Understanding Patient Evaluation of Abnormal Uterine Bleeding (AUB): A Standardized Patient Case on AUB for OB/GYN Clerkship Students
Introduction The differential diagnosis for abnormal uterine bleeding (AUB) among reproductive-age women is broad and includes common and life-threatening conditions. Recognition and accurate diagnosis of AUB are important but can be challenging for medical students. We developed a standardized pati...
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2022-01-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11216 |
| _version_ | 1798024867039150080 |
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| author | LaMani D. Adkins Benjamin S. Harris Cescille Gesher Tracey Reynolds Kelly Branford Melody Baldwin Sarah Dotters-Katz |
| author_facet | LaMani D. Adkins Benjamin S. Harris Cescille Gesher Tracey Reynolds Kelly Branford Melody Baldwin Sarah Dotters-Katz |
| author_sort | LaMani D. Adkins |
| collection | DOAJ |
| description | Introduction The differential diagnosis for abnormal uterine bleeding (AUB) among reproductive-age women is broad and includes common and life-threatening conditions. Recognition and accurate diagnosis of AUB are important but can be challenging for medical students. We developed a standardized patient (SP) encounter for medical students during their OB/GYN clerkship. Methods We implemented two SP encounters, on AUB and dyspareunia, that included a postencounter note and SP evaluations. Here, we describe the implementation of the SP encounter on AUB. Students received formative feedback on their interpersonal and history-taking skills, differential diagnosis, and management plan from the SP as well as OB/GYN residents and faculty. Student cumulative feedback was obtained mid-clerkship and following the clerkship. Summary statistics and qualitative data for students’ experiences are reported. Results SP cases were implemented at the Duke University School of Medicine with 101 second-year medical students who completed the encounter from September 2018 to July 2019. Regarding the AUB case, SPs identified students as adequate history takers, with a mean evaluation score of 3.45 (SD = 0.15) out of 5. Most students (94%) correctly identified at least one diagnosis and provided evidence. Endometrial cancer/hyperplasia (63%) and uterine leiomyoma (60%) were most likely to be identified. Regarding both SP encounters, of the 82 students (81%) completing the end-of-clerkship survey, 57% indicated that the experience enhanced their overall learning at least adequately well or better. Discussion The AUB case provided students with the opportunity to exercise their diagnostic and management skills. |
| first_indexed | 2024-04-11T18:09:31Z |
| format | Article |
| id | doaj.art-453910eae9584ab08ce52b1efbf8f0d7 |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-04-11T18:09:31Z |
| publishDate | 2022-01-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-453910eae9584ab08ce52b1efbf8f0d72022-12-22T04:10:11ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652022-01-011810.15766/mep_2374-8265.11216Understanding Patient Evaluation of Abnormal Uterine Bleeding (AUB): A Standardized Patient Case on AUB for OB/GYN Clerkship StudentsLaMani D. Adkins0Benjamin S. Harris1Cescille Gesher2Tracey Reynolds3Kelly Branford4Melody Baldwin5Sarah Dotters-Katz6Fourth-Year Medical Student, Duke University School of MedicineClinical Fellow, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Duke University Medical CenterProgram Coordinator, Department of Obstetrics and Gynecology, Duke University Medical CenterAssistant SP Trainer and External Client Coordinator of the Clinical Skill Program, Office of Curricular Affairs, Duke University School of MedicineDirector of the Clinical Skills Program, Office of Curricular Affairs, Duke University School of MedicineAssistant Professor of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Duke University Medical CenterDirector of Undergraduate Medical Education and Associate Professor of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Duke University Medical CenterIntroduction The differential diagnosis for abnormal uterine bleeding (AUB) among reproductive-age women is broad and includes common and life-threatening conditions. Recognition and accurate diagnosis of AUB are important but can be challenging for medical students. We developed a standardized patient (SP) encounter for medical students during their OB/GYN clerkship. Methods We implemented two SP encounters, on AUB and dyspareunia, that included a postencounter note and SP evaluations. Here, we describe the implementation of the SP encounter on AUB. Students received formative feedback on their interpersonal and history-taking skills, differential diagnosis, and management plan from the SP as well as OB/GYN residents and faculty. Student cumulative feedback was obtained mid-clerkship and following the clerkship. Summary statistics and qualitative data for students’ experiences are reported. Results SP cases were implemented at the Duke University School of Medicine with 101 second-year medical students who completed the encounter from September 2018 to July 2019. Regarding the AUB case, SPs identified students as adequate history takers, with a mean evaluation score of 3.45 (SD = 0.15) out of 5. Most students (94%) correctly identified at least one diagnosis and provided evidence. Endometrial cancer/hyperplasia (63%) and uterine leiomyoma (60%) were most likely to be identified. Regarding both SP encounters, of the 82 students (81%) completing the end-of-clerkship survey, 57% indicated that the experience enhanced their overall learning at least adequately well or better. Discussion The AUB case provided students with the opportunity to exercise their diagnostic and management skills.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11216OB/GYN ClerkshipAbnormal Uterine BleedingClinical Skills Assessment/OSCEsOB/GYNStandardized Patient |
| spellingShingle | LaMani D. Adkins Benjamin S. Harris Cescille Gesher Tracey Reynolds Kelly Branford Melody Baldwin Sarah Dotters-Katz Understanding Patient Evaluation of Abnormal Uterine Bleeding (AUB): A Standardized Patient Case on AUB for OB/GYN Clerkship Students MedEdPORTAL OB/GYN Clerkship Abnormal Uterine Bleeding Clinical Skills Assessment/OSCEs OB/GYN Standardized Patient |
| title | Understanding Patient Evaluation of Abnormal Uterine Bleeding (AUB): A Standardized Patient Case on AUB for OB/GYN Clerkship Students |
| title_full | Understanding Patient Evaluation of Abnormal Uterine Bleeding (AUB): A Standardized Patient Case on AUB for OB/GYN Clerkship Students |
| title_fullStr | Understanding Patient Evaluation of Abnormal Uterine Bleeding (AUB): A Standardized Patient Case on AUB for OB/GYN Clerkship Students |
| title_full_unstemmed | Understanding Patient Evaluation of Abnormal Uterine Bleeding (AUB): A Standardized Patient Case on AUB for OB/GYN Clerkship Students |
| title_short | Understanding Patient Evaluation of Abnormal Uterine Bleeding (AUB): A Standardized Patient Case on AUB for OB/GYN Clerkship Students |
| title_sort | understanding patient evaluation of abnormal uterine bleeding aub a standardized patient case on aub for ob gyn clerkship students |
| topic | OB/GYN Clerkship Abnormal Uterine Bleeding Clinical Skills Assessment/OSCEs OB/GYN Standardized Patient |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11216 |
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