To the point: gender differences in the obstetrics and gynecology clerkship

Craig, LaTasha B.; Buery-Joyner, Samantha D.; Bliss, Susan; Everett, Elise; Forstein, David A.; Graziano, Scott; Hampton, Brittany Star; McKenzie, Margaret; Morgan, Helen; Page-Ramsey, Sarah M.; Pradhan, Archana; Hopkins, Laura

doi:10.1016/j.ajog.2018.05.020

Cited by 26 publications

(23 citation statements)

References 42 publications

(47 reference statements)

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“…In particular, the ObGyn clerkship has been targeted as critical in terms of recruiting future residents to the speciality. 1,[4][5][6] Research has shown that male students experience their gender as a barrier in ObGyn training and that this may increase the number of male students who choose not to pursue careers within the field. 6,7 The feeling of having a disadvantage because of one's male gender may be due to being denied consent to participate in clinical care to a greater degree than female students.…”

Section: Introductionmentioning

confidence: 99%

Medical students’ experiences in learning to perform pelvic examinations: a mixed-methods study

et al. 2021

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Objectives:We aimed to explore learning experiences among medical students learning to perform pelvic examinations and to identify factors that facilitate their training. Methods: A mixed-methods study including a web-based survey and focus group discussions (FGDs) was conducted among medical students who had completed their obstetrics and gynaecology (ObGyn) clerkship. The FGDs were recorded, transcribed and analysed using qualitative content analysis with systematic text condensation. Survey factors were compared using the χ 2 test or Fisher's exact test. Results: 160 students (97 female, 61 male, two other) at six universities in Sweden responded to the survey. Two mixed FGDs were conducted. The majority (87%) of the students experienced confidence in performing pelvic examinations, stating that sufficient, repeated training opportunities and support from a clinical tutor were crucial components of the learning experience. Prior to the ObGyn clerkship, negative expectations were more common among male students. The male participants experienced having a disadvantage because of their gender, while female students considered their gender an advantage (p<0.001, N=121, Fisher's Exact Test). The clinical tutor and the use of professional patients (PPs) had a fundamental role in providing learning opportunities by including the student in patient care activities. Conclusions:The importance of the clinical tutor, as well as the use of PPs, are important factors when planning education in pelvic examinations, and this knowledge could be used when educating other intimate examinations during medical school. In addition, similar investigations on students experience in training other intimate examinations could be considered.

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Section: Introductionmentioning

confidence: 99%

Medical students’ experiences in learning to perform pelvic examinations: a mixed-methods study

et al. 2021

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“…The number of female O&Gs in Australia and New Zealand has been steadily increasing and currently women make up half of all Fellows of RANZCOG 11,12 . With rapidly increasing numbers of women in our specialty, 13,14 the issue of WRMI will be of greater concern and more research is needed on ways to minimise its impact on the workforce.…”

Section: Discussionmentioning

confidence: 99%

Work‐related musculoskeletal injuries among obstetricians and gynaecologists: A cross‐sectional survey of Fellows of Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG)

Kapoor

Mahomed

Kapoor

2021

Aust NZ J Obst Gynaeco

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Background Obstetricians and gynaecologists (O&Gs) are at a risk of work‐related musculoskeletal injuries (WRMI) on a daily basis. Aims To describe the prevalence of WRMI among O&Gs in Australia and New Zealand, explore risk factors for such injuries, and evaluate their impact. Methods An online survey of Fellows of Royal Australian and New Zealand College of Obstetricians and Gynaecologists was conducted in July 2016. It comprised questions on personal attributes, type of work, site and cause of WRMI, if any and treatment required. Results We received responses from 765 O&Gs giving a response rate of 38.3% (765/1997). Four hundred and ten specialists (53.6%) reported suffering a WRMI at some point, including 252 (32.9%) who reported multiple injuries. In multivariable analysis, females had increased risk of WRMI (odds ratio (OR): 2.12; 95% CI: 1.54–2.91) and among generalists and subspecialists, gynaecological oncologists had highest risk for WRMI (OR: 3.13; 95% CI: 1.21–8.14). Commonest sites of injury were back (218/633, 34.4%) and shoulder (131/633, 20.7%). Laparoscopic surgery (117/633, 18.5%) was the commonest cause of injury. Treatment was required for 88.6% of injuries (561/633) including 8.4% (53/633) of cases which required surgery. Ongoing symptoms post‐injury were reported for 52.1% of injuries (330/633) and in 25.8% (163/633) of instances the practitioner needed to modify their scope of work. Conclusion This survey among a large cohort of O&Gs shows a high prevalence of WRMI with a profound negative impact on the practitioner and profession. There is a pressing need to advocate for improved ergonomics in their workplaces.

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“…Although “specificity of women's treatment,” which can only be experienced in Ob/Gyn, was generally associated with positive impression change among the non‐Ob/Gyn applicants, delicate aspects of the training may have fostered negative impression change. In Ob/Gyn training, male interns are often subjected to gender bias from their patients and often feel that their gender negatively affects their practice experience 4, 5 . The training system should be prepared to assist male interns.…”

Section: Discussionmentioning

confidence: 99%

A survey of Japanese interns to prepare for mandatory clinical training in obstetrics and gynecology

Onodera

Matoba

Suemitsu

et al. 2021

J of Obstet and Gynaecol

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Aim Obstetrics and gynecology (Ob/Gyn) training became compulsory for Japanese physician interns from April 2020 to improve medical competence in treating women's diseases. This study aims to understand the Ob/Gyn training needs of postgraduate year 1–2 physicians (interns) and thereby improve training efficiency. Methods This study was administered to interns at Ob/Gyn training facilities from December 2019 to February 2020. An original questionnaire was used to evaluate their assessment of training needs. In analyses, interns were categorized according to whether they were willing to major in Ob/Gyn. Results Of the 1154 participants, 163 (14.1%) would major in Ob/Gyn (Ob/Gyn applicants) and 967 (83.8%) would not (non‐Ob/Gyn applicants). At the time of the survey, 634 (54.9%) had rotated in Ob/Gyn, 253 (21.9%) planned to rotate, and 267 (23.1%) chose not to rotate. The two most favorable training experiences were “experience in surgical procedures” (81/141, 57.4%) and “wide treatment areas covered by Ob/Gyn” (78/141, 55.3%) among the Ob/Gyn applicants, and “specificity of women's treatment” (308/488, 63.1%) among the non‐Ob/Gyn applicants. Conclusions Ob/Gyn applicants and non‐Ob/Gyn applicants differed in their assessment of Ob/Gyn rotations. It is crucial to provide medical training based on interns' needs to improve their skills for treating female patients.

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To the point: gender differences in the obstetrics and gynecology clerkship

Cited by 26 publications

References 42 publications

Medical students’ experiences in learning to perform pelvic examinations: a mixed-methods study

Medical students’ experiences in learning to perform pelvic examinations: a mixed-methods study

Work‐related musculoskeletal injuries among obstetricians and gynaecologists: A cross‐sectional survey of Fellows of Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG)

A survey of Japanese interns to prepare for mandatory clinical training in obstetrics and gynecology

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