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Sexual practices: are physicians addressing the issues?

C E Lewis1

  • 1UCLA Department of Medicine, UCLA School of Medicine 90024-1685.

Journal of General Internal Medicine
|September 1, 1990
PubMed
Summary
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Physicians now require sexual history-taking skills due to AIDS. This study presents a teaching method using small groups and videos to address cognitive, affective, and skills domains for healthcare providers.

Area of Science:

  • Medical Education
  • Public Health
  • Clinical Interviewing

Background:

  • Historically, sexual history taking was limited to specialists like urologists, psychiatrists, and gynecologists.
  • The emergence of Acquired Immunodeficiency Syndrome (AIDS) necessitates sexual history-taking competency for all primary care physicians.
  • Teaching sexual history taking is complex, encompassing cognitive, affective, and skills-based learning domains.

Purpose of the Study:

  • To present an innovative approach for teaching sexual history taking to healthcare providers.
  • To equip primary care physicians with essential interviewing skills for obtaining sexual history data.
  • To address the multifaceted educational challenges in sexual history taking.

Main Methods:

  • Utilized small group sessions for interactive learning.

Related Experiment Videos

  • Employed videotapes to model effective sexual history-taking content and question sequencing.
  • Incorporated methods to confront learners' fears and emotional concerns regarding data acquisition.
  • Main Results:

    • The developed approach effectively models the necessary skills and content for sexual history taking.
    • Learners were guided to confront and manage their anxieties associated with obtaining sensitive patient information.
    • The intervention targets the cognitive, affective, and skills domains crucial for comprehensive sexual history assessment.

    Conclusions:

    • The described teaching methodology provides a structured and supportive environment for learning sexual history taking.
    • This approach enhances provider confidence and competence in a critical area of patient care.
    • Effective sexual history taking is vital for primary care physicians in the context of public health challenges like AIDS.