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A Novel Gynecologic Educational Curriculum to Increase Student Engagement and Learning in the Ob/Gyn Clerkship
Purpose: This study aimed to determine if the introduction of a
novel interactive gynecologic educational curriculum could improve medical
student comfort in gynecologic history taking and physical exam skills,
ultimately leading to increased engagement and learning in the Obstetrics and
Gynecology (Ob/Gyn) clerkship.
Background: Given the sensitive nature of the gynecologic history
and physical exam, a lack of comfort in performing these clinical skills may
translate into decreased medical student engagement and learning in the Ob/Gyn
Methods: Students enrolled in their 3rd year Ob/Gyn clerkship
voluntarily participated in the novel curriculum. First, students were given
access to video tutorials created by and featuring near-peers teaching the
gynecologic history and exam. Next, they participated in a directly-observed,
simulated gynecologic clinic visit with a standardized patient (SP) and
silicone breast and pelvic models. After, students were provided with a
formative assessment of their clinical performance during the simulation.
Lastly, students participated in a group debriefing session to reflect on their
experience with the new curriculum. Students were anonymously surveyed pre- and
post-intervention to assess the impact of the curriculum.
Results: Self-perceived student comfort in performing breast
(P< .0004) and pelvic exams (P< .0001) increased significantly following
the participation in the interactive educational curriculum. Students were also
significantly more comfortable suggesting diagnostic testing, formulating a
differential diagnosis, and presenting to an attending (P< .0005). Students
reported participation in the novel curriculum improved their clinical
engagement (55%) and enhanced their learning (75%) during their Ob/Gyn Clerkship.
Discussions: Implementation of a novel interactive educational
curriculum taught by near-peers is an effective method to improve medical
student comfort, learning, and engagement in the 3rd year Ob/Gyn clerkship.
CREOG & APGO Annual Meeting, 2020, Student, Resident, Faculty, Clerkship Director, Clerkship Coordinator, Patient Care, Medical Knowledge, Professionalism, Interpersonal & Communication Skills, Practice-Based Learning & Improvement, UME, Assessment, Simulation, Standardized Patient, General Ob-Gyn,