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Family Planning Training at Catholic and Other Faith-based Obstetrics and Gynecology Programs

Purpose: The objective of this study was to determine the current paradigm of forceps assisted vaginal delivery (FAVD) training across the United States (U.S.) amongst OBGYN residents.  

Background: As national FAVD rates decline and primary cesarean rates continue to be high, we must be aware of resident interest, training, and skill acquisition in FAVD.  There is a current paucity of literature on FAVD training practices. 

Methods: A survey was created and disseminated on the internet and to OBGYN residency program directors for distribution to current OBGYN residents from March to June 2018. Geographic regions were determined using Census Bureau-designated regions.

Results: The survey was completed by 434 OBGYN residents (8.5% of 5,061 ACGME residency positions) with representation from all U.S. regions. Of postgraduate year (PGY)-4 respondents, 71% participated in ≤10 FAVDs, with only 20.2% with >20 FAVDs. Of all residents, 40% expressed a desire to learn FAVD, with 54.6% completing FAVD simulation training. While 46% of resident stated that they would like to perform both FAVD and VAVD once in practice, only 13% expressed confidence in performing FAVD independently. Residents from the Midwest are most likely to have completed >20 FAVD at 18%, compared to 0%, 5.7% and 11.3% of residents from the Northeast, West and South, respectively (p=0.11).

Discussions: Residents are motivated to learn FAVD and would like to have the skill to perform them independently. Our study demonstrates that current trainees are not obtaining adequate experience, irrespective of geographical region. Current OBGYN residency training programs should implement simulation and real-time training of FAVD. 

Topics: Contraception or Family Planning, Public Health, Assessment, GME, Systems-Based Practice & Improvement, Patient Care, Residency Director, Faculty, Resident, 2019, CREOG & APGO Annual Meeting,

General Information

Resident,Faculty,Residency Director,
Patient Care,Systems-Based Practice & Improvement,
Assessment,Public Health,
Clinical Focus
Contraception or Family Planning,

Author Information

Maryam Guiahi, MD, MSc, University of Colorado; Stephanie Teal, MD, MPH; Kimberly Kenton, MD, MS; Julie DeCesare, MD; Jody Steinauer, MD, MAS

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