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Getting the size right: Are clinicians ready for it?
Joanna C Roper1, Madhu Naidu2, Ranee Thakar3
1Department of Obstetrics and Gynaecology, Croydon University Hospital, 530, London Road, Thornton Heath CR7 7YE, UK.
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|December 10, 2022
Summary
Accuracy in digital examinations for obstetrics and gynaecology is poor. Training may improve clinicians' ability to accurately estimate measurements during digital exams, enhancing patient care.
Area of Science:
- Obstetrics and Gynaecology
- Clinical Skills Assessment
Background:
- Digital examination is crucial in obstetrics and gynaecology for tasks like cervical assessment and pessary fitting.
- Accurate digital assessments require adequate clinician training to inform clinical decisions.
Purpose of the Study:
- To evaluate the accuracy of clinicians' estimations for three different measurement tasks.
- To assess if accuracy varied based on clinician seniority or job role.
Main Methods:
- Doctors and midwives estimated their index finger length, anal sphincter model length, and cervical dilation (7 cm and 9 cm).
- Measurements were compared to actual values, and accuracy was analyzed by job role and seniority.
Main Results:
- Only 4.6% accurately estimated their index finger length; 0% of midwives and 5.5% of doctors.
- Significant differences in measurement accuracy were found between doctors and midwives.
- Midwives showed higher accuracy in cervical dilation estimations at both 7 cm and 9 cm compared to doctors.
Conclusions:
- Clinician accuracy in estimating various measurements during digital examinations was generally poor.
- Enhanced training may improve awareness of finger length and overall accuracy in clinical practice.
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