Residency Training in Pediatric and Adolescent Gynecology Across Obstetrics and Gynecology Residency Programs: A Cross-Sectional Study

Abstract

To estimate the prevalence of Pediatric and Adolescent Gynecology formal training in the United States Obstetric and Gynecology residency programs. Prospective, anonymous, cross-sectional survey study. United States program directors of Obstetrics and Gynecology residency programs (N=242; Respondents 108 (45%). Among 104 residency programs, 63% (n=65) have no formal, dedicated Pediatric and Adolescent Gynecology clinic, while 83% (n=87) have no outpatient Pediatric and Adolescent Gynecology rotation. There is no significant difference in the amount of time spent on a Pediatric and Adolescent Gynecology rotation among residents from institutions with a Pediatric and Adolescent Gynecology fellowship (p=0.359); however, the number of surgeries performed is significantly higher than those without a Pediatric and Adolescent Gynecology fellowship (p=0.0020). When investigating resident competency in Pediatric and Adolescent Gynecology, program directors reported that residents who were taught in a program with a fellowship-trained Pediatric and Adolescent Gynecology faculty were significantly more likely to be able to interpret results of selected tests used to evaluate precocious puberty than those without (p=0.03). Residency programs without fellowship trained Pediatric and Adolescent Gynecology faculty or an established Pediatric and Adolescent Gynecology fellowship program have a lack of formal training and clinical exposure to Pediatric and Adolescent Gynecology. This information may enable residency directors to identify deficiencies in their own residency programs and to seek improvement in resident clinical experience in Pediatric and Adolescent training.Table 1Demographic Comparison of Programs With PAG Rotation vs. No PAG RotationTotal (N = 105)pag rotation (N = 18)No pag rotation (N = 87)n%n%n%PLocation (N = 102) Region 1212131718210.134 Region 220203171720 Region 321215281619 Region 427276332125 Region 51212001214 Other111600Type of obstetrics and gynecology residency program (N = 102)0.411 Community27273172429 Military330034 University696815835464 Other1Identified as an independent-university affiliated practices330034Affiliated with a children’s hospital (N = 104) Yes6159168945520.004 No43412114148# faculty who practice PAG (N = 105) 0 faculty262521124280.427 1 faculty32316332630 2 faculty17163171416 3 faculty15145281012 4 to 10 faculty13122111113 More than 10 faculty220022PAG fellowship trained faculty (N = 105) Yes181763312140.079 No878312677586PAG fellowship at institution (N = 104) Yes7763311<0.001 No979212678599PAG clinic where residents see patients (N = 104) Yes3937181002124<0.001 No6563006576# Residents apply for PAG fellowship (N = 104) 0 residents9692147882950.004 1 resident6621145 2 residents000000 3 residents000000 4 to 10 residents2221100 More than 10 residents0000001 Identified as an independent-university affiliated practices Open table in a new tab