PDF(Pubmed)
Abstract：
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: There is considerable room for improvement in the education of residents in the diagnosis and medical and surgical management of endometriosis.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: There is considerable room for improvement in the education of residents in the diagnosis and medical and surgical management of endometriosis.
摘要：
■子宫内膜异位症的诊断通常需要几年的时间，在患者患有骨盆疼痛时延迟适当的护理，痛经,和性交困难.了解妇产科（OB/GYN）的居民是否充分接触并接受了该疾病的诊断和管理培训，对于改善护理至关重要。
■我们对OB/GYN居民进行了一项在线横断面调查，以调查他们的舒适度以及对子宫内膜异位症诊断和管理的熟悉程度。加利福尼亚州20个OB/GYN居留计划的居留计划主任和协调员，美国通过电子邮件发送了31个问题，2023年1月至2月的匿名调查。使用Redcap收集反应，并使用STATA进行分析。
■67位居民回答了至少一个非人口统计问题，并被包括在内。没有计算居民回复率，因为我们无法确定有多少程序分发了调查。84％的居民认为他们可以识别子宫内膜异位症的症状，但超过30％的老年人对超声诊断子宫内膜瘤不满意。大约三分之一的居民对处理低雌激素症状感到舒适，骨质疏松风险，和某些激素疗法的补充孕激素。以学术医院为基础的居民明显更多地接触处方长效可逆避孕药的主治医生，GnRH拮抗剂,和GnRH激动剂，但受训者处方实践或舒适度没有显着差异。更多的受访者会觉得舒适的医学管理子宫内膜异位症（52％）比手术管理疾病（26％），如果他们在今天的实践，只有39％的PGY3-4居民对手术治疗子宫内膜异位症感到舒适。
■在子宫内膜异位症的诊断以及内科和外科治疗方面，对居民的教育还有相当大的改进空间。
■我们对OB/GYN居民进行了一项在线横断面调查，以调查他们的舒适度以及对子宫内膜异位症诊断和管理的熟悉程度。加利福尼亚州20个OB/GYN居留计划的居留计划主任和协调员，美国通过电子邮件发送了31个问题，2023年1月至2月的匿名调查。使用Redcap收集反应，并使用STATA进行分析。
■67位居民回答了至少一个非人口统计问题，并被包括在内。没有计算居民回复率，因为我们无法确定有多少程序分发了调查。84％的居民认为他们可以识别子宫内膜异位症的症状，但超过30％的老年人对超声诊断子宫内膜瘤不满意。大约三分之一的居民对处理低雌激素症状感到舒适，骨质疏松风险，和某些激素疗法的补充孕激素。以学术医院为基础的居民明显更多地接触处方长效可逆避孕药的主治医生，GnRH拮抗剂,和GnRH激动剂，但受训者处方实践或舒适度没有显着差异。更多的受访者会觉得舒适的医学管理子宫内膜异位症（52％）比手术管理疾病（26％），如果他们在今天的实践，只有39％的PGY3-4居民对手术治疗子宫内膜异位症感到舒适。
■在子宫内膜异位症的诊断以及内科和外科治疗方面，对居民的教育还有相当大的改进空间。
