Surgery Skills Workshop for ObGyn Clerkship Students

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Surgery Skills Workshop for Ob/Gyn Clerkship
Students

• R. Shettigar
• UTMB

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Background

• 2004 Task Force for the American College of
  Ob/Gyn was Elected to Investigate a Problem...

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ACOG Task Force

• Rising Litigation/Malpractice Cost
• Change in Reimbursement/Compensation
• Shift in Lifestyle Expectations
• Perceived Change in Focus from Specialty to
  Primary Care

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Why has the popularity of obstetrics and
gynecology declined amongst U.S. Medical Students?
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1997 Ob/Gyn Residency Positions
Data from NRMP results
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2004 Ob/Gyn Residency Positions
Data from NRMP results
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Background

• 2002 AAMC Graduation questionnaire revealed that
  4th year medical students rated their Ob/Gyn
  clerkship the lowest amongst core rotations

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Background

• Rising Litigation/Malpractice Cost
• Change in Reimbursement/Compensation
• Shift in Lifestyle Expectations
• Perceived Change in Focus from Specialty to
  Primary Care

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Background

• Rising Litigation/Malpractice Insurance Cost
• Change in Reimbursement/Compensation
• Shift in Lifestyle Expectations
• Perceived Change in Focus from Specialty to
  Primary Care

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Objectives

• Increase recruitment of U.S. Medical students
  into Ob/Gyn
• Improve student perceptions/experience during
  rotation

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Surgery Skills Workshop

• Spark Interest in Learning
• Improve Confidence in their Surgical Skills
• Enhance Experience

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Designing a Workshop
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Designing a Workshop

• 5-6 week Clerkship Duration
• Students Have Variable Levels of Experience
• Students Have Variable Career Interest

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Designing a Workshop

• Hands-on Experience
• Verification of Movements
• Teacher Close to Their Level
• Hygienic Conditions

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Methods

• IRB (waiver granted)
• Verbal Assent During Orientation
• Sample Population

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Surgery Skills Workshop

• Sterile Technique
• Introduction to Instruments
• Knot-Tying
• Suturing

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Workshop Objectives

• Student Self-evaluations
• Demonstration of 2-Handed Knot
• Demonstration of Repair of 8-cm Tear

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Methods

• Pre and Post workshop Student Evaluation
• Comparison of Clerkship Evaluations to Previous
• Percentage of Students Entering into a Career in
  Obstetrics and Gynecology

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Data

• Investigator blinded to data

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Subjective Reports

• Students have Expressed Interest and Appreciation
• Fewer Complaints Regarding Contamination of
  Sterile Technique
• Greater Number of Students Interested in Ob/Gyn

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Discussion

• Galveston Clerkship
• Confounding Variables
• Objective Skills Testing

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Surgery Skills Workshop for Ob/Gyn Clerkship
Students

• R. Shettigar
• UTMB