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Structured Teaching of Early Pregnancy Loss Counseling
Emily K Marko1, Samantha D Buery-Joyner, Michael J Sheridan
1Department of Obstetrics and Gynecology, Inova Fairfax Hospital, Falls Church, Virginia; and Dell Medical School, University of Texas at Austin, Austin, Texas.
Obstetrics and Gynecology
|September 17, 2015
Summary
A new curriculum significantly improved medical students' early pregnancy loss counseling skills. The structured training enhanced performance on Objective Structured Clinical Examinations, confidence, and empathy.
Area of Science:
- Medical Education
- Obstetrics and Gynecology
- Patient Communication
Background:
- Medical students have limited exposure to early pregnancy loss counseling during training.
- Effective communication skills are crucial for managing early pregnancy loss.
Purpose of the Study:
- To evaluate the impact of a novel structured curriculum on medical student performance in early pregnancy loss counseling.
- To assess improvements in student confidence and empathy in managing early pregnancy loss.
Main Methods:
- A pre-post control group design involving two medical schools.
- The study group (N=39) received a curriculum with demonstration and role-playing; the control group (N=38) received traditional instruction.
- Outcomes included Standardized Patient Objective Structured Clinical Examination (SP-OSCE) scores, student confidence, and standardized patient empathy ratings.
Main Results:
- SP-OSCE posttest scores were significantly higher in the study group (94.2%) versus the control group (69.7%).
- Student confidence levels were significantly higher in the study group (1.57) compared to the control group (3.62).
- Standardized patient empathy ratings were significantly higher for the study group (1.84) versus the control group (2.62).
Conclusions:
- A structured curriculum effectively improved medical student performance in early pregnancy loss counseling.
- The curriculum enhanced student confidence and empathy when caring for patients experiencing early pregnancy loss.
- This training approach offers a valuable model for improving essential clinical communication skills.
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