Abstract
PurposeTo assess resident physicians’ clinical recognition skills in Pediatric and Adolescent Gynecology. Materials1) A questionnaire to identify demographic data and self-assessment as to the ability to perform a gynecologic evaluation of children. 2) Twenty color photographs of normal genitalia and common gynecologic problems in children. ParticipantsSixty-one University of Tennessee resident physicians; 51 from the Memphis campus—20 obstetricsgynecology (Ob-Gyn) residents, 20 pediatrics residents, and 11 family practice residents—and 10 Ob-Gyn residents from the Chattanooga campus. Main outcome measuresAbility to identify normal features of the prepubertal genitalia and to diagnose common gynecologic disorders. ResultsOb-Gyn residents from the University of Tennessee, Memphis scored significantly better (58.1% correct) than did the other three groups; 38.8, 36.9, and 39.1%, respectively (p=.009). Mean performance score increased with higher pediatric gynecology PGY levels. PGY-4s performed best, whereas PGY-1s scored the lowest, with mean scores of 57.5% and 35.3%, respectively (p=.021). Residents who reported having a well-defined program in pediatric gynecology scored significantly better than those who did not have such a program, 55.3% and 39.5%, respectively (p < .001). ConclusionsA well-defined program in pediatric gynecology enhances resident education and provides them with better tools to perform gynecologic evaluations of children and adolescents.
Published Version
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