Management of Obesity During Pregnancy and Periconception: Case-Based Learning for OB/GYN Clerkships
Introduction Medical students lack knowledge about the effects of bariatric surgery on pregnancy and medical management of obesity as it relates to reproductive health. Additionally, there is bias toward obese patients among clinicians and learners. Our goal is to improve knowledge and make students...
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2021-03-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11129 |
| _version_ | 1818356976690659328 |
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| author | James Cook Hannah L. Puckett Jody E. Steinauer |
| author_facet | James Cook Hannah L. Puckett Jody E. Steinauer |
| author_sort | James Cook |
| collection | DOAJ |
| description | Introduction Medical students lack knowledge about the effects of bariatric surgery on pregnancy and medical management of obesity as it relates to reproductive health. Additionally, there is bias toward obese patients among clinicians and learners. Our goal is to improve knowledge and make students aware of the possibility of bias in their management of obese patients. Methods We designed a flipped classroom learning experience focused on teaching students about the impacts and management of obesity and bariatric surgery on pregnancy and reproductive health. Before the seminar, students took the Implicit Attitude Test (IAT) and read two articles. During the 60-minute seminar, students worked in small groups discussing clinical vignettes, IAT results, and how bias affects patient care. One faculty preceptor oversaw the work and led discussions. We evaluated pilot seminars using Kirkpatrick levels 1 (reaction) and 2 (knowledge) outcomes. We measured change in knowledge after the seminar (using pre- and postseminar quizzes) and assessed students’ feedback using a postseminar survey. Results This module was piloted with one in-person group (n = 9) and one virtual group (n = 11) of third-year medical students. Students’ knowledge improved (48% vs. 84% correct, p < .001), and they displayed statistically significant improvements in quiz scores postseminar. Discussion Educators striving to teach learners about the management of obesity in pregnancy using evidence-based medicine should integrate this module into their medical student clerkship curricula. |
| first_indexed | 2024-12-13T20:05:46Z |
| format | Article |
| id | doaj.art-ee07e3e35af74a12b8f3e271646b7479 |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-13T20:05:46Z |
| publishDate | 2021-03-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-ee07e3e35af74a12b8f3e271646b74792022-12-21T23:33:02ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652021-03-011710.15766/mep_2374-8265.11129Management of Obesity During Pregnancy and Periconception: Case-Based Learning for OB/GYN ClerkshipsJames Cook0Hannah L. Puckett1Jody E. Steinauer2Clinical Associate Professor, Department of Obstetrics and Gynecology, Prisma Health Midlands Affiliate; Assistant Dean of Clinical Learning, Office of Curricular Affairs, University of South Carolina School of Medicine - ColumbiaFourth-Year Medical Student, University of South Carolina School of Medicine - ColumbiaAssociate Professor, Department of Obstetrics, Gynecology, and Reproductive Sciences, Zuckerberg San Francisco General and University of California, San Francisco, School of MedicineIntroduction Medical students lack knowledge about the effects of bariatric surgery on pregnancy and medical management of obesity as it relates to reproductive health. Additionally, there is bias toward obese patients among clinicians and learners. Our goal is to improve knowledge and make students aware of the possibility of bias in their management of obese patients. Methods We designed a flipped classroom learning experience focused on teaching students about the impacts and management of obesity and bariatric surgery on pregnancy and reproductive health. Before the seminar, students took the Implicit Attitude Test (IAT) and read two articles. During the 60-minute seminar, students worked in small groups discussing clinical vignettes, IAT results, and how bias affects patient care. One faculty preceptor oversaw the work and led discussions. We evaluated pilot seminars using Kirkpatrick levels 1 (reaction) and 2 (knowledge) outcomes. We measured change in knowledge after the seminar (using pre- and postseminar quizzes) and assessed students’ feedback using a postseminar survey. Results This module was piloted with one in-person group (n = 9) and one virtual group (n = 11) of third-year medical students. Students’ knowledge improved (48% vs. 84% correct, p < .001), and they displayed statistically significant improvements in quiz scores postseminar. Discussion Educators striving to teach learners about the management of obesity in pregnancy using evidence-based medicine should integrate this module into their medical student clerkship curricula.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11129Bariatric SurgeryObesityPregnancyReproductive HealthWomen's HealthOB/GYN |
| spellingShingle | James Cook Hannah L. Puckett Jody E. Steinauer Management of Obesity During Pregnancy and Periconception: Case-Based Learning for OB/GYN Clerkships MedEdPORTAL Bariatric Surgery Obesity Pregnancy Reproductive Health Women's Health OB/GYN |
| title | Management of Obesity During Pregnancy and Periconception: Case-Based Learning for OB/GYN Clerkships |
| title_full | Management of Obesity During Pregnancy and Periconception: Case-Based Learning for OB/GYN Clerkships |
| title_fullStr | Management of Obesity During Pregnancy and Periconception: Case-Based Learning for OB/GYN Clerkships |
| title_full_unstemmed | Management of Obesity During Pregnancy and Periconception: Case-Based Learning for OB/GYN Clerkships |
| title_short | Management of Obesity During Pregnancy and Periconception: Case-Based Learning for OB/GYN Clerkships |
| title_sort | management of obesity during pregnancy and periconception case based learning for ob gyn clerkships |
| topic | Bariatric Surgery Obesity Pregnancy Reproductive Health Women's Health OB/GYN |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11129 |
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