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A Video Curriculum to Improve Students’ Confidence and Willingness to Discuss Pain and Substance Use Topics in OB/GYN
Purpose: To evaluate the effect of a didactic concept video on
clerkship students’ comfort with addressing OB/GYN pain medicine and substance
Background: Despite the prevalence of pain as a presenting chief
complaint or a result of our treatment, many medical students have limited
exposure to a formal pain medicine curriculum. Prior to implementation,
clerkship students lacked dedicated content to pain medicine topics as related
to OB/GYN patient care.
Methods: This was a prospective cohort study of OB/GYN
clerkship students. A 10-minute concept video on OB/GYN-specific pain medicine
topics was developed. Students were asked via a pre- and post-session surveys
to rate their self-perceived comfort in discussing pain medicine topics with
patients. Students’ comfort was evaluated using a 5-point a Likert scale.
Differences before and after were assessed using paired sample t-test.
Results: Seventy-five students (78%) took part in this study,
and 64% reported increased comfort discussing etiologies of pain with OB/GYN
patients after video viewing (mean pre/post-test scores 2.83 to 3.65, p < 0.001).
Seventy-two percent reported increased comfort discussing pain management
strategies after viewing the video (mean pre/post-test scores 2.72 to 3.69, p
< 0.001). Eighty-eight percent of students were more likely to discuss pain
with their patients after viewing the video.
Discussions: Implementation of a pain medicine concept video for
OB/GYN clerkship studies improves students’ self-perceived confidence and
willingness to discuss pain with their patients. Further work is ongoing to
evaluate student efficacy in conducting these discussions while on their OB/GYN
CREOG & APGO Annual Meeting, 2021, Student, Faculty, Clerkship Director, Clerkship Coordinator, Patient Care, Medical Knowledge, Professionalism, Interpersonal & Communication Skills, UME, Lecture, Independent Study, General Ob-Gyn,