{Reference Type}: Journal Article {Title}: Out-of-Hospital Birth in Medical Education: A Thematic Analysis of Question Banks for Medical Licensing Examinations in the United States. {Author}: Lederer MR;Hurst DJ; {Journal}: South Med J {Volume}: 117 {Issue}: 6 {Year}: 2024 Jun {Factor}: 0.81 {DOI}: 10.14423/SMJ.0000000000001696 {Abstract}: OBJECTIVE: 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.
METHODS: Three question banks were searched for key words regarding out-of-hospital births. A thematic analysis was then utilized to analyze the results.
RESULTS: Forty-seven questions were identified, and of these, 55% indicated a lack of inadequate, limited, or irregular prenatal care in the question stem.
CONCLUSIONS: 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.