Improving students’ sexual history inquiry and HIV counseling with an interactive workshop using standardized patients
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Sexual history and HIV counseling are essential clinical skills. Our project’s purpose was to evaluate a standardized patient (SP) educational intervention teaching third-year medical students sexual history taking and HIV counseling. A 4-hour SP workshop was delivered to one-half of the class. Four weeks later, all students engaged in an SP examination including one station on assessing sexual history taking and HIV counseling. Workshop participants scored one standard deviation higher on sexual history and HIV counseling items than nonparticipants. Our sexual history and HIV counseling curriculum was associated with students asking more thorough sexual histories and providing more HIV counseling.
- U.S. Preventive Services Task Force. Counseling to Prevent HIV Infection and Other Sexually Transmitted Diseases. Available at: http://www.ahrq.gov/clinic/uspstf/uspsstds.htm. April 2003.
- Cook RL, Steiner BD, Smith AC, et al. Are medical students ready to provide HIV-prevention counseling? Acad Med. 1998;73:342–6. CrossRef
- Curtis JR, Paauw DS, Wenrich MD, Carline JD, Ramsey PG. Internal medicine residents’ skills at identification of HIV-risk behavior and HIV-related disease. Acad Med. 1994;69:S45-S47. CrossRef
- Wenrich MD, Curtis JR, Carline JD, Paauw DS, Ramsey PG. HIV risk screening in the primary care setting: assessment of physicians’ skills. J Gen Intern Med. 1997;12:107–13.
- Epstein RM, Levenkron JC, Frarey L, Thompson J, Anderson K, Franks P. Improving physicians’ HIV risk-assessment skills using announced and unannounced standardized patients. J Gen Intern Med. 2001;16:176–80. CrossRef
- Epstein RM, Morse DS, Frankel RM, Frarey L, Anderson K, Beckman HB. Awkward moments in patient-physician communication about HIV risk. Ann Intern Med. 1998;128:435–42.
- Temple-Smith MJ, Mulvey G, Keogh L. Attitude to taking a sexual history in general practice in Victoria, Australia. Sex Transm Infect. 1999;75:41–4. CrossRef
- Merrill JM, Laux LF, Thornby JI. Why doctors have difficulty with sex histories. South Med J. 1990;83:613–7. CrossRef
- Fitzgerald M, Crowley T, Greenhouse P, Probert C, Horner P. Teaching sexual history taking to medical students and examining it: experiences in one medical school and a national survey. Med Educ. 2003;37:94–8. CrossRef
- Vollmer S, Wells K, Blacker KH, Ulrey G. Improving the preparation of preclinical students for taking sexual histories. Acad Med. 1989;64:474–9. CrossRef
- Davis D, O’Brien MAT, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey A. Impact of formal continuing medical education: do conferences, workshops, rounds and other traditional continuing education activities change physician behavior or health care outcomes? JAMA 1999;282:867–74. CrossRef
- Gorter S, Rethans J, Scherpbier A, et al. Developing case-specific checklists for standardized-patients based assessments in internal medicine: a review of the literature. Acad Med. 2000;75:1130–7. CrossRef
- Centers for Disease Control and Prevention. Revised guidelines for HIV counseling, testing and referral. MMWR. 2001;50/No. RR-19:1–57.
- Torgerson CT. Educational research and randomized trials. Med Educ. 2002;36:1002–3. CrossRef
- Stanton M, Anderson D, Szerlip HM. Teaching the sexual history: a tutorial approach. Acad Med. 1997;72:430. CrossRef
- Ramsey PG, Curtis JR, Paauw DS, Carline JD, Wenrich MD. History-taking and preventive medicine skills among primary care physicians: an assessment using standardized patients. Am J Med. 1998;104:152–8. CrossRef
- Roberts LW, Geppert C, McCarty T, Obenshain SS. Evaluating medical students’ skills in obtaining informed consent for HIV testing. J Gen Intern Med. 2003;18:112–9. CrossRef
- Improving students’ sexual history inquiry and HIV counseling with an interactive workshop using standardized patients
Journal of General Internal Medicine
Volume 19, Issue 5 , pp 549-553
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- sexual history
- HIV counseling
- standardized patients
- Industry Sectors
- Author Affiliations
- 1. Department of Internal Medicine, University of Kentucky College of Medicine, Lexington, Ky
- 2. Department of Medicine and Pediatrics, East Carolina School of Medicine, Greenville, NC
- 3. Department of Medicine, University of South Alabama, Mobile, Ala
- 4. Department of Behavioral Science, University of Kentucky College of Medicine, Lexington, Ky