Perception and Comfort with Endometriosis Management Among OB/GYN Residents
Renee T Sullender1, Marni B Jacobs1, Manpreet S Sandhu2
1Department of Obstetrics, Gynecology and Reproductive Sciences, University of California at San Diego, La Jolla, California, USA.
International Journal of Women'S Health
|November 29, 2023
Summary
Diagnosis and management training for endometriosis in obstetrics and gynecology (OB/GYN) residents needs improvement. Many residents lack comfort in surgical management and specific diagnostic techniques, indicating a need for enhanced OB/GYN education.
Area of Science:
- Medical Education
- Gynecology
- Surgical Training
Background:
- Endometriosis diagnosis is often delayed, impacting patient care and leading to symptoms like pelvic pain and dysmenorrhea.
- Adequate training for obstetrics and gynecology (OB/GYN) residents in endometriosis is crucial for improving patient outcomes.
Purpose of the Study:
- To assess OB/GYN residents' familiarity and comfort with diagnosing and managing endometriosis.
- To identify potential gaps in residency training regarding endometriosis care.
Main Methods:
- An anonymous online cross-sectional survey was distributed to OB/GYN residents in California.
- The survey investigated residents' comfort levels with endometriosis diagnosis, medical management, and surgical management.
Main Results:
- While 84% recognized symptoms, over 30% of senior residents were uncomfortable with sonographic diagnosis of endometrioma.
- Comfort levels varied for managing hormonal aspects and add-back therapies.
- Fewer residents felt comfortable with surgical management (26%) compared to medical management (52%), with only 39% of PGY3-4 residents comfortable with surgical aspects.
Conclusions:
- Significant improvements are needed in resident education for endometriosis diagnosis, medical management, and surgical management.
- Current OB/GYN residency programs may not fully equip trainees for comprehensive endometriosis care.
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