+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Cost-effective analysis of teaching pelvic examination skills using Gynaecology Teaching Associates (GTAs) compared with manikin models (The CEAT Study)

Cost-effective analysis of teaching pelvic examination skills using Gynaecology Teaching Associates (GTAs) compared with manikin models (The CEAT Study)

Bmj Open 8(6): E015823

To determine the cost-effectiveness of Gynaecology Teaching Associate (GTA) teaching versus conventional pelvic model (manikin) teaching of pelvic examination skills for final year medical students within a UK undergraduate obstetrics and gynaecology (O&G) curriculum. An economic evaluation was carried out alongside a randomised controlled trial involving 492 final year medical students. 240 students received manikin teaching, and 241 GTA-led teaching. 418 (85%) students completed their assessment. Proficiency in gynaecological pelvic examination on GTAs was estimated by a senior clinical examiner, blinded to the method of teaching, using a standardised assessment tool. University of Birmingham Medical School thresholds were applied to determine proficiency levels; competence (pass) 50%, merit 60% and distinction 70%. Costs incurred in the delivery of both the educational pathways (control and intervention) were combined. All costs are reported in 2013-2014 prices and earlier costs adjusted using inflation indices. Cost per student competent in pelvic examination at completion of a 5-week clinical O&G placement. GTA teaching was more effective compared with conventional teaching with 12 more students considered competent at pass level and 28 more students competent at merit and distinction levels, respectively. However, the average cost of GTA teaching was £45.06 per student compared with £7.40 per student for conventional teaching, with an increased cost of £37.66 per student. The incremental cost-effectiveness ratio demonstrated that it cost an additional £640.20 per competent student and £274.37 per student competent at merit level and £274.37 at distinction level compared with conventional manikin-based teaching. GTA teaching of female pelvic examination at the start of undergraduate medical student O&G clinical placements is shown to cost more and be more effective. GTA teaching is likely to be considered cost-effective in the context of other tests, and over the lifespan of a competent doctor's career. NCT01944592.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 057108697

Download citation: RISBibTeXText

PMID: 29934378

DOI: 10.1136/bmjopen-2017-015823

Related references

The effectiveness of gynaecology teaching associates in teaching pelvic examination to medical students: a randomised controlled trial. European Journal of Obstetrics Gynecology and Reproductive Biology 210: 58-63, 2017

The effectiveness of gynaecological teaching associates in teaching pelvic examination: a systematic review and meta-analysis. Medical Education 49(12): 1197-1206, 2015

Teaching foundational physical examination skills: study results comparing lay teaching associates and physician instructors. Academic Medicine 81(10 Suppl): S95, 2006

Pelvic examination skills training with genital teaching associates and a pelvic simulator: does sequence matter?. Simulation in Healthcare 7(2): 95-101, 2012

Effectiveness of the gynecology teaching associate in teaching pelvic examination skills. Journal of Medical Education 58(1): 67-69, 1983

Can gynaecology teaching associates provide high quality effective training for medical students in the United Kingdom? Comparative study. Bmj 327(7428): 1389-1392, 2003

Using Gynecology Teaching Associates to teach pelvic exam skills to residents. Pediatric Research 47(4 Part 2): 97A, 2000

Learning pelvic examination with clinical teaching associates. Medical Education 42(4): 441, 2008

Teaching pelvic examination technique using professional patients: a controlled study evaluating students' skills. Acta Obstetricia et Gynecologica Scandinavica 89(10): 1298-1303, 2010

Student views on the effective teaching of physical examination skills: a qualitative study. Medical Education 43(2): 184-191, 2009

Medical students' gynecologic examination skills. Evaluation by gynecology teaching associates. Journal of Reproductive Medicine 31(6): 491-496, 1986

Evaluation of the gynecology teaching associate versus pelvic model approach to teaching pelvic examination. Journal of Medical Education 57(8): 646-648, 1982

Effective teaching of pelvic examination. Clinical Teacher 6(2): 101-104, 2009

Is Teaching Simple Surgical Skills Using an Operant Learning Program More Effective Than Teaching by Demonstration?. Clinical Orthopaedics and Related Research 474(4): 945-955, 2016

The clinical skills laboratory: a cost-effective venue for teaching clinical skills to third-year medical students. Academic Medicine 77(2): 152, 2002