1. Resident training to optimize patient-focused menopause management: a multispecialty menopause curriculum to enhance knowledge and preparedness.
- Author
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Vesco KK, Brooks NB, Francisco MC, Leo MC, Anderson TM, Kalter M, and Clark AL
- Subjects
- Female, Pregnancy, Humans, Clinical Competence, Curriculum, Menopause, Gynecology education, Obstetrics education, Internship and Residency
- Abstract
Objective: Surveys of residents in obstetrics and gynecology, internal medicine, and family medicine have demonstrated low levels of knowledge and comfort in treating patients with menopausal symptoms, suggesting a need for improved training during residency. To address this problem, we used a flipped classroom design to deliver a novel menopause curriculum for medical residents. The curriculum included six podcast episodes followed by an interactive case-based classroom session. We then assessed effects of the curriculum on the residents' knowledge and preparedness to manage menopause symptoms., Methods: We targeted 200 residents (43 obstetrics and gynecology, 86 internal medicine, and 71 family medicine) from six residency programs from 2019 to 2020. Of these, 115 (58%) completed both pre- and postcurriculum assessments, including a 15-item knowledge test and self-ratings of their knowledge, comfort, and preparedness to manage menopause., Results: Following the curriculum, the proportion of correctly answered knowledge questions rose from 60.8% to 79.1% (+18.3%; 95% confidence interval, 15.4-21.2; Cohen's d = 1.2). Improvement did not significantly differ by specialty or year of residency. There were higher gains for residents who listened to the entirety of all six podcast episodes ( b = 11.4, P < 0.001) and who attended the classroom session ( b = 11.6, P = 0.003). Residents' self-ratings of knowledge, comfort, and preparedness also improved following the curriculum across all medical specialties (Cohen's d = 0.47-1.2). Residents rated the podcast format as convenient (73%) and effective (65%) compared with an equivalent amount of reading., Conclusions: Pairing a podcast with a classroom discussion was found to be an effective combination for improving menopause knowledge., Competing Interests: Financial disclosure/conflicts of interest: A.L.C.: consultant for Astellas Pharma; legal consultant for Hart Wagner LLC for general malpractice; past funding from Butler Snow LLC. The other authors have none reported., (Copyright © 2024 by The Menopause Society.)
- Published
- 2024
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