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Obgyn residency

Noah B Rindos, Minhnoi Wroble-Biglan, Amanda Ecker, Ted T Lee, Nicole M Donnellan
STUDY OBJECTIVE: To determine if the addition of video coaching to an OBGYN resident laparoscopic simulation curriculum improves acquisition of suturing skills. DESIGN: Randomized controlled trial DESIGN CLASSIFICATION: I SETTING: Academic teaching hospital with a residency program in obstetrics and gynecology PATIENTS: Twenty OBGYN residents undergoing a 4-week laparoscopic simulation curriculum were video-recorded weekly performing a suturing task on a validated vaginal cuff model...
January 4, 2017: Journal of Minimally Invasive Gynecology
Mary Kate Erdman, Alisha Bonaroti, Gina Provenzano, Rachel Appelbaum, Marybeth Browne
OBJECTIVE: To evaluate trends of emotional intelligence (EI) in surgical education and to compare the incorporation of EI in surgical education to other fields of graduate medical education. DESIGN: A MEDLINE search was performed for publications containing both "surgery" and "emotional intelligence" with at least one term present in the title. Articles were included if the authors deemed EI in surgical education to be a significant focus. A separate series of MEDLINE searches were performed with the phrase "emotional intelligence" in any field and either "surg*," "internal medicine," "pediatric," "neurology," "obstetric," "gynecology," "OBGYN," "emergency," or "psychiat*" in the title...
November 14, 2016: Journal of Surgical Education
Abigail Ford Winkel, Anh T Nguyen, Helen K Morgan, Darya Valantsevich, Mark B Woodland
OBJECTIVE: Physician wellness is associated with improved outcomes for patients and physicians. Wellness is a priority of the Accreditation Council on Graduate Medical Education, and many residencies have programs in place to improve wellness. This study sought to understand how stakeholders in graduate medical education perceive wellness among other educational priorities and whether these programs are improving the experience and training of residents. METHODS: The Council on Resident Education in Obstetrics and Gynecology (OBGYN)/Association of Professors in Gynecology Wellness Task Force created a survey and distributed it electronically to all OBGYN residents and program directors (PDs) in 2015...
October 31, 2016: Journal of Surgical Education
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...
November 2016: Female Pelvic Medicine & Reconstructive Surgery
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
Abigail Ford Winkel, Holli Jakalow, Laura Benton, Haley Moss, Lauren Mitchell, Nathalie Feldman
Retraction: Winkel, A. F., Jakalow, H., Benton, L., Moss, H., Mitchell, L. and Feldman, N. (2016), Exploring resident reflections to understand burnout. The Clinical Teacher. doi: 10.1111/tct.12513 The above article, published online on 5th April 2016 in Wiley Online Library (, has been retracted by agreement between the authors, the journal Co-Editors, and John Wiley & Sons Ltd. The retraction has been agreed due to a change in the status of the research project's Institutional Review Board approval, leading to permission to use some of the data in this article being revoked...
April 5, 2016: Clinical Teacher
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
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
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
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
Jessica R Jackson, Julie Z De Cesare
BACKGROUND AND PURPOSE: Obstetrics and gynecology (OB-GYN) morbidity and mortality conferences allow for review of cases with poor or avoidable outcomes. Little data exist on standardized formats for presentation and evaluation. We designed a multidisciplinary morbidity and mortality conference. We formally evaluated resident performance using the milestones format, and evaluated resident understanding of case concepts with a pre- and post-conference survey. METHODOLOGY: Our monthly conference was redesigned to incorporate the entire, residency program, OBGYN department members, nurses, midlevel providers, risk management, quality nurse director, and any additional staff who were involved in the case...
July 2015: Archives of Gynecology and Obstetrics
H Gene Hern, Brian Johnson, Harrison J Alter, Charlotte P Wills, Eric R Snoey, Barry C Simon
INTRODUCTION: Applicants to residency face a number of difficult questions during the interview process, one of which is when a program asks for a commitment to rank the program highly. The regulations governing the National Resident Matching Program (NRMP) match explicitly forbid any residency programs asking for a commitment. METHODS: We conducted a cross-sectional survey of applicants from U.S. medical schools to five specialties during the 2006-2007 interview season using the Electronic Residency Application Service of the Association of American Medical Colleges...
March 2015: Western Journal of Emergency Medicine
Cécile A Unger
BACKGROUND: Medical school and residency curricula are lacking in content on the care of the transgender patient. As a result, many providers do not have enough experience and knowledge to adequately care for this patient population. The aim of this study was to assess gynecologists' preferences and knowledge base with regard to transgender healthcare. METHODS: This was a cross-sectional survey of obstetrics and gynecology (OBGYN) providers. An anonymous survey was sent via electronic mail to nine academic OBGYN departments across the United States...
February 2015: Journal of Women's Health
Abigail Ford Winkel, Paulomi Niles, Veronica Lerner, Sondra Zabar, Demian Szyld, Allison Squires
Simulation in obstetrics and gynecology (OBGYN) training captures a range of interpersonal, cognitive, and technical skills. However, trainee perspectives on simulation-based assessment remain unexplored. After an observed structured clinical examination (OSCE) simulation hybrid exam, two focus groups of residents were conducted. Analysis grounded in a thematic coding guided the qualitative research process. Responses suggest a valuation of cognitive and technical skills over interpersonal skills. Realism was seen as critical and residents perceived the assessment as more valuable for the educator than the learner...
March 2016: Evaluation & the Health Professions
Sachiko Ohde, Gautam A Deshpande, Osamu Takahashi, Tsuguya Fukui
BACKGROUND: In Japan, all trainee physicians must begin clinical practice in a standardized, mandatory junior residency program, which encompasses the first two years of post-graduate medical training (PGY1 - PGY2). Implemented in 2004 to foster primary care skills, the comprehensive rotation program (CRP) requires junior residents to spend 14 months rotating through a comprehensive array of clinical departments including internal medicine, surgery, anesthesiology, obstetrics-gynecology (OBGYN), pediatrics, psychiatry, and rural medicine...
2014: BMC Medical Education
Nathan Kow, Mark D Walters, Mickey M Karram, Carlos J Sarsotti, J Eric Jelovsek
OBJECTIVE: To measure surgical judgment across the Obstetrics and Gynecology (OBGYN) continuum of practice and identify factors that correlate with improved surgical judgment. METHODS: A 45-item written examination was developed using script concordance theory, which compares an examinee's responses to a series of "ill-defined" surgical scenarios to a reference panel of experts. The examination was administered to OBGYN residents, Female Pelvic Medicine and Reconstructive Surgery (FPMRS) fellows, practicing OBGYN physicians and FPMRS experts...
August 2014: Medical Teacher
Liv Ahlborg, Leif Hedman, Henry Nisell, Li Felländer-Tsai, Lars Enochsson
OBJECTIVE: To investigate how simulator training and non-technical factors affect laparoscopic performance among residents in obstetrics and gynecology. DESIGN: In this prospective study, trainees were randomized into three groups. The first group was allocated to proficiency-based training in the LapSimGyn(®) virtual reality simulator. The second group received additional structured mentorship during subsequent laparoscopies. The third group served as control group...
October 2013: Acta Obstetricia et Gynecologica Scandinavica
Justin S Brandt, Sarah E Kramer, Stephen T Chasen
OBJECTIVE: The purpose of this study was to identify academic differences between male and female candidates applying to our obstetrics and gynecology (OBGYN) residency. METHODS: We reviewed the Electronic Residency Application Service applications of candidates applying to our residency program from 2005 to 2009. Academic qualifications of male and female candidates were compared using the Fisher exact and Student t tests. RESULTS: Of 2263 applicants, 1710 (75...
July 2013: Journal of Surgical Education
Robert L Goldenberg, Victoria Farrow, Elizabeth M McClure, Uma M Reddy, Ruth C Fretts, Jay Schulkin
OBJECTIVE: To determine knowledge of U.S. obstetrician-gynecologists (OBGYNs) and individual and institutional practices regarding stillbirth. STUDY DESIGN: We surveyed 1,000 members of the American College of Obstetricians and Gynecologists regarding their knowledge of risk factors and causes of stillbirth and self-rated performance in stillbirth management. RESULTS: Of the 499 who responded, 365 currently practiced obstetrics. Knowledge regarding epidemiology, risk factors, and effective interventions to reduce stillbirth was only fair...
November 2013: American Journal of Perinatology
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