The Development of Cognitive and Affective Skills Through a Sexual and Reproductive Health Medical Education Unit

Introduction: Although better medical training on sexual and reproductive health (SRH) is an unquestionable global need, and recent research has emphasized the importance of SRH education, few studies have presented alternative teaching models to conventional approaches. Aim: To examine the structur...

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Main Authors: Renato de Oliveira, MD, PhD, Erik Montagna, PhD, Victor Zaia, PhD, Bayardo Baptista Torres, PhD, Caio Parente Barbosa, MD, PhD
Format: Article
Language:English
Published: Oxford University Press 2019-09-01
Series:Sexual Medicine
Online Access:http://www.sciencedirect.com/science/article/pii/S2050116119300674
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author Renato de Oliveira, MD, PhD
Erik Montagna, PhD
Victor Zaia, PhD
Bayardo Baptista Torres, PhD
Caio Parente Barbosa, MD, PhD
author_facet Renato de Oliveira, MD, PhD
Erik Montagna, PhD
Victor Zaia, PhD
Bayardo Baptista Torres, PhD
Caio Parente Barbosa, MD, PhD
author_sort Renato de Oliveira, MD, PhD
collection DOAJ
description Introduction: Although better medical training on sexual and reproductive health (SRH) is an unquestionable global need, and recent research has emphasized the importance of SRH education, few studies have presented alternative teaching models to conventional approaches. Aim: To examine the structure and evaluation of a curricular unit that uses an active teaching and learning strategy, and to evaluate both the cognitive and affective student learning outcomes. Methods: This study used retrospective and cross-sectional analyses of a curricular unit with 8 weekly lessons structured into individual activities before the class, group activities monitored in class, feedback, and the development of medical empathy. Main Outcome Measure: Student performance was evaluated through summative and formative activities. The process was evaluated quantitatively by a questionnaire containing Likert-type and open-ended questions with speech analysis and with categorical evaluation. Results: The final average of the analyzed group was 7.95 ± 0.5 on a scale of 10. Likert-type assessment (Cronbach's α = 0.86) revealed strong student adherence and, through responses to open-ended questions, positive evaluations of the proposed SRH teaching model. The Jefferson Scale of Physician Empathy showed a high index of self-reported general empathy (117.3 ± 11), with a significantly higher index for female students (P = .019) than male students; however, this gender difference disappeared after the intervention (P = .086). Conclusions: The curriculum model was developed and continuously adjusted based on grounded theory for teaching SRH and included both cognitive and affective stimuli; the results showed favorable student evaluation of the unit, and it proved feasible to implement in the time available.de Oliveira R, Montagna E, Zaia V, et al. The Development of Cognitive and Affective Skills Through a Sexual and Reproductive Health Medical Education Unit. Sex Med 2019;7:326–336. Key Words: Empathy, Graduate Education in Medicine, Population Genetics, Sexual and Reproductive Health
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spelling doaj.art-bb427999f1e2431190f4963305dcf6962023-08-02T08:29:32ZengOxford University PressSexual Medicine2050-11612019-09-0173326336The Development of Cognitive and Affective Skills Through a Sexual and Reproductive Health Medical Education UnitRenato de Oliveira, MD, PhD0Erik Montagna, PhD1Victor Zaia, PhD2Bayardo Baptista Torres, PhD3Caio Parente Barbosa, MD, PhD4Instituto Ideia Fértil, Faculdade de Medicina do ABC, Santo André, São Paulo, Brazil; Corresponding Author: Renato de Oliveira, MD, PhD, Avenida Lauro Gomes, 2,000, Vila Príncipe de Gales, 09060-870, Santo André, SP, Brazil. Tel: (55 11) 4433-2830; Fax: (55 11) 4993-5413Instituto Ideia Fértil, Faculdade de Medicina do ABC, Santo André, São Paulo, BrazilInstituto Ideia Fértil, Faculdade de Medicina do ABC, Santo André, São Paulo, BrazilUniversidade de São Paulo, São Paulo, BrazilInstituto Ideia Fértil, Faculdade de Medicina do ABC, Santo André, São Paulo, BrazilIntroduction: Although better medical training on sexual and reproductive health (SRH) is an unquestionable global need, and recent research has emphasized the importance of SRH education, few studies have presented alternative teaching models to conventional approaches. Aim: To examine the structure and evaluation of a curricular unit that uses an active teaching and learning strategy, and to evaluate both the cognitive and affective student learning outcomes. Methods: This study used retrospective and cross-sectional analyses of a curricular unit with 8 weekly lessons structured into individual activities before the class, group activities monitored in class, feedback, and the development of medical empathy. Main Outcome Measure: Student performance was evaluated through summative and formative activities. The process was evaluated quantitatively by a questionnaire containing Likert-type and open-ended questions with speech analysis and with categorical evaluation. Results: The final average of the analyzed group was 7.95 ± 0.5 on a scale of 10. Likert-type assessment (Cronbach's α = 0.86) revealed strong student adherence and, through responses to open-ended questions, positive evaluations of the proposed SRH teaching model. The Jefferson Scale of Physician Empathy showed a high index of self-reported general empathy (117.3 ± 11), with a significantly higher index for female students (P = .019) than male students; however, this gender difference disappeared after the intervention (P = .086). Conclusions: The curriculum model was developed and continuously adjusted based on grounded theory for teaching SRH and included both cognitive and affective stimuli; the results showed favorable student evaluation of the unit, and it proved feasible to implement in the time available.de Oliveira R, Montagna E, Zaia V, et al. The Development of Cognitive and Affective Skills Through a Sexual and Reproductive Health Medical Education Unit. Sex Med 2019;7:326–336. Key Words: Empathy, Graduate Education in Medicine, Population Genetics, Sexual and Reproductive Healthhttp://www.sciencedirect.com/science/article/pii/S2050116119300674
spellingShingle Renato de Oliveira, MD, PhD
Erik Montagna, PhD
Victor Zaia, PhD
Bayardo Baptista Torres, PhD
Caio Parente Barbosa, MD, PhD
The Development of Cognitive and Affective Skills Through a Sexual and Reproductive Health Medical Education Unit
Sexual Medicine
title The Development of Cognitive and Affective Skills Through a Sexual and Reproductive Health Medical Education Unit
title_full The Development of Cognitive and Affective Skills Through a Sexual and Reproductive Health Medical Education Unit
title_fullStr The Development of Cognitive and Affective Skills Through a Sexual and Reproductive Health Medical Education Unit
title_full_unstemmed The Development of Cognitive and Affective Skills Through a Sexual and Reproductive Health Medical Education Unit
title_short The Development of Cognitive and Affective Skills Through a Sexual and Reproductive Health Medical Education Unit
title_sort development of cognitive and affective skills through a sexual and reproductive health medical education unit
url http://www.sciencedirect.com/science/article/pii/S2050116119300674
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