Preparing medical students for obstetrics and gynecology milestone level one: a description of a pilot curriculum

Background: The implementation of the Accreditation Council for Graduate Medical Education (ACGME) Milestones in the field of obstetrics and gynecology has arrived with Milestones Level One defined as the level expected of an incoming first-year resident. Purpose: We designed, implemented, and evalu...

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Main Authors: Helen Morgan, David Marzano, Michael Lanham, Tamara Stein, Diana Curran, Maya Hammoud
Format: Article
Language:English
Published: Taylor & Francis Group 2014-11-01
Series:Medical Education Online
Subjects:
Online Access:http://med-ed-online.net/index.php/meo/article/download/25746/pdf_1
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author Helen Morgan
David Marzano
Michael Lanham
Tamara Stein
Diana Curran
Maya Hammoud
author_facet Helen Morgan
David Marzano
Michael Lanham
Tamara Stein
Diana Curran
Maya Hammoud
author_sort Helen Morgan
collection DOAJ
description Background: The implementation of the Accreditation Council for Graduate Medical Education (ACGME) Milestones in the field of obstetrics and gynecology has arrived with Milestones Level One defined as the level expected of an incoming first-year resident. Purpose: We designed, implemented, and evaluated a 4-week elective for fourth-year medical school students, which utilized a multimodal approach to teaching and assessing the Milestones Level One competencies. Methods: The 78-hour curriculum utilized traditional didactic lectures, flipped classroom active learning sessions, a simulated paging curriculum, simulation training, embalmed cadaver anatomical dissections, and fresh-frozen cadaver operative procedures. We performed an assessment of student knowledge and surgical skills before and after completion of the course. Students also received feedback on their assessment and management of eight simulated paging scenarios. Students completed course content satisfaction surveys at the completion of each of the 4 weeks. Results: Students demonstrated improvement in knowledge and surgical skills at the completion of the course. Paging confidence trended toward improvement at the completion of the course. Student satisfaction was high for all of the course content, and the active learning components of the curriculum (flipped classroom, simulation, and anatomy sessions) had higher scores than the traditional didactics in all six categories of our student satisfaction survey. Conclusions: This pilot study demonstrates a practical approach for preparing fourth-year medical students for the expectations of Milestones Level One in obstetrics and gynecology. This curriculum can serve as a framework as medical schools and specific specialties work to meet the first steps of the ACGME's Next Accreditation System.
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spelling doaj.art-7c7dcd424e44419aac03cd57ee46809c2022-12-22T00:01:02ZengTaylor & Francis GroupMedical Education Online1087-29812014-11-011901610.3402/meo.v19.2574625746Preparing medical students for obstetrics and gynecology milestone level one: a description of a pilot curriculumHelen Morgan0David Marzano1Michael Lanham2Tamara Stein3Diana Curran4Maya Hammoud5 Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA Faculty in the Division of Anatomic Sciences, Department of Medical Education, University of Michigan Medical School, Ann Arbor, MI, USA Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USABackground: The implementation of the Accreditation Council for Graduate Medical Education (ACGME) Milestones in the field of obstetrics and gynecology has arrived with Milestones Level One defined as the level expected of an incoming first-year resident. Purpose: We designed, implemented, and evaluated a 4-week elective for fourth-year medical school students, which utilized a multimodal approach to teaching and assessing the Milestones Level One competencies. Methods: The 78-hour curriculum utilized traditional didactic lectures, flipped classroom active learning sessions, a simulated paging curriculum, simulation training, embalmed cadaver anatomical dissections, and fresh-frozen cadaver operative procedures. We performed an assessment of student knowledge and surgical skills before and after completion of the course. Students also received feedback on their assessment and management of eight simulated paging scenarios. Students completed course content satisfaction surveys at the completion of each of the 4 weeks. Results: Students demonstrated improvement in knowledge and surgical skills at the completion of the course. Paging confidence trended toward improvement at the completion of the course. Student satisfaction was high for all of the course content, and the active learning components of the curriculum (flipped classroom, simulation, and anatomy sessions) had higher scores than the traditional didactics in all six categories of our student satisfaction survey. Conclusions: This pilot study demonstrates a practical approach for preparing fourth-year medical students for the expectations of Milestones Level One in obstetrics and gynecology. This curriculum can serve as a framework as medical schools and specific specialties work to meet the first steps of the ACGME's Next Accreditation System.http://med-ed-online.net/index.php/meo/article/download/25746/pdf_1ACGME Milestonesflipped classroomactive learning
spellingShingle Helen Morgan
David Marzano
Michael Lanham
Tamara Stein
Diana Curran
Maya Hammoud
Preparing medical students for obstetrics and gynecology milestone level one: a description of a pilot curriculum
Medical Education Online
ACGME Milestones
flipped classroom
active learning
title Preparing medical students for obstetrics and gynecology milestone level one: a description of a pilot curriculum
title_full Preparing medical students for obstetrics and gynecology milestone level one: a description of a pilot curriculum
title_fullStr Preparing medical students for obstetrics and gynecology milestone level one: a description of a pilot curriculum
title_full_unstemmed Preparing medical students for obstetrics and gynecology milestone level one: a description of a pilot curriculum
title_short Preparing medical students for obstetrics and gynecology milestone level one: a description of a pilot curriculum
title_sort preparing medical students for obstetrics and gynecology milestone level one a description of a pilot curriculum
topic ACGME Milestones
flipped classroom
active learning
url http://med-ed-online.net/index.php/meo/article/download/25746/pdf_1
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AT michaellanham preparingmedicalstudentsforobstetricsandgynecologymilestoneleveloneadescriptionofapilotcurriculum
AT tamarastein preparingmedicalstudentsforobstetricsandgynecologymilestoneleveloneadescriptionofapilotcurriculum
AT dianacurran preparingmedicalstudentsforobstetricsandgynecologymilestoneleveloneadescriptionofapilotcurriculum
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