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Multicenter Urogynecology Study on Education: Medical Student Educational Experiences and Knowledge Outcomes During the OBGYN Clerkship

Martirosian Smith, Tovia E. MD*; Trowbridge, Elisa R. MD*; Pastore, Lisa M. PhD*; Smith, Steven C. MD, PhD; Brennan, Matthew C. MD; Dooley, Yashika MD§; Matthews, Catherine K. MD; Özel, Begüm MD; Sutkin, Gary MD#; Hullfish, Kathie L. MD*†

Female Pelvic Medicine & Reconstructive Surgery: March-April 2011 - Volume 17 - Issue 2 - p 100-104
doi: 10.1097/SPV.0b013e31820e9df3
Original Articles
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Objective: The objective of this study was to describe self-assessed student knowledge of female pelvic medicine (FPM) during the OBGYN clerkship.

Methods: Students at 6 sites scored their knowledge of 12 FPM topics and 4 procedures both before and after their clerkship. Analysis included Wilcoxon tests, Spearman correlation, and univariate and multivariate models.

Results: A total of 323 students completed paired surveys. Mean knowledge scores (KSs) across FPM topics (1.40 ± 0.12; 95% confidence interval) and procedures (0.77 ± 0.08) increased significantly, with larger increases for topics (P < 0.001). Topic and procedure KSs were correlated (rs = 0.32, P < 0.0001). Mean KSs were significantly related to number and number of types of learning experiences (r2 = 0.13 and 0.08, both P < 0.001). Learning through text and inpatient encounters had independent effects on KS change in multivariate analysis (P = 0.01 and 0.007).

Conclusions: Students reported increased knowledge although less for procedures than for topics. Text and inpatient learning independently increased students' self-assessed change in knowledge.

Students reported increased knowledge although less for procedures than for topics. Text and inpatient learning independently increased students self-assessed change in knowledge.

From the Departments of *Obstetrics and Gynecology and †Urology, University of Virginia Health System, Charlottesville, VA; ‡Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM; §Department of Obstetrics and Gynecology, Brooke Army Medical Center, San Antonio, TX; ∥Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC; ¶Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, CA; and #Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, Pittsburgh, PA.

Reprints: Tovia Elizabeth Martirosian Smith, MD, Department of Obstetrics and Gynecology, University of Michigan Hospitals, L4000 Women's Hospital, 1500 E Medical Center Dr, SPC 5276, Ann Arbor, MI. E-mail:

Presented at the 29th Annual Scientific Meeting of the American Urogynecologic Society, September 24-26, 2009, Hollywood, FL. Abstract Control ID: 642701.

© 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins