Background: Pediatric and adolescent gynecology (PAG) is a
required aspect of OB/GYN resident training. OB/GYN providers are
expected to care for this patient population. In this program, a formal
curriculum occurs in the second year and involves didactics, clinic experience,
and assigned study materials.
Methods: A survey assessing comfort level and desire for
further training was administered to all current residents at a single OB/GYN
resident training program. The residents completed an exam to test
knowledge of various aspects of PAG prior to the curriculum start, immediately
after curriculum completion and again 1-2 years later. Survey results were
evaluated using descriptive statistics and exam scores via paired t-test
Results: The survey revealed that 64% and 56% of current
residents did not feel confident or competent when caring for pediatric and
adolescent patients, respectively. However most indicated that they
intend to care for pediatric and adolescent patients in their future practice.
Interestingly, their exam scores increased significantly immediately
after the curriculum (p=0.002) and remained significantly higher after 1-2
Discussions: PAG is an important and required aspect of OB/GYN
resident training. Objectively, there was a significant increase in medical
knowledge after curriculum completion that was maintained for almost 2 years.
However, despite significant long-term knowledge retention, residents still
expressed subjective concerns regarding poor confidence caring for this patient
population. Despite an effective dedicated curriculum, programs
should consider innovative ways to incorporate PAG educational experiences
longitudinally throughout residency training.
Keywords: Gynecology, residents, pediatric