Purpose: To assess exposure to
group prenatal care (GPNC) in Obstetrics and Gynecology (OB/GYN) residencies,
and resident and program director (PD) perceptions of GPNC.
Background: Group
prenatal care is a model of prenatal care that has been growing in popularity
for several decades, especially among midwives. However, the state of GPNC in
OB/GYN residencies nationally is unknown.
Methods: An
electronic survey was sent to all OB/GYN PDs; subsequent similar surveys were
sent to OB/GYN residents through responding PDs as well as program
coordinators. The authors also encouraged PDs to complete the online survey in
person during the APGO/CREOG 2018 meeting. Descriptive statistics and logistic
regression were used for data analysis.
Results: 96/254
(38%) of OB/GYN PDs responded with a geographically balanced response rate.
Most had a positive perception of GPNC (71%), 82% believe that
residencies should include GPNC training, but only 44% had been exposed
themselves previously. 467/4956 (9%) of all OB/GYN residents nationwide
responded. Again, most residents had a positive perception of GPNC (70%),
while 87% said they would like to learn more during residency but only 33% reported
exposure during residency. No demographic factor was associated with a
positive perception of GPNC.
Discussions: Most OB/GYN PD
and resident respondents have positive perceptions of GPNC ,are interested in
learning more and including training in GPNC in the residency curriculum,
yet very few are exposed to GPNC. GPNC is not commonly included in OB/GYN
residency training despite a widespread interest in this model of prenatal
care.
Topics: CREOG & APGO Annual Meeting, 2019, Student, Resident, Faculty, Residency Director, Patient Care, Practice-Based Learning & Improvement, GME, Assessment, Team-Based Learning, General Ob-Gyn,
Celia O\'Brien,
MD, University
of Alabama Birmingham; Kerri Bevis, MD;
Sara Mazzoni,
MD, MPH