A comprehensive pelvic dissection course improves obstetrics and gynecology resident proficiency in surgical anatomy.

Am J Obstet Gynecol

Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, USA.

Published: September 2003

Objective: This study was undertaken to evaluate the impact of a pelvic dissection course on resident proficiency in surgical anatomy.

Study Design: Over a 1-year period, residents attended a course consisting of pretesting and posttesting, lectures, and pelvic dissection. Tests results were analyzed using paired Student t test, analysis of variance, and Kruskal-Wallis statistics.

Results: Of 42 residents, 24 completed all testing (study cohort). On written and practical examinations, resident scores improved a median of 42% and 29% (both P<.0001). Postgraduate year (PGY) 2 demonstrated the greatest improvement on the practical and PGY-3s demonstrated the greatest improvement on the written. Baseline written and practical results discriminated PGY level (construct validity): PGY-2=PGY-3
Conclusion: Resident surgical anatomy proficiency is measurably improved by a comprehensive course.

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Source
http://dx.doi.org/10.1067/s0002-9378(03)00881-0DOI Listing

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