Establishing Consensus on Residency Education in Women's Health

Farkas, Amy; Tilstra, Sarah A.; Borrero, Sonya; McNeil, Melissa

doi:10.1089/jwh.2016.5859

Cited by 16 publications

(10 citation statements)

References 12 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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“…The pathway emerged from resident interest in WH education and through partnership with an existing Women's Health Care Center. The perceived need of residents was supported by a formal needs assessment, 11 which demonstrated inadequate of training in several core topics 12 …”

Section: Contextmentioning

confidence: 99%

“…The immersion block didactics were small group lectures delivered by content experts throughout the medical centre. Topics were chosen to build recommended competencies 12 and address knowledge gaps from the needs assessment 11 . The WH elective provided focused experiences in ambulatory gynaecology.…”

Section: Processmentioning

confidence: 99%

“…The perceived need of residents was supported by a formal needs assessment, 11 which demonstrated inadequate of training in several core topics. 12 The curriculum is delivered over a 2-year period (Table 1). The longitudinal nature supports ongoing practice of procedural skills within continuity clinic and facilitates a high volume of WH clinical experiences.…”

Section: Contextmentioning

confidence: 99%

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Women's health for a primary care workforce

McClintock

Starks

Williams

2022

The Clinical Teacher

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Background: Primary care training should include competencies to provide reproductive health services. In the United Sates, primary care is often provided by general internal medicine physicians. Longitudinal training experiences for internal medicine residents in women's health increase knowledge, skills and retention in careers in women's health, but very little literature describes their implementation. The purpose of this paper is to describe the implementation and evaluation of a 2-year women's health training pathway in Internal Medicine.

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Physical medicine & rehabilitation residents' perspectives on women's musculoskeletal health

Gray

Bennis

et al. 2023

PM&R

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IntroductionWomen are either disproportionately or uniquely affected by certain musculoskeletal conditions but have limited access to providers of sex‐specific musculoskeletal care. Few physical medicine & rehabilitation (PM&R) residencies offer women's musculoskeletal health training, and it is unknown whether PM&R residents feel prepared to care for women's musculoskeletal health concerns.ObjectiveTo examine PM&R residents' perspectives and experiences in women's musculoskeletal health.DesignCross‐sectional survey developed through clinical expertise and consistent with sports medicine guidelines.SettingElectronic survey sent to all accredited PM&R residency programs within the United States, distributed through program coordinators and resident representatives.ParticipantsPM&R residents.InterventionsNot applicable.Main Outcome MeasuresThe primary outcome was residents' perspective of comfort with women's musculoskeletal health. Secondary outcomes were exposure to formal education on women's musculoskeletal health topics, exposure to various learning formats for these topics; and residents' perspectives on desire for further education, access to field‐specific mentors, and interest in incorporating women's musculoskeletal health into future practice.ResultsTwo hundred eighty‐eight responses were included for analysis (20% response rate, 55% female sex residents). Only 19% of residents self‐reported feeling comfortable providing care for women's musculoskeletal health conditions. Comfort did not significantly differ by postgraduate year, program region, or sex. However, with regression modeling, the number of topics learned formally in their curriculum had an increased odds of residents self‐reporting comfort (odds ratio [OR] 1.18, confidence interval [CI] 1.08–1.30, adjusted p value .01). The majority of residents viewed learning women's musculoskeletal health as important (94%) and requested more exposure to the field (89%).ConclusionsMany PM&R residents do not feel comfortable in caring for women's musculoskeletal health conditions despite their interest in the field. To improve health care access for patients seeking care for these sex‐predominant or sex‐specific conditions, residency programs may want to consider increasing exposure to women's musculoskeletal health for residents.

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Establishing Consensus on Residency Education in Women's Health

Abstract: Our study generated a consensus list of 35 core topics in women's heath that should serve as a guide to residency programs for the development of women's health curricula.

Cited by 16 publications

References 12 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

Women's health for a primary care workforce

Physical medicine & rehabilitation residents' perspectives on women's musculoskeletal health

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