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Postgraduate Training in Pediatric and Adolescent Gynecology: Trainees' Perspectives

      ABSTRACT

      Objective

      The purpose of this study was to evaluate resident trainees’ perspectives on the pediatric and adolescent gynecology (PAG) training in obstetrics and gynecology training programs in Europe.

      Study Design

      This study was a cross-sectional survey using an online questionnaire, on the basis of the PAG training in obstetrics and gynecology section of the European Board & College of Obstetrics and Gynaecology Project of Achieving Consensus in Training curriculum. We aimed to survey the national programs in 35 European Network of Trainees in Obstetrics and Gynaecology (ENTOG) member countries. Taking part in the survey was voluntary. The questionnaire was shared on the ENTOG online platforms.

      Results

      Ninety obstetrics and gynecology trainees in 33 of 35 countries responded to our questionnaire. Of the 35 ENTOG member countries, 33 participated in the survey, and a total of 90 responses were collected, giving a response rate of 9% of all European trainees and representing 94% of the member countries. Only 27% of trainees reported having a PAG rotation during their training program, and a PAG elective was only available to 34% of the trainees. Forty-one percent reported that PAG training was not included in their curriculum (no official rotations or lectures planned). Despite the lack of formal training, 72% of trainees felt able to diagnose and manage prepubertal vaginal bleeding and adnexal masses in children and adolescents by the end of their training. Most (58%) also confirmed that they could determine indications for treatment of vulval, vaginal, perineal, and rectal conditions.
      However, despite scoring positively for the management and counseling of subjects that often overlap with adult patients, such as “contraception in adolescents with health problems,” “acute abdominal pain,” “menstrual abnormalities,” and “vaginal discharge,” the study revealed poorer scores when the trainees were asked about more specific PAG topics such as “premature puberty” and “developmental disorders of the genital tract.”

      Conclusion

      Most core training programs across Europe do not include formal PAG training, and trainees reported a need to improve the provision of core PAG training in Europe.

      Key Words

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      References

        • Richmond A
        • Priyanka S
        • Mahmood T
        • et al.
        Pediatric and adolescent gynaecology in Europe: clinical services, standards of care and training.
        J Pediatr Adolesc Gynecol. 2016; 29: 299-303
        • Bedei I
        • Bumbuliene Z
        • Sirakov M
        • et al.
        Provision of paediatric and adolescent gynaecology in Europe today: a joint review by the European Association of Paediatric and Adolescent Gynaecology (EURAPAG) and the European Board and College of Obstetrics and Gynaecology (EBCOG).
        Eur J Obstet Gynecol Reprod Biol. 2019; 235: 116-120
        • Roos EJ
        • Vatopoulou A
        Health care service in paediatric and adolescent gynaecology throughout Europe: a review of the literature.
        Eur J Obstet Gynecol Reprod Biol. 2019; 235: 110-115
        • Stankovic ZB
        • Tridenti G
        • Liassides M
        • et al.
        The future of paediatric and adolescent gynaecology in Europe.
        Eur J Obstet Gynecol Reprod Biol. 2019; 235: 121-124
        • Van der Aa JE
        • Goverde AJ
        • Scheele F
        Improving the training of the future gynaecologist: development of a European curriculum in obstetrics and gynaecology (EBCOG-PACT).
        Facts Views Vis Obgyn. 2018; 10: 1-2
        • Howell JO
        • Flowers D
        Prepubertal vaginal bleeding: etiology, diagnostic approach and management.
        Obstet Gynecol Surv. 2016; 71: 231-242
        • Williams RM
        • Ward CE
        • Hughes IA
        Premature adrenarche.
        Arch Dis Child. 2012; 97: 250-254
        • Adams Hillard PJ
        Pediatric and adolescent gynecology in practice and residency training.
        Curr Opin Obstet Gynecol. 2004; 16: 363-365
        • Torres A
        • Horodeńska M
        • Witkowski G
        • et al.
        High-fidelity hybrid simulation: a novel approach to teaching pediatric and adolescent gynecology.
        J Pediatr Adolesc Gynecol. 2019; 32: 110-116
        • Talib HJ
        • Karjane N
        • Teelin K
        • et al.
        Resident education curriculum in pediatric and adolescent gynecology: the short curriculum 2.0.
        J Pediatr Adolesc Gynecol. 2018; 31: 71-76
        • Solomon ER
        • Muffly TM
        • Hood C
        • et al.
        Residency training in pediatric and adolescent gynecology across obstetrics and gynecology residency programs: a cross-sectional study.
        J Pediatr Adolesc Gynecol. 2013; 26: 180-185
        • Loveless MB
        • Finkenzeller D
        • Ibrahim S
        • et al.
        A simulation program for teaching obstetrics and gynecology residents the pediatric gynecology examination and procedures.
        J Pediatr Adolesc Gynecol. 2011; 24: 127-136
        • Dumont T
        • Hakim J
        • Black A
        • et al.
        Enhancing postgraduate training in pediatric and adolescent gynecology: evaluation of an advanced pelvic simulation session.
        J Pediatr Adolesc Gynecol. 2014; 27: 360-370
        • Beyth Y
        • Hardoff D
        • Rom E
        • et al.
        A simulated patient-based program for training gynecologists in communication with adolescent girls presenting with gynecological problems.
        J Pediatr Adolesc Gynecol. 2009; 22: 79-84
        • Huguelet PS
        • Chelvakumar G
        • Conner L
        • et al.
        Improving resident knowledge in pediatric and adolescent gynecology: an evaluation of the North American society for pediatric and adolescent gynecology short curriculum.
        J Pediatr Adolesc Gynecol. 2018; 31: 356-361
        • Palaszewski DM
        • Miladinovic B
        • Caselnova PM
        • et al.
        Impact of a pediatric and adolescent gynecology curriculum on an obstetrics and gynecology residency.
        J Pediatr Adolesc Gynecol. 2016; 29: 668-672
        • Romano M
        • Abraham M
        • Chelvakumar G
        • et al.
        Long curriculum in resident education: comprehensive curriculum in pediatric and adolescent gynecology for post-graduate trainees in obstetrics/gynecology, pediatrics and adolescent medicine.
        J Pediatr Adolesc Gynecol. 2019; 32: 469-480
        • Gibson MES
        • Alaniz VI
        • Coble C
        • et al.
        Resident education curriculum in pediatric and adolescent gynecology: the short curriculum 3.0.
        J Pediatr Adolesc Gynecol. 2021; 34: 291-296
        • Dumont T:
        The current state of pediatric and adolescent gynecology residency training in Canada: summary of educational resources to enhance the achievement of pediatric and adolescent gynecology objectives.
        J Pediatr Adolesc Gynecol. 2021; (ISSN 1083-3188)
        • Mourik SL
        • Roos EJ
        • Goverde AJ
        • et al.
        The new pan-European post-specialty training curriculum in paediatric and adolescent gynaecology.
        Eur J Obstet Gynecol Reprod Biol. 2021; 258: 152-156