It's Getting Hot in Here: Piloting a Telemedicine OSCE Addressing Menopausal Concerns for Obstetrics and Gynecology Clerkship Students
Introduction Although menopause is a common condition, trainees still express high levels of discomfort with managing climacteric symptoms. Trainees also receive little preparation for conducting telemedicine visits, which have become increasingly important in clinical care. We present a formative s...
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2021-04-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11146 |
| _version_ | 1818356940204408832 |
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| author | Hadley W. Reid Kelly Branford Tracey Reynolds Melody Baldwin Sarah Dotters-Katz |
| author_facet | Hadley W. Reid Kelly Branford Tracey Reynolds Melody Baldwin Sarah Dotters-Katz |
| author_sort | Hadley W. Reid |
| collection | DOAJ |
| description | Introduction Although menopause is a common condition, trainees still express high levels of discomfort with managing climacteric symptoms. Trainees also receive little preparation for conducting telemedicine visits, which have become increasingly important in clinical care. We present a formative standardized patient (SP) encounter to introduce medical students to the diagnosis and treatment of menopausal symptoms and the process of conducting a telemedicine visit. Methods We designed a virtual telemedicine encounter with an SP for medical students. Students received feedback via a post-encounter note on history taking, differential diagnosis, and diagnostics/management and an SP debrief. We collected student input on the experience at the midpoint and end of clerkship and analyzed it for recurring themes. We calculated summary statistics from student post-encounter notes. Results Thirty-two OB/GYN students completed the menopause telemedicine SP encounter between April and June 2020. Students scored a median of 20 out of 45 (interquartile range: 18, 22) on the post-encounter note. All students correctly provided a diagnosis of perimenopause/menopause; however, 50% did not offer any strategy for counseling or managing menopausal symptoms. Students expressed discomfort with using a telehealth format (78%) but found it a useful skill to practice (47%). A majority (66%) found the educational encounter to be of excellent or above-average educational value. Discussion While medical students demonstrated discomfort with both managing menopause and utilizing a telemedicine format, this SP case provided an opportunity for them to practice both skills in a safe learning environment. The majority of participants rated the learning experience highly. |
| first_indexed | 2024-12-13T20:05:11Z |
| format | Article |
| id | doaj.art-580940ecaa9d4958bdb1ed6897c25f9c |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-13T20:05:11Z |
| publishDate | 2021-04-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-580940ecaa9d4958bdb1ed6897c25f9c2022-12-21T23:33:02ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652021-04-011710.15766/mep_2374-8265.11146It's Getting Hot in Here: Piloting a Telemedicine OSCE Addressing Menopausal Concerns for Obstetrics and Gynecology Clerkship StudentsHadley W. Reid0Kelly Branford1Tracey Reynolds2Melody Baldwin3Sarah Dotters-Katz4Third-Year Medical Student, Duke University School of MedicineDirector of Clinical Skills Program, Office of Curricular Affairs, Duke University School of MedicineStandardized Patient Coordinator, Office of Curricular Affairs, Duke University School of MedicineAssistant Professor, Department of Obstetrics and Gynecology, Duke University Medical CenterAssistant Professor, Department of Obstetrics and Gynecology, Duke University Medical CenterIntroduction Although menopause is a common condition, trainees still express high levels of discomfort with managing climacteric symptoms. Trainees also receive little preparation for conducting telemedicine visits, which have become increasingly important in clinical care. We present a formative standardized patient (SP) encounter to introduce medical students to the diagnosis and treatment of menopausal symptoms and the process of conducting a telemedicine visit. Methods We designed a virtual telemedicine encounter with an SP for medical students. Students received feedback via a post-encounter note on history taking, differential diagnosis, and diagnostics/management and an SP debrief. We collected student input on the experience at the midpoint and end of clerkship and analyzed it for recurring themes. We calculated summary statistics from student post-encounter notes. Results Thirty-two OB/GYN students completed the menopause telemedicine SP encounter between April and June 2020. Students scored a median of 20 out of 45 (interquartile range: 18, 22) on the post-encounter note. All students correctly provided a diagnosis of perimenopause/menopause; however, 50% did not offer any strategy for counseling or managing menopausal symptoms. Students expressed discomfort with using a telehealth format (78%) but found it a useful skill to practice (47%). A majority (66%) found the educational encounter to be of excellent or above-average educational value. Discussion While medical students demonstrated discomfort with both managing menopause and utilizing a telemedicine format, this SP case provided an opportunity for them to practice both skills in a safe learning environment. The majority of participants rated the learning experience highly.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11146Standardized PatientTelemedicineTelehealthObjective Structured Clinical ExaminationOSCEMenopause |
| spellingShingle | Hadley W. Reid Kelly Branford Tracey Reynolds Melody Baldwin Sarah Dotters-Katz It's Getting Hot in Here: Piloting a Telemedicine OSCE Addressing Menopausal Concerns for Obstetrics and Gynecology Clerkship Students MedEdPORTAL Standardized Patient Telemedicine Telehealth Objective Structured Clinical Examination OSCE Menopause |
| title | It's Getting Hot in Here: Piloting a Telemedicine OSCE Addressing Menopausal Concerns for Obstetrics and Gynecology Clerkship Students |
| title_full | It's Getting Hot in Here: Piloting a Telemedicine OSCE Addressing Menopausal Concerns for Obstetrics and Gynecology Clerkship Students |
| title_fullStr | It's Getting Hot in Here: Piloting a Telemedicine OSCE Addressing Menopausal Concerns for Obstetrics and Gynecology Clerkship Students |
| title_full_unstemmed | It's Getting Hot in Here: Piloting a Telemedicine OSCE Addressing Menopausal Concerns for Obstetrics and Gynecology Clerkship Students |
| title_short | It's Getting Hot in Here: Piloting a Telemedicine OSCE Addressing Menopausal Concerns for Obstetrics and Gynecology Clerkship Students |
| title_sort | it s getting hot in here piloting a telemedicine osce addressing menopausal concerns for obstetrics and gynecology clerkship students |
| topic | Standardized Patient Telemedicine Telehealth Objective Structured Clinical Examination OSCE Menopause |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11146 |
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