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Teaching the Evaluation of Female Pelvic Pain: A Hands-On Simulation to Reinforce Exam Skills and Introduce Transvaginal Ultrasound.
MedEdPORTAL. 2021 01 25; 17:11080.M

Abstract

Introduction

Reproductive-age female patients commonly seek evaluation for pelvic pain in a variety of health care settings. Thus, teaching medical students how to effectively evaluate female pelvic pain is a necessary part of medical education. There are limited opportunities, however, to reinforce the needed skills for this common but sensitive presentation that can be anxiety-producing for preclinical students.

Methods

The case involved a 23-year-old female presenting with lower abdominal/pelvic pain. Students performed the necessary history, physical examination, cervical sampling, and transvaginal ultrasound evaluation to make the diagnosis of pelvic inflammatory disease (PID) complicated by a tubo-ovarian abscess. The 30-minute simulated patient encounter was followed by a 30-40 minute faculty-led debrief.

Results

This simulation case has been sustained in the curriculum since 2011 for 65 students per year. Through use of a faculty critical action checklist, debrief discussion, examination performance, and student evaluation feedback, this simulation has demonstrated effectiveness. Of students, 93 of 193 students (48%) who participated in the simulation case from 2018-2020 completed a survey in which they rated the degree of agreement with statements about the simulation based on a 5-point Likert Scale (1 = strongly disagree, 5 = strongly agree). All questions had a mean response of 4.5-4.8 in 2018-2020, demonstrating the consistent agreement by students of the clarity, fidelity, and knowledge-enhancing value of the simulation.

Discussion

This simulation provided a useful opportunity and a safe environment for preclinical medical students to acquire knowledge and skills necessary to evaluate a female patient with pelvic pain and PID.

Authors+Show Affiliations

Assistant Professor, Department of Family Medicine and Biobehavioral Health, University of Minnesota Duluth.Assistant Professor, Department of Family Medicine and Biobehavioral Health, University of Minnesota Duluth.Assistant Professor, Department of Family Medicine and Biobehavioral Health, University of Minnesota Duluth.Assistant Professor, Department of Family Medicine and Biobehavioral Health, University of Minnesota Duluth.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33511274

Citation

Pearson, Jennifer, et al. "Teaching the Evaluation of Female Pelvic Pain: a Hands-On Simulation to Reinforce Exam Skills and Introduce Transvaginal Ultrasound." MedEdPORTAL : the Journal of Teaching and Learning Resources, vol. 17, 2021, p. 11080.
Pearson J, Greminger A, Onello E, et al. Teaching the Evaluation of Female Pelvic Pain: A Hands-On Simulation to Reinforce Exam Skills and Introduce Transvaginal Ultrasound. MedEdPORTAL. 2021;17:11080.
Pearson, J., Greminger, A., Onello, E., & Stover, S. (2021). Teaching the Evaluation of Female Pelvic Pain: A Hands-On Simulation to Reinforce Exam Skills and Introduce Transvaginal Ultrasound. MedEdPORTAL : the Journal of Teaching and Learning Resources, 17, 11080. https://doi.org/10.15766/mep_2374-8265.11080
Pearson J, et al. Teaching the Evaluation of Female Pelvic Pain: a Hands-On Simulation to Reinforce Exam Skills and Introduce Transvaginal Ultrasound. MedEdPORTAL. 2021 01 25;17:11080. PubMed PMID: 33511274.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Teaching the Evaluation of Female Pelvic Pain: A Hands-On Simulation to Reinforce Exam Skills and Introduce Transvaginal Ultrasound. AU - Pearson,Jennifer, AU - Greminger,Amy, AU - Onello,Emily, AU - Stover,Sandy, Y1 - 2021/01/25/ PY - 2021/1/29/entrez PY - 2021/1/30/pubmed PY - 2021/1/30/medline KW - Acute Abdomen KW - Emergency Medicine KW - Family Medicine KW - Female Pelvic Exam KW - OB/GYN KW - Sexually Transmitted Infection KW - Simulation KW - Transvaginal Ultrasound KW - Women's Health SP - 11080 EP - 11080 JF - MedEdPORTAL : the journal of teaching and learning resources JO - MedEdPORTAL VL - 17 N2 - Introduction: Reproductive-age female patients commonly seek evaluation for pelvic pain in a variety of health care settings. Thus, teaching medical students how to effectively evaluate female pelvic pain is a necessary part of medical education. There are limited opportunities, however, to reinforce the needed skills for this common but sensitive presentation that can be anxiety-producing for preclinical students. Methods: The case involved a 23-year-old female presenting with lower abdominal/pelvic pain. Students performed the necessary history, physical examination, cervical sampling, and transvaginal ultrasound evaluation to make the diagnosis of pelvic inflammatory disease (PID) complicated by a tubo-ovarian abscess. The 30-minute simulated patient encounter was followed by a 30-40 minute faculty-led debrief. Results: This simulation case has been sustained in the curriculum since 2011 for 65 students per year. Through use of a faculty critical action checklist, debrief discussion, examination performance, and student evaluation feedback, this simulation has demonstrated effectiveness. Of students, 93 of 193 students (48%) who participated in the simulation case from 2018-2020 completed a survey in which they rated the degree of agreement with statements about the simulation based on a 5-point Likert Scale (1 = strongly disagree, 5 = strongly agree). All questions had a mean response of 4.5-4.8 in 2018-2020, demonstrating the consistent agreement by students of the clarity, fidelity, and knowledge-enhancing value of the simulation. Discussion: This simulation provided a useful opportunity and a safe environment for preclinical medical students to acquire knowledge and skills necessary to evaluate a female patient with pelvic pain and PID. SN - 2374-8265 UR - https://www.unboundmedicine.com/medline/citation/33511274/Teaching_the_Evaluation_of_Female_Pelvic_Pain:_A_Hands-On_Simulation_to_Reinforce_Exam_Skills_and_Introduce_Transvaginal_Ultrasound. L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/33511274/ DB - PRIME DP - Unbound Medicine ER -
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