Mueller Elizabeth R, Kenton Kimberly, Rogers Rebecca G, Fenner Dee E
Department of Urology, Loyola University Medical Center, 2160 S. First Avenue, Building 103, Room 1004, Maywood, IL 60153, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Dec;20(12):1413-5. doi: 10.1007/s00192-009-0966-y. Epub 2009 Aug 11.
Many physicians in primary care and medical/surgical specialties will care for female patients with pelvic floor disorders (PFD).
A survey was mailed to 266 United States and Canadian clerkship directors that queried how medical students were being educated in PFD.
Forty-four percent of clerkship directors responded. The mean clerkship size was 105 medical students. Over 97% of third year medical students received lectures on hypertension in pregnancy, normal labor, and abnormal uterine bleeding and at least 90% received lectures on obstetric hemorrhage, placenta previa, and menstruation. Forty percent to 85% of medical students received lectures in PFD depending on the topic. Eighty percent of medical students had no exposure to PFD during their first 2 years of medical school. During their third year, 95% of the students were exposed to PFD topics but only 60% had an opportunity to spend at least a day in an urogynecology practice. Clerkship directors indicate that PFD are relevant to medical student training, however, they have limited time in the clerkship to cover all of the required topics.
We are missing an important opportunity to educate future clinicians about PFD, which dramatically impact women's quality of life.
许多初级保健以及内科/外科专业的医生会诊治患有盆底功能障碍（PFD）的女性患者。
向266名美国和加拿大临床实习主任邮寄了一份调查问卷，询问医学生在盆底功能障碍方面是如何接受教育的。
44%的临床实习主任回复了问卷。临床实习平均规模为105名医学生。超过97%的三年级医学生接受了关于妊娠期高血压、正常分娩和异常子宫出血的讲座，至少90%的学生接受了关于产科出血、前置胎盘和月经的讲座。根据主题不同，40%至85%的医学生接受了盆底功能障碍方面的讲座。80%的医学生在医学院的前两年没有接触过盆底功能障碍相关内容。在三年级时，95%的学生接触到了盆底功能障碍相关主题，但只有60%的学生有机会在泌尿妇科诊所实习至少一天。临床实习主任表示，盆底功能障碍与医学生培训相关，然而，他们在临床实习中用于涵盖所有必修主题的时间有限。
我们错失了一个向未来临床医生传授盆底功能障碍知识的重要机会，而盆底功能障碍会极大地影响女性的生活质量。
