Davisson Laura, Nuss Michelle, Cottrell Scott
J Grad Med Educ. 2010 Sep;2(3):398-403. doi: 10.4300/JGME-D-09-00069.1.
Women's health knowledge and skills are important for physicians, but training is often inadequate. The objective of this project was to develop, implement, and evaluate a women's health curriculum for an internal medicine residency program.
After assessing institutional factors, we developed a curriculum for a multidisciplinary clinical rotation with a web-based tutorial. We recruited faculty from several specialties relevant to the care of women to precept for the rotation and/or to provide teaching materials for the tutorial.
The curriculum for the 1-month rotation covered most of the recommended women's health topics. Internal medicine residents worked in a variety of clinical settings and were assigned to a web-based tutorial and a pretest and posttest. A statistically significant increase was seen in participants' mean posttest (71.7%) versus pretest (61.1%) scores (difference, 10.7%; 95% confidence interval [CI]: 4.7-16.6; P = .0009). No difference was seen in controls' mean posttest (56.5%) versus pretest (57.2%) scores (difference, -0.7%; 95% CI: -12.1-10.7; P = .9). Mean rotation evaluation responses ranged from 7.09 to 7.45 on a 9-point scale. The majority (93%) of survey respondents agreed that the rotation increased their skills in caring for women, and all agreed the program was well organized and that it increased their awareness of women's health issues.
A women's health curriculum using a web-based tutorial with a multidisciplinary clinical rotation can be successfully implemented in an internal medicine residency. The curriculum satisfied women's health training requirements, was associated with improvements in learning outcomes, and may be a model for women's health education.
女性健康知识与技能对医生而言至关重要，但培训往往不足。本项目的目的是为内科住院医师培训项目开发、实施并评估一门女性健康课程。
在评估机构因素后，我们为多学科临床轮转制定了一门课程，并配有网络教程。我们从与女性护理相关的多个专业招募教员，为轮转提供指导和/或为教程提供教学材料。
为期1个月的轮转课程涵盖了大多数推荐的女性健康主题。内科住院医师在多种临床环境中工作，并被分配参加网络教程以及进行前测和后测。参与者的后测平均分（71.7%）与前测平均分（61.1%）相比有统计学显著提高（差异为10.7%；95%置信区间[CI]：4.7 - 16.6；P = .0009）。对照组的后测平均分（56.5%）与前测平均分（57.2%）相比无差异（差异为 - 0.7%；95% CI： - 12.1 - 10.7；P = .9）。轮转评估的平均回复在9分制中为7.09至7.45。大多数（93%）调查受访者同意轮转提高了他们照顾女性的技能，并且所有人都认为该项目组织良好，提高了他们对女性健康问题的认识。
一门采用网络教程并结合多学科临床轮转的女性健康课程能够在内科住院医师培训中成功实施。该课程满足了女性健康培训要求，与学习成果的改善相关，可能成为女性健康教育的一个典范。
