Ready or Not? Obstetrics and Gynecology Resident Preparedness for Female Pelvic Medicine and Reconstructive Surgery Training

Dune, Tanaka; Blackwell, Robert H.; Griffin, Arianna; Taege, Susanne; Sung, Juliana; Brubaker, Linda

doi:10.1097/spv.0000000000000418

Cited by 15 publications

(9 citation statements)

References 9 publications

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“…There was no significant difference in surgical confidence between residents pursuing any of the surgical fellowships in Ob/ Gyn and those residents planning on entering into general practice. Previous studies have found that less than half of fellowship program directors feel that their incoming fellows are "prepared" for fellowship [8,20]. Specifically, fellowship program directors do not feel their fellows enter their subspecialty of training with adequate procedural skills to function independently [8,20].…”

Section: Discussionmentioning

confidence: 99%

Ob/Gyn resident self-perceived preparedness for minimally invasive surgery

et al. 2020

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Background: Very little is known regarding the readiness of senior U.S. Ob/Gyn residents to perform minimally invasive surgery. This study aims to evaluate the self-perceived readiness of senior Ob/Gyn residents to perform complex minimally invasive gynecologic surgery as well as their perceptions of the minimally invasive gynecologic surgery subspecialty. Methods: We performed a national survey study of 3rd and 4th year Ob/Gyn residents. A novel 58-item survey was developed and sent to residency program directors and coordinators with the request to forward the survey link along to their senior residents. Results: We received 158 survey responses with 84 (53.2%) responses coming from 4th year residents and 74 (46.8%) responses from 3rd year residents. Residents who train with graduates of a fellowship in minimally invasive gynecologic surgery felt significantly more prepared to perform minimally invasive surgery compared to residents without this exposure in their training. The majority of senior residents (71.5%) feel their residency training adequately prepared them to be a competent minimally invasive gynecologic surgeon. However, only 50% feel prepared to perform a laparoscopic hysterectomy on a uterus greater than 12 weeks size, 29% feel prepared to offer a vaginal hysterectomy on a uterus 12-week size or greater, 17% feel comfortable performing a laparoscopic myomectomy, and 12% feel prepared to offer a laparoscopic hysterectomy for a uterus above the umbilicus. Conclusions: The majority of senior U.S. Ob/Gyn residents feel prepared to provide minimally invasive surgery for complex gynecologic cases. However, surgical confidence in specific procedures decreases when surgical complexity increases.

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Section: Discussionmentioning

confidence: 99%

Ob/Gyn resident self-perceived preparedness for minimally invasive surgery

et al. 2020

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“…Prior studies have demonstrated that PDs of NPM, 6 surgery, 9 and obstetrics and gynecology 7,22 programs feel residency graduates have less clinical experience and procedural skill than those fellows who trained before ACGME restricted hours. However, data on the readiness for advanced fellowship training in NPM from the standpoint of the trainee are lacking.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Residency Graduates Preparedness for Neonatal-Perinatal Medicine Fellowship: The Perspective of First-Year Fellows

et al. 2019

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Objective This study aimed to report on Neonatal-Perinatal Medicine (NPM) fellows' views of self-preparedness upon starting postresidency training. Study Design We conducted a national survey of first-year NPM fellows in the United States. The validated survey had five major areas: professionalism, psychomotor ability, independence/graduated responsibility, clinical evaluation, and academia. Survey responses were analyzed using descriptive statistics, and the free-text answers were categorized. Results Of 228 potential first-year NPM fellows, 140 (61%) initially responded to the survey. Overall, the fellows perceived themselves positively in professionalism and independence/graduated responsibility domains. Marked variability was observed in perceived preparedness in psychomotor ability, with confidence in neonatal intubation and arterial line placement of 86 and 49%, respectively. Lack of confidence in performing neonatal intubation procedures correlates with lack of attempts. The majority (75%) of fellows reported being interested in academia, but less than half felt capable of writing an article. Conclusion First-year NPM fellows identified deficiencies in the domains of psychomotor ability and academia. Residency and fellowship programs should partner to address these deficiencies.

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“…FPMRS senior fellows and program directors felt that incoming fellows were not proficient at performing cystoscopy, and there was widespread concern that OB/GYN residents' cystoscopy experience was below expectations. 2 While cystoscopy is especially important for future FPMRS fellows, it is a useful skill for many OB/GYN practitioners as it can be used to verify ureteral patency and monitor for iatrogenic bladder injuries during gynecologic procedures. Our aim for this workshop was to increase familiarity with cystoscopy equipment and to provide an opportunity for trainees to practice cystoscopy skills so they could feel less anxiety in future cystoscopic procedures.…”

Section: Introductionmentioning

confidence: 99%

An Introduction to Cystoscopy for OB/GYN Residents

et al. 2022

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Introduction: OB/GYN residents' preparedness to perform cystoscopy after residency may vary as the ACGME requires only 10 cystoscopic cases to be performed during training. Given residents' potentially limited exposure to cystoscopy, supplemental educational activities centered around increasing familiarity with the procedure may be useful. The objective of this workshop was to provide an opportunity for OB/GYN residents to become more comfortable with cystoscopic equipment and performing cystoscopy. Methods: We showed a video of common pathology seen on cystoscopy and then progressed through two hands-on stations. One station focused on equipment familiarity, with learners identifying equipment and then practicing assembling and disassembling the cystoscope. The other station allowed for simulated cystoscopy utilizing a pig bladder. We used a checklist assessment and pre-and postcourse surveys to evaluate familiarity with equipment and anxiety surrounding performing cystoscopy. Results: Twenty residents ranging from PGY 1s to PGY 4s who participated in this workshop over the past 2 years completed both pre-and postcourse evaluations. There was statistically significant improvement in ratings of familiarity with equipment and anxiety surrounding the procedure. All participants whom we assessed showed improvement in identifying and assembling equipment as well as in performing the steps of the procedure independently. Discussion: This workshop provided OB/GYN residents with an opportunity for hands-on cystoscopic experience. Through direct assessment and evaluation forms, the workshop was shown to be a beneficial activity for improving cystoscopic knowledge.

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Ready or Not? Obstetrics and Gynecology Resident Preparedness for Female Pelvic Medicine and Reconstructive Surgery Training

Abstract: Quantitative and emerging qualitative outcomes highlight that fellows are professional and are largely able to evaluate and care for patients but that achieving independence, surgical skills, and scholarship requires further training.

Cited by 15 publications

References 9 publications

Ob/Gyn resident self-perceived preparedness for minimally invasive surgery

Ob/Gyn resident self-perceived preparedness for minimally invasive surgery

Pediatric Residency Graduates Preparedness for Neonatal-Perinatal Medicine Fellowship: The Perspective of First-Year Fellows

An Introduction to Cystoscopy for OB/GYN Residents

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