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Genital examination training: assessing the effectiveness of an integrated female and male teaching programme

View Article: PubMed Central - PubMed

ABSTRACT

Background: Learning to undertake intimate female and male examinations is an important part of medical student training but opportunities to participate in practical, supervised learning in a safe environment can be limited. A collaborative, integrated training programme to provide such learning was developed by two university teaching departments and a specialist sexual health service, utilising teaching associates trained for intimate examinations in a simulated clinical educational setting. The objective of this research was to determine changes in senior medical students’ self- reported experience and confidence in performing male and female genital examinations, before and after participating in a new clinical teaching programme.

Methods: A quasi-experimental mixed methods design, using pre and post programme questionnaires and focus groups, was used to assess the effectiveness of the programme.

Results: The students reported greatly improved skill, confidence and comfort levels for both male and female genital examination following the teaching programme. Skill, confidence and comfort regarding male examinations were rated particularly low on the pre-teaching programme self- assessment, but post-programme was rated at similar levels to the female examination.

Conclusions: This integrated female–male teaching programme (utilising trained teaching associates as simulated patients in a supervised clinical teaching environment) was successful in increasing senior medical students’ skills and levels of confidence in performing genital examinations. There were differences between female and male medical students in their learning. Suggestions for improvement included providing more detailed instruction to some clinical supervisors about their facilitation role in the session.

Electronic supplementary material: The online version of this article (doi:10.1186/s12909-016-0822-y) contains supplementary material, which is available to authorized users.

No MeSH data available.


Student learning pathway for male/female genital exam
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Fig1: Student learning pathway for male/female genital exam

Mentions: The genital examination teaching programme consists of an introductory session followed by a practical session several days later for all 5th year medical students. The programme ensures that all students successfully undertake both a female and male examination. The learning takes place as part of one of several General Practice modules within the six year medical degree. See Fig. 1 for a visual depiction of the programme.Fig. 1


Genital examination training: assessing the effectiveness of an integrated female and male teaching programme
Student learning pathway for male/female genital exam
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC5120523&req=5

Fig1: Student learning pathway for male/female genital exam
Mentions: The genital examination teaching programme consists of an introductory session followed by a practical session several days later for all 5th year medical students. The programme ensures that all students successfully undertake both a female and male examination. The learning takes place as part of one of several General Practice modules within the six year medical degree. See Fig. 1 for a visual depiction of the programme.Fig. 1

View Article: PubMed Central - PubMed

ABSTRACT

Background: Learning to undertake intimate female and male examinations is an important part of medical student training but opportunities to participate in practical, supervised learning in a safe environment can be limited. A collaborative, integrated training programme to provide such learning was developed by two university teaching departments and a specialist sexual health service, utilising teaching associates trained for intimate examinations in a simulated clinical educational setting. The objective of this research was to determine changes in senior medical students’ self- reported experience and confidence in performing male and female genital examinations, before and after participating in a new clinical teaching programme.

Methods: A quasi-experimental mixed methods design, using pre and post programme questionnaires and focus groups, was used to assess the effectiveness of the programme.

Results: The students reported greatly improved skill, confidence and comfort levels for both male and female genital examination following the teaching programme. Skill, confidence and comfort regarding male examinations were rated particularly low on the pre-teaching programme self- assessment, but post-programme was rated at similar levels to the female examination.

Conclusions: This integrated female–male teaching programme (utilising trained teaching associates as simulated patients in a supervised clinical teaching environment) was successful in increasing senior medical students’ skills and levels of confidence in performing genital examinations. There were differences between female and male medical students in their learning. Suggestions for improvement included providing more detailed instruction to some clinical supervisors about their facilitation role in the session.

Electronic supplementary material: The online version of this article (doi:10.1186/s12909-016-0822-y) contains supplementary material, which is available to authorized users.

No MeSH data available.