From the Kaiser Permanente Center for Health Research, Kaiser Permanente Northwest, Portland, OR.
Menopause. 2024 Feb 1;31(2):93-100. doi: 10.1097/GME.0000000000002291. Epub 2024 Jan 2.
Surveys of residents in obstetrics and gynecology, internal medicine, and family medicine have demonstrated low levels of knowledge and comfort in treating patients with menopausal symptoms, suggesting a need for improved training during residency. To address this problem, we used a flipped classroom design to deliver a novel menopause curriculum for medical residents. The curriculum included six podcast episodes followed by an interactive case-based classroom session. We then assessed effects of the curriculum on the residents' knowledge and preparedness to manage menopause symptoms.
We targeted 200 residents (43 obstetrics and gynecology, 86 internal medicine, and 71 family medicine) from six residency programs from 2019 to 2020. Of these, 115 (58%) completed both pre- and postcurriculum assessments, including a 15-item knowledge test and self-ratings of their knowledge, comfort, and preparedness to manage menopause.
Following the curriculum, the proportion of correctly answered knowledge questions rose from 60.8% to 79.1% (+18.3%; 95% confidence interval, 15.4-21.2; Cohen's d = 1.2). Improvement did not significantly differ by specialty or year of residency. There were higher gains for residents who listened to the entirety of all six podcast episodes ( b = 11.4, P < 0.001) and who attended the classroom session ( b = 11.6, P = 0.003). Residents' self-ratings of knowledge, comfort, and preparedness also improved following the curriculum across all medical specialties (Cohen's d = 0.47-1.2). Residents rated the podcast format as convenient (73%) and effective (65%) compared with an equivalent amount of reading.
Pairing a podcast with a classroom discussion was found to be an effective combination for improving menopause knowledge.
对妇产科、内科和家庭医学住院医师进行的调查表明，他们在治疗围绝经期症状患者方面的知识和舒适度水平较低，这表明住院医师培训需要改进。为了解决这个问题，我们使用翻转课堂设计为住院医师提供了一种新的绝经课程。该课程包括六集播客，随后是一个基于互动案例的课堂会议。然后，我们评估了该课程对住院医师管理围绝经期症状知识和准备情况的影响。
我们针对 2019 年至 2020 年来自六个住院医师培训计划的 200 名住院医师（妇产科 43 名、内科 86 名、家庭医学 71 名）进行了研究。其中，115 名（58%）完成了课程前后的评估，包括 15 项知识测试和他们对自己管理围绝经期症状知识、舒适度和准备情况的自我评估。
在课程结束后，正确回答问题的比例从 60.8%上升到 79.1%（+18.3%；95%置信区间，15.4-21.2；Cohen's d = 1.2）。专业或住院年限的改善无显著差异。收听了全部六集播客的住院医师（ b = 11.4，P < 0.001）和参加课堂会议的住院医师（ b = 11.6，P = 0.003）获益更高。所有医学专业的住院医师在课程结束后自我评估的知识、舒适度和准备情况也有所提高（Cohen's d = 0.47-1.2）。与同等数量的阅读相比，住院医师认为播客格式方便（73%）且有效（65%）。
将播客与课堂讨论相结合被发现是提高绝经知识的有效组合。
