Students' experience with women's health care in a family medicine clerkship

Brenda S. O'Hara, Robert M. Saywell, Terrell W. Zollinger, Joseph S. Wooldridge, Gaylen M. Kelton, J. Scott Ries, Jennifer L. Burba

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Summary: Clerkship encounter forms were used to assess the types of diagnoses seen, the level of activities performed (student responsibility), and self-reported competence (comfort level) in dealing with patients. Introduction: Many medical schools require a family medicine clerkship, yet little is known about the quantity and diversity of the diagnoses encountered by the students. This study examines clerkship students' experience with women's health care diagnoses. Methods: Over a 2-year period, 445 students completed 3320 patient encounter forms for patients with a women's health diagnosis, noting patient age, location of care (office, hospital, etc.), up to four presenting diagnoses, the degree to which the student was involved with selected activities (taking a history, performing a physical examination, observing only, etc.) and the degree of self-reported competence. Results: Of the 78 854 diagnoses presented, 3677 (6.1%) were women's health conditions, most commonly normal pregnancy (47.5%), disorders of menstruation (8.2%), menopausal and postmenopausal disorders (7.4%), disorders of the breast (6.0%), pain in female genital organs (5.7%), and disease of the cervix, vagina and vulva (5.2%). Students reported a high level of competence in diagnosing and treating these patients. The students routinely discussed women's health cases with their preceptors. Discussion: Students reported that they were 'unskilled' or 'marginally competent' with approximately 10% of the women's health patient encounters, compared with 6% for all other encounters. The clerkship provided students with the greatest opportunity to observe and discuss individual cases with a preceptor. However, students infrequently suggested a treatment or provided patient education or women's health counselling.

Original languageEnglish (US)
Pages (from-to)456-465
Number of pages10
JournalMedical Education
Volume36
Issue number5
DOIs
StatePublished - 2002
Externally publishedYes

Fingerprint

Women's Health
Medicine
medicine
health care
Students
Delivery of Health Care
experience
student
Mental Competency
health
Menstruation Disturbances
Female Genital Diseases
Mastodynia
Female Genitalia
menstruation
Vulva
Vagina
Patient Education
Medical Schools
Cervix Uteri

Keywords

  • *women's health
  • Clinical clerkship
  • Clinical competence
  • Diagnostic techniques and procedures, *standards
  • Family practice, education
  • Quality of health care

ASJC Scopus subject areas

  • Nursing(all)
  • Education
  • Public Health, Environmental and Occupational Health

Cite this

O'Hara, B. S., Saywell, R. M., Zollinger, T. W., Wooldridge, J. S., Kelton, G. M., Ries, J. S., & Burba, J. L. (2002). Students' experience with women's health care in a family medicine clerkship. Medical Education, 36(5), 456-465. https://doi.org/10.1046/j.1365-2923.2002.01165.x

Students' experience with women's health care in a family medicine clerkship. / O'Hara, Brenda S.; Saywell, Robert M.; Zollinger, Terrell W.; Wooldridge, Joseph S.; Kelton, Gaylen M.; Ries, J. Scott; Burba, Jennifer L.

In: Medical Education, Vol. 36, No. 5, 2002, p. 456-465.

Research output: Contribution to journalArticle

O'Hara, BS, Saywell, RM, Zollinger, TW, Wooldridge, JS, Kelton, GM, Ries, JS & Burba, JL 2002, 'Students' experience with women's health care in a family medicine clerkship', Medical Education, vol. 36, no. 5, pp. 456-465. https://doi.org/10.1046/j.1365-2923.2002.01165.x
O'Hara BS, Saywell RM, Zollinger TW, Wooldridge JS, Kelton GM, Ries JS et al. Students' experience with women's health care in a family medicine clerkship. Medical Education. 2002;36(5):456-465. https://doi.org/10.1046/j.1365-2923.2002.01165.x
O'Hara, Brenda S. ; Saywell, Robert M. ; Zollinger, Terrell W. ; Wooldridge, Joseph S. ; Kelton, Gaylen M. ; Ries, J. Scott ; Burba, Jennifer L. / Students' experience with women's health care in a family medicine clerkship. In: Medical Education. 2002 ; Vol. 36, No. 5. pp. 456-465.
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