Georgakopoulos Bianca, Fei Yueyang Frances
Department of Obstetrics and Gynecology, University of Kentucky, Lexington, Kentucky.
Section of Pediatric and Adolescent Gynecology, Nationwide Children's Hospital, Columbus, Ohio.
J Pediatr Adolesc Gynecol. 2024 Dec;37(6):549-554. doi: 10.1016/j.jpag.2024.08.001. Epub 2024 Aug 3.
The purpose of this study is to better understand the pediatric and adolescent gynecology (PAG) experience from the obstetrics and gynecology (OBGYN) resident perspective and its impact on physician comfort with caring for younger patients.
This is a cross-sectional survey study of physicians enrolled in OBGYN residency programs in the United States. For each program, an internet search was also performed to identify the closest PAG providers. Chi-square and Fisher's exact tests were performed to compare categorical variables. This study was IRB approved.
A total of 74 resident responses from 42 unique OBGYN training programs were included. The majority (62%) of programs offered no PAG clinical experience. Of programs with no PAG clinical experience, 45% had unaffiliated self-identified PAG providers within 30 miles of their institution. Only 26% of residents reported having a dedicated PAG rotation. 68% of residents felt they did not have enough PAG exposure in training. Residents who had a dedicated PAG rotation were more comfortable caring for patients <7 years old (P = .016) and patients 8-14 years old (P = .019) than residents without a rotation. The majority (88%) of residents believe that PAG experience will be useful for their future practice.
Residents with PAG training are more comfortable in caring for patients <14 years than those in programs who lack this training. Residencies without PAG-trained staff physicians could consider partnering with PAG-practicing community physicians with the aim of broadening clinical experience. Improvement in PAG education helps provide graduating obstetrician-gynecologists with the necessary knowledge to provide needed care to younger patients.
本研究旨在从妇产科住院医师的角度更好地了解儿科及青少年妇科（PAG）经历及其对医生照顾年轻患者时舒适度的影响。
这是一项对美国妇产科住院医师培训项目中的医生进行的横断面调查研究。对于每个项目，还通过互联网搜索来确定距离最近的PAG提供者。采用卡方检验和Fisher精确检验来比较分类变量。本研究经机构审查委员会（IRB）批准。
共纳入了来自42个不同妇产科培训项目的74名住院医师的回复。大多数（62%）项目未提供PAG临床经验。在没有PAG临床经验的项目中，45%在其机构30英里范围内有未关联的自我认定的PAG提供者。只有26%的住院医师报告有专门的PAG轮转。68%的住院医师觉得他们在培训中没有足够的PAG接触机会。有专门PAG轮转的住院医师在照顾7岁以下患者（P = 0.016）和8 - 14岁患者（P = 0.019）时比没有轮转的住院医师更自在。大多数（88%）住院医师认为PAG经验对他们未来的执业会有用。
接受过PAG培训的住院医师在照顾14岁以下患者时比缺乏该培训项目的住院医师更自在。没有PAG培训的 staff physicians（此处原文可能有误，推测为staff physicians）的住院医师培训项目可以考虑与从事PAG的社区医生合作，以拓宽临床经验。PAG教育的改进有助于为即将毕业的妇产科医生提供为年轻患者提供所需护理的必要知识。
