Obstetric training in Emergency Medicine: a needs assessment
Background: Identification and management of obstetric emergencies is essential in emergency medicine (EM), but exposure to pregnant patients during EM residency training is frequently limited. To date, there is little data describing effective ways to teach residents this material. Current guidelin...
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doaj-e5b960952a2a40e8819e0a991dfbb8c92020-11-25T00:06:58ZengTaylor & Francis GroupMedical Education Online1087-29812016-06-012101410.3402/meo.v21.2893028930Obstetric training in Emergency Medicine: a needs assessmentAdam James Janicki0Courteney MacKuen1Alisse Hauspurg2Jamieson Cohn3 Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, USA Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, USA Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Women & Infants Hospital, Providence, RI, USA Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, USABackground: Identification and management of obstetric emergencies is essential in emergency medicine (EM), but exposure to pregnant patients during EM residency training is frequently limited. To date, there is little data describing effective ways to teach residents this material. Current guidelines require completion of 2 weeks of obstetrics or 10 vaginal deliveries, but it is unclear whether this instills competency. Methods: We created a 15-item survey evaluating resident confidence and knowledge related to obstetric emergencies. To assess confidence, we asked residents about their exposure and comfort level regarding obstetric emergencies and eight common presentations and procedures. We assessed knowledge via multiple-choice questions addressing common obstetric presentations, pelvic ultrasound image, and cardiotocography interpretation. The survey was distributed to residency programs utilizing the Council of Emergency Medicine Residency Directors (CORD) listserv. Results: The survey was completed by 212 residents, representing 55 of 204 (27%) programs belonging to CORD and 11.2% of 1,896 eligible residents. Fifty-six percent felt they had adequate exposure to obstetric emergencies. The overall comfort level was 2.99 (1–5 scale) and comfort levels of specific presentations and procedures ranged from 2.58 to 3.97; all increased moderately with postgraduate year (PGY) level. Mean overall percentage of items answered correctly on the multiple-choice questions was 58% with no statistical difference by PGY level. Performance on individual questions did not differ by PGY level. Conclusions: The identification and management of obstetric emergencies is the cornerstone of EM. We found preliminary evidence of a concerning lack of resident comfort regarding obstetric conditions and knowledge deficits on core obstetrics topics. EM residents may benefit from educational interventions to increase exposure to these topics.http://med-ed-online.net/index.php/meo/article/view/28930/47462Emergency Medicineobstetricsgraduate medical educationcurriculum development |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Adam James Janicki Courteney MacKuen Alisse Hauspurg Jamieson Cohn |
spellingShingle |
Adam James Janicki Courteney MacKuen Alisse Hauspurg Jamieson Cohn Obstetric training in Emergency Medicine: a needs assessment Medical Education Online Emergency Medicine obstetrics graduate medical education curriculum development |
author_facet |
Adam James Janicki Courteney MacKuen Alisse Hauspurg Jamieson Cohn |
author_sort |
Adam James Janicki |
title |
Obstetric training in Emergency Medicine: a needs assessment |
title_short |
Obstetric training in Emergency Medicine: a needs assessment |
title_full |
Obstetric training in Emergency Medicine: a needs assessment |
title_fullStr |
Obstetric training in Emergency Medicine: a needs assessment |
title_full_unstemmed |
Obstetric training in Emergency Medicine: a needs assessment |
title_sort |
obstetric training in emergency medicine: a needs assessment |
publisher |
Taylor & Francis Group |
series |
Medical Education Online |
issn |
1087-2981 |
publishDate |
2016-06-01 |
description |
Background: Identification and management of obstetric emergencies is essential in emergency medicine (EM), but exposure to pregnant patients during EM residency training is frequently limited. To date, there is little data describing effective ways to teach residents this material. Current guidelines require completion of 2 weeks of obstetrics or 10 vaginal deliveries, but it is unclear whether this instills competency. Methods: We created a 15-item survey evaluating resident confidence and knowledge related to obstetric emergencies. To assess confidence, we asked residents about their exposure and comfort level regarding obstetric emergencies and eight common presentations and procedures. We assessed knowledge via multiple-choice questions addressing common obstetric presentations, pelvic ultrasound image, and cardiotocography interpretation. The survey was distributed to residency programs utilizing the Council of Emergency Medicine Residency Directors (CORD) listserv. Results: The survey was completed by 212 residents, representing 55 of 204 (27%) programs belonging to CORD and 11.2% of 1,896 eligible residents. Fifty-six percent felt they had adequate exposure to obstetric emergencies. The overall comfort level was 2.99 (1–5 scale) and comfort levels of specific presentations and procedures ranged from 2.58 to 3.97; all increased moderately with postgraduate year (PGY) level. Mean overall percentage of items answered correctly on the multiple-choice questions was 58% with no statistical difference by PGY level. Performance on individual questions did not differ by PGY level. Conclusions: The identification and management of obstetric emergencies is the cornerstone of EM. We found preliminary evidence of a concerning lack of resident comfort regarding obstetric conditions and knowledge deficits on core obstetrics topics. EM residents may benefit from educational interventions to increase exposure to these topics. |
topic |
Emergency Medicine obstetrics graduate medical education curriculum development |
url |
http://med-ed-online.net/index.php/meo/article/view/28930/47462 |
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