attribution (https://creativecommons.org/licenses/by/4.0/) license.
spellingShingle Original Publication
Hagey, Jill M.
Toole, Jordan
Branford, Kelly
Reynolds, Tracey
Livingston, Elizabeth
Dotters-Katz, Sarah K.
Understanding Sexual Complaints and History Taking: A Standardized Patient Case on Dyspareunia for Obstetrics and Gynecology Clerkship Students
title 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_short 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
topic Original Publication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7597941/
https://www.ncbi.nlm.nih.gov/pubmed/33150201
http://dx.doi.org/10.15766/mep_2374-8265.11001
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