Purpose: The NASPAG short curriculum project was initiated to
improve education of gynecology residents in the field of pediatric and
adolescent gynecology.
Background: Pediatric and adolescent gynecology is a limited field
amongst obstetric and gynecology residency programs. Many programs have no
clinical rotations and very limited didactic education in adolescent
gynecology. NASPAG has created a ten lecture curriculum to better train
residents in this field.
Methods: The NASPAG short curriculum was implemented and
residents completed self-assessment surveys and examinations before,
immediately after, and three months after the curriculum. Additionally, the
mean scores for pediatric and adolescent questions on the CREOG exams were
analyzed for the year prior to and immediately after implementation of the
curriculum. Paired t-test analysis was used to determine if there was a
statistically significant difference for each arm of the study.
Results: There was a statistically significant improvement in
all ten areas studied in regards to the resident self-assessment surveys.
Objectively, there was a statistically significant difference in six of the ten
areas studied immediately after the course and four of the areas three months
later. The implementation of the NASPAG curriculum led to an increase in the
mean CREOG score on pediatric and adolescent questions from 57% to 62%.
Discussions: The implementation of the NASPAG short curriculum
subjectively enhanced resident comfort level when caring for pediatric and adolescent
gynecologic patients. The curriculum also led to improved medical knowledge
amongst the residents. This curriculum may be a vital tool in preparing for the
standardized CREOG exams.
Topics: CREOG & APGO Annual Meeting, 2020, Student, Resident, Faculty, Residency Director, Medical Knowledge, Practice-Based Learning & Improvement, GME, Lecture, Problem-Based Learning, Standardized Patient, Team-Based Learning, Pediatric & Adolescent Gynecology,
Joseph Bacchi
III, MD; Sinai Hospital of Baltimore; Julie Jacobstein,
MD; Chris D\'adamo,
PhD