The state of resident education in urogynecology and pelvic floor disorders

Abstract

To determine the state of resident education in the areas of pelvic floor dysfunction and urogynecology a survey was sent to program directors (or their designees) of United States residency training programs. A six-page 14-question survey was sent to 274 approved residency programs. The response rate was 46.4%. Program directors were queried on educational objectives and materials, diagnostic and therapeutic techniques and evaluation of resident performance. To confirm results, the responses were checked against data published in the APGO/CIBA Directory of Residencies in Obstetrics and Gynecology. Eighty per cent of programs used the objectives established by the American Uro-Gynecologic Society or the Council on Resident Education in Obstetrics and Gynecology. Resident lectures or textbooks were the most frequent sources of educational information used. The annual CREOG in-training exam was the most frequently utilized evaluation process. Ninety-three per cent of residents obtained hands-on experience with urodynamics and all residents were exposed to retropubic techniques for the surgical treatment of incontinence. Resident education in non-surgical techniques to treat urinary incontinence, however, was lacking in approximately 50% of programs. The survey suggests that the basic foundation may be in place to provide residents with adequate exposure to diagnostic and therapeutic measures for dealing with pelvic floor disorders and urogynecology. There are, however, many aspects which need attention in our educational objectives for resident education. A broader focus on the non-surgical management of incontinence needs to be encouraged.