The Women's Health Track: A Model for Training Internal Medicine Residents

1995 ◽  
Vol 4 (3) ◽  
pp. 313-318 ◽  
Author(s):  
MICHELLE M. ROBERTS ◽  
FRANK J. KROBOTH ◽  
GEORGE M. BERNIER
Keyword(s):  
Internal Medicine ◽  
Women’S Health ◽  
Women's Health ◽  
Internal Medicine Residents

scholarly journals Women's Health Curriculum for Internal Medicine Residents: Development, Implementation, and Evaluation

2010 ◽  
Vol 2 (3) ◽  
pp. 398-403 ◽  
Author(s):  
Laura Davisson ◽  
Michelle Nuss ◽  
Scott Cottrell
Keyword(s):  
Internal Medicine ◽  
Women’S Health ◽  
Women's Health ◽  
Health Knowledge ◽  
Internal Medicine Residency ◽  
Clinical Rotation ◽  
Web Based ◽  
Health Curriculum ◽  
Training Requirements ◽  
Internal Medicine Residents

Abstract Objective Women's health knowledge and skills are important for physicians, but training is often inadequate. The objective of this project was to develop, implement, and evaluate a women's health curriculum for an internal medicine residency program. Methods After assessing institutional factors, we developed a curriculum for a multidisciplinary clinical rotation with a web-based tutorial. We recruited faculty from several specialties relevant to the care of women to precept for the rotation and/or to provide teaching materials for the tutorial. Results The curriculum for the 1-month rotation covered most of the recommended women's health topics. Internal medicine residents worked in a variety of clinical settings and were assigned to a web-based tutorial and a pretest and posttest. A statistically significant increase was seen in participants' mean posttest (71.7%) versus pretest (61.1%) scores (difference, 10.7%; 95% confidence interval [CI]: 4.7–16.6; P  =  .0009). No difference was seen in controls' mean posttest (56.5%) versus pretest (57.2%) scores (difference, −0.7%; 95% CI: −12.1–10.7; P  =  .9). Mean rotation evaluation responses ranged from 7.09 to 7.45 on a 9-point scale. The majority (93%) of survey respondents agreed that the rotation increased their skills in caring for women, and all agreed the program was well organized and that it increased their awareness of women's health issues. Conclusion A women's health curriculum using a web-based tutorial with a multidisciplinary clinical rotation can be successfully implemented in an internal medicine residency. The curriculum satisfied women's health training requirements, was associated with improvements in learning outcomes, and may be a model for women's health education.

scholarly journals Development of a curriculum and training program in Woman Veterans Health for Internal Medical Residents

2017 ◽  
Vol 55 (3) ◽  
pp. 167-173
Author(s):  
Manju Ceylony ◽  
Jahan Porhomayon ◽  
Leili Pourafkari ◽  
Nader D. Nader
Keyword(s):  
Internal Medicine ◽  
Primary Care ◽  
Reproductive Health ◽  
Women’S Health ◽  
Women's Health ◽  
Internal Medicine Residents ◽  
Post Test ◽  
Women’S Reproductive Health ◽  
Women's Reproductive Health ◽  
And Training

Abstract Introduction. Internal Medicine residents must develop competency as Primary Care Providers, but a gap exists in their curriculum and training with regard to women’s reproductive health. With increasing need in VA due to new influx of women veterans it poses problems in recruitment of competent physicians trained in Women’s health. Methods. An intensive, one-month women’s reproductive health curriculum with hands on experience for Internal Medicine residents was provided. Curriculum was taught to the residents who rotated at the Women’s Health Clinic for one month. Pre-test and post-test exams were administered. Increase in knowledge of residents in providing gender specific evaluations and management was objectively assessed by changes in post-test scores. Data were analyzed for statistically significant improvement in written tests scores. Results. Total of 47 Internal Medicine residents rotated through Women’s Health Center during the evaluation period. All residents completed both pre-test and post-test exams. The average time to complete the pre-test was 20.5 ± 5.4 min and 19.5 ± 4.8 min for post-test. There was no correlation between the time to complete the pre-test exam and the post-test exam. The total score was significantly improved from 8.5 ± 1.6 to 13.2 ± 1.8 (p < 0.0001). Conclusion. This study shows how to equip physicians in training with information on women’s health that enables them to provide safe and gender appropriate care in primary care settings. This practice will reduce the need for frequent referrals for specialized care and thus provide cost saving for patient and health care on the whole.

scholarly journals The Women's Hospital: the birth of the first gender hospital in Italy

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Cavazzana ◽  
M Errico ◽  
A Gimigliano ◽  
R Anniverno ◽  
L Bernardo ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Women’S Health ◽  
Women's Health ◽  
Maternity Leave ◽  
Holistic Approach ◽  
Health Needs ◽  
Gender Medicine ◽  
Disease Epidemiology ◽  
Developmental Age ◽  
Internal Medicine Unit

Abstract Issue Many diseases show differences in incidence, symptoms, and severity between men and women, combined with a different response to therapies. There are some international experiences of health policies about Gender Medicine, but the practical realizations are few and, for the female sex, usually focused only on fertile age. Description of the problem A Milan hospital (ASST Fatebenefratelli Sacco) decided to dedicate one of its sites, with gynecological and pediatric vocation but also with an Internal Medicine Unit in within, entirely to women's health. The focus of this site is a holistic approach to women's health needs, both physiologic and pathologic. Realized without additional institutional funds, this project was designed between June and October 2019, started in December 2019 and is still ongoing. Results One of the first actions taken was to admit only women in the Internal Medicine Unit. The Unit is now entirely focused on dealing with most frequent female pathologies, in particular on autoimmune, vascular, endocrinology and nephrology conditions. The Mental Health Unit, already specialized in supporting pregnancy and new mothers, is going to activate a “Mother-Baby Unit” to support potential hospitalization issues. Among its major aims, the Occupational Medicine Unit supports female workers in managing maternity leave. New outpatient clinical paths have been planned to strengthen key moments of women's life: developmental age, fertile age, menopause, and senescence. Based on multi-professional teams, these programs are targeted toward age-specific needs and combine knowledge of disease epidemiology with sociological needs. To better face emerging issues, a path is activated for each area every month. Conclusions The birth of the first Italian hospital entirely dedicated to Gender Medicine allows care of women's health on a holistic perspective. This is, indeed, a key step in the general appraisal of Gender Medicine at the national and international levels. Key messages A gender hospital with a holistic approach to women’s health needs, both physiologic and pathologic, was borne in Milan. Integrated clinical paths have been activated to assist women in the key moments of their life (developmental age, fertile age, menopause, and senescence).

scholarly journals Primary Care Internal Medicine Training and Women's Health

1997 ◽  
Vol 12 (2) ◽  
pp. 129-131 ◽  
Author(s):  
Catherine A. Staropoli ◽  
Anne W. Moulton ◽  
Michele G. Cyr
Keyword(s):  
Internal Medicine ◽  
Primary Care ◽  
Women’S Health ◽  
Women's Health ◽  
Internal Medicine Training ◽  
Primary Care Internal Medicine

Women’s Health

2012 ◽  
Author(s):  
Lynne T. Shuster ◽  
Deborah J. Rhodes
Keyword(s):  
Internal Medicine ◽  
Risk Factors ◽  
Domestic Violence ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Women’S Health ◽  
Women's Health ◽  
The Past

The science and practice of women's health have evolved considerably during the past 15 years. Increasingly, internal medicine physicians are expected to manage diseases and conditions unique to women (like menstruation, menopause, and pregnancy), more prevalent (contraception, infertility, breast conditions) or more serious in women, or for which risk factors or interventions are different in women than in men (coronary heart disease). Domestic violence issues are also reviewed.

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