Implementing BLSO A Model for Faculty and Residents

Implementing BLSO: A Model for Faculty and Residents to Teach Family-Centered Obstetrical Care to Preclinical Students Jacqueline Gerhart MD, Lee Dresang MD, William Burrough, Kristin Magliocco May 4, 2016

Disclosures • Dr. Dresang is on the ALSO Editorial Board

Objectives • Implement a BLSO curriculum at your medical school or residency program. • Obtain residency and medical school support for family medicine residents to teach obstetrics to medical students. • Create a budget and obtain funding sources for your BLSO curriculum.

Basic Life Support in Obstetrics • ALSO (1991) – Developed at UW-Madison – Sold to AAFP in 1993. • BLSO (2012) – Owned by AAFP and available for teaching to medical students, PA students, EMTs, nurses

Background: Need for BLSO • Residency perspective – Limited opportunities for residents to teach OB – No current model for residents to become BLSO instructors

Background: Need for BLSO • Medical student perspective – Prep for FM, OB and Peds Clerkships – No guaranteed exposure to OB in FM – Limited OB exposure in preclinical years – Students interested in women’s health may not consider family medicine as a career option.

BLSO Curriculum • One-day course • Designed for first responders, students • 8 topics related to maternity care – – – – Early pregnancy bleeding Breech delivery Premature delivery Pre-eclampsia Shoulder dystocia Postpartum hemorrhage Maternal resuscitation Neonatal resuscitation

UW Model for BLSO: Schedule *Students read curriculum and do Pre-test prior to BLSO course. Must Achieve 85% passing to be admitted to course. *Certification card on completion of post-test “mega-delivery”

• Teachers: All FM faculty and residents – Second year included M 3 • Small group sessions – 1: 5 instructor to student ratio – Case-based – Hands-on • Pre- and post-course surveys – Obstetrical knowledge – Interest in family medicine

Data Collection

Course Participants

BLSO Results 2015

BLSO Results 2016

BLSO Goals

BLSO Survey Results • Majority of students “agreed” or “strongly agreed” with the following statements: – “After this course, my understanding of family medicine’s role in obstetrics increased. ” – “After this course, my interest in family medicine as a career increased. ”

BLSO Survey Results • Selected Student comments – “This is by far the best learning experience I have had in medical school. ” – “I never knew a family medicine physician could do all of this!” – “I felt at ease with the faculty and residents. They are true role models, and I loved the opportunity to work in small groups with them. ”

UW Model for BLSO: Budget Reuse? Funding Needed Notes Quant Item Price Each Total Cost Student Syllabi $65 70 $4, 550 no $4, 550 AAFP doesn’t allow reuse Instructor Manuals $50 16 $800 yes $0 AAFP allows reuse Course CD $50 1 $50 no $50 AAFP doesn’t allow reuse Mnemonic Reference Card $6 70 $420 no $420 Students keep these Mnemonic Poster $12 4 $48 yes $0 Breakfast / Coffee $3 87 $261 no $261 Lunch / Snacks $7 87 $609 no $609 Pelvic Mannequins $780 5 $3, 900 yes $0 Faculty Time (8 hrs) $0 20 $0 no $0 TOTAL BUDGET $10, 638 $5, 890 Faculty Volunteer

UW Model for BLSO: Budget Funding Sources Price Asked Quant Asked Total $ Request Approved Student Contribution (Manuals) $40 75 $3, 000 x WAFP-SCC (Student Manuals) $25 75 $1, 875 x Small Grant (Instructor Guide) $50 11 $550 x Course CD $50 1 $0 reuse WAFP-SCC (Mnemonic Cards) $6 75 $450 x Posters - Reuse $12 4 $0 reuse WMAA (Breakfast) $3 100 $300 x OMSE (Lunch) $9 100 $900 PA Program (Lunch) $9 100 $900 x DFM (7 Borrowed Mannequins) $0 7 $0 reuse Small Grant (5 Mannequins) $780 5 $3, 900 x Denied x

UW Model for BLSO: Administration Acceptance • Timing – Preclinical – Elective – “Bootcamp” • Autonomy – FM identity / recruitment – Family-Centered care

To Consider When Establishing: • • • Motivation of self-selection Difficulty of a state-wide campus Availability of residents Incentive for faculty Resource procurement

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