Pelvic examination skills training with genital teaching associates and a pelvic simulator: does sequence matter?

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
Brenda L SeagoRita M Willett

Abstract

Introducing the pelvic examination to novice learners has been a challenging task for medical educators. The purpose of this study was to evaluate an educational intervention adding the use of a pelvic examination simulator (SIM) to the use of genital teaching associates (GTAs) in a pelvic examination skills curriculum for second-year medical students. Each student participated in a session with the pelvic simulator and with the GTA. Students were randomized to the training sequence. Outcome measures include the Fear of Pelvic Examination Scale (F-PEXS), blood pressure measurement, and instructor evaluation of learning performance. For students who learned with a GTA in the first session, the mean F-PEXS score decreased significantly, and the learning performance score was significantly higher from sessions 1 to 2. There was no significant change in either measure when the pelvic simulator was used first. For both learning sequences, men had a significantly higher F-PEXS score. When using simulation to teach the pelvic examination to novices, standardized patients seem to be the better initial training experience, reducing student anxiety and improving learner engagement with subsequent mechanical simulation practice of psychom...Continue Reading

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Citations

Oct 23, 2015·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Hamza Mahamadu KataliFidelma O'Mahony
Dec 30, 2014·Journal of Psychosomatic Obstetrics and Gynaecology·Karin Siwe, Klaas Wijma
Feb 6, 2017·The Clinical Teacher·Piyush B SarmahJonathan Panting
Jun 4, 2020·Archives of Gynecology and Obstetrics·Amr HamzaJ C Radosa
May 11, 2017·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Harsh BhoopatkarAnna Vnuk
Feb 3, 2021·Journal of Primary Care & Community Health·Danielle J O'LaughlinJohanna Tweedy
Apr 23, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Abirami KirubarajanMara Sobel

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