The Effectiveness of a Simulation-Based Menopause Education Program

Menopause education is often neglected in resident curriculum. A 2017 survey of OB/GYN, family medicine, and internal medicine residents revealed that over 90% of participants considered training in menopause management important, but only 6.8% felt prepared to provide it. We aimed to fill this gap using standardized patient encounters.

This 2- to 3-hour educational experience was offered at the Inova Center for Advanced Medical Simulation. OB/GYN, family medicine, and internal medicine residents of all PGY levels were eligible. An experienced obstetrician-gynecologist led a didactic session addressing menopausal concerns and management followed by resident engagement with 3 standardized patient encounters. Pre- and postdifferences in knowledge and confidence were compared, as well as performance scores. Statistical methods included a comparison of means using a paired t test at a 5% significance level and a 95% CI. Analysis of variance was used to compare differences among specialties.

Participants included 13 OB/GYN, 13 family medicine, and 8 internal medicine residents. Mean differences in pre- and postknowledge tests revealed a mean improvement of 1.5 out of 6 points (95% CI, 1.07-1.93; P < .0001) with no significant differences in improvement among specialties. Confidence scores significantly improved across all groups.

Following this didactic and simulation session, residents' knowledge and confidence regarding menopause management improved. Simulation is a valuable tool for supplementing resident learning, particularly for topics not often encountered in resident clinics. This educational experience highlights the utility of interdisciplinary teaching in resident education.