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Abracadabra: A means to magically improve resident knowledge of ambulatory Ob/Gyn
Purpose: Describe the impact of a novel rotation on residents’
self-identified knowledge of ambulatory topics.
Background: We found several challenges with our existing model of
weekly continuity clinics within inpatient rotations. After considering
alternative models, we created a dedicated Ambulatory Rotation.
Methods: An anonymous survey was distributed at the beginning
of the Ambulatory Rotation and at the end of the academic year, rating
knowledge of ambulatory topics. Responses were recorded on a 1-10 Likert
scale (limited - strong knowledge). Responses were evaluated using
descriptive statistics. Differences in mean responses were calculated
using the Wilcoxon-Mann-Whitney test.
Results: Surveys were completed by 31 of 33 (94%) residents
pre-rotation and 28 of 33 (85%) post-rotation. Pre-rotation, residents
preferred the new rotation compared to the prior model (7.6 vs 4.4, p<
0.0001). Preference for the new rotation increased after the rotation (8.3,
p=0.05), while preference for the prior model further decreased (3.8, p=0.30).
Pre-rotation, residents felt most knowledgeable about contraception (mean 7.5)
and least knowledgeable about pediatric and adolescent gynecology (PAG) (3.0).
Post-rotation, residents felt most knowledgeable about contraception,
postpartum care (8.3) and abnormal uterine bleeding (8.3). Mean scores
increased across all topics with an average increase of 1.6 points per question
(p=0.0003). The greatest improvement was in knowledge of prenatal care (+2.1
points, p=0.0007) and PAG (+2.2, p=0.0009).
Discussions: Residents strongly preferred a dedicated ambulatory
rotation. This may be an effective way to improve knowledge. Longitudinal
evaluation is needed to understand knowledge patterns across years and to
assess objective measures such as impact on CREOG and ABOG exams.
CREOG & APGO Annual Meeting, 2020, Resident, Faculty, Residency Director, Medical Knowledge, Systems-Based Practice & Improvement, Practice-Based Learning & Improvement, GME, Team-Based Learning, General Ob-Gyn,