Resident perception of obstetrics and gynecology residency breast disease curriculum: a national study

Sharonne Holtzman; Yara Sifri; Farida Nentin; Frederick Friedman Jr

doi:10.1016/j.xagr.2023.100230

Resident perception of obstetrics and gynecology residency breast disease curriculum: a national study

AJOG Glob Rep. 2023 Jul 28;3(4):100230. doi: 10.1016/j.xagr.2023.100230. eCollection 2023 Nov.

Authors

Sharonne Holtzman¹, Yara Sifri¹, Farida Nentin¹, Frederick Friedman Jr¹

Affiliation

¹ Department of Obstetrics, Gynecology, and Reproductive, Icahn School of Medicine at Mount Sinai, New York, NY.

Abstract

Background: As part of the education objectives in obstetrics and gynecology residency programs, the Council on Resident Education in Obstetrics and Gynecology includes benign breast disease and breast cancer screening, diagnosis, and management. However, obstetrics and gynecology residency curricula vary highly in their focus on this subject. The comfort level of the average obstetrics and gynecology resident in the United States in managing breast disease is unknown.

Objective: This study aimed to examine the perspective of obstetrics and gynecology residents in the United States on their education and training in breast disease.

Study design: An 18-question survey was distributed to all Accreditation Council for Graduate Medical Education program coordinators to distribute to their residents collect demographic information, training environment, and perspective on breast disease education. All statistical analysis was performed using SPSS (version 2.0; IBM Corporation, Armonk, NY).

Results: The survey was distributed to 241 programs, and a response was received from 28 programs (a program response rate of 12.0%). Based on the programs' response, there was a total of 582 eligible residents, and the survey was completed by 180 residents (a response rate of 31.0%). Of all responses, 121 residents (67.2%) did not have a dedicated breast disease rotation or clinical time. Most residents were uncomfortable with their education, training, and ability to manage benign breast disease (mean of 4.14 on a scale of 1-10). Most residents desired additional dedicated time to breast education during their obstetrics and gynecology training. The only variable associated with an improved resident comfort level for the management of breast disease was dedicated clinical time (relative risk [RR], 2.0; 95% confidence interval [CI], 0.04-1.45; P=.04).

Conclusion: Obstetrics and gynecology residency programs should consider adding dedicated clinical time to breast disease to increase their residents' comfort with breast disease management.

Keywords: breast education; obstetrics and gynecology curriculum; resident education.