دورية أكاديمية

Management of Postoperative Issues in Gynecology and Gynecologic Oncology: A New Method for Teaching Residents

التفاصيل البيبلوغرافية
العنوان: Management of Postoperative Issues in Gynecology and Gynecologic Oncology: A New Method for Teaching Residents
المؤلفون: Rolston, Aimee, Brackmann, Melissa, Mclean, Karen, Reynolds, R., Marzano, David, Malone, Anita
المصدر: Obstetrics & Gynecology ; volume 134, issue 1, page 49S-49S ; ISSN 0029-7844
بيانات النشر: Ovid Technologies (Wolters Kluwer Health)
سنة النشر: 2019
الوصف: PURPOSE: This project sought to develop and assess a curriculum to improve resident knowledge of and comfort in managing common postoperative issues. BACKGROUND: Junior obstetrics/gynecology residents enter training with varied experience in post-operative management. They are often the first contact for surgical patients with little formal education on post-operative issues. METHODS: Eleven common post-operative issues were identified based on literature review, resident experience and gynecology/gynecologic oncology faculty input. Topic based curriculum included: example case, pathophysiology, differential diagnosis, next steps, and useful resources. It was presented at two educational sessions, involving lectures and small-group simulations. Residents completed a pre and post-assessment questionnaire assessing comfort level in managing (10-point Likert scale) and baseline knowledge about (content-specific questions) the topics. RESULTS: Twenty-three residents participated. Seventeen completed one or both pre-assessment surveys (nine junior residents). Ten completed one or both post-assessment surveys (five junior residents). All post-assessment respondents reported improved knowledge of issues covered. Average self-rated comfort level increased for ten of eleven topics amongst junior residents (average increase 1.6 points (range 0.5–3.2; p = 0.02)). Largest increase in score was for hypoxia and low urine output. Average scores maintained or improved for 80% of the content questions (not significant). Residents had no preference for lecture versus small group format. DISCUSSION: As a result of directed teaching, resident knowledge of post-operative issues showed measurable improvement. Resident comfort level in management increased significantly for 90% of topics covered, most noticeably amongst junior residents. A systematic, resident-led curriculum on post-operative management can improve resident knowledge and patient care.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1097/01.aog.0000585564.84430.36
DOI: 10.1097/01.AOG.0000585564.84430.36
الإتاحة: https://doi.org/10.1097/01.aog.0000585564.84430.36Test
رقم الانضمام: edsbas.5350E1BC
قاعدة البيانات: BASE