Department of Dermatology, Stanford Hospital and Clinics, Redwood City, CA 94063, USA.
J Low Genit Tract Dis. 2012 Oct;16(4):398-402. doi: 10.1097/LGT.0b013e318245152b.
The study aimed to perform a content validation process by surveying vulvar disorder experts to identify evidence-based competencies appropriate for use in developing vulvar curricula for medical trainees.
We identified 65 potential vulvar disorder competencies from literature review and expert opinions. Survey participants rated these competencies from 1 (not at all important) to 4 (highly important) in the training of 3 different groups of learners as follows: medical students, obstetrics and gynecology residents, and dermatology residents. We administered the survey to all US-based clinical members of the International Society for the Study of Vulvovaginal Disease as of September 2008 (n = 90). The content validity index and asymmetric CI were calculated for each curricular competency for each group of learners separately and used to identify competencies for use in curricula development.
Forty-seven surveys were returned, yielding a response rate of 52.2%. Obstetrician-gynecologists represented 66% of the study sample, followed by dermatologists (15%), and nurse practitioners (9%). Seventy-nine percent of experts received their training by self-teaching, which included mentored experiences (62%) and attending conferences or courses (62%). Only 19% received vulvar training during residency and 11% during fellowship. Four curricular competencies met content validity criteria for medical students, 60 competencies for obstetrics and gynecology residents, and 47 competencies for dermatology residents. The differences between the 2 groups of residents focused on vulvovaginal pain and infection, examination, and procedures of the vagina.
The competencies identified in this study can aid in the development of targeted curricula for medical students, obstetrics and gynecology residents, and dermatology residents.
本研究旨在通过调查外阴疾病专家进行内容验证，以确定适用于为医学受训者制定外阴课程的循证能力。
我们从文献回顾和专家意见中确定了 65 项潜在的外阴疾病能力。调查参与者根据以下 3 组不同学习者的培训，对这些能力进行 1（完全不重要）到 4（非常重要）的评分：医学生、妇产科住院医师和皮肤科住院医师。我们向截至 2008 年 9 月所有在美国的国际外阴阴道疾病研究学会的临床成员发送了该调查（n=90）。我们分别为每组学习者计算了每个课程能力的内容有效性指数和不对称置信区间，并使用该指数来确定可用于课程开发的能力。
共收回 47 份调查，应答率为 52.2%。妇产科医生占研究样本的 66%，其次是皮肤科医生（15%）和执业护士（9%）。79%的专家通过自我教学获得培训，包括指导经验（62%）和参加会议或课程（62%）。只有 19%的人在住院医师培训期间接受过外阴培训，11%的人在奖学金期间接受过培训。有 4 项课程能力符合医学生的内容有效性标准，60 项能力符合妇产科住院医师的标准，47 项能力符合皮肤科住院医师的标准。这两组住院医师的差异集中在外阴阴道疼痛和感染、检查以及阴道操作上。
本研究中确定的能力可以帮助为医学生、妇产科住院医师和皮肤科住院医师制定有针对性的课程。
