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- Title
Establishing Consensus on Residency Education in Women's Health.
- Authors
Farkas, Amy H.; Tilstra, Sarah; Borrero, Sonya; McNeil, Melissa
- Abstract
Background: Internal medicine residents are expected to be able to provide gender-specific care. The objective of this study was to develop a consensus list of core topics and procedural skills in women's health to allow residency program directors to prioritize and standardize educational efforts in women's health. Methods: We conducted a two-round Delphi of women's health experts. Participants were given a list of topics and asked to: (1) rank each topic based on how important they felt each topic was for internal medicine residents to be proficient in upon graduation, and (2) identify which topics were critical for a women's health curriculum. Mean importance ratings for all topics and mean agreement ratings for the critical topics were calculated. The list of critical topics mirrored the list of important topics; therefore, our consensus list included any topic that received a mean importance rating of ≥4. Results: Of the 41 experts invited to participate, 46% (19) completed the first round with 100% (19/19) completing the second round. The majority (62.5%, n = 35) of topics received an importance rating of ≥4. The highest-ranking topics included cervical cancer screening, screening for osteoporosis, and diagnosis of sexually transmitted infections (mean rating of 4.95/each). Other highly rated topics included those related to contraception/reproductive planning, breast disease, menopause, and performing the breast and pelvic examinations. The diagnosis of gender-specific conditions was generally rated as more important than the management of the conditions. In addition, pregnancy-related topics were overall deemed as less important for internal medicine training. Conclusion: Our study generated a consensus list of 35 core topics in women's heath that should serve as a guide to residency programs for the development of women's health curricula.
- Subjects
DELPHI method; CURRICULUM; FEMALE reproductive organ tumors; INTERNSHIP programs; STUDY &; teaching of medicine; OSTEOPOROSIS; SCALE analysis (Psychology); SEXUALLY transmitted diseases; WOMEN'S health; REPRODUCTIVE health; GENDER specific care
- Publication
Journal of Women's Health (15409996), 2017, Vol 26, Issue 1, p13
- ISSN
1540-9996
- Publication type
Article
- DOI
10.1089/jwh.2016.5859