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Sabine Oertelt-Prigione, Mirjam Ruecke, Ute Seeland, Vera Regitz-Zagrosek
BACKGROUND: Cardiovascular diseases are the main cause of mortality for women worldwide, yet their impact is frequently underestimated. To raise awareness for preventative lifestyle measures other contacts with the healthcare system should be exploited. We analyzed access patterns to other healthcare specialists and population screening measures to identify options for opportunistic counseling on cardiovascular risk. MATERIALS AND METHODS: We enrolled 1062 randomly selected German urban women aged 25-74 years in 2012-2013, divided into 5 age bands...
September 27, 2016: Journal of Women's Health
Luis Bahamondes, Victor Marin, Silvia Ciarmatori, Agnaldo L Silva-Filho, Juan Manuel Acuña, Maria Y Makuch
Background. Heavy menstrual bleeding (HMB) is a common gynecological complaint affecting quality of life. Objectives. To assess knowledge on diagnosis and treatments of HMB of Latin American (LA) obstetricians and gynecologists (OBGYNs). Methods. A survey was conducted during a scientific meeting, organized to provide updated information on topics of reproductive medicine to OBGYNs from 12 LA countries who were invited to respond to a multiple-choice questionnaire. Results. Of the 210 OBGYNs participating in the survey, from 169 (80...
2016: Obstetrics and Gynecology International
Emily E Weber LeBrun, Hazel Asumu, Anne M Richardson, LouAnn A Cooper, John D Davis
OBJECTIVE: This study aims to determine the expectations of Obstetrics and Gynecology (ObGyn) residency and Female Pelvic Medicine & Reconstructive Surgery (FPMRS) fellowship program directors (FPDs) for the independent performance of urogynecologic procedures during residency and to compare these expectations with the Council on Resident Education in Obstetrics and Gynecology (CREOG) educational objectives. MATERIALS AND METHODS: Two parallel, anonymous surveys were distributed simultaneously to all directors of accredited ObGyn residency and FPMRS fellowship programs in the United States...
September 16, 2016: Female Pelvic Medicine & Reconstructive Surgery
Justin Brewer, Lisa Demers, Thomas Musci
OBJECTIVE: To evaluate the knowledge and opinions of US obstetric providers who use noninvasive prenatal testing (NIPT) to understand current utilization and guide future best practices. METHODS: A questionnaire was designed to assess the level of knowledge and attitudes of OBGYNs toward screening options for aneuploidy, with a focus on NIPT. Initial questions evaluated obstetrician demographics, practice type, and NIPT familiarity. Subsequent questions were designed to solicit current practices regarding aneuploidy screening as well as opinions, experiences, and implications of NIPT...
September 2, 2016: Journal of Maternal-fetal & Neonatal Medicine
Jacquelyn Adams, Jose R Cepeda Brito, Lauren Baker, Patrick G Hughes, M David Gothard, Michele L McCarroll, Jocelyn Davis, Angela Silber, Rami A Ahmed
Objective. To evaluate confidence, knowledge, and competence after a simulation-based curriculum on maternal cardiac arrest in an Obstetrics & Gynecologic (OBGYN) residency program. Methods. Four simulations with structured debriefing focusing on high yield causes and management of maternal cardiac arrest were executed. Pre- and post-individual knowledge tests (KT) and confidence surveys (CS) were collected along with group scores of critical performance steps evaluated by content experts for the first and final simulations...
2016: Critical Care Research and Practice
Nadege Vejux, Renaud Ledu, Claude D'Ercole, Laurence Piechon, Anderson Loundou, Florence Bretelle
OBJECTIVE: To compare intrapartum cardiotocography (CTG) analysis in case of first Caesarean section (CS) for non reassuring CTG according to international guidelines. METHODS: Four ObGyns retrospectively analysed first CS for non reassuring CTG during labour blind to neonatal outcome. CTG were analysed according to French National College of Obstetricians and Gynecologists (CNGOF) and to the FIGO guidelines. First CTG analysis was done without obstetrical context then secondly it was given...
August 22, 2016: Journal of Maternal-fetal & Neonatal Medicine
Richard P Deane, Deirdre J Murphy
BACKGROUND: Despite the widespread introduction of active learning strategies to engage students across modern medical curricula, student attendance and attendance monitoring remain a challenging issue for medical educators. In addition, there is little published evidence available to medical educators regarding the use of attendance monitoring systems. The aim of this study was to evaluate the opinions of students and staff about the use of a paper-based student logbook to record student attendance across all clinical and classroom-based learning activities within an undergraduate clinical rotation in obstetrics and gynecology (OBGYN)...
2016: Advances in Medical Education and Practice
Andreea Robu, Bianca Gauca, Mihaela Crisan-Vida, Lăcrămioara Stoicu-Tivadar
A better monitoring of pregnant women, mainly during the third trimester of pregnancy and an easy communication between physician and patients are very important for the prevention and good health of baby and mother. The paper presents an integrated system as support for the Obstetrics - Gynaecology domain consisting in two modules: a mobile application, ObGynCare, dedicated to the pregnant women and a new component of the Obstetrics-Gynaecology Department Information System dedicated to the physicians for a better monitoring of the pregnant women...
2016: Studies in Health Technology and Informatics
Abigail Ford Winkel, Holli Jakalow, Laura Benton, Haley Moss, Lauren Mitchell, Nathalie Feldman
BACKGROUND: The authors sought to evaluate burnout and empathy among obstetrics and gynaecology (OBGYN) residents, and to explore contributing factors through the analysis of writings from a Narrative Medicine (NM) didactic programme. METHODS: Twenty-four OBGYN residents (out of a possible 29 residents, 83%) participated in an NM workshop series consisting of eight 1-hour reflective writing sessions from 2013 to 2014. They completed pre- and post-workshop surveys composed of the Maslach Burnout Inventory and questions covering demographic information...
April 5, 2016: Clinical Teacher
Lateefa O AlDakhil
INTRODUCTION: The occurrence of a bad outcome, injury or death of a patient during treatment increases the chance of malpractice litigation, increases legal responsibility and leads to increased fees for malpractice insurance. Physicians practicing obstetrics and gynecology face among the highest risks of malpractice litigation, and such litigation has led to an increase in the practice of defensive medicine and has made this specialty less appealing. Previous clinical data from Saudi Arabia have shown that more malpractice litigation concerns claims in obstetrics and gynecology than claims in any other field of medicine...
May 2016: Journal of Forensic and Legal Medicine
Abigail Ford Winkel, Colleen Gillespie, Kristen Uquillas, Sondra Zabar, Demian Szyld
OBJECTIVE: The Test of Integrated Professional Skills (TIPS) is an objective structured clinical examination-simulation hybrid examination that assesses resident integration of technical, cognitive, and affective skills in Obstetrics and Gynecology (OBGYN) residents. The aim of this study was to analyze performance patterns and reactions of residents to the test to understand how it may fit within a comprehensive assessment program. DESIGN: A retrospective, mixed methods review of the design and implementation of the examination, patterns of performance of trainees at different levels of training, focus group data, and description of use of TIPS results for resident remediation and curriculum development...
March 2016: Journal of Surgical Education
James F Paulson, Sharnail D Bazemore, Janice H Goodman, Jenn A Leiferman
The aims of the study were to describe course of depression in both mothers and fathers from the third trimester of pregnancy through 6 months postpartum and to examine the relationship between maternal and paternal depression. Hypotheses were as follows: (a) Depressive symptoms would be correlated between parents and (b) earlier depressive symptoms in one parent would predict later increases in depression in the other. Eighty cohabitating primiparous couples were recruited from prenatal OBGYN visits and community agencies and enrolled during pregnancy, between 28-week gestation and delivery...
August 2016: Archives of Women's Mental Health
Michelle H Moniz, Lauren K O'Connell, Anna Daly Kauffman, Dianne C Singer, Sarah J Clark, Matthew M Davis
OBJECTIVE: To characterize patient preferences about parenting preparation during pregnancy and the role of healthcare providers. METHODS: A nationally representative, cross-sectional survey was administered to parents of children 0-3 years old. Respondents (N = 459 non-institutionalized US adults from the GfK Knowledge Panel®) completed an online survey about parenting preparation (response rate = 61.2 %). Primary outcomes were perceived importance of parenting, regret about opportunities to prepare for parenting, acceptability of parenting support from healthcare workers, and preferred healthcare setting for perinatal parenting support...
February 2016: Maternal and Child Health Journal
Lisa M Nathan, Erika H Banks, Erin M Conroy, Aileen P McGinn, Jeny P Ghartey, Sarah A Wagner, Irwin R Merkatz
BACKGROUND: Benefits of exposure to global health training during medical education are well documented and residents' demand for this training is increasing. Despite this, it is offered by few US obstetrics and gynaecology (OBGYN) residency training programmes. OBJECTIVES: To evaluate interest, perceived importance, predictors of global health interest and barriers to offering global health training among prospective OBGYN residents, current OBGYN residents and US OGBYN residency directors...
December 2015: Postgraduate Medical Journal
Jordan Messler, Winthrop F Whitcomb
Hospitalists work in 90% of US hospitals with over 200 beds. With over 48,000 practicing hospitalists nationwide, the field of hospital medicine has grown rapidly in its 20 years of existence. Obstetrics and gynecology (OBGYN) hospitalists are uncovering similar drivers for their growth. Obstetricians cannot be in both the hospital and the office at the same time, they face an increased acuity of hospitalized patients demanding a full time presence, and hospitals are searching for physicians aligned with their goals...
September 2015: Obstetrics and Gynecology Clinics of North America
Roberta Venturella, Morena Rocca, Daniela Lico, Simona Trapasso, Annalisa Di Cello, Salvatore Gizzo, Fulvio Zullo, Michele Morelli
In 2011, the Society of Gynecologic Oncology of Canada encouraged physicians to discuss with their patients the risks and benefits of prophylactic bilateral salpingectomy (PBS) at the time of hysterectomy or tubal ligation for prevention of ovarian cancers (OCs). The aim of this study was to examine obstetrician-gynaecologists' knowledge, opinions and practice patterns relating to opportunistic salpingectomy in the general population. An anonymous electronic survey was sent to residents, academic and hospital staff in Italian OBGYN departments...
September 2016: European Journal of Cancer Prevention
Julie DeCesare, Jessica Jackson
BACKGROUND: The objective of this project was to study whether a standardised patient clinical encounter learning exercise improved an Obstetrics and Gynaecology (OBGYN) resident's ability to perform patient advocacy, a systems-based practice skill. METHODS: Case-control study: each of the 12 residents functioned as their own control. Additionally, aggregate data from the programme was reviewed. RESULTS: Twelve residents from a mid-sized OBGYN residency programme performed a standardised patient clinical encounter exercise in March of 2014...
February 2016: Clinical Teacher
M Petri, R P Daly, D S Pushparajah
OBJECTIVE: Systemic lupus erythematosus is a complex autoimmune disease, most frequently affecting women of childbearing age. Women with lupus are at increased risk of pregnancy complications that are exacerbated by active disease. Despite this, their use of medications and hospital resources has not been extensively studied. METHODS: Retrospective analyses of the Truven Health MarketScan database (2006-2012) aimed to quantify drug and resource utilization in pregnant women with lupus, as well as the incidence of pregnancy complications in these patients...
2015: Journal of Medical Economics
S O Ekenze, J O Ugwu, O O Onumaegbu
BACKGROUND: There is a high prevalence of neonatal circumcision (NC) in Sub-Saharan Africa. However, when providers do not have adequate training on the procedure, neonatal circumcision can result in complications. There are indications that the reported high complication rate of NC in the current setting might be a reflection of inadequate training of the providers. In order to establish a framework for better training of providers of NC, it may be necessary to evaluate the providers' opinions of their training and competence of the procedure...
October 2015: Journal of Pediatric Urology
Luis Bahamondes, Josefina Lira-Plascencia, Ricardo Martin, Victor Marin, Maria Y Makuch
BACKGROUND: Unintended pregnancy is a public health problem and unmet medical need worldwide. It is estimated that in the year 2012, almost 213 million pregnancies occurred, and the global pregnancy rate decreased only slightly from 2008 to 2012. It was also estimated that 85 million pregnancies (40% of all pregnancies) were unintended and that 38% ended in an unintended birth. OBJECTIVES: To assess knowledge and attitudes of Latin American (LA) obstetricians and gynecologists (OBGYNs) regarding unintended pregnancies and aspects of combined oral contraceptive (COC) use...
2015: International Journal of Women's Health
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