Obstetric Medicine: A Problem-Based Approach
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More direct contact with faculty might eliminate discrepancy in teaching caused by the different perceptions of medical student education amongst nurses and midwives, or surgical residents. Disagreement concerning roles and expectations stemmed from faculty understanding that residents were better teachers than either the residents themselves or the students evaluated them to be.
Students felt residents were the primary source of education in patient care. While education from other members of the team is certainly not wrong, and definitely valued, consistency could be maintained by this scheduled direct contact with faculty members. Not all programmes offer labour ward exposure for medical students. One study suggests both students and faculty might feel more confident if students are allowed time to acquaint themselves with the environment and refrain from having contact with patients on the first day on the labour ward.
During this first day students would have a workshop of the skills required for the clerkship. Using mannequins and extra equipment from the wards to facilitate a problem-based learning experience, students would learn how to examine an antenatal patient, interpret a cardio-tocograph, and several other scenarios they would face on the wards Johnson, An Australian study revealed that both students and clinical supervisors agree that adequate clinical preparation before placement would enhance acquisition of knowledge and skills.
The skills identified as lacking during placement included pregnant women physical examinations, interpretation of cardiotocography, use of vaginal speculums, conversation with patients and families, and hospital culture Johnson, This intervention has been shown to encourage active learning and facilitate a common language between educator and student. These seminars may provide additional next-step modifications in medical curriculum on the labour wards to improve understanding of expectations between educator and student Amorosa, Likewise, simulation training has been used in other cases with similar results.
In a randomized control trial of medical students receiving simulation training for a vaginal delivery, the group who received simulation training in addition to a lecture reported higher self-assessed confidence compared to their peers who received the lecture only. Not only did these students feel confident in their clinical abilities, but they also performed significantly higher on their oral and written examination compared to the lecture only students Holmstrom, Building positive relationships with clinical instructors is also integral in medical education.
Building these relationships increases confidence, and students reported a strain on their learning when this relationship failed to develop Brunstad, One aspect that may hinder the development of these relationships is the protective behaviour of clinical staff preventing student involvement in patient care. These behaviours were shown to be detrimental to student learning, creating a passive learning experience and an unwelcoming environment. Formal introductions between staff and students prior to the clerkship, holding staff accountable by implementing semi-annual report cards on student treatment and satisfaction with their learning experience, appointing the chief resident as a medical student liaison, and student-nurse pairings to acquaint students with the basics before patient contact are all small interventions which could be implemented to achieve a better team atmosphere Baecher-Lind, However, students must also remember that it is their responsibility to return the respect and professionalism to the educators if they wish to build relationships with the team members.
Midwifery students found that the key to success on the wards was to implement strategies of controlling their vulnerability and taking the initiative on the wards, cultivating trust with the doctors, midwives and nurses, and to obtain acceptance of their role and how they can adapt to be a part of the team Brunstad, Overall, advocacy toward including students in the healthcare team should be improved, as functioning as a team is integral in successful healthcare provision.
However, other factors seem to be at play as well. However, despite this slight increase in female interest post-clerkship, a smaller percentage ultimately choose to enter the field. Students reported that negative lifestyle factors and the presence of a mentor are the two most important factors in their career decision. Interestingly, litigation was not Hammoud, Students reported less student-faculty interactions when compared to their surgical and medicine clerkships, which correlated to the minimal constructive and timely feedback in regards to their performance during the clerkship.
However when students received faculty instruction they found expectations varied between each physician, creating confusion, uncertainty, and the feeling of being treated disrespectfully for perceived incompetence Burke, Additionally, there was a clear lack of interest from male students in the specialty. It was suggested to be a result of male perceptions created about the specialty prior to medical school.
Male students reported being rejected by more patients than their female colleagues when asking to perform internal exams, and felt that their gender negatively influenced their learning Zahid, Suggestions made to improve male interest included efforts to stimulate interest pre-clerkship and recruitment could begin as early as matriculation to medical school Hammoud, Obstetrics and Gynaecology requires a different broader scope of skills when compared to general medicine, and therefore students have expressed a lack of confidence when they enter the foreign world of the labour ward.
It is vital to strive to improve student confidence to propel student interest in the field. This encompasses improved pre-clerkship learning, possibly in the form of a guideline book, to ease the transition from classroom to labour ward. One aspect of this should be team-member roles, including a refresher for the educators in their role of including the students as a functioning member of the team. Another deficit to be faced is the differences of expectations between the educator and student.
Problem-Based Obstetric Ultrasound, Second Edition - CRC Press Book
This can help build a positive relationship between the educators and students, again, enhancing student confidence and ultimately interest in the speciality. Obstetrics and Gynaecology requires a different broader scope of skills when compared to general medicine. Students have expressed a lack of confidence when they enter the foreign world of the labour ward. The research project involves reviewing the evidence this literature review paper , assessing student feedback to a new educational iniative within the educational theory of "Community of Learning" and then producing guidance to other medical students on Medical Education Research projects.
The three students have completed this research project under the supervision of Mary Higgins Consultant Obstetrician and academic in UCD and while also completing their mandatory study modules, electives and while studying for the United States Medical Licencing Examinations. We wish to acknowledge the support of medical school library staff, friends and colleagues as well as family.
Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified.
Australian and New Zealand Obstetrics and Gynaecology Patient Education
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Infectious Diseases in Obstetrics and Gynecology Infectious Diseases in Obstetrics and Gynecology is a peer-reviewed, open access journal that publishes original research articles, review articles, and clinical studies related to the management of infectious diseases in obstetrics and gynecology. AnJOG publishes peer-reviewed research articles, reviews, and case reports from all aspects of Obstetrics and Gynecology.
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The journal will publish peer-reviewed original research papers, case reports, systematic reviews, meta-analysis, and debates. The journal will cover technical, clinical and bioengineering aspects of obstetric and gynecological endoscopy including endoscopic female sterilizations, as a part of maternal, child health and family welfare services and ethical and social issues.
The journal will cover technical and clinical studies related to diagnosis and therapy during the pre-natal stage in humans including ethical and social issues. ISRN Obstetrics and Gynecology A peer-reviewed, open access journal that publishes original research articles, review articles, and clinical studies in all areas of obstetrics and gynecology. Obstetrics and Gynecology Articles Obstetrics and Gynecology articles covering symptoms, diagnosis, staging, treatment, prognosis, and follow-up.
Peer reviewed and up-to-date recommendations written by Some information may have access fee. Human Reproduction Information on human reproduction by University of Utah.
International Federation of Gynecology and Obstetrics FIGO The only organisation that brings together professional societies of obstetricians and gynecologists on a global basis.