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Improving Resident Knowledge in Pediatric and Adolescent Gynecology: An Evaluation of the North American Society for Pediatric and Adolescent Gynecology Short Curriculum
Authors:Patricia S Huguelet  Gayathri ChelvaKumar  Lindsay Conner  Tania Dumont  Nathalie Fleming  Maggie Abraham  Nicole W Karjane  Jeanelle Sheeder  Hina J Talib  K Karen Teelin  Carol Wheeler  Paritosh Kaul
Institution:1. Department of Obstetrics and Gynecology, Children''s Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado;2. Division of Adolescent Medicine, Nationwide Children''s Hospital, The Ohio State University, Ohio;3. Department of Obstetrics and Gynecology, Mountain Area Health and Education Center, Asheville, North Carolina;4. Division of Gynecology, Children''s Hospital of Eastern Ontario, Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, Ontario Canada;5. Department of Obstetrics and Gynecology, Norton Children''s Hospital, University of Louisville School of Medicine, Louisville, Kentucky;6. Department of Obstetrics and Gynecology, Virginia Commonwealth University, Virginia;7. Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Colorado;8. Division of Adolescent Medicine, Department of Pediatrics, Children''s Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York;9. Department of Pediatrics, SUNY Upstate Medical University, New York;10. Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, Rhode Island;11. Section of Adolescent Medicine, Department of Pediatrics, University of Colorado School of Medicine, Colorado
Abstract:

Study Objective

Resident education in pediatric and adolescent gynecology (PAG) is challenging. It encompasses patients from neonates to young adults with different disorders involving multiple subspecialties. Residents have inadequate exposure to PAG topics and report lack of knowledge in this area. The objective of this study was to determine if the North American Society for Pediatric and Adolescent Gynecology (NASPAG) Short Curriculum improves self-reported knowledge in PAG among obstetrics and gynecology (ObGyn), family medicine, and pediatric residents.

Design, Setting, Participants, Interventions, and Main Outcome Measures

Participants were 47 US ObGyn, family medicine, and pediatric residency training programs across a 4-month study window, from September to December 2016. The NASPAG Short Curriculum was distributed to them with a request to complete a retrospective pre- and post-test survey. Primary outcome measure was improvement in self-perceived knowledge after exposure to the curriculum.

Results

Forty-eight programs responded to the study comprising a total of 1130 residents. One program was excluded because of logistical barriers to the distribution of study incentive. In total, 1080 residents were invited and 103 chose to participate (10% response rate); 68 residents completed all survey questions to be included in the final analysis. After completing the curriculum, self-reported knowledge improved in all 10 learning objectives, across all 3 specialties (47% 32/68] to 82% 56/68]; P < .01). Pre-test knowledge correlated with previous clinical exposure to PAG patients, but did not correlate with year of residency training, type of residency, or previous PAG lectures.

Conclusion

Significant deficiencies exist regarding self-reported knowledge of core PAG topics among ObGyn, family medicine, and pediatric residents. Use of the NASPAG Short Curriculum improves self-reported knowledge in PAG trainees across all 3 specialties.
Keywords:Resident education  Pediatric and adolescent gynecology education  PAG curriculum
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