Benefits of Hormonal Contraception Across the Lifespan: A Case-Based, Interactive Curriculum

Introduction Exogenous hormones found in birth control methods have contraceptive and noncontraceptive benefits, yet few educational resources exist for medical students to learn about use of hormonal contraceptives in varied patient scenarios. Methods We designed a curriculum for second-year medica...

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Main Authors: Aisvarya Panakam, Andrea Pelletier, Natasha R. Johnson, Celeste S. Royce, Trevin C. Lau, Deborah Bartz
Format: Article
Language:English
Published: Association of American Medical Colleges 2025-04-01
Series:MedEdPORTAL
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Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.11512
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author Aisvarya Panakam
Andrea Pelletier
Natasha R. Johnson
Celeste S. Royce
Trevin C. Lau
Deborah Bartz
author_facet Aisvarya Panakam
Andrea Pelletier
Natasha R. Johnson
Celeste S. Royce
Trevin C. Lau
Deborah Bartz
author_sort Aisvarya Panakam
collection DOAJ
description Introduction Exogenous hormones found in birth control methods have contraceptive and noncontraceptive benefits, yet few educational resources exist for medical students to learn about use of hormonal contraceptives in varied patient scenarios. Methods We designed a curriculum for second-year medical students on the use of hormonal contraceptives in patients with diverse identities and clinical conditions. Students enrolled in a transition to clerkship course participated in an interactive 40-minute large-group didactic, followed by case-based collaborative learning small-group discussions. Cases included a reproductive-aged female patient with a new chronic medical condition, a patient identifying as queer with menstrual irregularities, and a perimenopausal patient with systemic symptoms. Students provided immediate postcourse quantitative feedback, followed by longitudinal qualitative feedback during six consecutive OB/GYN clerkship cycles, regarding the value of the curriculum as preparation for hormone counseling patient encounters. We performed thematic analysis of all qualitative responses. Results Of 137 students enrolled, 50 (36%) completed end-of-course evaluation, with 70% evaluating the intervention as excellent or good. For thematic analysis, of the 103 eligible clerkship students, 59 (57%) completed the survey. We identified four themes: value of the curriculum as an introduction to hormone counseling; value in recognizing one's own biases in hormone counseling; emphasis on patient-centered counseling; and introduction to value-neutral and nondirective counseling. Discussion Our case-based curriculum introduces hormonal contraception across diverse patient identities and medical indications, resulting in improved student comfort with patient-centered counseling on hormone options. This expansive contraception curriculum can be replicated for other medical trainees across multiple subspecialties.
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spelling doaj-art-502a7a4b2add4f0ebfeff576ec43e2242025-08-20T01:51:42ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652025-04-012110.15766/mep_2374-8265.11512Benefits of Hormonal Contraception Across the Lifespan: A Case-Based, Interactive CurriculumAisvarya Panakam0Andrea Pelletier1Natasha R. Johnson2Celeste S. Royce3Trevin C. Lau4Deborah Bartz5Fourth-Year Medical Student, Harvard Medical SchoolResearch Associate, Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's HospitalClerkship Director, Obstetrics and Gynecology Principal Clerkship Experience, Harvard Medical School and Brigham and Women's HospitalClerkship Director, Obstetrics and Gynecology Principal Clerkship Experience, Harvard Medical School and Beth Israel Deaconess Medical CenterClerkship Director, Obstetrics and Gynecology Principal Clerkship Experience, Harvard Medical School and Massachusetts General HospitalAssociate Clerkship Director, Obstetrics and Gynecology Principal Clerkship Experience, Harvard Medical School and Brigham and Women's HospitalIntroduction Exogenous hormones found in birth control methods have contraceptive and noncontraceptive benefits, yet few educational resources exist for medical students to learn about use of hormonal contraceptives in varied patient scenarios. Methods We designed a curriculum for second-year medical students on the use of hormonal contraceptives in patients with diverse identities and clinical conditions. Students enrolled in a transition to clerkship course participated in an interactive 40-minute large-group didactic, followed by case-based collaborative learning small-group discussions. Cases included a reproductive-aged female patient with a new chronic medical condition, a patient identifying as queer with menstrual irregularities, and a perimenopausal patient with systemic symptoms. Students provided immediate postcourse quantitative feedback, followed by longitudinal qualitative feedback during six consecutive OB/GYN clerkship cycles, regarding the value of the curriculum as preparation for hormone counseling patient encounters. We performed thematic analysis of all qualitative responses. Results Of 137 students enrolled, 50 (36%) completed end-of-course evaluation, with 70% evaluating the intervention as excellent or good. For thematic analysis, of the 103 eligible clerkship students, 59 (57%) completed the survey. We identified four themes: value of the curriculum as an introduction to hormone counseling; value in recognizing one's own biases in hormone counseling; emphasis on patient-centered counseling; and introduction to value-neutral and nondirective counseling. Discussion Our case-based curriculum introduces hormonal contraception across diverse patient identities and medical indications, resulting in improved student comfort with patient-centered counseling on hormone options. This expansive contraception curriculum can be replicated for other medical trainees across multiple subspecialties.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11512HormonesContraceptionCounselingOB/GYNLGBTQIATrauma-Informed Care
spellingShingle Aisvarya Panakam
Andrea Pelletier
Natasha R. Johnson
Celeste S. Royce
Trevin C. Lau
Deborah Bartz
Benefits of Hormonal Contraception Across the Lifespan: A Case-Based, Interactive Curriculum
MedEdPORTAL
Hormones
Contraception
Counseling
OB/GYN
LGBTQIA
Trauma-Informed Care
title Benefits of Hormonal Contraception Across the Lifespan: A Case-Based, Interactive Curriculum
title_full Benefits of Hormonal Contraception Across the Lifespan: A Case-Based, Interactive Curriculum
title_fullStr Benefits of Hormonal Contraception Across the Lifespan: A Case-Based, Interactive Curriculum
title_full_unstemmed Benefits of Hormonal Contraception Across the Lifespan: A Case-Based, Interactive Curriculum
title_short Benefits of Hormonal Contraception Across the Lifespan: A Case-Based, Interactive Curriculum
title_sort benefits of hormonal contraception across the lifespan a case based interactive curriculum
topic Hormones
Contraception
Counseling
OB/GYN
LGBTQIA
Trauma-Informed Care
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.11512
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