From the Department of Obstetrics & Gynecology, MedStar Washington Hospital Center/Georgetown University School of Medicine, Washington, DC, and the Department of Obstetrics & Gynecology, the University of North Carolina School of Medicine, Chapel Hill, North Carolina.
South Med J. 2021 Jan;114(1):4-7. doi: 10.14423/SMJ.0000000000001194.
Our primary objective was to assess the current state of pain and opioid education in obstetrics and gynecology (OBGYN) by performing a detailed review of the national educational curricula guiding OBGYN residency and fellowship training programs in the United States.
From 2019 to 2020 we reviewed seven documents created to guide learning and structure educational training for OBGYN residency and fellowship programs in the United States: the Council on Resident Education in Obstetrics and Gynecology (CREOG) Educational Objectives Core Curriculum in Obstetrics and Gynecology, the 2016 Educational Objectives-Fellowship in Minimally Invasive Gynecologic Surgery, and the 2018 Guides to Learning in Complex Family Planning, Female Pelvic Medicine & Reconstructive Surgery, Gynecologic Oncology, Maternal Fetal Medicine, and Reproductive Endocrinology and Infertility. Each document was reviewed by two authors to assess for items referring to pain or opioids.
The CREOG educational objectives, used to inform educational curricula for residency programs, were the most comprehensive, mentioning pain and/or opioid educational objectives the highest number of times and including the most categories. The CREOG document was followed by the Guides to Learning for Gynecologic Oncology and for Minimally Invasive Gynecologic Surgery. The Reproductive Endocrinology and Infertility Guide to Learning did not mention pain and/or opioids in the educational objectives.
Our study identifies an opportunity for consistent and appropriate opioid and pain management education in OBGYN training.
通过详细审查指导美国妇产科住院医师和研究员培训计划的国家教育课程，评估妇产科中疼痛和阿片类药物教育的现状。
在 2019 年至 2020 年期间，我们审查了七份旨在指导美国妇产科住院医师和研究员培训计划学习和构建教育培训的文件：妇产科住院医师教育委员会（CREOG）妇产科教育目标核心课程、2016 年微创妇科手术研究员教育目标，以及 2018 年复杂计划生育、女性盆腔医学和重建外科、妇科肿瘤学、母胎医学和生殖内分泌学和不孕症学习指南。每份文件均由两位作者进行审查，以评估提及疼痛或阿片类药物的项目。
CREOG 教育目标被用来为住院医师培训课程提供信息，是最全面的，提到疼痛和/或阿片类药物教育目标的次数最多，包括的类别最多。紧随其后的是妇科肿瘤学和微创妇科手术学习指南。生殖内分泌学和不孕症学习指南在教育目标中没有提到疼痛和/或阿片类药物。
我们的研究确定了在妇产科培训中进行一致和适当的阿片类药物和疼痛管理教育的机会。
