%0 Journal Article
%T Out-of-Hospital Birth in Medical Education: A Thematic Analysis of Question Banks for Medical Licensing Examinations in the United States.
%A Lederer MR
%A Hurst DJ
%J South Med J
%V 117
%N 6
%D 2024 Jun
%M 38830589
%F 0.81
%R 10.14423/SMJ.0000000000001696
%X <B>OBJECTIVE: </B>This study assessed the content of US Medical Licensing Examination question banks with regard to out-of-hospital births and whether the questions aligned with current evidence.<BR><B>METHODS: </B>Three question banks were searched for key words regarding out-of-hospital births. A thematic analysis was then utilized to analyze the results.<BR><B>RESULTS: </B>Forty-seven questions were identified, and of these, 55% indicated a lack of inadequate, limited, or irregular prenatal care in the question stem.<BR><B>CONCLUSIONS: </B>Systematic studies comparing prenatal care in out-of-hospital births versus hospital births are nonexistent, leading to the potential for bias and adverse outcomes. Adjustments to question stems that accurately portray current evidence are recommended.