Background: The CREOG examination is a national test designed to assess knowledge of education in OBGYN areas as well as primary care topics. UIC implemented a new primary care curriculum in 2010, whose purpose was to help residents better prepare for future practice.
Methods: Examination performance before and after the introduction of a primary care curriculum in 2010 was analyzed in residents of the UIC OB/GYN program from 2007 to 2013. Scores for the primary and preventative ambulatory health care section and composite scores were analyzed using 2 tailed t-tests. CREOG scores were the dependent variable and the curriculum was the intervention. A descriptive analysis of prior resident perceptions of the intervention and the impact on their practice was performed. New subjects were recruited via email methods using a script.
Results: Excluding 2010 data, there was a significant difference (p=.001) in primary care CREOG scores after the intervention when all four years were combined, but no difference in composite CREOG scores. When stratified by resident years, there was a general trend of increased primary care scores, which was only significant in the PGY-2 year (p=.025). There was no difference in composite CREOG scores, but again a general trend of higher scores after the intervention.
37/58 residents were emailed the survey and 20 responded. 14/20 considered OB/GYN a primary care practice. 16/20 incorporated primary care into their daily practices. Primary care topics that residents felt least comfortable with included dermatology and ulcers. Most comfortable topics included cervical cancer, thyroid issues, asthma, and depression.
Discussions: Primary care CREOG scores improved after implementation of the primary care curriculum. Total CREOG scores did not increase significantly, but the general trend showed higher composite scores. The survey data showed if residents felt they learned the topic well, then they tended to counsel on these issues. Most incorporated primary care into their current practices.
Keywords: Ambulatory Education, Community Health, Other
Topics: CREOG & APGO Annual Meeting, 2017, Resident, Faculty, Residency Director, Residency Coordinator, Patient Care, Medical Knowledge, GME, Lecture, Independent Study,
Puja Sheth, MD, MS, University of Illinois
