1. 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

2. 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

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

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

5. 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

7. 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

8. 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

9. 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

10. Workshop Activities

11. Workshop Activities

12. 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

13. Workshop Activities

14. Workshop Activities

15. Workshop Activities

16. 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

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

18. 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

19. 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

20. 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

21. Questions?