Ruiloba Francisco J, Murji Ally, Tian Qinjie, Maheux-Lacroix Sarah, Topcu Goknur, Roy Priyankur, Ubom Akaninyene Eseme, Munro Malcolm G
Department of Obstetrics and Gynecology, Hospital DioMed, Mexico City, Mexico.
Department of Obstetrics and Gynecology (Murji, Crosier), Mount Sinai Hospital, University of Toronto, Toronto, Canada.
Int J Gynaecol Obstet. 2025 Mar;168(3):1009-1016. doi: 10.1002/ijgo.16138. Epub 2025 Jan 4.
To evaluate the worldwide use of FIGO's two systems for the classification of causes and contributors to nongestational abnormal uterine bleeding in the reproductive years by obstetrics and gynecology professionals worldwide, to identify knowledge gaps, and explore barriers to implementation.
An electronic survey was developed by members of FIGO's Menstrual Disorders and Related Health Impacts (MDRHI) Committee to assess knowledge of abnormal uterine bleeding (AUB) and the two FIGO AUB systems among obstetricians and gynecologists. The survey was conducted online from February 28 to June 30, 2023, and comprised demographic questions, educational content inquiries, and a knowledge assessment. Available in English, Spanish, French, and Mandarin, the survey was disseminated through representatives of the World Association of Trainees in Obstetrics and Gynecology (WATOG), as well as through digital platforms and trainee-focused Facebook groups.
Out of 1317 initial participants from 65 countries, 1114 completed the survey. The highest representation was from China (42.6%), where both trainees and clinicians participated. Participation varied across FIGO regions, with Asia-Oceania contributing the most (n = 602) and North America the least (n = 62). Most participants were in hospital-based residency programs (73.9%), graduating around 2012 with 3 years of postgraduate medical education. Nearly 70% reported being familiar with FIGO systems, while over 93% were familiar with PALM-COEIN. About one-third reported frequent use of FIGO systems by faculty, except among French-speaking respondents. Higher composite FIGO systems knowledge scores correlated with familiarity with FIGO AUB systems and PALM COEIN. Language did not significantly affect scores.
FIGO's systems for nongestational AUB are widely used but gaps persist. Targeted strategies focusing on faculty development and research are needed to improve awareness and proficiency. This study highlights the necessity for interventions in medical education to enhance trainees' understanding and utilization of standardized nomenclature.
评估全球妇产科专业人员对国际妇产科联盟（FIGO）的两种系统在生殖年龄非妊娠性异常子宫出血病因及相关因素分类中的使用情况，识别知识差距，并探索实施障碍。
FIGO月经紊乱及相关健康影响（MDRHI）委员会成员开展了一项电子调查，以评估产科医生和妇科医生对异常子宫出血（AUB）及FIGO的两种AUB系统的了解情况。该调查于2023年2月28日至6月30日在线进行，包括人口统计学问题、教育内容询问和知识评估。该调查有英文、西班牙文、法文和中文版本，通过世界妇产科住院医师协会（WATOG）的代表以及数字平台和以住院医师为重点的脸书群组进行传播。
来自65个国家的1317名初始参与者中，1114人完成了调查。参与人数最多的是中国（42.6%），住院医师和临床医生均有参与。各FIGO区域的参与情况各不相同，亚洲 - 大洋洲参与人数最多（n = 602），北美洲最少（n = 62）。大多数参与者参加的是医院住院医师培训项目（73.9%），约在2012年毕业，接受了3年的毕业后医学教育。近70%的人报告熟悉FIGO系统，而超过93%的人熟悉PALM - COEIN。除了说法语的受访者外，约三分之一的人报告教员经常使用FIGO系统。FIGO系统综合知识得分较高与对FIGO AUB系统和PALM COEIN的熟悉程度相关。语言对得分没有显著影响。
FIGO的非妊娠性AUB系统被广泛使用，但差距依然存在。需要针对教员发展和研究的有针对性策略来提高认识和熟练度。本研究强调了医学教育中进行干预以增强住院医师对标准化命名法的理解和应用的必要性。
