Advancing non-directive pregnancy options counseling skills: A pilot Study on the use of blended learning with an online module and simulation.

Objective: Limitations on didactic time pose barriers to teaching non-directive pregnancy options counseling. This study set out to explore the use of an online module to support trainee performance in a pregnancy options counseling standardized-patient exercise implemented among third-year medical...

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Publicado en:Contraception Vol. 94; no. 4; pp. 348 - 353
Autores principales: Lupi, Carla, Ward-Peterson, Melissa, Chang, Winnie
Formato: research Journal Article
Publicado: Elsevier B.V. Oct2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2016
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.contraception.2016.03.005
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        atl: Advancing non-directive pregnancy options counseling skills: A pilot Study on the use of blended learning with an online module and simulation.
      aug:
        au:
          Lupi, Carla
          Ward-Peterson, Melissa
          Chang, Winnie
        affil: Department of Obstetrics and Gynecology, Herbert Wertheim College of Medicine, Florida International University, 11200, SW 8th Street, Miami, FL, USA
      sug:
        subj:
          Family Practice Education
          Physician-Patient Relations
          Family Planning Education
          Counseling Education
          Pilot Studies
          Curriculum
          Education, Medical
          Nonparametric Statistics
          Students, Medical
          Pregnancy
          Empathy
          Chi Square Test
          Clinical Competence
          Qualitative Studies
          Human
          Female
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Female
      ab: Objective: Limitations on didactic time pose barriers to teaching non-directive pregnancy options counseling. This study set out to explore the use of an online module to support trainee performance in a pregnancy options counseling standardized-patient exercise implemented among third-year medical students, and to examine the effect of clinical experience on student performance.Study Design: An online module was developed. A convenience sample of forty-six student performances in a family medicine clerkship participated in a standardized patient exercise. Trained faculty rated performances. Students completed a self-assessment and provided feedback on the online module. Chi-square and Mann-Whitney-U tests were used to analyze data. Three coders qualitatively examined narrative student comments.Results: Thirty-four students passed, 11 achieved a minimal pass, and one failed. The mean global rating from faculty was 2.8 (pass). Students with prior clinical experience significantly outperformed those without on the global rating scale with mean scores of 3.1 compared to 2.7, respectively (p=.044). All students agreed that the online module helped prepare them for the exercise. Qualitative analysis of students' feedback on the module revealed strengths in content and pedagogy. In their self-assessments, all but two students referred to content explicitly conveyed in the module.Conclusion: All students agreed that an online module supported their performance of non-directive pregnancy options counseling skills. Prior clinical experience was associated with improved performance. This module, along with the simulated exercise, can be implemented as a blended learning exercise without additional faculty teaching effort in standardized patient resource centers.Implications: Students agreed that an online module facilitates simulated performance of non-directive pregnancy options counseling skills. Future work should compare the impact of this approach to others, and explore the additional training needed to maintain and build on initial learning.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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