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- Title
(078) ASSESSMENT OF RESIDENT EDUCATION IN THE DIAGNOSIS AND TREATMENT OF COMMON CONDITIONS OF FEMALE SEXUAL DYSFUNCTION.
- Authors
Kohut-Jackson, A; Dawson, M; Negris, O; Conrado, J; Henry, V; Horwitz, R; Ponce, S; Rubin, R; Uloko, M
- Abstract
Introduction: Female sexual dysfunction (FSD) affects 30-50% of women. Despite the fact that doctors from all specialties are likely to encounter patients with sexual health difficulties, just half of U.S. medical schools currently offer formal teaching in sexuality. Due to insufficient training in the female pelvic physical exam and minimal training on sexual health, FSD has been substantially underdiagnosed and undertreated. Objective: The aim of our study was to assess the knowledge and confidence of residents on how to conduct a comprehensive vulvar examination, as well as to assess the comfortability with diagnosing and managing conditions of FSD. Methods: This cross-sectional analytical survey study used Qualtrics to administer the survey. The target audience included urology residents, obstetrics and gynecology residents, dermatology residents, internal medicine residents, family medicine residents, and emergency medicine residents. The survey link and a brief description of the project were emailed to all residency program directors in these specialties who had valid email addresses provided in the FREIDA American Medical Association Residency Database. Program directors were requested to share the link to the anonymous online survey with their current resident cohorts. Results: In total, n=141 residents completed the survey (n=19 OBGYN, n=18 urology, n=5 dermatology, n=37 family medicine, n=27 internal medicine, n=35 emergency medicine). Less than half of all respondents indicated they had received prior formal training in physical examination of the clitoris (23%), vulvar vestibule (45%), and pelvic floor (36%). Regarding FSD, the following percentage of respondents indicated they had received prior training in these conditions: 78% genito-pelvic pain/penetration disorder, 36% hypoactive sexual desire disorder, 24% female orgasmic disorder, 33% female sexual arousal disorder. The majority of respondents reported feeling uncomfortable with the diagnosis and management of these conditions. Conclusions: Residents are uncomfortable with diagnosing and managing common female sexual dysfunctions, owing to a lack of training in both vulvar examination and these conditions of FSD. This educational shortcoming persists across several specialties. Awareness of this knowledge and comfortability gap is critical for implementing the appropriate changes to resident education. Improving residents' ability to diagnose and treat FSD is important for preparing the next generation of physicians to appropriately attend to the needs of female patients. Disclosure: No.
- Subjects
PELVIC pain; HYPOACTIVE sexual desire disorder; PREMATURE ejaculation; SEXUAL dysfunction; RESIDENTS (Medicine); SEXUAL excitement; ASSESSMENT of education
- Publication
Journal of Sexual Medicine, 2024, Vol 21, p1
- ISSN
1743-6095
- Publication type
Abstract
- DOI
10.1093/jsxmed/qdae054.073