College of Medicine MD Curriculum

Sexual Medicine

YEAR 1 & 2 ELECTIVE COURSE TITLE: Sexual Medicine

COURSE NO.: SOMN 733

DEPARTMENT: Department of Family Medicine

DURATION: Semester

DIRECTOR: Dr. Coral Matus

SEMESTERS AVAILABLE: Fall

NUMBER OF STUDENTS: 50

LOCATION: Health Science Campus, Online

COORDINATOR: Jamie Daughton (jamie.daughton@utoledo.edu )

FACULTY: Guest Lecturers

GENERAL DESCRIPTION: The overall objective of the elective is for students to gain knowledge regarding common reproductive health issues. Lectures will cover: taking a full sexual history, pharmacology and method of action of various contraceptives, contraceptive counseling, common causes of infertility, assisted reproductive technology procedures (IUI and IVF), first and second-trimester abortion procedures, pregnancy counseling, intimate partner violence, pregnancy loss, LGBTQ+ health, racism in gynecology, men’s sexual health concerns, pregnancy with a physical disability, and maternal mortality and equity. In addition to the required lectures and standardized patient experience, students will complete educational and reflective modules about health equity and justice. Attendance will be taken at each required session. At the end of the course, students will interact with a standardized patient to assess their competence in the course material. Students will learn primarily from the guest lecturers. Lecturers will include but are not limited to Ob/Gyn faculty, area providers, and faculty from outside institutions. Over one semester, each student must complete eleven hours of in-class lecture, one hour with a standardized patient, and the health equity and justice modules. Students will also complete an evaluation of the course and instructors. These evaluations are formative and intended to provide mutually beneficial feedback.

EDUCATIONAL OBJECTIVES:

1. Demonstrate effective counseling techniques for various family planning-related issues. (IPC-1)
2. Use effective communication skills to elicit an accurate sexual history. (PC-1)
3. Provide supportive and non-judgmental pregnancy options counseling from a variety of perspectives. (MK-14) (SBP-2)
4. Provide contraceptive options counseling to patients in a variety of circumstances. (PB-5)
5. Describe the pharmacology and method of action for various contraceptive methods. (MK-6)
6. Justify an appropriate form of contraception given a sexual history. (PBL-6)
7. Describe different termination methods/procedures. (IPC-1)
8. Explain assisted reproductive technology procedures such as IUI and IVF. (PBL-6)
9. Discuss gender and sexuality.
10. Explain how cultural differences and implicit biases impact the delivery of health care (MK-13)
11. Describe the impact of health care disparities in the delivery of health care (SBP-2)

METHODS OF TEACHING: Lecture, Group Discussion, Online modules, Standardized Patient

QUALITY ASSURANCE: Students will complete an evaluation at the end of the course.

PREREQUISITES: First or second-year medical students in good academic standing

COURSE REQUIREMENTS:

1. Attend 8 out of 10 lectures.
2. Complete the online modules, titled Structures and Self: Advancing Equity and Justice, on the platform RHE by Innovating Education. Students will receive an email invitation with instructions.
3. Attend one standardized patient session.

DEADLINES:

1. Student must sign up for course by the registration deadline. If students choose to drop the courses, they must do so by the elective drop deadline without a penalty.
2. Student must complete the RHE online modules by December 11th, 2022 at 11:59 PM.

LEARNING OBJECTIVES FOR SPECIFIC LECTURES:

1. Introduction to Course/ Intro to Women’s Health
   1. Understand course requirements, prerequisites, and deadlines
   2. Gain a broad understanding of women’s health, obstetrics, and gynecology from the perspective of OB-GYN resident physicians
2. Intimate Partner Violence
   1. Define and understand the prevalence of Intimate Partner Violence and sexual assault.
   2. Identify approaches of care and follow-up for victims of abuse.
   3. Understand methods of reporting and screening for abuse.
3. Pregnancy Options Counseling and Abortion Care w/ MSFC
   1. Provide supportive and non-judgmental pregnancy options counseling from a variety of perspectives
   2. Describe different termination methods/procedures
   3. Understand where and how patients can access abortion options.
   4. Understand Roe v. Wade and discuss how the Supreme Court’s overturn of Roe v. Wade disproportionately impacts different groups of patients.
4. LGBTQ+ Sexual Health Lecture w/ PEOPLE
   1. Learn how to utilize inclusive terminology in conversations with patients
   2. Understand types of gender-affirming care
   3. Understand safe sex practices and protections specific to LGBTQ+ individuals
   4. Understand what questions are asked to elicit a comprehensive, inclusive sexual health history
5. Pregnancy Loss Panel
   1. Learn from personal perspectives of patients who have undergone pregnancy loss.
6. ART of Fertility Care
   1. Identify aspects of a fertility workup, including the following five fertility factors: the ovary, tubes, uterus, sperm, and unexplained factors
   2. Define infertility, subfertility, and unexplained infertility, and understand approaches and treatment options.
7. Contraception
   1. Understand the history of contraceptives and trends of contraceptive usage in the United States.
   2. Describe the pharmacology and method of action for various contraceptive methods.
   3. Identify benefits/contraindications of different contraceptive methods.
   4. Utilize shared-decision making to counsel patients on contraception options
8. History of Racism in Obstetrics and Gynecology
   1. Describe the history of the field of obstetrics and gynecology
   2. Discuss how the history of gynecology contributes to racial health disparities today.
   3. Understand the racial disparities that occur in the context of maternal mortality and what factors contribute to worse outcomes.
   4. Understand how to advocate for your patients and community.
9. Men’s Sexual Health
   1. Gain an understanding of the history of men’s sexual health and discrimination that has occurred on the basis of sexuality and gender identity
   2. Understand what questions are asked to elicit a complete, inclusive male sexual health history.
   3. Explain the importance of preventative counseling for Male sexual health.
10. Physical Disability and Sexual Health Panel
    1. Learn from personal perspectives of patients navigating sexual and reproductive health visits with physical or developmental disabilities.