Perception and Comfort with Endometriosis Management Among OB/GYN Residents.

Autor: Sullender RT; Department of Obstetrics, Gynecology and Reproductive Sciences, University of California at San Diego, La Jolla, California, USA., Jacobs MB; Department of Obstetrics, Gynecology and Reproductive Sciences, University of California at San Diego, La Jolla, California, USA., Sandhu MS; University of California at San Diego School of Medicine, La Jolla, California, USA., Lacoursiere DY; Department of Obstetrics, Gynecology and Reproductive Sciences, University of California at San Diego, La Jolla, California, USA., Diaz Luevano C; Department of Obstetrics, Gynecology and Reproductive Sciences, University of California at San Diego, La Jolla, California, USA., Pickett CM; Department of Obstetrics, Gynecology and Reproductive Sciences, University of California at San Diego, La Jolla, California, USA., Agarwal SK; Department of Obstetrics, Gynecology and Reproductive Sciences, University of California at San Diego, La Jolla, California, USA.
Jazyk: angličtina
Zdroj: International journal of women's health [Int J Womens Health] 2023 Nov 20; Vol. 15, pp. 1801-1809. Date of Electronic Publication: 2023 Nov 20 (Print Publication: 2023).
DOI: 10.2147/IJWH.S424554
Abstrakt: Purpose: The diagnosis of endometriosis often takes several years, delaying appropriate care while patients suffer from pelvic pain, dysmenorrhea, and dyspareunia. Understanding whether residents in obstetrics and gynecology (OB/GYN) are being adequately exposed to and trained in the diagnosis and management of the disease is important for improving care.
Methods: We conducted an online cross-sectional survey of OB/GYN residents to investigate their comfort level and familiarity with endometriosis diagnosis and management. Residency program directors and coordinators of 20 OB/GYN residency programs in California, USA were emailed to disseminate the 31-question, anonymous survey in January to February 2023. Responses were collected using Redcap and analysis was conducted using STATA.
Results: 67 residents answered at least one non-demographic question and were included. A resident response rate was not calculated because we were unable to determine how many programs distributed the survey. 84% of residents felt they could recognise symptoms of endometriosis but over 30% of senior residents were not comfortable with sonographic diagnosis of endometrioma. Approximately one third of residents felt comfortable managing hypoestrogenic symptoms, osteoporotic risks, and add-back progestin for certain hormonal therapies. Academic-hospital based residents had significantly more exposure to attendings prescribing long-acting reversible contraception, GnRH antagonists, and GnRH agonists but there were no significant differences in trainee prescribing practices or comfort. More respondents would feel comfortable medically managing endometriosis (52%) than surgically managing the disease (26%) if they were in practice today, with only 39% of PGY3-4 residents feeling comfortable surgically managing endometriosis.
Conclusion: There is considerable room for improvement in the education of residents in the diagnosis and medical and surgical management of endometriosis.
Competing Interests: Dr D Yvette Lacoursiere is a SASGOG Board Member. The authors have no other disclosures or conflicts of interest to report for this work.
(© 2023 Sullender et al.)
Databáze: MEDLINE
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