Ob/Gyn resident self-perceived preparedness for minimally invasive surgery

Abstract Background Very little is known regarding the readiness of senior U.S. Ob/Gyn residents to perform minimally invasive surgery. This study aims to evaluate the self-perceived readiness of senior Ob/Gyn residents to perform complex minimally invasive gynecologic surgery as well as their perce...

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Main Authors: Jordan S. Klebanoff, Cherie Q. Marfori, Maria V. Vargas, Richard L. Amdur, Catherine Z. Wu, Gaby N. Moawad
Format: Article
Language:English
Published: BMC 2020-06-01
Series:BMC Medical Education
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12909-020-02090-9
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author Jordan S. Klebanoff
Cherie Q. Marfori
Maria V. Vargas
Richard L. Amdur
Catherine Z. Wu
Gaby N. Moawad
author_facet Jordan S. Klebanoff
Cherie Q. Marfori
Maria V. Vargas
Richard L. Amdur
Catherine Z. Wu
Gaby N. Moawad
author_sort Jordan S. Klebanoff
collection DOAJ
description Abstract Background Very little is known regarding the readiness of senior U.S. Ob/Gyn residents to perform minimally invasive surgery. This study aims to evaluate the self-perceived readiness of senior Ob/Gyn residents to perform complex minimally invasive gynecologic surgery as well as their perceptions of the minimally invasive gynecologic surgery subspecialty. Methods We performed a national survey study of 3rd and 4th year Ob/Gyn residents. A novel 58-item survey was developed and sent to residency program directors and coordinators with the request to forward the survey link along to their senior residents. Results We received 158 survey responses with 84 (53.2%) responses coming from 4th year residents and 74 (46.8%) responses from 3rd year residents. Residents who train with graduates of a fellowship in minimally invasive gynecologic surgery felt significantly more prepared to perform minimally invasive surgery compared to residents without this exposure in their training. The majority of senior residents (71.5%) feel their residency training adequately prepared them to be a competent minimally invasive gynecologic surgeon. However, only 50% feel prepared to perform a laparoscopic hysterectomy on a uterus greater than 12 weeks size, 29% feel prepared to offer a vaginal hysterectomy on a uterus 12-week size or greater, 17% feel comfortable performing a laparoscopic myomectomy, and 12% feel prepared to offer a laparoscopic hysterectomy for a uterus above the umbilicus. Conclusions The majority of senior U.S. Ob/Gyn residents feel prepared to provide minimally invasive surgery for complex gynecologic cases. However, surgical confidence in specific procedures decreases when surgical complexity increases.
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spelling doaj.art-f9049afe15cd40fd97a353c6b8d03ff72022-12-21T23:46:02ZengBMCBMC Medical Education1472-69202020-06-012011810.1186/s12909-020-02090-9Ob/Gyn resident self-perceived preparedness for minimally invasive surgeryJordan S. Klebanoff0Cherie Q. Marfori1Maria V. Vargas2Richard L. Amdur3Catherine Z. Wu4Gaby N. Moawad5Department of Obstetrics and Gynecology, The George Washington University School of Medicine and Health SciencesDepartment of Obstetrics and Gynecology, The George Washington University School of Medicine and Health SciencesDepartment of Obstetrics and Gynecology, The George Washington University School of Medicine and Health SciencesDepartment of Surgery, The George Washington University School of Medicine and Health SciencesDepartment of Obstetrics and Gynecology, The George Washington University School of Medicine and Health SciencesDepartment of Obstetrics and Gynecology, The George Washington University School of Medicine and Health SciencesAbstract Background Very little is known regarding the readiness of senior U.S. Ob/Gyn residents to perform minimally invasive surgery. This study aims to evaluate the self-perceived readiness of senior Ob/Gyn residents to perform complex minimally invasive gynecologic surgery as well as their perceptions of the minimally invasive gynecologic surgery subspecialty. Methods We performed a national survey study of 3rd and 4th year Ob/Gyn residents. A novel 58-item survey was developed and sent to residency program directors and coordinators with the request to forward the survey link along to their senior residents. Results We received 158 survey responses with 84 (53.2%) responses coming from 4th year residents and 74 (46.8%) responses from 3rd year residents. Residents who train with graduates of a fellowship in minimally invasive gynecologic surgery felt significantly more prepared to perform minimally invasive surgery compared to residents without this exposure in their training. The majority of senior residents (71.5%) feel their residency training adequately prepared them to be a competent minimally invasive gynecologic surgeon. However, only 50% feel prepared to perform a laparoscopic hysterectomy on a uterus greater than 12 weeks size, 29% feel prepared to offer a vaginal hysterectomy on a uterus 12-week size or greater, 17% feel comfortable performing a laparoscopic myomectomy, and 12% feel prepared to offer a laparoscopic hysterectomy for a uterus above the umbilicus. Conclusions The majority of senior U.S. Ob/Gyn residents feel prepared to provide minimally invasive surgery for complex gynecologic cases. However, surgical confidence in specific procedures decreases when surgical complexity increases.http://link.springer.com/article/10.1186/s12909-020-02090-9GynecologyMinimally invasive gynecologic surgerySurgerySurgical educationResidency
spellingShingle Jordan S. Klebanoff
Cherie Q. Marfori
Maria V. Vargas
Richard L. Amdur
Catherine Z. Wu
Gaby N. Moawad
Ob/Gyn resident self-perceived preparedness for minimally invasive surgery
BMC Medical Education
Gynecology
Minimally invasive gynecologic surgery
Surgery
Surgical education
Residency
title Ob/Gyn resident self-perceived preparedness for minimally invasive surgery
title_full Ob/Gyn resident self-perceived preparedness for minimally invasive surgery
title_fullStr Ob/Gyn resident self-perceived preparedness for minimally invasive surgery
title_full_unstemmed Ob/Gyn resident self-perceived preparedness for minimally invasive surgery
title_short Ob/Gyn resident self-perceived preparedness for minimally invasive surgery
title_sort ob gyn resident self perceived preparedness for minimally invasive surgery
topic Gynecology
Minimally invasive gynecologic surgery
Surgery
Surgical education
Residency
url http://link.springer.com/article/10.1186/s12909-020-02090-9
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