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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
PubMed
Summary
This summary is machine-generated.

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.

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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.