更年期医学门诊：增强医学教育效果的创新方法。

Menopausal medicine clinic: an innovative approach to enhancing the effectiveness of medical education.

机构信息

Department of Obstetrics and Gynecology, The Reading Hospital and Medical Center, Reading, PA 19612-6052, USA.

出版信息

Menopause. 2012 Oct;19(10):1092-4. doi: 10.1097/gme.0b013e3182507406.

DOI:10.1097/gme.0b013e3182507406

PMID:22692330

Abstract

OBJECTIVE

The purpose of this study was to assess the effectiveness of a menopause clinic to enhance trainees' medical knowledge.

METHODS

Between July 2004 and May 2007, 73 resident physicians completed a rotation that included a weekly menopause clinic and completion of a pretest and posttest examination. Each test contained questions on topics covering menopause, perimenopause, and general women's health. At the end of each testing session, a total score and a menopause score were given.

RESULTS

The mean (SD) pretest menopause score and total score were 63.2% (13.3%) and 63.7% (11.3%), respectively. The mean posttest increase in the menopause score was 14%, with a median score increase of 10.2% (P < 0.0001). The posttest results ranged from a maximum decrease of 7.8% to a maximum increase of 47.1%. The mean increase in the total score was 13%, with a median increase of 10.7% (P < 0.0001). For the posttest total score, the range went from -7.2% to 39.3%. There was no correlation between the score changes and the number of clinic sessions attended, the resident specialties (obstetrics/gynecology vs non-obstetrics/gynecology), the level of training (postgraduate year 1 or 2), or the examination order (test A vs test B taken first).

CONCLUSION

Menopause clinics can add to resident physician knowledge about menopause-related matters. Menopause clinics may help educate future physicians in their ability to care for postmenopausal women.

摘要

目的

本研究旨在评估更年期门诊对增强受训者医学知识的有效性。

方法

2004 年 7 月至 2007 年 5 月，73 名住院医师完成了一项轮训，包括每周一次的更年期门诊和完成预测试和后测试检查。每个测试都包含关于更年期、围绝经期和一般女性健康的主题问题。在每次测试结束时，都会给出总分和更年期分数。

结果

平均（SD）预测试更年期分数和总分数分别为 63.2%（13.3%）和 63.7%（11.3%）。更年期分数的后测平均增加 14%，中位数增加 10.2%（P<0.0001）。后测结果范围从最大减少 7.8%到最大增加 47.1%。总分数的平均增加为 13%，中位数增加 10.7%（P<0.0001）。对于后测总分数，范围从-7.2%到 39.3%。分数变化与就诊次数、住院医师专业（妇产科与非妇产科）、培训水平（研究生第 1 年或第 2 年）或考试顺序（先考 A 还是先考 B）之间没有相关性。