Assessment of Education and Management of Endometriosis among Colorectal Surgeons and Residents.

IF 3.5 2区 医学 Q1 OBSTETRICS & GYNECOLOGY Journal of minimally invasive gynecology Pub Date : 2024-09-06 DOI:10.1016/j.jmig.2024.08.009
Gabriella Rivera Ortiz, Gabriela C Poles, Janet A Foote, Ashley Gubbels
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Abstract

Study objective: a To identify the type of endometriosis education and surgical training colorectal surgery residents are exposed to during training b To determine the current surgical management of endometriosis among recently graduated colorectal surgeons and their level of comfort.

Design: A qualitative cross-sectional study was performed. An anonymous questionnaire was emailed to colorectal surgery residents of 2023 and recent graduates for completion. Data was then extracted and analyzed from REDCap. A chi-square test was performed on the primary outcome variables.

Setting: A REDCap electronic survey was administered through email to each participant.

Patients: All colorectal surgery residents in 2023 and recent graduates from Colon and Rectal Surgery subspecialty from 2012 to 2022.

Interventions: A 17-item anonymous questionnaire was sent via email through REDCap MEASUREMENTS AND MAIN RESULTS: The survey was completed by 70 participants. Most respondents (58.5%) did not receive formal education on bowel endometriosis. Forty percent of participants (28/70) did not feel they received adequate training for surgical management of bowel endometriosis. In terms of surgical exposure, 3.8% (2) responded they had been involved in > 15 bowel endometriosis cases and 18 (25.7%) had been exposed to 1-5 cases during colorectal training. Factors that predicted feeling adequately trained in managing endometriosis included formal endometriosis education (OR 4.70, 95% CI 1.37-16.12, p-value .027) and surgical exposure during training (OR 4.38, 95% CI 1.18 - 16.26, p-value .014). Additionally, the number of cases exposed during training is highly correlated with feeling adequately trained.

Conclusion: More than half of colorectal surgeons did not receive formal education on bowel endometriosis and the majority had only been exposed to 1-5 cases during their colorectal training. An overwhelming majority were interested in further education. This study highlights opportunities for improvement in the exposure to education and surgical management of endometriosis among colorectal surgery trainees.

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评估结直肠外科医生和住院医生对子宫内膜异位症的教育和管理。
研究目的:a 确定结直肠外科住院医生在培训期间所接受的子宫内膜异位症教育和手术培训的类型 b 确定新近毕业的结直肠外科医生目前对子宫内膜异位症的手术治疗情况及其舒适程度:设计:进行了一项定性横断面研究。通过电子邮件向 2023 年结肠直肠外科住院医生和应届毕业生发送匿名问卷,要求他们填写。然后从 REDCap 中提取数据并进行分析。对主要结果变量进行了卡方检验:通过电子邮件向每位参与者发送 REDCap 电子调查问卷:所有 2023 年结肠直肠外科住院医师和 2012 年至 2022 年结肠直肠外科亚专业应届毕业生:测量和主要结果:70 名参与者完成了调查。大多数受访者(58.5%)没有接受过有关肠道子宫内膜异位症的正规教育。40%的参与者(28/70)认为他们没有接受过足够的肠道子宫内膜异位症手术治疗培训。在手术经验方面,3.8%(2 人)回答他们参与过超过 15 例肠道子宫内膜异位症病例,18 人(25.7%)在结直肠培训期间接触过 1-5 例病例。预测在处理子宫内膜异位症方面是否接受过充分培训的因素包括正规的子宫内膜异位症教育(OR 4.70,95% CI 1.37-16.12,p 值 .027)和培训期间的手术接触(OR 4.38,95% CI 1.18-16.26,p 值 .014)。此外,培训期间接触的病例数与是否感觉受过充分培训高度相关:结论:一半以上的结直肠外科医生没有接受过有关肠道子宫内膜异位症的正规教育,大多数人在接受结直肠培训期间只接触过 1-5 个病例。绝大多数人对进一步的教育感兴趣。这项研究强调了结直肠外科学员在接受教育和手术治疗子宫内膜异位症方面需要改进的地方。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.00
自引率
7.30%
发文量
272
审稿时长
37 days
期刊介绍: The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.
期刊最新文献
Power burn lesions: Gunshot wound mimicking endometriosis. Cystic Leiomyoma Mimicking Complex Adnexal Mass. Primary endometriosis of the perineum: An uncommon site for a common disease. Multiple Accessory Ovaries Combined with Paroophoritic Cyst. Assessment of Education and Management of Endometriosis among Colorectal Surgeons and Residents.
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