Abraham Cynthia
Department of Obstetrics, Gynecology and Reproductive Sciences, Icahn School of Medicine at Mount Sinai and Mount Sinai Health System, New York, NY, USA.
Department of Medical Education, Icahn School of Medicine at Mount Sinai and Mount Sinai Health System, New York, NY, USA.
J Med Educ Curric Dev. 2024 Apr 3;11:23821205241245295. doi: 10.1177/23821205241245295. eCollection 2024 Jan-Dec.
In many medical schools, students are exposed to obstetrics for 2 weeks during the third-year obstetrics and gynecology clerkship. Hence, the purpose of this study was to evaluate the effectiveness of a curriculum combining online obstetric modules and a normal spontaneous vaginal delivery (NSVD) simulation on medical student knowledge and comfort pertaining to obstetrics at the start of the clerkship.
Students completed the curriculum at the start of the clerkship. They completed questionnaires before and after each module and the simulation. The questionnaires assessed knowledge, management comfort level, and satisfaction with module/simulation. Comfort level and satisfaction scores were based on a 1-5 Likert scale (1 = very uncomfortable/unfavorable, 5 = very comfortable/favorable). Satisfaction scores for online modules were compared with those for a historical cohort of traditional lectures on the same topics. Students also rated satisfaction with the curriculum.
Sixty students participated. Mean knowledge and comfort scores significantly increased from 7.2 to 9.2 ( < .001) and from 2.7 to 3.9 ( < .001) before and after the modules, respectively. Although satisfaction scores for traditional lectures were significantly higher than for online modules (4.7 vs. 4.4, < .001), online modules were still favorably received. Mean satisfaction score for the NSVD simulation was 4.8. Overall, satisfaction score for the curriculum was 4.5.
An obstetric curriculum consisting of online modules and simulation significantly increases medical student learner knowledge and comfort and is associated with a high level of satisfaction.
在许多医学院校，学生在三年级妇产科实习期间会接触两周的产科内容。因此，本研究的目的是评估将在线产科模块与正常自然阴道分娩（NSVD）模拟相结合的课程对医学生在实习开始时有关产科知识和舒适度的有效性。
学生在实习开始时完成该课程。他们在每个模块和模拟前后完成问卷。问卷评估知识、管理舒适度以及对模块/模拟的满意度。舒适度和满意度得分基于1-5李克特量表（1 = 非常不舒服/不满意，5 = 非常舒服/满意）。将在线模块的满意度得分与同一主题传统讲座的历史队列得分进行比较。学生还对课程的满意度进行评分。
60名学生参与。模块前后的平均知识得分和舒适度得分分别从7.2显著提高到9.2（<0.001）和从2.7显著提高到3.9（<0.001）。虽然传统讲座的满意度得分显著高于在线模块（4.7对4.4，<0.001），但在线模块仍受到好评。NSVD模拟的平均满意度得分为4.8。总体而言，课程的满意度得分为4.5。
由在线模块和模拟组成的产科课程显著提高了医学生的知识和舒适度，并具有较高的满意度。
