Obstetric simulation for undergraduate medical education: how to improve students' self-confidence and expectation according to gender.

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Revista da Associacao Medica Brasileira Pub Date : 2023-01-01 DOI:10.1590/1806-9282.20221625
Roseli Mieko Yamamoto Nomura, Fabiana Medeiros D Reis, Amanda Menezes Gonçalves, Carolina Matos de Proença
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Abstract

Objective: The aim of this study was to evaluate the effects of obstetric simulation training on undergraduate medical students to improve their self-confidence.

Methods: Fifth-year undergraduate medical students were invited to a 2-week course of simulation in obstetrics during their clerkship. The sessions included were as follows: (1) care for the second and third periods of childbirth, (2) partograph analysis and pelvimetry, (3) premature rupture of membranes at term, and (4) diagnosis and management of third-trimester bleeding. Before the first session and at the end of the training period, a questionnaire about self-confidence in obstetric procedures and skills was applied.

Results: A total of 115 medical students were included, of whom 60 (52.2%) were male and 55 (47.8%) were female. Comparing initial and final scores, the median results of the subscales "comprehension and preparation" (18 vs. 22, p<0.001), "knowledge of procedures" (14 vs. 20, p<0.001), and "expectation" (22 vs. 23, p<0.01) were significantly higher at the end of the training period in all items of the questionnaire than in the beginning. Differences were found based on the students' gender, i.e., female students had a significantly higher sum of scores than the male students in the initial subscale for "expectation" (median, 24 vs. 22, p<0.001) and "interest" (median, 23 vs. 21, p=0.032), and a higher sum of scores in the subscale for "expectation" (median, 23 vs. 21, p=0.010) in the final questionnaire.

Conclusion: Obstetric simulation enhances the improvement of students' self-confidence in understanding both the physiology of childbirth and the obstetric care procedures. Further studies are needed to understand the influence of gender on obstetric care.

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本科医学教育中的产科模拟:如何根据性别提高学生的自信心和期望值。
目的:探讨产科模拟训练对医本科生自信心的提高效果。方法:邀请医五年级学生在实习期间参加为期2周的产科模拟课程。包括的课程如下:(1)分娩第二和第三期的护理,(2)产程分析和盆腔测量,(3)足月胎膜早破,(4)妊娠晚期出血的诊断和处理。在第一届会议之前和培训期结束时,使用了一份关于对产科程序和技能的信心的调查表。结果:共纳入医学生115人,其中男性60人(52.2%),女性55人(47.8%)。比较初始和最终得分,“理解和准备”分量表的中位数结果(18 vs. 22, p)。结论:产科模拟增强了学生对分娩生理学和产科护理程序理解的自信心。需要进一步研究以了解性别对产科护理的影响。
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来源期刊
CiteScore
2.20
自引率
0.00%
发文量
276
审稿时长
12 weeks
期刊介绍: A Revista da Associação Médica Brasileira (RAMB), editada pela Associação Médica Brasileira, desde 1954, tem por objetivo publicar artigos que contribuam para o conhecimento médico.
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