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Management of Postoperative Issues in Gynecology and Gynecologic Oncology: A New Method for Teaching Residents

Purpose: This project sought to develop and assess a curriculum to improve resident knowledge of and comfort in managing common post operative issues.

Background: Junior obstetrics/gynecology residents enter training with varied experience in post-operative management. They are often the first contact for surgical patients with little formal education on post-operative issues. 

Methods: Eleven common post-operative issues were identified based on literature review, resident experience and gynecology/gynecologic oncology faculty input. Topic based curriculum included: example case, pathophysiology, differential diagnosis, next steps, and useful resources. It was presented at two educational sessions, involving lectures and small-group simulations. Residents completed a pre and post-assessment questionnaire assessing comfort level in managing (10-point Likert scale) and baseline knowledge about (content-specific questions) the topics.

Results: Twenty-three residents participated.Seventeen completed one or both pre-assessment surveys (nine junior residents). Ten completed one or both post-assessment surveys (five junior residents). All post-assessment respondents reported improved knowledge of issues covered. Average self-rated comfort level increased for ten of eleven topics amongst junior residents (average increase 1.6 points (range 0.5 – 3.2; p = 0.02)). Largest increase in score was for hypoxia and low urine output. Average scores maintained or improved for 80% of the content questions (not significant). Residents had no preference for lecture versus small group format.

Discussions: As a result of directed teaching, resident knowledge of post-operative issues showed measurable improvement. Resident comfort level in management increased significantly for 90% of topics covered, most noticeably amongst junior residents. A systematic, resident-led curriculum on post-operative management can improve resident knowledge and patient care.

Topics: General Ob-Gyn, Female Pelvic Medicine & Reconstructive Surgery, Minimally Invasive Surgery, Gynecologic Oncology, Team-Based Learning, Problem-Based Learning, Lecture, Simulation, GME, Medical Knowledge, Patient Care, Residency Director, Faculty, Resident, 2019, CREOG & APGO Annual Meeting,

General Information


Intended
Audience
Resident,Faculty,Residency Director,
Competencies
Addressed
Patient Care,Medical Knowledge,
Educational
Continuum
GME,
Educational
Focus
Simulation,Lecture,Problem-Based Learning,Team-Based Learning,
Clinical Focus
Gynecologic Oncology,Minimally Invasive Surgery,Female Pelvic Medicine & Reconstructive Surgery,General Ob-Gyn,

Author Information

Aimee Rolston, MD, MS, University of Michigan; Melissa Brackmann, MD; Karen Mclean, MD, PhD; R. Reynolds, MD; David Marzano, MD; Anita Malone, MD, MPH

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