Assistant Professor of Clinical Medicine, Department of Medicine, Renaissance School of Medicine at Stony Brook University.
Assistant Clinical Professor, Department of Medicine, University of California, San Diego.
MedEdPORTAL. 2020 Oct 23;16:11003. doi: 10.15766/mep_2374-8265.11003.
Although studies surveying internal medicine (IM) residency program directors identify geriatric women's health as an essential curriculum topic, there are limited published women's health curricula for IM residents. Our IM residency program performed a needs assessment, which revealed that the majority of residents were unsatisfied with our current curricula and most were not confident managing geriatric women's health. We developed and assessed a structured curriculum to improve IM residents' knowledge and confidence in addressing geriatric women's health.
This 2-hour interactive workshop used the jigsaw teaching method (a cooperative learning strategy where peers deliver specific content in teams) to teach 84 categorical IM residents of all PGY levels about the diagnosis and management of menopause, osteoporosis, urinary incontinence, and abnormal uterine bleeding. Participants completed a pretest and immediate posttest to assess knowledge and confidence about the targeted topics. We compared baseline and postworkshop responses using chi-square and Wilcoxon signed rank tests.
Seventy-four (88%) IM residents completed the pretest, and 62 (74%) completed the posttest. Mean knowledge scores improved from 51% to 69% ( < .0001). Residents who reported feeling somewhat confident or confident in addressing women's health topics increased from 14% to 44% ( < .0001). The majority were satisfied or very satisfied with the workshop (94%) and requested additional women's health education (92%).
Our results suggest that workshops using the jigsaw teaching method can effectively increase IM resident knowledge and confidence in managing geriatric women's health.
尽管调查内科住院医师培训项目主任的研究将老年女性健康确定为基本课程主题，但针对内科住院医师的女性健康课程却有限。我们的内科住院医师培训项目进行了需求评估，结果显示大多数住院医师对我们目前的课程不满意，大多数人对管理老年女性健康没有信心。我们制定并评估了一个结构化课程，以提高内科住院医师在解决老年女性健康问题方面的知识和信心。
本 2 小时互动工作坊采用拼图教学法（一种合作学习策略，即同伴在团队中提供特定内容），向所有住院医师级别的 84 名内科住院医师教授关于绝经、骨质疏松症、尿失禁和异常子宫出血的诊断和管理。参与者完成了预测试和即时后测试，以评估针对目标主题的知识和信心。我们使用卡方检验和 Wilcoxon 符号秩检验比较基线和讲习班后的反应。
74 名（88%）内科住院医师完成了预测试，62 名（74%）完成了后测试。知识得分从 51%提高到 69%（<0.0001）。报告对处理女性健康问题感到有些自信或有信心的居民从 14%增加到 44%（<0.0001）。大多数人对讲习班感到满意或非常满意（94%），并要求提供更多的女性健康教育（92%）。
我们的结果表明，使用拼图教学法的工作坊可以有效地提高内科住院医师管理老年女性健康的知识和信心。
