Objective This study aimed to assess the variance in menopause education, educational resources, and the needs of obstetrics and gynecology (ObGyn) residency programs by conducting a national survey of program directors (PDs). Methods In 2022, an institutional review board–approved Web-based Qualtrics survey was designed and distributed electronically to 145 US ObGyn residency PDs. The survey consists of 15 questions. The main outcomes are reported using descriptive statistics. Results The survey was completed by 99 of 145 PDs (68.3%). Almost all participants (92.9%) strongly agreed that residents nationwide should have access to a standardized menopause curriculum that could be utilized in their programs. Only 31.3% reported having a menopause curriculum in their residency program. Of the programs with a menopause curriculum, 96.8% reported using lectures, 77.4% reported assigned readings, and 74.2% had either dedicated menopause clinics or other clinics with a high volume of menopausal patients. Of all programs surveyed, only 29.3% reported that trainees had dedicated time assigned to a menopause clinic. A total of 83 of 99 PDs agreed or strongly agreed that their programs needed more menopause educational resources, and most (89.7%) stated they were likely or very likely to use self-paced menopause modules that include performance feedback if available. Conclusions Data from the needs assessment questionnaire revealed that menopause education and resources vary across residency programs, with the majority lacking a dedicated menopause curriculum. Most PDs expressed a desire for more educational resources and standardized training materials, and preferred to access an online national menopause curriculum.
Background: Although rare, acute gastric dilatation is associated with life threatening complications. While several cases have been documented in various settings, there are very few cases documented in association with gynecological surgeries.Objective: We report a case of acute gastric dilatation with subsequent necrosis and perforation in 35-year-old postpartum patient two days following a primary cesarean section. The patient's medical history was significant for diabetes and intellectual disability. Despite treatment and resuscitative measures following gastric rupture, the patient continued to decompensate, suffering respiratory failure, anoxic brain injury, and subsequently death. Conclusion:Gastric necrosis is a postoperative complication of which any surgeon should be aware. While there are very few documented cases of gastric necrosis and perforation after gynecologic surgery, pelvic surgeons should still be cognizant of this often fatal complication. Obstetricians must maintain a high suspicion of ileus in any post-cesarean patient with nausea or vomiting, particularly in patients with a history of diabetes mellitus and intellectual impairment who are at risk for gastric necrosis. Awareness of this potential complication may help providers initiate treatment modalities quickly, thus reducing mortality.
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