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: CREOG & APGO Annual Meeting, 2019, Resident, Faculty, Residency Director, Patient Care, Systems-Based Practice & Improvement, GME, Assessment, Public Health, Contraception or Family Planning,
Maryam Guiahi,
MD, MSc, University
of Colorado; Stephanie Teal, MD, MPH;
Kimberly Kenton,
MD, MS; Julie
DeCesare, MD;
Jody Steinauer,
MD, MAS