AuduBon-Bons: Bite-Sized Learning for Residents in the Ambulatory Obstetrics and Gynecology Clinic

• Published in: Journal of graduate medical education Vol. 14; no. 3; pp. 326 - 331
• Main Authors: Will, Elizabeth M, Altchek, Chloe L, Shukla, Hemangi P, Ratan, Rini B
• Format: Journal Article
• Language: English
• Published: United States The Accreditation Council for Graduate Medical Education 01-06-2022
• Subjects: Curriculum; Educational Innovation; Female; Gynecology - education; Humans; Internship and Residency; Obstetrics - education; Pregnancy; Surveys and Questionnaires
• ISSN: 1949-8349; 1949-8357
• DOI: 10.4300/JGME-D-21-00937.1

While most medical education happens in the inpatient setting, the vast majority of medicine is practiced in the outpatient setting. Graduates from our obstetrics and gynecology (OB/GYN) program consistently report lower confidence and comfort in the ambulatory, as opposed to inpatient, setting.
To describe and evaluate a novel curriculum, delivered in an ambulatory clinic covering ambulatory care topics, and to assess its feasibility in a single site OB/GYN residency program.
We created an ambulatory curriculum, comprising short modules delivered in the ambulatory clinic during the first 15 minutes of every half-day clinic session. Modules were delivered using a flipped classroom format with pre-session assignments during the 2019-2020 academic year. Outcomes were residents' pre- and post-session comfort and confidence and module developers' time to create the curriculum. Time tracking was performed.
On average, 11 residents were present for the teaching session weekly. Twenty-four residents and 6 faculty were eligible to complete pre- and post-session surveys. For every weekly session, the average resident comfort level and the average resident confidence level with the module's topic increased from the pre-module survey to the post-module survey. Residents completed pre-module assignments 64.8% (236 of 364) of the time, and of residents who completed the pre-work, 89.4% (211 of 236) reported it was useful. Average survey completion rate was 70.5% (1398 of 1984).
We showed that it is feasible to create and implement an ambulatory curriculum for residents in OB/GYN, and this curriculum increased resident's comfort and confidence with ambulatory practice.