The Knowledge Gap: A Survey of Pelvic Floor Understanding Amongst Gynaecology Trainees in Ireland

Pelvic floor dysfunction (PFD) significantly impacts women's health, yet its assessment and management remain inconsistently covered in Obstetrics and Gynaecology training. This study evaluates the knowledge and training exposure of Obstetrics and Gynaecology trainees in Ireland regarding PFD, identifying gaps and potential areas for improvement.

A cross-sectional survey-based study included all non-consultant hospital doctors (NCHDs). An anonymous electronic survey was distributed assessing respondent demographics and their training exposure and knowledge of pelvic floor dysfunction through 25 structured questions. Sub-analyses were conducted to explore associations between participant characteristics and knowledge scores. Descriptive statistics, t-tests, Mann-Whitney U tests, and Spearman's correlation were used for data analysis.

Of 113 respondents, 109 (96.5%) participated. The median knowledge score was 14/25 (IQR 0-16), with a mean of 9.32. Years since graduation positively correlated with knowledge scores (Spearman's ρ = 0.66, p = 0.05). Higher scores were associated with participation in higher specialty training (15 vs. 7, p < 0.01), exposure to urogynaecology clinics (15 vs. 12, p < 0.01), and operative urogynaecology (15 vs. 3, p < 0.01). Participants with a specific interest in urogynaecology or general/ambulatory gynaecology achieved higher scores (15 vs. 12, p = 0.04).

Wide variability in knowledge and training exposure in pelvic floor dysfunction was identified amongst trainees. Structured programmes emphasizing urogynaecology could enhance trainee competency, ensuring improved understanding and management of pelvic floor dysfunction.