scholarly journals Attrition Rates Between Residents in Obstetrics and Gynecology and Other Clinical Specialties, 2000–2009

2013 ◽  
Vol 5 (2) ◽  
pp. 267-271 ◽  
Author(s):  
Kathleen A. Kennedy ◽  
Matthew C. Brennan ◽  
William F. Rayburn ◽  
Sarah E. Brotherton
Keyword(s):  
Medical Education ◽  
Graduate Medical Education ◽  
Primary Outcome ◽  
Attrition Rate ◽  
Obstetrics And Gynecology ◽  
Annual Data ◽  
Period Range ◽  
Attrition Rates ◽  
Graduate Medical ◽  
Leave Of Absence

Abstract Background As resident attrition disrupts educational and workload balance and reduces the number of graduating physicians to care for patients, an ongoing goal of graduate medical education programs is to retain residents. Objective We compared annual rates of resident attrition in obstetrics and gynecology (Ob-Gyn) with other clinical specialties of similar or larger size during a recent 10-year period, and explored the reasons for resident attrition. Methods In this observational study, we analyzed annual data from the American Medical Association Graduate Medical Education Census between academic years 2000 and 2009 for residents who entered Ob-Gyn and other core clinical specialties. Our primary outcome was the trend in averaged annual attrition rates. Results The average annual attrition was 196 ± 12 (SD) residents, representing 4.2% ± 0.5% of all Ob-Gyn residents. Rates of attrition were consistently higher among men (5.3%) and international medical school graduates (7.6%). The annual rate of attrition was similar to that for other clinical specialties (mean: 4.0%; range: from 1.5% in emergency medicine to 7.9% in psychiatry). The attrition rates for Ob-Gyn residents were relatively stable for the 10-year period (range: 3.6% in 2008 to 5.1% in 2006). Common reasons for attrition were transition to another specialty (30.0%), withdrawal/dismissal (28.2%), transfer to another Ob-Gyn program (25.4%), and leave of absence (2.2%). These proportions remained fairly constant during this 10-year period. Conclusions The average annual attrition rate of residents in Ob-Gyn was 4.2%, comparable to most other core clinical specialties.

scholarly journals CREOGs Over Coffee: Feasibility of an Ob-Gyn Medical Education Podcast by Residents

2020 ◽  
Vol 12 (3) ◽  
pp. 340-343
Author(s):  
Fei Cai ◽  
R. Nicholas Burns ◽  
Bridget Kelly ◽  
B. Star Hampton
Keyword(s):  
Medical Education ◽  
Graduate Medical Education ◽  
Resident Education ◽  
Obstetrics And Gynecology ◽  
Digital Resources ◽  
Graduate Medical ◽  
Dissemination Of Research ◽  
Resident Learning ◽  
Over Time ◽  
Online Donations

ABSTRACT Background Podcasts and other digital resources are increasingly popular among medical learners and allow the dissemination of research to larger audiences. Little is known about the feasibility of graduate medical education trainees developing podcasts for their own and others' learning. Objective We described the development and implementation of a medical education podcast series by residents for obstetrics and gynecology (Ob-Gyn) resident learning, and demonstrated feasibility, sustainability, and acceptance of this series. Methods We used the Council on Resident Education in Obstetrics and Gynecology (CREOG) educational guidelines to create a weekly study podcast for Ob-Gyn residents over 10 months. Costs and donations (for feasibility), downloads over time (for sustainability), and number of reviews on Apple iTunes and followers on Twitter (for acceptability) were measured. Results Sixty episodes were released from September 30, 2018, to July 28, 2019 (43 weeks). Initial costs included $3,150 startup and $29 monthly. Online donations through Patreon amounted to $200 a month, which covered 58% of startup costs at 10 months and are projected to cover full costs by 1.5 years. The podcast had 173 995 downloads as recorded through Podbean (39 a month in September, increased to 31 206 a month in July). It gained 644 followers on Twitter and 147 ratings on iTunes, with an average of 4.86 out of 5 stars. Conclusions Medical podcasts created by Ob-Gyn residents during their training appear feasible and highly acceptable over a sustained period.

scholarly journals Development of a Competency-based Training in Obstetrics and Gynecology Ultrasound for Undergraduate and Graduate Medical Education

2014 ◽  
Vol 8 (1) ◽  
pp. 83-86
Author(s):  
Hoi Ho ◽  
Jorge Sarmiento ◽  
Dolgor Baatar ◽  
Jesus Peinado
Keyword(s):  
Medical Education ◽  
Graduate Medical Education ◽  
Obstetrics And Gynecology ◽  
Residency Programs ◽  
Graduate Medical ◽  
Practice Of Medicine ◽  
Competency Based ◽  
Medical Educators ◽  
And Training ◽  
The Continuum

ABSTRACT Advances in technology have made ultrasonography a rapidly evolving concept in the practice of medicine and a valuable component of the competency-based education. American Medical Association (AMA) recently affirms that ‘ultrasound imaging is a safe, effective and efficient tool when utilized by, or under the direction of appropriately trained physicians.’ AMA also supports the educational efforts and widespread integration of ultrasound throughout the continuum of medical education. Training in ultrasonography is rapidly expanding to numerous residency programs of graduate medical education but discrepancies in ultrasound curriculum and criteria for proficiency exist among programs within the same discipline, despite clearly defined objectives recommended by the governing bodies. There is a trend to integrate ultrasonography into the curriculum of undergraduate medical education. However, funding, availability of ultrasound-trained faculty and student time are barriers to the implementation. Ultrasonography is a natural fit for competency-based training and should be introduced early in medical education. We expect that the LCME will soon mandate the integration of ultrasound into the 4-year curriculum. The imminent question that medical educators ask is not when ultrasound will become a required component of the curriculum but how to effectively integrate the teaching and training of ultrasound into the continuum of medical education. How to cite this article Baatar D, Peinado J, Sarmiento J, Ho H. Development of a Competency-based Training in Obstetrics and Gynecology Ultrasound for Undergraduate and Graduate Medical Education. Donald School J Ultrasound Obstet Gynecol 2014;8(1):83-86.

Gender and Graduate Medical Education: Is Obstetrics and Gynecology a Justifiable Outlier?

2018 ◽  
Vol 93 (6) ◽  
pp. 684-688 ◽  
Author(s):  
Timothy R. Long ◽  
Katherine W. Arendt ◽  
Beth A. Elliott ◽  
Steven H. Rose
Keyword(s):  
Medical Education ◽  
Graduate Medical Education ◽  
Obstetrics And Gynecology ◽  
Graduate Medical

Female Physicians in Maternal–Fetal Medicine: A 32-Year Perspective

2018 ◽  
Vol 35 (13) ◽  
pp. 1308-1310
Author(s):  
Vanessa Will ◽  
William Rayburn ◽  
Jacquelyn Blackstone
Keyword(s):  
Medical Education ◽  
Observational Study ◽  
Graduate Medical Education ◽  
Analysis Of Covariance ◽  
Obstetrics And Gynecology ◽  
Female Physicians ◽  
Maternal Fetal Medicine ◽  
Fetal Medicine ◽  
Graduate Medical ◽  
Over Time

Objective To examine trends of female physicians either pursuing fellowships or in active practice in maternal–fetal medicine (MFM). Methods This observational study examined complete sets of MFM fellows and active members of the Society for Maternal-Fetal Medicine (SMFM) between 1985 and 2016. Databases from SMFM, American College of Obstetricians and Gynecologists (ACOG), and Accreditation Council for Graduate Medical Education were used. Analysis of covariance testing was used to assess interactions over time between groups. Results The proportion of female MFM fellows increased steadily from 17.1% in 1985 to 72.5% in 2016. The proportion of females grew more rapidly among the MFM fellows than obstetrics and gynecology (ob-gyn) residents (2.1 vs. 1.4% per year; p = 0.001) and among those who were active SMFM members than ACOG Fellows (1.4 vs. 1.2% per year; p = 0.013). Slightly more than half (52.4%) of all SMFM members are now female and will approach two-thirds (64.4%) by 2025 (compared with 53.4% in 2016 and 65.3% in 2025 of ACOG fellows). Conclusion The rising proportion of female MFM fellows is directly related to the high number of female ob-gyn residents. Females comprise slightly more than half of all active SMFM members now and projected to approach two-thirds by 2025.

scholarly journals Women’s Reproductive Health Education in Catholic Academic Healthcare Institutions: Time for Transparency, Authenticity, and Reflection

2020 ◽  
Vol 87 (3) ◽  
pp. 268-277
Author(s):  
James F. Smith
Keyword(s):  
Medical Education ◽  
Health Education ◽  
Reproductive Health ◽  
Graduate Medical Education ◽  
Healthcare Services ◽  
Obstetrics And Gynecology ◽  
Accreditation Council ◽  
Graduate Medical ◽  
Reproductive Health Education ◽  
Catholic Healthcare

This article illustrates the tensions between the precepts of the Ethical and Religious Directives for Catholic Healthcare Services and the Accreditation Council for Graduate Medical Education as they apply to education in obstetrics and gynecology, and argues that moving forward, Catholic sponsorship of obstetric and gynecologic residencies now requires transparency, authenticity, and reflection in order to mitigate these inherent tensions.

scholarly journals Obstetrics and Gynecology Residency Ultrasonography Program Curriculum

2014 ◽  
Vol 8 (1) ◽  
pp. 16-21
Author(s):  
Melissa Mendez ◽  
Michael S Cardwell
Keyword(s):  
Medical Education ◽  
Graduate Medical Education ◽  
Obstet Gynecol ◽  
Health Sciences ◽  
Educational Institutions ◽  
Obstetrics And Gynecology ◽  
Additional Consideration ◽  
Graduate Medical ◽  
School Of Medicine ◽  
Texas Tech University

ABSTRACT Ultrasound skills—technical and interpretive—are essential to the practice of obstetrics and gynecology. The Accreditation Council for Graduate Medical Education provides guidance, though limited, on what an obstetrics and gynecology residency ultrasonography program curriculum should include. A review of several educational institutions’ approaches to the ultrasonography curriculum is presented. A detailed discussion of the Texas Tech University Health Sciences Center, Paul L Foster School of Medicine, obstetrics and gynecology residency ultrasonography program curriculum is provided for additional consideration. How to cite this article Cardwell MS, Mendez M. Obstetrics and Gynecology Residency Ultrasonography Program Curriculum. Donald School J Ultrasound Obstet Gynecol 2014;8(1):16-21.

scholarly journals Program Director Retention and Attrition Rates in International Graduate Medical Education

2020 ◽  
Vol 12 (5) ◽  
pp. 624-627
Author(s):  
Dora J. Stadler ◽  
Halah Ibrahim ◽  
Debalina Dutta ◽  
Joseph Cofrancesco ◽  
Sophia Archuleta
Keyword(s):  
Medical Education ◽  
United Arab Emirates ◽  
Graduate Medical Education ◽  
Turnover Rates ◽  
Attrition Rates ◽  
Data Resource ◽  
Residency Programs ◽  
Graduate Medical ◽  
International Graduate ◽  
Significant Difference

ABSTRACT Background Program directors (PDs) are integral to the education of the next generation of physicians. Yet, administrative burdens, substantial patient care responsibilities, and lack of protected time for teaching may contribute to work-life imbalance and physician burnout, leading to high rates of attrition. Data on international residency program leadership turnover are lacking. Objective This study aimed to quantify PD turnover in Accreditation Council for Graduate Medical Education-International (ACGME-I) accredited programs in Singapore, United Arab Emirates (UAE), and Qatar, and to compare to US PD attrition rates. Methods Data on PD turnover in international programs was extracted from the ACGME-I Accreditation Data System for academic years 2010–2011 through 2018–2019 for Singapore and 2013–2014 through 2018–2019 for UAE and Qatar. Rates of PD turnover were calculated by country and by ACGME-I medical-, surgical-, and hospital-based specialty groupings and compared using χ2 test. Annual US PD turnover data was extracted from the ACGME's Data Resource Book. Results Seventy programs met inclusion criteria. International PD attrition was high, with 56 programs (80%) changing PDs since program inception, and 16 programs (29%) having 2 or more PD turnovers. There was no significant difference between PD turnover rates in hospital (83%), medical (79%), or surgical (78%) specialties. International PD attrition rates varied from 7% to 20% annually and were comparable to PD turnover in US programs (range 12%–15%). Conclusions High PD turnover rates in newly accredited international residency programs were noted, although annual attrition rates were comparable to US residency programs.

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