Women's health for a primary care workforce.

Bibliographic Details
Title:	Women's health for a primary care workforce.
Authors:	McClintock, Adelaide H.¹ (AUTHOR) ahearst@uw.edu, Starks, Helene² (AUTHOR), Williams, Meagan¹ (AUTHOR)
Source:	Clinical Teacher. Jun2022, Vol. 19 Issue 3, p251-256. 6p.
Subject Terms:	TRAINING of medical residents, WOMEN'S health, MEDICAL care, MEDICAL personnel, *HEALTH literacy
Abstract:	Background: Primary care training should include competencies to provide reproductive health services. In the United Sates, primary care is often provided by general internal medicine physicians. Longitudinal training experiences for internal medicine residents in women's health increase knowledge, skills and retention in careers in women's health, but very little literature describes their implementation. The purpose of this paper is to describe the implementation and evaluation of a 2‐year women's health training pathway in Internal Medicine. Approach: Using the Context, Input, Process, Product (CIPP) model, we describe the salient features of a complex, longitudinal educational intervention at the development, planning and evaluation stages within a large academic medical centre. Evaluation: In 2019, we conducted interviews with the pathway participants (N = 6) in the first 3 years of the programme and used the CIPP framework and Kirkpatrick's Model as an a priori codebook for analysis. Participants reported high fidelity and that the training was relevant and appropriate to meet their needs. Practicing clinicians similarly reported that training was relevant and useful and met desired goals for knowledge and integrated approaches to care. Trainees reported unexpected benefits of identity formation and a community of practice. Implications: These results suggest that longitudinal training pathways are an effective way to train Internal Medicine residents to provide comprehensive care to women. This study has broader applications for health professions education, providing a model for implementation and evaluation of complex educational interventions in large organisations. Future research should focus on dissemination to train a workforce prepared to offer evidence‐based care to women throughout their lifespan. [ABSTRACT FROM AUTHOR]
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Items	– Name: Title Label: Title Group: Ti Data: Women's health for a primary care workforce. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22McClintock%2C+Adelaide+H%2E%22">McClintock, Adelaide H.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> ahearst@uw.edu</i><br /><searchLink fieldCode="AR" term="%22Starks%2C+Helene%22">Starks, Helene</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Williams%2C+Meagan%22">Williams, Meagan</searchLink><relatesTo>1</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Clinical+Teacher%22">Clinical Teacher</searchLink>. Jun2022, Vol. 19 Issue 3, p251-256. 6p. – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22TRAINING+of+medical+residents%22">TRAINING of medical residents</searchLink><br /><searchLink fieldCode="DE" term="%22WOMEN'S+health%22">WOMEN'S health</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+care%22">MEDICAL care</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+personnel%22">MEDICAL personnel</searchLink><br />*<searchLink fieldCode="DE" term="%22HEALTH+literacy%22">HEALTH literacy</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Primary care training should include competencies to provide reproductive health services. In the United Sates, primary care is often provided by general internal medicine physicians. Longitudinal training experiences for internal medicine residents in women's health increase knowledge, skills and retention in careers in women's health, but very little literature describes their implementation. The purpose of this paper is to describe the implementation and evaluation of a 2‐year women's health training pathway in Internal Medicine. Approach: Using the Context, Input, Process, Product (CIPP) model, we describe the salient features of a complex, longitudinal educational intervention at the development, planning and evaluation stages within a large academic medical centre. Evaluation: In 2019, we conducted interviews with the pathway participants (N = 6) in the first 3 years of the programme and used the CIPP framework and Kirkpatrick's Model as an a priori codebook for analysis. Participants reported high fidelity and that the training was relevant and appropriate to meet their needs. Practicing clinicians similarly reported that training was relevant and useful and met desired goals for knowledge and integrated approaches to care. Trainees reported unexpected benefits of identity formation and a community of practice. Implications: These results suggest that longitudinal training pathways are an effective way to train Internal Medicine residents to provide comprehensive care to women. This study has broader applications for health professions education, providing a model for implementation and evaluation of complex educational interventions in large organisations. Future research should focus on dissemination to train a workforce prepared to offer evidence‐based care to women throughout their lifespan. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Clinical Teacher is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo	BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/tct.13483 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 251 Subjects: – SubjectFull: TRAINING of medical residents Type: general – SubjectFull: WOMEN'S health Type: general – SubjectFull: MEDICAL care Type: general – SubjectFull: MEDICAL personnel Type: general – SubjectFull: HEALTH literacy Type: general Titles: – TitleFull: Women's health for a primary care workforce. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: McClintock, Adelaide H. – PersonEntity: Name: NameFull: Starks, Helene – PersonEntity: Name: NameFull: Williams, Meagan IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 17434971 Numbering: – Type: volume Value: 19 – Type: issue Value: 3 Titles: – TitleFull: Clinical Teacher Type: main
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