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Non-Directive Pregnancy Options Counseling: Online Instructional Module, Objective Structured Clinical Exam, and
Carla S Lupi1,2, Melissa Ward-Peterson3, Christian Castro4
1Professor of Obstetrics and Gynecology, Florida International University Herbert Wertheim College of Medicine.
Mededportal : the Journal of Teaching and Learning Resources
|February 26, 2019
Summary
This study introduces an online module and objective structured clinical examination (OSCE) to train medical students in nondirective pregnancy options counseling, improving their skills in handling emotional responses and clarifying values.
Area of Science:
- Medical Education
- Reproductive Health
- Clinical Skills Training
Background:
- Patients with unplanned pregnancies require more than just a test result; they need counseling on pregnancy options.
- Foundational training in nondirective pregnancy options counseling is crucial for medical students.
Purpose of the Study:
- To provide medical students with foundational training in nondirective pregnancy options counseling.
- To validate and enhance an objective structured clinical examination (OSCE) for this training.
Main Methods:
- Developed a 30-minute online preparatory module for stepwise counseling and values clarification.
- Revised an existing OSCE, created rater training videos, and conducted a 10-minute scenario with 46 third-year medical students.
- Students completed self-assessments and received individualized feedback post-OSCE.
Main Results:
- Students reflected on using module methods for handling emotional silence and presenting options.
- Self-identified areas for improvement included terminology and responding to difficult emotional encounters.
- The training provided a structured opportunity for values clarification.
Conclusions:
- The online module and validated OSCE offer a valuable training opportunity for essential counseling skills.
- Learners practiced screening for intimate partner violence and reproductive coercion.
- The program facilitated self-assessment, feedback, and personal values clarification.
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