Obstetrician-gynecologists (ob-gyns) face similar types of biases in the workplace as any people in society. In this first of three articles exploring this issue, we present the stories from ob-gyns who describe their experiences dealing with these biases. These stories serve to personalize the issue and to encourage us to personally face bias in the workplace to build our own resilience and strength, to support those who are personally attacked or diminished, and to develop workplace cultures that are inclusive, diverse, and strong.
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ACOG Committee Statement No. 10: Racial and Ethnic Inequities in Obstetrics and Gynecology.
Obstet Gynecol
September 2024
Disparate health outcomes and unequal access to care have long plagued many communities in the United States. Individual demographic characteristics, such as geography, income, education, and race, have been identified as critical factors when seeking to address inequitable health outcomes. To provide the best care possible, obstetrician-gynecologists should be keenly aware of the existence of and contributors to health inequities and be engaged in the work needed to eliminate racial and ethnic health inequities.
View Article and Find Full Text PDFDevelopment of a Maternal Equity Safety Bundle to Eliminate Racial Inequities in Massachusetts.
Obstet Gynecol
October 2023
Perinatal-Neonatal Quality Improvement Network of Massachusetts, Tufts University School of Medicine, the Department of Obstetrics & Gynecology, Boston Medical Center, the Division of Maternal Fetal Medicine, Department of Obstetrics & Gynecology, Beth Israel Deaconess Medical Center, the Division of Maternal Fetal Medicine, Department of Obstetrics & Gynecology, Brigham and Women's Hospital.
Objective: The PNQIN (Perinatal-Neonatal Quality Improvement Network of Massachusetts) sought to adapt the Reduction of Peripartum Racial and Ethnic Disparities Conceptual Framework and Maternal Safety Consensus Bundle by selecting and defining measures to create a bundle to address maternal health inequities in Massachusetts. This study describes the process of developing consensus-based measures to implement the PNQIN Maternal Equity Bundle across Massachusetts hospitals participating in the Alliance for Innovation on Maternal Health Initiative.
Methods: Our team used a mixed-methods approach to create the PNQIN Maternal Equity Bundle through consensus including a literature review, expert interviews, and a modified Delphi process to compile, define, and select measures to drive maternal equity-focused action.
The time is now: addressing implicit bias in obstetrics and gynecology education.
Am J Obstet Gynecol
April 2023
Department of Obstetrics and Gynecology, Washington University in St. Louis, St. Louis, MO.
Article Synopsis
- Addressing implicit bias in obstetrics and gynecology can enhance both the learning environment for medical students and the quality of patient care, as these biases are evident in various aspects of medical education and assessments.
- Strategies suggested for tackling implicit bias include redesigning curricula to incorporate antiracism, promoting bias awareness throughout education, and critically reviewing existing materials for discriminatory language or assumptions.
- Continuous monitoring of evaluations for bias and providing faculty development in bias awareness are essential for creating an equitable educational atmosphere and improving learner and patient outcomes.
International Natural Procreative Technology Evaluation and Surveillance of Treatment for Subfertility (iNEST): enrollment and methods.
Hum Reprod Open
August 2022
Novant Health Triad Obstetrics & Gynecology, Winston-Salem, NC, USA.
Study Question: What is the feasibility of a prospective protocol to follow subfertile couples being treated with natural procreative technology for up to 3 years at multiple clinical sites?
Summary Answer: Overall, clinical sites had missing data for about one-third of participants, the proportion of participants responding to follow-up questionnaires during time periods when participant compensation was available (about two-thirds) was double that of time periods when participant compensation was not available (about one-third) and follow-up information was most complete for pregnancies and births (obtained from both clinics and participants).
What Is Known Already: Several retrospective single-clinic studies from Canada, Ireland and the USA, with subfertile couples receiving restorative reproductive medicine, mostly natural procreative technology, have reported adjusted cumulative live birth rates ranging from 29% to 66%, for treatment for up to 2 years, with a mean women's age of about 35 years.
Study Design Size Duration: The international Natural Procreative Technology Evaluation and Surveillance of Treatment for Subfertility (iNEST) was designed as a multicenter, prospective cohort study, to enroll subfertile couples seeking treatment for live birth, assess baseline characteristics and follow them up for up to 3 years to report diagnoses, treatments and outcomes of pregnancy and live birth.
Evaluating Surgical Complexity of Endoscopic Hysterectomy: An Inter-rater and Intra-rater Agreement Study of Novel Scoring Tool.
J Minim Invasive Gynecol
May 2022
Department of Gynecology, Mayo Clinic Arizona, Phoenix, Arizona.
Study Objective: Evaluate inter-rater and intrarater reliability of a novel scoring tool for surgical complexity assessment of endoscopic hysterectomy.
Design: Validation study.
Setting: Academic medical center.
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