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Training in chorionic villus sampling: limited experience for US fellows.
Thomas M Jenkins1, Anthony C Sciscione, Ronald J Wapner
1Divisions of Maternal-Fetal Medicine, University of Wisconsin-Madison, Madison, WI, USA.
American Journal of Obstetrics and Gynecology
|October 28, 2004
Summary
Training for chorionic villus sampling (CVS) and amniocentesis for maternal-fetal medicine (MFM) fellows is limited. Few MFM fellows receive adequate training in CVS, impacting future practice.
Area of Science:
- Perinatal medicine
- Reproductive genetics
- Medical education
Background:
- Maternal-fetal medicine (MFM) fellowship training is crucial for invasive procedures.
- Assessing current training standards is essential for improving fellowship curricula.
Purpose of the Study:
- To evaluate the availability and methods of invasive procedural training for MFM fellows.
- To assess fellows' plans for practicing these procedures post-training.
Main Methods:
- A survey was distributed to MFM fellows registered with the American Board of Obstetrics and Gynecology.
- Data collected included training availability, methods, and planned future practice of invasive procedures.
Main Results:
- All fellows were trained in second-trimester amniocentesis, with plans to perform it post-fellowship.
- Despite high institutional performance of chorionic villus sampling (CVS), only 53% of fellows had training availability.
- Training in CVS often occurred on pregnancies undergoing termination, with limited median procedures performed.
Conclusions:
- The number of centers providing CVS training for MFM fellows is insufficient.
- The volume of invasive procedures performed during fellowship training in the US is limited, potentially affecting competency.