title: Students' experience with women's health care in a family medicine clerkship.
abstract: Clerkship encounter forms were used to assess the types of diagnoses seen, the level of activities performed (student responsibility), and self-reported competence (comfort level) in dealing with patients.
  
  
  BACKGROUND
  Many medical schools require a family medicine clerkship, yet little is known about the quantity and diversity of the diagnoses encountered by the students. This study examines clerkship students' experience with women's health care diagnoses.
  
  
  METHODS
  Over a 2-year period, 445 students completed 3320 patient encounter forms for patients with a women's health diagnosis, noting patient age, location of care (office, hospital, etc.), up to four presenting diagnoses, the degree to which the student was involved with selected activities (taking a history, performing a physical examination, observing only, etc.) and the degree of self-reported competence.
  
  
  RESULTS
  Of the 78 854 diagnoses presented, 3677 (6.1%) were women's health conditions, most commonly normal pregnancy (47.5%), disorders of menstruation (8.2%), menopausal and postmenopausal disorders (7.4%), disorders of the breast (6.0%), pain in female genital organs (5.7%), and disease of the cervix, vagina and vulva (5.2%). Students reported a high level of competence in diagnosing and treating these patients. The students routinely discussed women's health cases with their preceptors.
  
  
  CONCLUSIONS
  Students reported that they were 'unskilled' or 'marginally competent' with approximately 10% of the women's health patient encounters, compared with 6% for all other encounters. The clerkship provided students with the greatest opportunity to observe and discuss individual cases with a preceptor. However, students infrequently suggested a treatment or provided patient education or women's health counselling.
authors.affiliation: Department of Family Medicine and the Bowen Research Center, Indiana University School of Medicine, Indianapolis, USA.
authors.forename: Brenda S
authors.initials: BS
authors.lastname: O'Hara
authors.forename: Robert M
authors.initials: RM
authors.lastname: Saywell
authors.forename: Terrell W
authors.initials: TW
authors.lastname: Zollinger
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Wooldridge
authors.forename: Gaylen M
authors.initials: GM
authors.lastname: Kelton
authors.forename: J Scott
authors.initials: JS
authors.lastname: Ries
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Burba
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D002982:Clinical Clerkship / Q000458:organization & administration*; D002983:Clinical Competence / Q000592:standards*; D004501:Education, Medical / Q000458:organization & administration; D005194:Family Practice / Q000193:education*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008875:Middle Aged; D012423:Rural Health; D014504:Urban Health; D016387:Women's Health