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Development of an Effective Comprehensive Curriculum Regarding the Patient and Provider Experience of Stillbirth
develop and evaluate a comprehensive curriculum about stillbirth focused on
both the patient and the provider experience with this difficult topic.
Background: Pilot data from our institution showed that OB/GYN residents felt ill
prepared to care for patients with stillbirth, and that training about the
patient experience of stillbirth was impactful but emotionally distressing. We
sought to develop a comprehensive stillbirth curriculum that included
knowledge, communication skills, and emotional domains.
Methods: A four-part curriculum was created including: 1. Medical management, 2. A stillbirth panel
discussion with patients/families, 3. Simulation training in delivering serious
news, and 4. Workshop on resiliency. OB/GYN residents completed pre- and
post-testing for each session. Five-point Likert scales were compared using the
Wilcoxon signed rank test (alpha = 0.05).
Results: All 28 residents participated in parts of the curriculum, with 85%
attending two or more sessions.
Following the curriculum, we found statistically significant
self-reported improvements in multiple aspects of the stillbirth training:
general knowledge (p<0.01), appropriate tests to order (p<0.05),
interpretation of placental pathology (p<0.01), genetic evaluation
(p<0.01), comfort conveying sympathy (p<0.05), expressing emotion
(p<0.01), and confidence in delivering serious news (p<0.001). In the resiliency workshop, residents shared
ideas about how faculty can support them during difficult clinical situations.
comprehensive stillbirth curriculum which addressed the cognitive, emotional,
and skills aspects of this topic was well received and effective. Long-term
data is needed to evaluate whether these improvements persist and can enhance
resident satisfaction with other challenging topics within OB/GYN.
General Ob-Gyn, Maternal-Fetal Medicine, Standardized Patient, Lecture, Simulation, UME, CME, GME, Practice-Based Learning & Improvement, Interpersonal & Communication Skills, Systems-Based Practice & Improvement, Professionalism, Medical Knowledge, Patient Care, Residency Director, Osteopathic Faculty, Clerkship Coordinator, Clerkship Director, Faculty, Resident, Student, 2018, CREOG & APGO Annual Meeting,