Stumbar Sarah E, Minor Suzanne, Samuels Marquita
Herbert Wertheim College of Medicine, Florida International University, Miami, FL.
Florida International University Herbert Wertheim College of Medicine, Office of Medical Education, Miami, FL.
Fam Med. 2018 May;50(5):376-379. doi: 10.22454/FamMed.2018.826159.
Students on their family medicine clerkship at Herbert Wertheim College of Medicine get little clinical exposure to obstetric care, which is not commonly provided by family physicians in urban settings. To address this, we added to our clerkship didactic curriculum a 2-hour session involving a standardized patient (SP). The SP is collectively interviewed by the student group during four simulated prenatal visits, each of which present a different complication of pregnancy. The goal of this study was to evaluate the students' perception of this session's utility, the session's ability to increase student self-confidence regarding obstetric issues, and perceived relevance of obstetrics to family medicine.
During the 2016-2017 academic year, we evaluated this educational intervention using anonymous, immediate postsession surveys containing both Likert scale and open-ended questions. Qualitative answers were analyzed using a thematic analysis approach, with development of a codebook by consensus.
Students overwhelmingly found this session to be pertinent to their learning needs and reported an increase in their self-confidence level regarding obstetrical care. Continuity of care, comprehensive care, and an emphasis on health prevention were identified themes relating how obstetrics embodies the principles of family medicine.
We developed this prenatal standardized patient experience to expose our clerkship students to full-spectrum family medicine, including primary care obstetrics. Our data suggests that this session increased students' self-confidence with obstetrics management, filled in gaps in their clinical exposure to full-spectrum family medicine, and addressed a perceived learning need.
在赫伯特·韦特海姆医学院进行家庭医学实习的学生很少有机会接触产科护理临床实践，因为城市环境中的家庭医生通常不提供此类服务。为了解决这一问题，我们在实习教学课程中增加了一个为时2小时的环节，涉及标准化病人（SP）。在四次模拟产前检查中，学生小组对标准化病人进行集体问诊，每次检查呈现不同的妊娠并发症。本研究的目的是评估学生对该环节实用性的看法、该环节提高学生在产科问题上的自信心的能力，以及产科与家庭医学的感知相关性。
在2016 - 2017学年，我们使用匿名的课后即时调查问卷对这一教育干预进行评估，问卷包含李克特量表和开放式问题。定性回答采用主题分析方法进行分析，通过共识制定编码手册。
绝大多数学生认为该环节与他们的学习需求相关，并报告称他们在产科护理方面的自信心有所提高。连续护理、综合护理以及对健康预防的强调是与产科如何体现家庭医学原则相关的主题。
我们开发了这种产前标准化病人体验，以使我们的实习学生接触到全谱家庭医学，包括初级保健产科。我们的数据表明，该环节增强了学生对产科管理的自信心，填补了他们在全谱家庭医学临床接触方面的空白，并满足了他们感知到的学习需求。
