Huguelet Patricia S, Ayala Irmel A, Beaty Laurel, Bemrich-Stolz Christina, Borzutzky Claudia, Dowlut-McElroy Tazim, Gupta Sweta, Hutchens Kendra, Schultz Corinna L, Srivaths Lakshmi, Velez Maria C, Swaminathan Neeraja
Department of Obstetrics and Gynecology, Section of Pediatric and Adolescent Gynecology, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, Colorado, USA.
Division of Hematology, Cancer and Blood Disorder Institute, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.
Womens Health Rep (New Rochelle). 2024 Sep 24;5(1):705-711. doi: 10.1089/whr.2024.0086. eCollection 2024.
Heavy menstrual bleeding (HMB) is common, and 20-30% of patients presenting with HMB are diagnosed with an inherited bleeding disorder (IBD). Despite the frequent association of HMB with bleeding disorders, specific learning objectives on this topic are lacking for Obstetrics and Gynecology (OBGYN) residents.
We sought to determine the exposure of OBGYN residents to didactics, clinical training, and confidence in evaluation and management of patients with HMB due to IBDs.
Prospective survey of OBGYN residents through email solicitation. Residents were invited to complete an anonymous 26-item survey, querying residents' confidence in evaluation and management of HMB in patients with and without IBDs.
In total, 239 OBGYN residency programs were invited to participate and 20 programs responded. Among 388 residents, 84 completed the survey (21.6%). The majority reported didactics on HMB evaluation ( = 71, 85.5%) and treatment ( = 77, 92.8%); however, for HMB due to IBDs, only 35 residents (42.4%) reported didactics on evaluation and 28 (33.7%) reported didactics on treatment. Confidence in evaluation and management of HMB was high but decreased significantly with an IBD. Residents who received didactics on IBDs reported more confidence in their evaluation than residents who did not receive didactics (mean Likert scale score of 3.67 vs. 3.23, = 0.002). Increasing postgraduate year level was associated with more confidence in treatment ( < 0.001) and did not differ based on type of training program ( = 0.825).
OBGYN residents have decreased confidence in evaluation and management of HMB due to IBDs. Resident confidence increases with didactics and training. Residents would benefit from curricula designed to address this deficit in training.
月经过多（HMB）很常见，20%-30%表现为月经过多的患者被诊断为遗传性出血性疾病（IBD）。尽管月经过多与出血性疾病经常相关，但妇产科（OBGYN）住院医师缺乏关于该主题的特定学习目标。
我们试图确定妇产科住院医师在因IBD导致的月经过多患者的教学、临床培训以及评估和管理方面的信心。
通过电子邮件邀请对妇产科住院医师进行前瞻性调查。邀请住院医师完成一项包含26个项目的匿名调查，询问住院医师对有和没有IBD的患者月经过多评估和管理的信心。
总共邀请了239个妇产科住院医师培训项目参与，20个项目做出了回应。在388名住院医师中，84名完成了调查（21.6%）。大多数人报告了关于月经过多评估（n = 71，85.5%）和治疗（n = 77，92.8%）的教学；然而，对于因IBD导致的月经过多，只有35名住院医师（42.4%）报告了评估方面的教学，28名（33.7%）报告了治疗方面的教学。对月经过多评估和管理的信心很高，但因IBD而显著降低。接受过IBD教学的住院医师在评估方面比未接受教学的住院医师报告的信心更高（李克特量表平均得分3.67对3.23，P = 0.002）。研究生年级的增加与治疗信心的增加相关（P < 0.001），并且根据培训项目类型没有差异（P = 0.825）。
妇产科住院医师对因IBD导致的月经过多的评估和管理信心降低。住院医师的信心随着教学和培训而增加。住院医师将从旨在解决培训中这一缺陷的课程中受益。
