Evelyn Ford, MPH Kathy Chappelle, MA Jessie Flynn, MD

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Presentation transcript:

The Family Medicine Way: Innovative Responses to Student Interest in Maternity Care Evelyn Ford, MPH Kathy Chappelle, MA Jessie Flynn, MD Valerie King, MD Anita Taylor, MAEd Oregon Health and Science University 2008 STFM Predoctoral Education Conference

Today, we’ll discuss: OHSU programs to involve students in Family Medicine maternity care The Baby Beeper Program The Maternal Care & Delivery Program Logistics of the programs Workshops to enhance student experience Program evaluation and impact

The Baby Beeper Program Student initiated in 2003 FMIG Activity – open to all students Key buy-in from: L&D nurses FM residents

Baby Beeper Program Logistics Student leadership and coordination Student sign-up sheet Beepers (hospital pagers) Reminder signs for FM residents Scrubs for students

Baby Beeper Program Challenges Student Issues Never got beeped Didn’t have legitimate role in delivery Resident Issues Working with a strange student Not a priority under stress Discouraging experiences when students didn’t answer or gave an excuse

Maternal Care & Delivery Program Student-resident initiated FMIG activity – open to all students Designed to improve experience for students, residents, and pregnant mothers through continuity care

Maternal Care & Delivery Logistics Student and resident leadership Pairing residents and students Cell phones instead of beepers Each student teamed with: Family Medicine resident Pregnant patient Students participate in both pre- and postnatal care

Labor & Delivery Support Workshops Students asked faculty for help Wanted practical knowledge/skills Wanted to have something to offer/do Developed workshop with faculty Two formats: 8-hour all day workshop 3-hour evening workshop

Workshop Activities

Workshop Activities

Labor Support Workshops: Content What’s labor like anyway? What do women want? Historical perspectives on women and birth Why labor support matters Doulas Determining fetal position General comfort measures for birth Labor positions: Increasing comfort and enhancing progress Helping with OP positions

Workshop Activities

Workshop Activities

Workshop Activities

Impact of the New Maternal Care & Delivery Program Process Evaluation Marker: Baby Beeper Program Maternal Care & Delivery Program Avg # calls student made to resident 3.2 (min 0; max 14) 2.8 (min 2; max 4) % participants involved in pre/postnatal care 54.5 % participants attending delivery 30.4 21.7

Evaluation Pre- and post-program surveys allow us to examine: Whether students were able to participate Program’s impact on: Student confidence Career planning

Baby Beeper Impact on Student Confidence Before After Prepared for OBGYN Clerkship 2.3 2.7 Expect to do well in OB/GYN Clerkship 3.4 3.3 Rated on a 1 (low) to 5 (high) Likert scale

Baby Beeper Impact on Planned Scope of Practice Plan to serve: Pre- responses Post- responses Maternity patients 3.8 4.2 Female patients 4.8 Pregnant patients 4.1 4.3 Infants 3.5

Baby Beeper Impact on Career Planning Plan to pursue: Before After OB/Gyn 3.5 Family Medicine 3.7 4.0 Pediatrics 2.7 2.4 Internal Medicine 2.8

Questions?