Women's Health Curricula in Internal Medicine Residency Programs: A Scoping Review

2019 ◽  
Vol 28 (12) ◽  
pp. 1768-1779
Author(s):  
Christiana M. Zhang ◽  
Emily R. Insetta ◽  
Christine Caufield-Noll ◽  
Rachel B. Levine
Keyword(s):  
Internal Medicine ◽  
Women’S Health ◽  
Women's Health ◽  
Scoping Review ◽  
Internal Medicine Residency ◽  
Residency Programs

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.

Do Women's Health Internal Medicine Residency Tracks Make a Difference?

2007 ◽  
Vol 16 (8) ◽  
pp. 1219-1223 ◽  
Author(s):  
Abby L. Spencer ◽  
James E. Bost ◽  
Melissa McNeil
Keyword(s):  
Internal Medicine ◽  
Women’S Health ◽  
Women's Health ◽  
Internal Medicine Residency

scholarly journals A Decade of Teaching and Learning in Internal Medicine Ambulatory Education: A Scoping Review

2019 ◽  
Vol 11 (2) ◽  
pp. 132-142 ◽  
Author(s):  
Andrew Coyle ◽  
Ira Helenius ◽  
Christina M. Cruz ◽  
E. Allison Lyons ◽  
Natalie May ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Medical Education ◽  
Curriculum Development ◽  
Scoping Review ◽  
Internal Medicine Residency ◽  
Ambulatory Setting ◽  
Residency Programs ◽  
Rich Diversity ◽  
Practice Performance ◽  
Ambulatory Education

ABSTRACT Background  Ambulatory training in internal medicine residency programs has historically been considered less robust than inpatient-focused training, which prompted a 2009 revision of the Accreditation Council for Graduate Medical Education (ACGME) Program Requirements in Internal Medicine. This revision was intended to create a balance between inpatient and outpatient training standards and to spur innovation in the ambulatory setting. Objective  We explored innovations in ambulatory education in internal medicine residency programs since the 2009 revision of the ACGME Program Requirements in Internal Medicine. Methods  The authors conducted a scoping review of the literature from 2008 to 2017, searching PubMed, ERIC, and Scopus databases. Articles related to improving educational quality of ambulatory components of US-based internal medicine residency programs were eligible for inclusion. Articles were screened for relevance and theme categorization and then divided into 6 themes: clinic redesign, curriculum development, evaluating resident practice/performance, teaching methods, program evaluation, and faculty development. Once a theme was assigned, data extraction and quality assessment using the Medical Education Research Study Quality Instrument (MERSQI) score were completed. Results  A total of 967 potentially relevant articles were discovered; of those, 182 were deemed relevant and underwent full review. Most articles fell into curriculum development and clinic redesign themes. The majority of included studies were from a single institution, used nonstandardized tools, and assessed outcomes at the satisfaction or knowledge/attitude/skills levels. Few studies showed behavioral changes or patient-level outcomes. Conclusions  While a rich diversity of educational innovations have occurred since the 2009 revision of the ACGME Program Requirements in Internal Medicine, there is a significant need for multi-institution studies and higher-level assessment.

Place, Power, and Premature Mortality: A Rapid Scoping Review on the Health of Women in Appalachia

2021 ◽  
pp. 089011712110113
Author(s):  
Jessica R. Thompson ◽  
Lauren R. Risser ◽  
Madeline N. Dunfee ◽  
Nancy E. Schoenberg ◽  
Jessica G. Burke
Keyword(s):  
Women’S Health ◽  
Women's Health ◽  
Scoping Review ◽  
Quantitative Methods ◽  
Data Extraction ◽  
Ecological Factors ◽  
Bibliographic Databases ◽  
Theoretical Frameworks ◽  
Appalachian Women ◽  
Social Ecological

Objective: Appalachian women continue to die younger than in other US regions. We performed a rapid scoping review to summarize women’s health research in Appalachia from 2000 to 2019, including health topics, study populations, theoretical frameworks, methods, and findings. Data Source: We searched bibliographic databases (eg, PubMed, PsycINFO, Google Scholar) for literature focusing on women’s health in Appalachia. Study Inclusion and Exclusion Criteria: Included articles were: (1) on women’s health in Appalachia; (2) published January 2000 to June 2019; (3) peer-reviewed; and (4) written in English. We excluded studies without reported data findings. Data Extraction: Two coders reviewed articles for descriptive information to create summary tables comparing variables of interest. Data Synthesis: Two coders co-reviewed a sub-sample to ensure consensus and refine data charting categories. We categorized major findings across the social-ecological framework. Results: A search of nearly 2 decades of literature revealed 81 articles, which primarily focused on cancer disparities (49.4%) and prenatal/pregnancy outcomes (23.5%). Many of these research studies took place in Central Appalachia (eg, 42.0% in Kentucky) with reproductive or middle-aged women (82.7%). Half of the studies employed quantitative methods, and half used qualitative methods, with few mixed method or community-engaged approaches (3.7%). Nearly half (40.7%) did not specify a theoretical framework. Findings included complex multi-level factors with few articles exploring the co-occurrence of factors across multiple levels. Conclusions: Future studies should: 1) systematically include Appalachian women at various life stages from under-represented sub-regions; 2) expand the use of rigorous methods and specified theoretical frameworks to account for complex interactions of social-ecological factors; and 3) build upon existing community assets to improve health in this vulnerable population.

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).

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