Palaszewski Dawn M, Miladinovic Branko, Caselnova Petra M, Holmström Shelly W
Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, Tampa, Florida.
Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, Tampa, Florida.
J Pediatr Adolesc Gynecol. 2016 Dec;29(6):668-672. doi: 10.1016/j.jpag.2016.05.008. Epub 2016 Sep 21.
To determine the effectiveness of a new pediatric and adolescent gynecology (PAG) curriculum for improving obstetrics/gynecology resident physician knowledge and comfort level in patient management and to describe the current deficiencies in resident physician knowledge and comfort level in PAG.
A PAG curriculum was implemented for the obstetrics/gynecology resident physicians (n = 20) at the University of South Florida in July 2013. Before and after the curriculum was introduced, resident physicians and recent graduates of the residency program completed a survey to assess their comfort level and a knowledge assessment consisting of 20 case-based questions.
University-based residency program.
Resident physicians and recent resident physician graduates in the Department of Obstetrics and Gynecology.
Introduction of a PAG curriculum during the 2013-2014 academic year.
Improvement in resident physicians' comfort level and knowledge in PAG.
After the curriculum was introduced, comfort increased in examining the genitals of a pediatric gynecology patient (median difference = 1.5; P = .003) and history-taking, physical examination skills, and management (median difference = 1; P = .002) compared with before the curriculum. There was no significant difference in overall quiz score (15.5 ± 1.87 vs 15.8 ± 1.3; P = .78).
A curriculum in PAG did improve resident comfort level in managing PAG patients, but did not significantly improve knowledge of this topic.
确定一套新的儿科与青少年妇科（PAG）课程在提高妇产科住院医师对患者管理的知识水平及舒适度方面的有效性，并描述住院医师在PAG知识水平和舒适度方面目前存在的不足。
2013年7月，南佛罗里达大学为妇产科住院医师（n = 20）实施了一套PAG课程。在引入该课程之前和之后，住院医师以及该住院医师培训项目的近期毕业生完成了一项调查，以评估他们的舒适度，并完成了一项由20个基于病例的问题组成的知识评估。
基于大学的住院医师培训项目。
妇产科住院医师以及该住院医师培训项目的近期毕业生。
在2013 - 2014学年引入一套PAG课程。
住院医师在PAG方面的舒适度和知识水平的提高。
引入课程后，与课程引入前相比，在检查儿科妇科患者生殖器方面的舒适度有所提高（中位数差异 = 1.5；P = .003），在病史采集、体格检查技能和管理方面的舒适度也有所提高（中位数差异 = 1；P = .002）。总体测验分数没有显著差异（15.5 ± 1.87对15.8 ± 1.3；P = .78）。
PAG课程确实提高了住院医师管理PAG患者的舒适度，但并未显著提高他们对该主题的知识水平。
