Effects of rotating at a Catholic hospital on medical student contraceptive objective structured clinical exam scores

Bringley, Johanna; Zu, Virginia; Javlekar, Ashwini; Yilmaz, Fatima Daoud; Flink-Bochacki, Rachel

doi:10.1016/j.contraception.2021.09.002

Cited by 2 publications

(8 citation statements)

References 12 publications

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“…Nine studies assessed the sexual and reproductive health education of preclinical students—those in their first or second year of medical school 3,8,18,27,30,32,33,38,48 . Twenty‐one USA studies assessed clinical students during their third year clerkships 2,4,5,9,11–17,19,21–23,26,28,31,40,49,55 . Two studies assessed sexual and reproductive health education from all years in medical school through surveys of faculty with knowledge of the curriculum 7,53 .…”

Section: Resultsmentioning

confidence: 99%

“…After recognizing inadequate contraception pharmacology teaching at a US medical school, educators piloted a case‐based flipped classroom for first‐year medical students to address this education gap 32 . A study comparing the OSCE performance among students rotating at a Catholic hospital with fewer opportunities to experience contraceptive counseling versus students at a non‐religious hospital found that total OSCE scores were lower among those student that rotated at a Catholic hospital 22 . The authors therefore concluded that “while knowledge can be imparted didactically, hands‐on history taking and counseling experiences are needed to build competency in contraceptive care” 22 …”

Section: Resultsmentioning

confidence: 99%

“…22 The authors therefore concluded that "while knowledge can be imparted didactically, hands-on history taking and counseling experiences are needed to build competency in contraceptive care". 22…”

Section: Gaps In Sexual and Reproductive Health Educationmentioning

confidence: 99%

“…3,8,18,27,30,32,33,38,48 Twenty-one USA studies assessed clinical students during their third year clerkships. 2,4,5,9,[11][12][13][14][15][16][17]19,[21][22][23]26,28,31,40,49,55 Two studies assessed sexual and reproductive health education from all years in medical school through surveys of faculty with knowledge of the curriculum. 7,53 Six studies assessed fifth and/or sixth year students about sexual and reproductive health education.…”

Section: Training Level Of Students Assessedmentioning

confidence: 99%

“…Twenty-seven studies focused on contraception 2,4,5,8,10,15,18,19,22,23,25,27,28,[30][31][32][34][35][36]38,41,43,[48][49][50]54,55 ; two of them specifically on long-acting reversible contraception. 8,49 One study described a preclinical, case-based, flipped-classroom model of teaching contraceptive pharmacology.…”

Section: Contraceptionmentioning

confidence: 99%

See 4 more Smart Citations

Sexual and reproductive health teaching in undergraduate medical education: A narrative review

French

Steinauer

2023

Intl J Gynecology & Obste

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ObjectiveContraception use, undesired pregnancy, and abortion care are common medical experiences that most physicians will encounter for their patients. Future physicians should therefore have some formal education on these topics. In this narrative review, we focused on how medical education approaches these sometimes polarizing yet fundamental topics.MethodsWe assessed the published literature on sexual and reproductive health education in undergraduate medical education from 2000 to 2021, screening 868 articles and including 52 articles. We included articles that discussed contraception, emergency contraception, pregnancy options counseling, abortion, and ethics related to sexual and reproductive health.ResultsIncluded studies came from 14 countries and described both preclinical and clinical education. Studies assessed medical student knowledge, the effectiveness of educational interventions and medical school faculty perspectives on sexual and reproductive health curricula. Medical educators have employed a variety of approaches to teach sexual and reproductive health including simulation, objective structured clinical examinations, team‐based learning, narrative medicine, online modules, and flipped classrooms.ConclusionStudents generally received sexual and reproductive health education favorably, demonstrating increased knowledge and comfort with these topics after an education session. Studies also identified curricular gaps and deficiencies in student knowledge, which may indicate a need for improved and consistent medical school education on contraception and abortion.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Gaps In Sexual and Reproductive Health Educationmentioning

confidence: 99%

Section: Training Level Of Students Assessedmentioning

confidence: 99%

Section: Contraceptionmentioning

confidence: 99%

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Sexual and reproductive health teaching in undergraduate medical education: A narrative review

French

Steinauer

2023

Intl J Gynecology & Obste

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Family planning competency following medical school Ob/Gyn clerkships at faith-based and secular sites

Feltman,

Lewis,

Thompson

2024

Sci Rep

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Contraception and abortion topics are variably, but often poorly, addressed in medical school curricula. Restrictions on contraceptive and abortion care at faith-based hospitals may hinder comprehensive family planning training for medical students during Ob/Gyn clerkships. Here we investigated whether medical students at faith-based and non-faith-based clerkships experienced different observations during their Ob/Gyn clerkship and/or differences in self-perceived competency in patient counseling, objective knowledge, and perceived adequacy of training in contraception and abortion topics post-clerkship. A survey was distributed to third- and fourth-year medical students at New York Institute of Technology, College of Osteopathic Medicine. Across all clerkship sites (n = 102 students), observations of, and competency in, contraceptive care was higher than in abortion care. Students at non-faith-based clerkship sites (n = 54) reported the highest levels of observation of contraceptive and abortion care (19.6–90.7%), while those at Catholic sites (n = 26) typically reported the lowest (7.7–34.6%). Students at non-faith-based sites reported significantly higher competency in contraceptive care and some aspects of abortion care, than those at Catholic, and some other faith-based sites (n = 48). Clerkship training at faith-based sites, specifically Catholic sites, resulted in poorer Ob/Gyn training, particularly in contraceptive care. Training outcomes in abortion care were poor at all Ob/Gyn clerkship sites.

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Effects of rotating at a Catholic hospital on medical student contraceptive objective structured clinical exam scores

Cited by 2 publications

References 12 publications

Sexual and reproductive health teaching in undergraduate medical education: A narrative review

Sexual and reproductive health teaching in undergraduate medical education: A narrative review

Family planning competency following medical school Ob/Gyn clerkships at faith-based and secular sites

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