Witzeman Kathryn A, Kopfman Jenifer E
J Grad Med Educ. 2014 Mar;6(1):39-43. doi: 10.4300/JGME-D-13-00053.1.
Chronic pelvic pain (CPP) accounts for 10% of gynecologic visits and is a common complaint in university-based and community resident clinics. Resident education about CPP has been inconsistent, and review of the limited literature shows predominantly negative perceptions of patients with CPP. Current literature lacks information regarding obstetrics-gynecology residents' attitudes and acquired knowledge regarding CPP.
This targeted needs assessment aims to identify regional obstetrics-gynecology resident attitudes and self-perceived knowledge regarding chronic pelvic pain in order to better address potential educational barriers and look toward placing a greater emphasis on this area in resident training.
We conducted a focus group of obstetrics-gynecology residents to identify major themes regarding attitudes about CPP. This informed the development of a survey administered to university-based and community-based obstetrics-gynecology residents (N = 57) in the Colorado part of the Western Mountain Region. Cronbach α was calculated to determine reliability for each theme, and descriptive statistics were calculated for each theme. Independent samples t tests assessed differences between training levels and between university and community training sites.
Survey response rate was 72% (41 of 57). Residents consistently reported feeling overwhelmed by CPP patients, perceived a lack of time to see these patients, and indicated a desire to learn more in this area, but they varied in chosen learning methods. No significant differences were found between levels of training or training sites.
Most obstetrics-gynecology residents surveyed believe they are inadequately prepared to address the needs of women presenting with CPP.
慢性盆腔疼痛（CPP）占妇科门诊量的10%，是大学附属医院和社区诊所常见的就诊原因。住院医师对CPP的培训一直不一致，对有限文献的回顾显示，对CPP患者的看法主要是负面的。目前的文献缺乏关于妇产科住院医师对CPP的态度和所学知识的信息。
这项针对性的需求评估旨在确定地区妇产科住院医师对慢性盆腔疼痛的态度和自我认知的知识，以便更好地解决潜在的教育障碍，并在住院医师培训中更加重视这一领域。
我们组织了一组妇产科住院医师进行焦点小组讨论，以确定有关CPP态度的主要主题。这为针对西部山区科罗拉多州大学附属医院和社区医院妇产科住院医师（N = 57）开展的一项调查提供了依据。计算Cronbach α系数以确定每个主题的可靠性，并计算每个主题的描述性统计数据。独立样本t检验评估培训水平之间以及大学和社区培训地点之间的差异。
调查回复率为72%（57人中41人）。住院医师一致表示，面对CPP患者时感到不堪重负，认为没有时间诊治这些患者，并表示希望在该领域学习更多知识，但他们选择的学习方法各不相同。培训水平或培训地点之间未发现显著差异。
大多数接受调查的妇产科住院医师认为，他们在应对患有CPP的女性患者的需求方面准备不足。
