Obstetrics and Gynaecology Monash Health, Faculty of Medicine, Nursing and Health Sciences, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia.
Emergency Obstetric Care and Quality of Care Unit, International Public Health Department, Liverpool School of Tropical Medicine, L3 5QA, United Kingdom.
Best Pract Res Clin Obstet Gynaecol. 2022 Apr;80:114-125. doi: 10.1016/j.bpobgyn.2021.11.010. Epub 2021 Dec 1.
Obstetric and gynaecology undergraduate training is an intense time for learners as they encounter various health conditions related to women's health and also learn about pregnancy care and birth. The experience is directed to familiarise students with basic clinical management of gynaecological conditions, also develop communication and related core examination and procedural skills. Similarly, midwifery training encompasses independent care of low-risk pregnant women and assist in care of high-risk pregnancy in partnership with obstetricians. Although its necessary to acquaint most learners with core clinical skills in obstetrics and gynaecology, learning opportunities on patients can be limited, due to the intrusive nature of women's health examination. Simulation Based Education (SBE) can facilitate learning hands-on clinical examination and procedural skills, using realistic part-task and high-fidelity simulators prior to approaching patients. This can apply to both medical and midwifery undergraduate training, further creating opportunities for professional interaction and shared learning space to facilitate interprofessional education. IPE has been shown to improve professional relationships in practicing clinicians. This learning pedagogy can be applied in the undergraduate setting as well, to decrease risk of conflict and appreciate roles of other interprofessional staff in future clinical practice. In this chapter we highlight some challenges faced by medical and midwifery undergraduates in their learning from a global perspective. We also describe some teaching and learning initiatives that can be applicable across various settings of obstetrics, gynaecology medical undergraduate and midwifery teaching with relevant case studies to facilitate new graduates preparedness for practice.
妇产科本科培训对学习者来说是一个紧张的时期,因为他们会遇到各种与女性健康相关的健康状况,同时也学习妊娠护理和分娩。这一经历旨在让学生熟悉妇科疾病的基本临床管理,也发展沟通和相关核心检查及程序技能。同样,助产学培训包括独立照顾低危孕妇,并与产科医生合作照顾高危妊娠。虽然有必要让大多数学习者熟悉妇产科的核心临床技能,但由于妇女健康检查的侵入性,在患者身上的学习机会可能有限。基于模拟的教育(SBE)可以在接触患者之前,通过使用真实的部分任务和高保真模拟器,促进实践临床检查和程序技能的学习。这既适用于医学和助产学的本科培训,也为专业互动和共享学习空间创造了机会,以促进跨专业教育。IPE 已被证明可以改善实践临床医生之间的专业关系。这种学习教育学也可以应用于本科阶段,以减少未来临床实践中冲突的风险,并欣赏其他跨专业人员的角色。在本章中,我们从全球视角强调了医学和助产学本科生在学习中面临的一些挑战。我们还描述了一些教学和学习举措,这些举措可以适用于各种妇产科、医学本科和助产学教学环境,并通过相关案例研究为新毕业生做好实践准备。