A Multi-Modal Approach to Increasing Knowledge and Comfort of OBGYN Residents in Pelvic Organ Prolapse [5G

Abstract

INTRODUCTION: Nearly 46% of Obstetrics and Gynecology (OBGYN) residents feel unsatisfied with their Female Pelvic Medicine and Reconstructive Surgery (FPMRS) training. Residents in 85% of residency programs can satisfactorily perform four of ten basic FPMRS procedures at graduation. We describe implementing a multi-modal and interactive intervention to improve resident knowledge and comfort with counseling and treating patients with pelvic organ prolapse (POP). METHODS: Using VAS scales and multiple choice questions, we assessed the knowledge and comfort levels of managing basic POP among all OBGYN residents during the 2014-2015 academic year. Each resident underwent a 45 minute didactic involving multi-media training modules using the Boston Scientific Pop-Q application and a high-yield POP lecture prior to their FPMRS rotation. The same exam was given four months after completing the rotation. RESULTS: Of 19 residents enrolled, 18 completed the study. Comfort levels increased by 18.7% (P < 0.01). The pre and post-intervention mean scores were 383 and 533 points with a mean change of 150 (P<=0.01). POP knowledge scores increased by 9.6% (P < 0.05). The pre and post-intervention mean scores were 2.88 and 3.55 points with a mean change of 0.67 (P < 0.05). The intervention was well received and requested to be implemented into the curriculum. CONCLUSION: A high yield, multi-modal didactic immediately prior to immersion in patient care significantly improved knowledge, satisfaction and comfort level of POP, regardless of resident training level. This was retained even after completion of the rotation. Educational efforts for basic FPMRS topics should be multi-modal to enhance OBGYN resident knowledge and comfort levels.