关键词: Communication Skills Contraception OB/GYN Patient-Centered Communication Primary Care Shared Decision-Making Standardized Patient Women's Health

Mesh : Humans Female Contraceptive Agents Curriculum Counseling Women's Health Students, Medical

来  源:   DOI:10.15766/mep_2374-8265.11368   PDF(Pubmed)

Abstract:
UNASSIGNED: Following the Dobbs v. Jackson Women\'s Health Organization Supreme Court decision, it is increasingly important for all providers to be equipped to counsel on contraceptive options. Current curricula are insufficient for medical students to attain competency in contraceptive counseling. Quality contraceptive counseling requires patient-centered communication skills, which are also critical in many other clinical scenarios. Systematic teaching of patient-centered communication is lacking, both in contraceptive counseling and more broadly.
UNASSIGNED: We developed a person-centered contraceptive counseling curriculum containing a reference guide, 5- to 10-minute interactive online module, and 30-minute formative standardized patient session for clerkship-year medical students. Performance during formative sessions was evaluated using a checklist, with standardized patients and preceptors providing real-time feedback. We used surveys of knowledge, self-perceived skills, and attitudes about patient-centered counseling to compare students who did and did not receive the curriculum.
UNASSIGNED: Twenty-seven students received the new curriculum. The reference guide and online module were easily integrated into a clinical rotation without requiring additional time spent by educators. The formative session required more resources to implement but was valuable for students to solidify the communication skills in the new curriculum. Checklist results showed that students demonstrated many of the counseling skills taught in the module. Survey results about the impact of the new curriculum were promising but limited by the small sample size.
UNASSIGNED: The curriculum successfully introduced patient-centered contraceptive counseling skills and provided a valuable practice opportunity. Other sites could adapt components of this curriculum to enhance education in person-centered contraceptive counseling.
摘要:
在多布斯诉杰克逊妇女卫生组织最高法院的判决之后,对于所有医疗服务提供者来说,提供避孕方案咨询的能力变得越来越重要。当前的课程不足以使医学生获得避孕咨询的能力。高质量的避孕咨询需要以患者为中心的沟通技巧,这在许多其他临床情况下也是至关重要的。缺乏以患者为中心的沟通的系统教学,在避孕咨询和更广泛的。
我们制定了以人为中心的避孕咨询课程,其中包含参考指南,5至10分钟的交互式在线模块,和30分钟的形成性标准化患者会议,为实习医学生。形成性会议期间的性能使用清单进行评估,标准化的患者和受体提供实时反馈。我们使用了知识调查,自我感知的技能,以及对以患者为中心的咨询的态度,以比较接受和未接受课程的学生。
27名学生接受了新课程。参考指南和在线模块可轻松集成到临床轮换中,而无需教育工作者花费额外的时间。形成会议需要更多的资源来实施,但对于学生巩固新课程中的沟通技巧很有价值。清单结果显示,学生展示了该模块中教授的许多咨询技能。关于新课程影响的调查结果很有希望,但受样本量小的限制。
课程成功引入了以患者为中心的避孕咨询技巧,并提供了宝贵的实践机会。其他网站可以调整该课程的组成部分,以加强以人为本的避孕咨询教育。
公众号