The Effect of a Simulation-based Intervention on Emergency Medicine Resident Management of Early Pregnancy Loss.

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  • Additional Information
    • Source:
      Publisher: Department of Emergency Medicine, University of California, Irvine Country of Publication: United States NLM ID: 101476450 Publication Model: Print Cited Medium: Internet ISSN: 1936-9018 (Electronic) Linking ISSN: 1936900X NLM ISO Abbreviation: West J Emerg Med Subsets: MEDLINE
    • Publication Information:
      Publication: <2011>- : Irvine, CA : Department of Emergency Medicine, University of California, Irvine
      Original Publication: Orange, CA : California Chapter of the American Academy of Emergency Medicine
    • Subject Terms:
      Abortion, Spontaneous*/therapy ; Gynecology*/education ; Obstetrics*/education ; Emergency Medicine*/education ; Internship and Residency* ; Obstetric Labor Complications*; Female ; Pregnancy ; Humans ; Curriculum
    • Abstract:
      Background: The evaluation of patients with first-trimester vaginal bleeding and concern for early pregnancy loss (EPL) frequently occurs in the emergency department (ED), accounting for approximately 1.6% of all ED visits. 1 Unfortunately, these patients consistently report negative experiences with ED care. 2 - 8 In addition to environmental concerns, such as long wait times, patients often describe negative interactions with staff, including a perceived lack of empathy, the use of insensitive language, and inadequate counseling. 2 , 3 These patients and their partners often view EPL as a traumatic loss of life and commonly experience prolonged grief reactions, including anxiety and depression. 9 - 11 Poor satisfaction with care has been associated with worse mental health outcomes. 12 These complaints represent an important opportunity for improvement in emergency medicine (EM) training. 13 While no published literature to date describes the performance of EM residents in managing patients presenting with EPL, studies suggest that even obstetrics and gynecology (OB/GYN) residents find these interactions challenging. 14 , 15 Simulation- and didactic-based training has been shown to be beneficial in improving OB/GYN resident EPL counseling and has been associated with improved patient outcomes. 16 To our knowledge, this has yet to be replicated in EM residency training.
      Objectives: We aimed to develop and evaluate a simulation-based educational intervention to improve EM resident management of patients presenting with EPL.
      Competing Interests: Conflicts of Interest: By the WestJEM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. No author has professional or financial relationships with any companies that are relevant to this study. There are no conflicts of interest or sources of funding to declare.
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    • Publication Date:
      Date Created: 20240410 Date Completed: 20240411 Latest Revision: 20240412
    • Publication Date:
      20240412
    • Accession Number:
      PMC11000552
    • Accession Number:
      10.5811/westjem.18596
    • Accession Number:
      38596922