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Self-Reported Changes in Comfort Level With Basic OB/GYN Procedures After Deployment
Shad H Deering1, Michael K Chinn2, Laurie B Kavanagh2
1Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20889-5611.
Military Medicine
|September 10, 2016
Summary
Military deployment impacts obstetrician/gynecologist (OB/GYN) comfort with procedures. Postdeployment training is recommended to address skill gaps and ensure provider readiness for diverse clinical situations.
Area of Science:
- Medical
- Surgical Training
- Military Medicine
Background:
- Military deployments require obstetrician/gynecologists (OB/GYNs) to leave clinical practice.
- Sustained absence from regular practice may affect provider proficiency in specialty-specific procedures.
Purpose of the Study:
- To assess the impact of deployment on U.S. Army OB/GYN providers' perceived comfort with procedures.
- To identify areas for postdeployment training to maintain clinical skills.
Main Methods:
- Anonymous web-based survey distributed to active duty Army OB/GYNs.
- Self-rated comfort levels (1-5 Likert scale) assessed pre- and postdeployment for various procedures.
- Statistical analysis using Pearson χ(2) and McNemar's χ(2) tests (p<0.05).
Main Results:
- 66% response rate from 100 eligible OB/GYNs.
- Statistically significant decline in perceived comfort with most obstetric and gynecologic procedures and encounters postdeployment.
- Providers reported decreased confidence in performing common OB/GYN tasks.
Conclusions:
- Deployment-related time away from clinical practice leads to reduced OB/GYN provider comfort.
- Findings highlight the need for targeted refresher training to address skill decay.
- Recommendations are applicable to civilian providers with practice interruptions.
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