Huguelet Patricia S, ChelvaKumar Gayathri, Conner Lindsay, Dumont Tania, Fleming Nathalie, Abraham Maggie, Karjane Nicole W, Sheeder Jeanelle, Talib Hina J, Teelin K Karen, Wheeler Carol, Kaul Paritosh
Department of Obstetrics and Gynecology, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado.
Division of Adolescent Medicine, Nationwide Children's Hospital, The Ohio State University, Ohio.
J Pediatr Adolesc Gynecol. 2018 Aug;31(4):356-361. doi: 10.1016/j.jpag.2018.02.129. Epub 2018 Mar 2.
Resident education in pediatric and adolescent gynecology (PAG) is challenging. It encompasses patients from neonates to young adults with different disorders involving multiple subspecialties. Residents have inadequate exposure to PAG topics and report lack of knowledge in this area. The objective of this study was to determine if the North American Society for Pediatric and Adolescent Gynecology (NASPAG) Short Curriculum improves self-reported knowledge in PAG among obstetrics and gynecology (ObGyn), family medicine, and pediatric residents. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: Participants were 47 US ObGyn, family medicine, and pediatric residency training programs across a 4-month study window, from September to December 2016. The NASPAG Short Curriculum was distributed to them with a request to complete a retrospective pre- and post-test survey. Primary outcome measure was improvement in self-perceived knowledge after exposure to the curriculum.
Forty-eight programs responded to the study comprising a total of 1130 residents. One program was excluded because of logistical barriers to the distribution of study incentive. In total, 1080 residents were invited and 103 chose to participate (10% response rate); 68 residents completed all survey questions to be included in the final analysis. After completing the curriculum, self-reported knowledge improved in all 10 learning objectives, across all 3 specialties (47% [32/68] to 82% [56/68]; P < .01). Pre-test knowledge correlated with previous clinical exposure to PAG patients, but did not correlate with year of residency training, type of residency, or previous PAG lectures.
Significant deficiencies exist regarding self-reported knowledge of core PAG topics among ObGyn, family medicine, and pediatric residents. Use of the NASPAG Short Curriculum improves self-reported knowledge in PAG trainees across all 3 specialties.
儿科与青少年妇科（PAG）住院医师教育颇具挑战性。该领域涵盖从新生儿到青年成人的患者，涉及多种不同疾病及多个亚专业。住院医师对PAG主题的接触不足，并表示在该领域缺乏相关知识。本研究的目的是确定北美儿科与青少年妇科协会（NASPAG）简短课程是否能提高妇产科（ObGyn）、家庭医学和儿科住院医师对PAG自我报告的知识水平。
设计、地点、参与者、干预措施及主要结局指标：参与者为2016年9月至12月这4个月研究期间的47个美国妇产科、家庭医学和儿科住院医师培训项目。将NASPAG简短课程分发给他们，并要求他们完成一项回顾性的课前和课后调查。主要结局指标是接触该课程后自我认知知识的改善情况。
48个项目对该研究做出回应，共有1130名住院医师。由于发放研究激励措施存在后勤障碍，一个项目被排除。总共邀请了1080名住院医师，103人选择参与（回复率为10%）；68名住院医师完成了所有调查问卷问题，纳入最终分析。完成课程后，所有3个专业的所有10个学习目标的自我报告知识均有所提高（从47%[32/68]提高到82%[56/68]；P <.01）。课前知识与之前对PAG患者的临床接触相关，但与住院医师培训年份、住院医师类型或之前的PAG讲座无关。
妇产科医生、家庭医学和儿科住院医师在PAG核心主题的自我报告知识方面存在显著不足。使用NASPAG简短课程可提高所有3个专业PAG学员自我报告的知识水平。
