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The effectiveness of gynaecology teaching associates in teaching pelvic examination to medical students: a randomised controlled trial.

Janjua, Aisha and Smith, P and Chu, J and Raut, N and Malick, S and Gallos, I and Singh, R and Irani, S and Gupta, J K and Parle, J and Clark, T J (2016) The effectiveness of gynaecology teaching associates in teaching pelvic examination to medical students: a randomised controlled trial. European journal of obstetrics, gynecology, and reproductive biology, 210. pp. 58-63. ISSN 1872-7654. This article is available to all HEFT staff and students via ASK HEFT Discovery tool http://tinyurl.com/z795c8c using their Athens Login

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Official URL: http://www.ejog.org/article/S0301-2115(16)30954-X/...

Abstract

OBJECTIVES

To assess whether teaching female pelvic examinations using gynaecological teaching associates (GTAs); women who are trained to give instruction and feedback on gynaecological examination technique, improves the competence, confidence and communication skills of medical students compared to conventional teaching.

STUDY DESIGN

Randomised controlled trial.

SETTING

Ten University of Birmingham (UoB) affiliated teaching hospitals in the UK.

POPULATION

492 final year medical students.

METHODS

GTA teaching of gynaecological examination compared with conventional pelvic manikin based teaching at the start of a five week clinical placement in obstetrics and gynaecology (O&G).

MAIN OUTCOME MEASURES

Student's perception of their confidence was measured on a 10cm visual analogue scale (VAS). Domains of competence were measured by a senior clinical examiner using a standardised assessment tool which utilised 10cm VAS and by a GTA using a four point Likert scale. Assessors were blinded to the allocated teaching intervention.

RESULTS

407/492 (83%) students completed both the intervention and outcome assessment. Self-reported confidence was higher in students taught by GTAs compared with those taught on manikins (median score GTA 6.3; vs. conventional 5.8; p=0.03). Competence was also higher in those taught by GTAs when assessed by an examiner (median global score GTA 7.1 vs. conventional 6.0; p<0.001) and by a GTA (p<0.001).

CONCLUSIONS

GTA teaching of female pelvic examination at the start of undergraduate medical student O&G clinical placements improves their confidence and competence compared with conventional pelvic manikin based teaching. GTAs should be introduced into undergraduate medical curricula to teach pelvic examination.

Item Type: Article
Additional Information: This article is available to all HEFT staff and students via ASK HEFT Discovery tool http://tinyurl.com/z795c8c using their Athens Login
Subjects: WP Gynaecology. Women’s health
Divisions: Womens and Childrens > Gynaecology
Related URLs:
Depositing User: Mrs Caroline Tranter
Date Deposited: 03 Feb 2017 11:45
Last Modified: 03 Feb 2017 11:45
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1162

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