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. 2019 Mar 15:15:10816.
doi: 10.15766/mep_2374-8265.10816.

A Problem-Based Learning Session on Pregnancy Options, Counseling, and Abortion Care

Tali Pomerantz  1 , Ashlee Bergin  2 , Karen Hughes Miller  3   4 , Craig H Ziegler  5 , Pradip D Patel  6
Affiliations

A Problem-Based Learning Session on Pregnancy Options, Counseling, and Abortion Care

Tali Pomerantz et al. MedEdPORTAL. .

Abstract

Introduction: Before their clinical rotations, medical students have limited exposure to women's health issues, particularly abortion.

Methods: We piloted a problem-based learning (PBL) module to introduce second-year medical students at the University of Louisville School of Medicine to counseling patients about pregnancy options. Students were divided into groups of 10 and met for two 2-hour sessions. In the first session, learners were presented with a case about a woman diagnosed with Zika virus who was considering pregnancy termination. Students discussed the case and developed learning objectives to research. One week later, students reconvened and shared what they had learned individually. Students were asked to complete pre- and post-PBL surveys. PBL facilitators also completed a survey evaluating the module.

Results: Fifty-eight percent of students felt informed or very informed about abortion after the PBL, compared to 30% before (p < .001). Students' mean quiz score increased from 29% on the pretest to 40% on the posttest (p < .001). Ninety-three percent of facilitators believed this PBL provided students with tools to better counsel about abortion, but only 56% of faculty felt adequately trained to facilitate this discussion.

Discussion: Students appreciated this PBL as an opportunity to discuss pregnancy options counseling and to clarify their own values surrounding abortion provision. Despite their positive response to the module, students identified barriers that would prevent them from implementing knowledge learned from this module in practice.

Keywords: Abortion; Counseling; Medical Ethics; Preclinical Medical Education; Pregnancy; Pregnancy Complications; Problem-Based Learning; Professionalism.

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Conflict of interest statement

None to report.

Figures

Figure.
Figure.. Frequency of learning objective themes. Bars reflect the number of times a given theme was addressed in the groups' submitted learning objectives.
See this image and copyright information in PMC

References

    1. Jones RK, Jerman J. Population group abortion rates and lifetime incidence of abortion: United States, 2008–2014. Am J Public Health. 2017;107(12):1904–1909. https://doi.org/10.2105/AJPH.2017.304042 - PMC - PubMed
    1. Review Committee for Obstetrics and Gynecology. Clarification on requirements regarding family planning and contraception. http://www.acgme.org/portals/0/pfassets/programresources/220_obgyn_abort... Published 2017. Accessed June 24, 2018.
    1. Accreditation Council for Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education in Family Medicine. http://www.msm.edu/Education/GME/Documents/FamilyMedicine/ACGME_Requirem... Accessed June 24, 2018.
    1. Educational Topic 34: pregnancy termination. In: Association of Professors of Gynecology and Obstetrics (APGO). APGO Medical Student Educational Objectives. 10th ed. Crofton, MD: Association of Professors of Gynecology and Obstetrics (APGO); 2013:37.
    1. Steinauer J, LaRochelle F, Rowh M, Backus L, Sandahl Y, Foster A. First impressions: what are preclinical medical students in the US and Canada learning about sexual and reproductive health? Contraception. 2009;80(1):74–80. https://doi.org/10.1016/j.contraception.2008.12.015 - PubMed