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Development and Initial Validity Evidence for a Pregnancy Disclosure and Options Counseling Checklist in Emergency
Carl Preiksaitis1, Isabel Beshar2, Valerie Dobiesz3
1Department of Emergency Medicine Stanford School of Medicine Stanford California USA.
AEM Education and Training
|November 29, 2024
Summary
A new checklist helps emergency department physicians effectively disclose pregnancy and counsel on options. This tool is vital for improving patient care and reproductive autonomy, especially given frequent new pregnancy encounters in the ED.
Area of Science:
- Medical Education
- Reproductive Health
- Emergency Medicine
Background:
- Many patients discover pregnancy in the emergency department (ED).
- Limited physician knowledge in pregnancy disclosure and options counseling can hinder patient care and access to reproductive services.
- No standardized tools exist to teach or assess these crucial communication skills for ED physicians.
Purpose of the Study:
- To develop and validate a checklist for effective pregnancy disclosure and options counseling by ED physicians.
- To provide a standardized instrument for assessing physician competency in this critical area.
Main Methods:
- A prospective study involving literature review, expert input via a modified Delphi process, and pilot testing with ED faculty and residents.
- Validity evidence was collected using Messick's criteria for construct validity.
- Data analysis included inter-rater reliability and performance assessment.
Main Results:
- A 17-item checklist was developed.
- High inter-rater reliability (kappa = 0.81) and internal consistency (Cronbach's alpha = 0.88) were observed in pilot testing.
- Faculty members demonstrated higher performance than residents, supporting concurrent validity.
Conclusions:
- Preliminary validity evidence supports the use of this checklist to assess ED physician competency in pregnancy disclosure and options counseling.
- Enhancing physician education in these areas is crucial for optimizing patient care and autonomy.
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