Journal of women's health (2002) · 2007
Do Women's health internal medicine residency tracks make a difference?
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Spencer Abby L, Bost James E, McNeil Melissa
Аннотация
BACKGROUND: Women's health tracks (WHTs) were developed to overcome identified deficiencies in residency training. Their effectiveness in preparing residents to manage both gender-neutral and gender-specific medical conditions is unknown.
METHODS: Using current guidelines for internal medicine training, we designed a 65-item survey to measure residents' knowledge, comfort levels, and referral patterns concerning two gender-neutral topics (diabetes and thyroid disease) and two gender-specific topics (polycystic ovarian syndrome [PCOS] and menopause). We administered it to postgraduate year 2 (PGY2) and PGY3 internal medicine residents at a large academic medical center and compared the results of WHT and non-WHT residents using chi-square and t tests.
RESULTS: Of 61 residents, 50 (82%) responded. Fifty percent of respondents were female, 62% were PGY3, and 36% were WHT. WHT residents had higher mean knowledge scores than non-WHT residents concerning PCOS (60% vs. 45%, p < 0.05) and menopause (73% vs. 60 %, p < 0.01), and they were more likely to report feeling "very comfortable" handling PCOS and menopause issues (43% vs. 18%, p < 0.02), including diagnosing PCOS, managing hot flashes, and managing vaginal atrophy. WHT residents were less likely than non-WHT to immediately recommend referrals if patients had suspected PCOS (0% vs. 19%, p < 0.03) or confirmed PCOS (0% vs. 32%, p < 0.02), and they were more likely to report feeling adequately trained to provide comprehensive ambulatory women's healthcare (73% vs. 7%, p < 0.001). There were no significant differences between WHT and non-WHT residents on gender-neutral topics.
CONCLUSIONS: A WHT can help improve competencies in selected areas of women's health without compromising residents' knowledge or comfort concerning two core gender-neutral topics in ambulatory medicine.
METHODS: Using current guidelines for internal medicine training, we designed a 65-item survey to measure residents' knowledge, comfort levels, and referral patterns concerning two gender-neutral topics (diabetes and thyroid disease) and two gender-specific topics (polycystic ovarian syndrome [PCOS] and menopause). We administered it to postgraduate year 2 (PGY2) and PGY3 internal medicine residents at a large academic medical center and compared the results of WHT and non-WHT residents using chi-square and t tests.
RESULTS: Of 61 residents, 50 (82%) responded. Fifty percent of respondents were female, 62% were PGY3, and 36% were WHT. WHT residents had higher mean knowledge scores than non-WHT residents concerning PCOS (60% vs. 45%, p < 0.05) and menopause (73% vs. 60 %, p < 0.01), and they were more likely to report feeling "very comfortable" handling PCOS and menopause issues (43% vs. 18%, p < 0.02), including diagnosing PCOS, managing hot flashes, and managing vaginal atrophy. WHT residents were less likely than non-WHT to immediately recommend referrals if patients had suspected PCOS (0% vs. 19%, p < 0.03) or confirmed PCOS (0% vs. 32%, p < 0.02), and they were more likely to report feeling adequately trained to provide comprehensive ambulatory women's healthcare (73% vs. 7%, p < 0.001). There were no significant differences between WHT and non-WHT residents on gender-neutral topics.
CONCLUSIONS: A WHT can help improve competencies in selected areas of women's health without compromising residents' knowledge or comfort concerning two core gender-neutral topics in ambulatory medicine.