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Record W4220818703 · doi:10.21203/rs.3.rs-1386036/v1

Interactive Online Educational Modules Increase HIV and STI Prevention Competency Among Medical Students

2022· preprint· en· W4220818703 on OpenAlexaff
William Grant, Matthew A. Adan, Christina A. Samurkas, Jorge Benitez, Brett Gray, Caroline Carnevale, Rachel Gordon, Jason Zucker, Magdalena E. Sobieszczyk

Bibliographic record

VenueResearch Square · 2022
Typepreprint
Languageen
FieldMedicine
TopicHIV/AIDS Research and Interventions
Canadian institutionsColumbia College
FundersIrving Medical Center, Columbia UniversityNational Institutes of Health
KeywordsCurriculumIntervention (counseling)MedicinePre-exposure prophylaxisTransgenderFamily medicineHuman immunodeficiency virus (HIV)Men who have sex with menReproductive healthMedical educationNursingPsychologySyphilisPopulationPedagogyEnvironmental health

Abstract

fetched live from OpenAlex

Abstract Background: The rate of new HIV diagnoses in the United States continues to slowly decline, yet, men who have sex with men and transgender women remain disproportionately affected. Key to improving quality of prevention services are providers who are comfortable addressing concepts of HIV prevention and sexual health across the spectrum of gender identities and sexual orientations. It is important to begin HIV prevention and sexual health education before providers’ practice habits are established. To address this need, we developed interactive educational modules and tested their impact on HIV prevention knowledge and awareness in future providers. Methods: Sexual health providers at an academic hospital, research clinicians, community engagement professionals, and New York City community members were consulted to develop seven educational modules, which were piloted among medical students. Knowledge of HIV and sexually transmitted infection (STI) prevention and comfort assessing prevention needs of various patients were assessed via online questionnaires administered before and after our educational intervention. Results: Pre- and post-module surveys were completed by 125 and 89 students, respectively, from all four years of training. Before the intervention, the majority of students had heard of HIV pre-exposure prophylaxis ( PrEP) (99.2%) and post-exposure prophylaxis (PEP) (92.7%). About 31% (38/123) of students agreed that they could confidently identify a patient who is a candidate for PrEP or PEP – this increased to 91% (81/89) following intervention. Conclusions: Our findings highlight a need for increased HIV and STI prevention training in medical school curricula to enable future providers to care for diverse, at-risk patient populations. Interactive modules offer an effective way to teach these concepts.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.004
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.012
Threshold uncertainty score0.039

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.004
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0010.000
Open science0.0000.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0120.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.053
GPT teacher head0.491
Teacher spread0.438 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2022
Admission routes1
Has abstractyes

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