Implementing a Combined Instruction Model on Pregnancy Options Counseling for Pre-clinical Medical Students

Abstract

Introduction: The Association of Professors of Gynecology and Obstetrics (APGO) recommends that pre-clinical medical students learn how to counsel on pregnancy options as a standard learning topic during undergraduate medical curriculum. Materials and Methods: Second-year medical students viewed pre-recorded lectures and attended a panel on pregnancy options counseling covering adoption, abortion, and pregnancy continuation. Students were then surveyed about their experiences. Results: Participants (n = 57) were primarily female (74%), non-Hispanic (89%), and Caucasian (77%). Students determined that most (80–100%) of the APGO Student Learning Objectives were adequately covered by the panel and pre-recorded lectures. Students reported on a 5-point Likert-type scale a statistically significant increase (P < 0.0001) in their perceived preparedness to counsel across each pregnancy option category: abortion (2.17 ± 0.94 before vs. 3.5 ± 0.94 after), adoption (1.81 ± 0.86 before vs. 2.56 ± 1.04 after), and continuation of pregnancy (2.52 ± 1 before vs. 3.38 ± 0.95 after). Eighty-seven percent of the respondents felt that the panel was inclusive of diverse viewpoints. Discussion: Students appreciated the pre-recorded lectures and case-based panel as providing important exposure to pregnancy options counseling. Students noted a significantly increased preparedness to counsel a newly diagnosed pregnant patient on abortion, adoption, and pregnancy continuation, most notably with abortion counseling. The overwhelmingly positive reception of the panel highlights the desire of medical students to learn about these issues. Conclusion: This study demonstrates the efficacy of combined instruction modalities, including traditional didactics, case-based learning, and an expert provider panel, in educating students on pregnancy options counseling.