Kershner M A, Hammond E A, Donnenfeld A E
Department of Obstetrics and Gynecology, Pennsylvania Hospital, Philadelphia 19107.
Am J Hum Genet. 1993 Dec;53(6):1356-8.
A supervised genetics examination was administered to 76 obstetrics and gynecology (ob/gyn) residents from 15 different institutions in the Philadelphia area. The questions were specifically designed to be applicable to obstetrical practice. Overall, the mean score was 69% (range 32%-88%). Using the nonparametric Mann-Whitney rank sum test, we found that the 25 residents from institutions with an obstetrics-gynecology-genetics (OGG) program, coordinated by an obstetrician/gynecologist board certified in clinical genetics, had statistically significant higher scores than the remaining 51 residents from institutions without an OGG program (77% vs. 65%, respectively; P < .001). This study demonstrates that knowledge of genetics among residents in ob/gyn is deficient, especially among residents at institutions without OGG programs. Special efforts should be made to provide genetics education to these individuals. We propose that more obstetricians be encouraged to pursue postgraduate training in genetics in light of the rapid development of medical genetics; its application to prenatal screening, diagnosis, and counseling; the anticipated utilization of genetics services; and the need for educational initiatives geared toward ob/gyn patients.
对来自费城地区15个不同机构的76名妇产科住院医师进行了一次有监督的遗传学考试。这些问题是专门为适用于产科实践而设计的。总体而言，平均分数为69%（范围为32%-88%）。使用非参数曼-惠特尼秩和检验，我们发现，来自设有由临床遗传学认证的妇产科医生协调的妇产科-遗传学（OGG）项目机构的25名住院医师的得分在统计学上显著高于来自没有OGG项目机构的其余51名住院医师（分别为77%和65%；P < .001）。这项研究表明，妇产科住院医师的遗传学知识不足，尤其是在没有OGG项目机构的住院医师中。应该特别努力为这些人提供遗传学教育。鉴于医学遗传学的快速发展；其在产前筛查、诊断和咨询中的应用；预期的遗传学服务利用情况；以及针对妇产科患者的教育举措的必要性，我们建议鼓励更多的产科医生接受遗传学方面的研究生培训。
