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Published on: August 1, 2019
A Problem-Based Learning Session on Pregnancy Options, Counseling, and Abortion Care.
Tali Pomerantz1, Ashlee Bergin2, Karen Hughes Miller3,4
1Fourth-Year Medical Student, University of Louisville School of Medicine.
A problem-based learning (PBL) module significantly improved medical students' knowledge and confidence in discussing abortion and pregnancy options counseling. However, barriers to practical implementation remain.
Area of Science:
- Medical Education
- Women's Health
- Reproductive Health
Background:
- Medical students often have limited exposure to women's health issues, including abortion, before clinical rotations.
- Effective counseling on pregnancy options is a crucial skill for healthcare providers.
Purpose of the Study:
- To pilot a problem-based learning (PBL) module for second-year medical students.
- To assess the module's impact on students' knowledge and confidence in counseling about pregnancy options, specifically abortion.
Main Methods:
- A two-session PBL module was implemented with second-year medical students.
- Students engaged in case-based discussions and individual research on a Zika virus-related pregnancy termination scenario.
- Pre- and post-PBL surveys were administered to students, and facilitators completed an evaluation survey.
Main Results:
- Student self-reported "informed" status regarding abortion increased from 30% to 58% (p < .001).
- Mean quiz scores improved from 29% to 40% (p < .001).
- While 93% of facilitators felt the module equipped students to counsel on abortion, only 56% felt adequately trained themselves.
Conclusions:
- The PBL module effectively enhanced medical students' understanding and confidence in discussing abortion.
- Students valued the opportunity to clarify values and discuss pregnancy options counseling.
- Barriers to applying learned knowledge in practice were identified by students, and faculty training needs were highlighted.
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