Nosti Patrick A, Isaacson Michael A, Iglesia Cheryl B
Department of Female Pelvic Medicine and Reconstructive Surgery, Georgetown University Hospital/Washington Hospital Center, 106 Irving Street NW, Suite 2100, Washington, DC 20010, USA.
J Reprod Med. 2011 Sep-Oct;56(9-10):373-5.
To provide data regarding the training, credentialing and use of cystoscopy among recent obstetrics and gynecology (Ob/Gyn) residents.
A total of 98 surveys were sent to recent graduates of Ob/Gyn residency programs in the District of Columbia (DC). Questions concerning cystoscopy in residency training, current cystoscopy privileges and utilization of this technique were asked.
Of the 98 surveys sent, 34 (35%) were completed. Of the survey respondents 88% reported rotating through a urogynecology or female urology service during residency, and the majority of residents spent at least 2 months on service. A total of 68% of survey respondents reported currently having cystoscopy privileges. Only 12% of those surveyed reported performing routine cystoscopy after hysterectomy. When asked why, most participants reported performing cystoscopy only if urinary tract injury is suspected.
The majority of recent graduates of Ob/Gyn residency training programs surveyed in DC are exposed to and receive privileges for cystoscopy. However, few choose to use it after routine hysterectomy. Given the fact that 75% of urinary tract injuries occur during gynecologic surgery and that these injuries are more likely to occur at the hands of newly minted surgeons, a change in this practice may be warranted.
提供有关近期妇产科住院医师膀胱镜检查培训、资格认证及使用情况的数据。
共向哥伦比亚特区（DC）妇产科住院医师培训项目的近期毕业生发送了98份调查问卷。询问了有关住院医师培训中膀胱镜检查、当前膀胱镜检查权限以及该技术使用情况的问题。
在发送的98份调查问卷中，34份（35%）被完成。在调查对象中，88%报告在住院期间曾轮转至泌尿妇科或女性泌尿外科服务科室，且大多数住院医师在该科室至少待了2个月。共有68%的调查对象报告目前拥有膀胱镜检查权限。只有12%的被调查者报告在子宫切除术后进行常规膀胱镜检查。当被问及原因时，大多数参与者表示仅在怀疑有尿路损伤时才进行膀胱镜检查。
在DC接受调查的大多数妇产科住院医师培训项目的近期毕业生接触过膀胱镜检查并获得了相关权限。然而，很少有人会在常规子宫切除术后选择使用它。鉴于75%的尿路损伤发生在妇科手术期间，且这些损伤更有可能发生在新晋外科医生手中，这种做法可能需要改变。
