Can gynaecology teaching associates provide high quality effective training for medical students in the United Kingdom? Comparative study

Can gynaecology teaching associates provide high quality effective training for medical students in the United Kingdom? Comparative study

13 December 2003 | Sally Pickard, Paula Baraitser, Janice Rymer, Johanna Piper
A study evaluated the effectiveness of gynaecology teaching associates (GTAs) in training medical students in pelvic examination techniques in the UK. The study involved 44 students trained by GTAs and 48 control students. GTAs are laywomen trained to teach pelvic examination while being examined. They work in pairs, with one acting as the patient and the other as the instructor. The study aimed to assess the effectiveness of this method and incorporate it into the undergraduate curriculum. The study was conducted at Guy's, King's, and St Thomas's School of Medicine in London. Participants were 44 medical students trained by GTAs and 48 control students. The main outcome measure was students' skills in pelvic examination. At assessment 1, students trained by GTAs scored significantly higher (mean 155) than control students (mean 104). At assessment 2, the scores were 148 for trained students and 114 for control students. These results suggest that GTAs can effectively train medical students in pelvic examination. The study found that students trained by GTAs had better skills than those trained traditionally. The GTAs were recruited and trained in female anatomy, communication, and infection control. They were assessed by three authors and an independent nurse. Students received traditional training and then practiced on patients and in clinics. The study also found that the skills of trained students were maintained over the 12-week reproductive and sexual health block, while the control group showed only a borderline significant improvement. The study concluded that GTAs can be effectively used to train medical students in pelvic examination. The addition of GTAs to traditional teaching methods improves students' technical and communication skills. The study suggests that GTAs could be a useful addition to the curriculum of medical schools in the UK.A study evaluated the effectiveness of gynaecology teaching associates (GTAs) in training medical students in pelvic examination techniques in the UK. The study involved 44 students trained by GTAs and 48 control students. GTAs are laywomen trained to teach pelvic examination while being examined. They work in pairs, with one acting as the patient and the other as the instructor. The study aimed to assess the effectiveness of this method and incorporate it into the undergraduate curriculum. The study was conducted at Guy's, King's, and St Thomas's School of Medicine in London. Participants were 44 medical students trained by GTAs and 48 control students. The main outcome measure was students' skills in pelvic examination. At assessment 1, students trained by GTAs scored significantly higher (mean 155) than control students (mean 104). At assessment 2, the scores were 148 for trained students and 114 for control students. These results suggest that GTAs can effectively train medical students in pelvic examination. The study found that students trained by GTAs had better skills than those trained traditionally. The GTAs were recruited and trained in female anatomy, communication, and infection control. They were assessed by three authors and an independent nurse. Students received traditional training and then practiced on patients and in clinics. The study also found that the skills of trained students were maintained over the 12-week reproductive and sexual health block, while the control group showed only a borderline significant improvement. The study concluded that GTAs can be effectively used to train medical students in pelvic examination. The addition of GTAs to traditional teaching methods improves students' technical and communication skills. The study suggests that GTAs could be a useful addition to the curriculum of medical schools in the UK.
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[slides and audio] Comparative study