Program Directors' Perceptions of Resident Education in Women's Health: A National Survey

Casas, Rachel S.; Hallett, Laura D.; Rich, Catherine; Gerber, Megan R.; Battaglia, Tracy A.

doi:10.1089/jwh.2016.5860

Cited by 29 publications

(18 citation statements)

References 13 publications

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“…Women's health education and/or management of gender‐specific diseases are specifically listed in the ACGME‐accredited curriculums for Obstetrics & Gynecology, Internal Medicine, and Family Medicine residency programs in the United States . Primary care training programs (Obstetrics & Gynecology, Family Medicine, and Internal Medicine) focus on primary care issues including physical examination (bimanual pelvic exam, speculum exam, rectal exam, breast exam), laboratory testing (urine pregnancy testing, pap smears, wet mounts, sexually transmitted diseases), domestic violence screening, contraception and fertility, medical issues in pregnancy and postpartum, medical issues in menopause, and osteoporosis . Diagnosis and management of pelvic pain and incontinence disorders are included the Obstetrics & Gynecology ACGME residency program core curriculum, but are not included in Internal Medicine or Family Medicine residency core curricula…”

Section: Discussionmentioning

confidence: 99%

“…2,[31][32][33] Primary care training programs (Obstetrics & Gynecology, Family Medicine, and Internal Medicine) focus on primary care issues including physical examination (bimanual pelvic exam, speculum exam, rectal exam, breast exam), laboratory testing (urine pregnancy testing, pap smears, wet mounts, sexually transmitted diseases), domestic violence screening, contraception and fertility, medical issues in pregnancy and postpartum, medical issues in menopause, and osteoporosis. 2,[41][42][43][44][45] Diagnosis and management of pelvic pain and incontinence disorders are included the Obstetrics & Gynecology ACGME residency program core curriculum, but are not included in Internal Medicine or Family Medicine residency core curricula. 31 MSK WH education (outside of pelvic pain and pelvic floor dysfunction, which are included in Obstetrics & Gynecology residency programs) are entirely absent from the ACGME curricula for primary care specialties * One program could not identify the topics taught at their institution and was excluded from data analysis for the lecture topics.…”

Section: Discussionmentioning

confidence: 99%

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Musculoskeletal Women's Health Education in Physiatry: A Mismatch in Residency Education and Clinical Practice

Bennis

Rho

2019

PM&R

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Background Musculoskeletal Women's Health (MSK WH) is a niche subspecialty within physical medicine & rehabilitation (PM&R). Women make up 50.7% of the population of the United States but are burdened with higher rates of musculoskeletal disease compared to men. MSK WH topics are not included in PM&R or Primary Care Accreditation Council for Graduate Medical Education (ACGME) program requirements. Given the comprehensive training provided in PM&R, physiatrists are ideal candidates to diagnose, treat, and provide education on MSK WH conditions. Objective To identify the prevalence of formalized MSK WH education and of WH physiatrists at ACGME‐accredited PM&R residency programs. Design Cross‐sectional survey design. Setting Computer‐based survey. Participants ACGME‐accredited residency programs (N = 86; as of February 2017). Methods A single, multiple choice, computer‐generated Research Electronic Data Capture (REDCap) survey with branching logic was sent to all ACGME‐accredited PM&R residency programs (N = 86). Outcomes The primary outcome was to assess the prevalence of women's health curricula at ACGME‐accredited PM&R residency programs in the United States. The secondary outcome was to assess the prevalence of WH physiatrists at these programs. Results Eighty‐six ACGME‐accredited PM&R residency programs were contacted with 55 completed responses (64% response rate). Only six programs (11%) reported the presence of a formal WH curriculum at their residency program. In contrast, 25 programs (45%) reported having WH physiatrists at their institutions, and 36 programs (65%) reported that general physiatrists were providing WH‐related care. Conclusions The study findings identify a mismatch between the prevalence of MSK WH residency education (11% of programs) and the prevalence of physiatrists providing MSK WH care (66% of programs). Physiatrists are ideally suited to manage MSK WH care. Based on the findings of this cross‐sectional study, residency programs and governing bodies should evaluate these trends and consider the addition of topics pertinent to women's musculoskeletal health into PM&R graduate medical education. Level of Evidence III.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Musculoskeletal Women's Health Education in Physiatry: A Mismatch in Residency Education and Clinical Practice

Bennis

Rho

2019

PM&R

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“…Many internal medicine (IM) residency programmes have no defined women's health curriculum, which can lead to great variability in training 1 . This is problematic because graduates who become outpatient general internists need to provide primary care to women and may be under‐prepared to do so.…”

Section: What Problems Were Addressed?mentioning

confidence: 99%

Bridging the training gap in women's health: Creating a new pathway for residents

Williams¹,

McClintock²

2020

Medical Education

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REALLY GOOD STUFF | WHAT WA S TRIED?As a large local education provider with a wealth of experience in course design and delivery and simulation training, we felt we could offer a refresher programme within Health Education England North West (HEENW) at the end of an F3 gap year, prior to trainees commencing specialty or general practice training.A pilot 2-day course was developed to enable trainees to refresh their clinical and non-technical skills in a safe environment, and to explore strategies for building resilience and adjusting to new circumstances.Day 1 included focus groups exploring trainee concerns, and interactive lectures on communication, situation awareness, decision making and the effects of stress, and a workshop on developing resilience. Day 2 was held in the high-fidelity simulation suite in which refresher training in life support skills was provided, followed by participation in acute simulation scenarios (eg, sepsis, haemorrhage, collapse), and a video-supported debrief of both clinical and non-technical performance.Trainees commencing specialty or general practice training within HEENW following an F3 gap year were identified and offered the training. All 24 places were filled and 21 of those enrolled actually attended.

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“…1 However, the inclusion of women's health topics in core IM curricula is inconsistent and has barriers, including lack of clinical exposure. 2 The Women's Health Clinic (WHC) at Montefiore Wakefield Ambulatory Care Center was developed to incorporate education and training about women's health into the IM residency program, while also serving a vital need for our community. WHC occurs weekly and includes two to three residents on their month-long ambulatory care rotation.…”

Section: Introductionmentioning

confidence: 99%

Introducing a Women’s Health Clinic Improves Resident Comfort and Competence in Performing Women’s Health Exams

Swedish

2019

J GEN INTERN MED

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Program Directors' Perceptions of Resident Education in Women's Health: A National Survey

Cited by 29 publications

References 13 publications

Musculoskeletal Women's Health Education in Physiatry: A Mismatch in Residency Education and Clinical Practice

Musculoskeletal Women's Health Education in Physiatry: A Mismatch in Residency Education and Clinical Practice

Bridging the training gap in women's health: Creating a new pathway for residents

Introducing a Women’s Health Clinic Improves Resident Comfort and Competence in Performing Women’s Health Exams

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