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Sexually Speaking: How Are Medical School Clinical Curricula Preparing Future Physicians?
Purpose: This study focuses on medical school OBGYN core
clerkship content to determine how female sexual medicine (FSM) is taught to
Background: Currently, only half of US medical schools require
formal sexual health instruction, which contributes to the under-preparedness
physicians experience in addressing FSM. Previous work from our group revealed
a need for restructuring pre-clinical medical school curricula to include
crucial FSM domains. Thus, comprehensive education in clinical curricula
assumes an important role.
Methods: OBGYN clerkship syllabi, synchronous lecture
materials, and supplemental resources were collected from four medical schools
in Chicago, Illinois. Upon review of each institution’s clerkship materials, we
assessed the goals set forth in each syllabus in terms of lecture or online
learning content required for completion by rotating students.
Results: Clerkship materials were collected from four (n=4)
medical schools. When comparing the specific aims and course content outlines
in the rotation syllabi, 3 of 4 institutions included topics on FSM or female
sexual dysfunction. Of these, only one had corresponding synchronous clerkship
time dedicated to these topics. Furthermore, only one program offered training
in comprehensive sexual history-taking practices, including screening for
female sexual dysfunction.
Discussions: Our needs assessment reveals inconsistencies in the
outlined goals of OBGYN clinical rotations and the required content for
students. A single lecture was included at only one institution specifically
dedicated to treatment of female sexual dysfunction. This same school was the
only to offer optional training in screening for female sexual dysfunction.
Future work includes emphasizing FSM as crucial a domain for medical students.
CREOG & APGO Annual Meeting, 2023, Student, Faculty, Clerkship Director, Clerkship Coordinator, Osteopathic Faculty, Medical Knowledge, Practice-Based Learning & Improvement, UME, Assessment, Lecture, Advocacy,