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J Pediatr Surg. 2020 Jan 31. pii: S0022-3468(20)30076-2. doi: 10.1016/j.jpedsurg.2020.01.037. [Epub ahead of print]

Is there a need for a formal gynecology curriculum in a pediatric surgery training program? A needs assessment.

Author information

1
Department of Obstetrics & Gynaecology, Faculty of Medicine, University of British Columbia, Suite 930, 1125 Howe St, Vancouver, BC, Canada, V6Z 2K8. Electronic address: taradjustice@gmail.com.
2
BC Children's Hospital, 4480 Oak St, Vancouver, BC, Canada, V6H 3N1; Division of Pediatric Surgery, Department of Surgery, University of British Columbia, 4480 Oak St, Vancouver, BC, Canada, V6H 3V4.
3
Department of Obstetrics & Gynaecology, Faculty of Medicine, University of British Columbia, Suite 930, 1125 Howe St, Vancouver, BC, Canada, V6Z 2K8; BC Children's Hospital, 4480 Oak St, Vancouver, BC, Canada, V6H 3N1; Division of Gynaecologic Specialties, Department of Obstetrics & Gynaecology, University of British Columbia, Gordon & Leslie Diamond Health Care Centre, 6(th) floor, 2775 Laurel St, Vancouver, BC, Canada, V5Z 1M9.

Abstract

PURPOSE:

Fellows in Pediatric Surgery need to learn to manage a variety of gynecologic conditions. We completed a needs assessment of Pediatric Surgery training programs to inform development of a standardized gynecology curriculum.

METHODS:

A survey was sent to Program Directors of Canadian Pediatric Surgery training programs with 27 questions that focused on the fellowship program, surgical practice, and trainee exposure to pediatric gynecology, and how the envision a standardized gynecology curriculum.

RESULTS:

Six of eight Program Directors responded. All respondents had treated ovarian-related conditions and genital injuries in the past 5 years, and most felt trainees received adequate training in managing these conditions. Most respondents felt trainees had minimal or inadequate training in imperforate hymens, Müllerian anomalies, vulvar abscesses, vaginal foreign bodies, and labial adhesions. Program Directors currently allot an average of 3.5 h to delivering the gynecology objectives. All Program Directors expressed interest in a formal gynecology curriculum delivered through some combination of case-based teaching and/or simulation.

CONCLUSION:

There is a need for a standardized gynecology curriculum for Pediatric Surgery trainees. Most Pediatric Surgeons will manage gynecological conditions as part of their practice and current Program Directors feel that training is inadequate for a number of gynecological conditions.

TYPE OF STUDY:

Observational Cross-Sectional Study.

LEVEL OF EVIDENCE:

Level IV.

KEYWORDS:

Adolescent gynecology; Curriculum; Pediatric gynecology; Pediatric surgery; Postgraduate medical education; Simulation

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