Abstract
To the Editor: Although it is clear that Ob/Gyns need education in care of the breast, specific training during residency in this area is highly varied. The core competencies described by the residency review committee (RRC) requirements mandate some fundamental core skills in breast management, but there are many gaps in expected experiences (1). This is surprising, not only because delayed or missed breast cancer diagnosis is a significant problem in US but because office-based breast procedures are typically quite straight-forward, particularly for a surgical specialty like Ob/Gyn. We conducted a survey of the practice patterns related to breast disease and the extent of residency training in breast care in a nationally representative sample of Ob/Gyns. A total of 400 ACOG fellows and junior fellows, who were members of the collaborative ambulatory research network (CARN) were invited to participate. CARN is a representative group of practicing US Ob/ Gyns (ACOG members) who volunteer to participate in periodic surveys. Demographic and current practice setting information were collected as well as the answers to 35 questions about breast care practices and their residency training in breast care. Data were analyzed using SPSS version 16.0. Chisquared and t-tests were used to compare responses as appropriate. IRB approval for this survey was obtained through American University on July 14, 2009.
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