Literature DB >> 30619524

Program Director Perceptions of Subspecialty Tracking in Obstetrics and Gynecology Residency.

Eduardo Hariton, Taylor S Freret, Roni Nitecki, Emily Hinchcliff, Amy Stagg.   

Abstract

BACKGROUND: Residency programs have experienced a trend toward decreased work hours and case volumes, negatively affecting the perception of graduating residents' competence. Subspecialty tracks have been proposed to help address these issues.
OBJECTIVE: We evaluated the perceptions of obstetrics and gynecology (ob-gyn) residency program directors (PDs) on subspecialty tracking during training.
METHODS: In 2017, a web-based, anonymous survey with Likert scale and open-ended items was e-mailed to US ob-gyn PDs.
RESULTS: Of 250 PDs surveyed, 169 (68%) responded. More than half (54%) reported tracking would positively affect training of future ob-gyn physicians; 80% agreed it would increase resident preparedness for fellowship. Nearly half (49%) indicated it should be available for interested residents. However, some respondents expressed concerns this would negatively affect resident training (38%) and could decrease the number of ob-gyn generalists (50%). Most (88%) believed that tracking, if implemented, should not be mandatory, and 84% agreed that a tracking curriculum should be accompanied by Accreditation Council for Graduate Medical Education (ACGME) and American Board of Obstetrics and Gynecology changes. Only 31% of PDs felt tracking could be successfully implemented in their programs. Barriers to implementation included too few residents to divide into tracks, challenging administrative logistics, and concerns about meeting ACGME case volume requirements.
CONCLUSIONS: PDs have defined but diverse opinions on the implementation of tracking in ob-gyn. Slightly more than half of responding PDs reported tracking would positively affect the training of future ob-gyn physicians, and less than one-third indicated that their program could successfully implement tracking.

Entities:  

Mesh:

Year:  2018        PMID: 30619524      PMCID: PMC6314374          DOI: 10.4300/JGME-D-18-00096.1

Source DB:  PubMed          Journal:  J Grad Med Educ        ISSN: 1949-8357


  15 in total

1.  Early tracking would improve the operative experience of general surgery residents.

Authors:  Steven C Stain; Thomas W Biester; John B Hanks; Stanley W Ashley; R James Valentine; Barbara L Bass; Jo Buyske
Journal:  Ann Surg       Date:  2010-09       Impact factor: 12.969

2.  Short-track training in plastic surgery.

Authors:  Raffy L Karamanoukian; Keith Hurvitz; Gregory R D Evans
Journal:  Ann Plast Surg       Date:  2006-04       Impact factor: 1.539

3.  Early experience with alternative training pathways: a view from the trenches.

Authors:  Mary E Klingensmith; R James Valentine
Journal:  J Surg Educ       Date:  2009 Mar-Apr       Impact factor: 2.891

4.  General surgery residency inadequately prepares trainees for fellowship: results of a survey of fellowship program directors.

Authors:  Samer G Mattar; Adnan A Alseidi; Daniel B Jones; D Rohan Jeyarajah; Lee L Swanstrom; Ralph W Aye; Steven D Wexner; José M Martinez; Sharona B Ross; Michael M Awad; Morris E Franklin; Maurice E Arregui; Bruce D Schirmer; Rebecca M Minter
Journal:  Ann Surg       Date:  2013-09       Impact factor: 12.969

5.  Pursuit of accredited subspecialties by graduating residents in obstetrics and gynecology, 2000-2012.

Authors:  William F Rayburn; Norman F Gant; Larry C Gilstrap; Erika C Elwell; Sterling B Williams
Journal:  Obstet Gynecol       Date:  2012-09       Impact factor: 7.661

6.  Is subspecialty fellowship training emerging as a necessary component of contemporary orthopaedic surgery education?

Authors:  Alan H Daniels; Christopher W DiGiovanni
Journal:  J Grad Med Educ       Date:  2014-06

7.  Psychiatry resident graduate comfort with general medical issues: impact of an integrated psychiatry-primary medical care training track.

Authors:  Steven K Dobscha; Kristen M Snyder; Kathryn Corson; Linda Ganzini
Journal:  Acad Psychiatry       Date:  2005 Nov-Dec

8.  Do Women's health internal medicine residency tracks make a difference?

Authors:  Abby L Spencer; James E Bost; Melissa McNeil
Journal:  J Womens Health (Larchmt)       Date:  2007-10       Impact factor: 2.681

9.  Preparedness of Ob/Gyn residents for fellowship training in gynecologic oncology.

Authors:  David W Doo; Matthew Powell; Akiva Novetsky; Jeanelle Sheeder; Saketh R Guntupalli
Journal:  Gynecol Oncol Rep       Date:  2015-03-17

Review 10.  A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes.

Authors:  Najma Ahmed; Katharine S Devitt; Itay Keshet; Jonathan Spicer; Kevin Imrie; Liane Feldman; Jonathan Cools-Lartigue; Ahmed Kayssi; Nir Lipsman; Maryam Elmi; Abhaya V Kulkarni; Chris Parshuram; Todd Mainprize; Richard J Warren; Paola Fata; M Sean Gorman; Stan Feinberg; James Rutka
Journal:  Ann Surg       Date:  2014-06       Impact factor: 12.969

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