• Southern medical journal · Jun 2024

    Out-of-Hospital Birth in Medical Education: A Thematic Analysis of Question Banks for Medical Licensing Examinations in the United States.

    • Magdalene R Lederer and Daniel J Hurst.
    • From the Rowan-Virtua School of Osteopathic Medicine, Stratford, New Jersey.
    • South. Med. J. 2024 Jun 1; 117 (6): 342344342-344.

    ObjectivesThis study assessed the content of US Medical Licensing Examination question banks with regard to out-of-hospital births and whether the questions aligned with current evidence.MethodsThree question banks were searched for key words regarding out-of-hospital births. A thematic analysis was then utilized to analyze the results.ResultsForty-seven questions were identified, and of these, 55% indicated a lack of inadequate, limited, or irregular prenatal care in the question stem.ConclusionsSystematic studies comparing prenatal care in out-of-hospital births versus hospital births are nonexistent, leading to the potential for bias and adverse outcomes. Adjustments to question stems that accurately portray current evidence are recommended.

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