A structured curriculum for teaching early pregnancy loss counseling improved student performance on standardized Objective Structured Clinical Examinations compared with traditional instruction. Providing these counseling tools improved their confidence and empathy ratings in caring for patients with early pregnancy loss.
INTRODUCTION: Elective abortion is a widely performed procedure in the United States. The number of physicians who perform abortions however has decreased due to diminishing availability of training. The purpose of this study is to identify the factors associated with residents’ attitudes about providing elective abortion and whether personal beliefs influence residents’ willingness to be trained and perform these procedures. METHODS: Anonymous surveys were sent out to all obstetrics and gynecology residents. The survey included demographic information and rated factors influencing their decision to perform abortion using a Likert scale. Multivariable logistic regression was used to estimate adjusted odds ratios (OR) and 95% confidence intervals (CI). The factors associated with abortion provision were compared using chi square analysis. RESULTS: Of the 201 respondents (67% response rate), 83% planned to perform elective abortion. In a multivariable analysis; religion, age, gender, ethnicity and marital status were found to be not statistically significantly associated with plans to provide terminations. Residents’ attitude regarding providing abortion was dependent on the reasons for abortion with the most influential being “pregnancy has potential medical risks on the mother” (OR 8.2; 95% CI 6-14.3) followed by “fetus with congenital anomalies” (OR 6.7; 95% CI 3.7-11.6) and “gestational age” (OR 2.3; 95% CI 1.6-7.9). “Recent laws regarding abortion” and “maternal age” were the least influential factors. CONCLUSION: Providing elective abortions is an important element of women’s healthcare. In order to optimize integration of abortion training into residency programs it is important to identify resident attitudes and obstacles to providing elective abortions.
BACKGROUND: Lower urinary tract injuries present serious challenges for the obstetrician gynecologist. Recently, innovative surgical techniques have been employed to improve visualization and dissection of pelvic anatomy. Despite these advances, lower urinary tract injury during hysterectomy is still our greatest peril. Intraoperative recognition and immediate surgical repair can greatly reduce post-operative morbidity and medical-legal ramifications. METHODS: Participants were junior residents (PGY-1 and PGY-2) in the OBGYN Residency Program at Inova Fairfax Medical Campus. The cystoscopy curriculum consisted of a 1 hour didactic session and a 3 hour simulation session. The didactic session examined characteristic properties of the bladder, including an overview of the procedure. The simulation session incorporated a skills workshop with repeated practice on low fidelity models. Pre- and post-assessments included a cognitive exam, a confidence survey, and validated checklists (OSATS). After 6 months, final acquisition of skill was tested in the operating room. RESULTS: PGY-1 and PGY-2 residents showed significant cognitive (P=.0008/.003) and confidence (P=.04) improvement, with no difference between groups. For checklist items, there was significant improvement within groups for Cystoscope Assembly (P=.007), Bladder Survey (P=.0002), Total Score (P<.0001), Global Rating (P<.0001), with no differences between groups. DISCUSSION: The simulation based curriculum was effective in training junior residents the basic skills of cystoscopy. This curriculum can be utilized as a teaching tool for residents to become confident and proficient in the aspects of diagnostic cystoscopy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.