Subject(s)
Uterine Cervical Dysplasia/therapy , Uterine Cervical Neoplasms/therapy , Adolescent , Biopsy , Colposcopy , Disease Progression , Female , Humans , Practice Guidelines as Topic , Uterine Cervical Neoplasms/diagnosis , Uterine Cervical Neoplasms/pathology , Uterine Cervical Dysplasia/diagnosis , Uterine Cervical Dysplasia/pathologySubject(s)
Postmenopause , Ulcer/pathology , Vulvitis/pathology , Biopsy , Diagnosis, Differential , Female , Humans , Middle AgedABSTRACT
To ensure the integrity of gynecologic surgical practices and patient safety, changes need to be made in the training of gynecologic surgeons, both in residency and continuing surgical education. Although society demands competency in the training and continuing education of airline pilots, little is done in comparison to ensure competency in the training and continuing education of gynecologic surgeons. Both professions rely on safe performance to protect the well-being of individuals. It is now time for medical and surgical education to move from the shadows of its "trust me" attitude into the light of a "test me and prove me" criterion.
Subject(s)
Competency-Based Education/organization & administration , Education, Medical, Graduate/organization & administration , Gynecology/education , Clinical Competence , Competency-Based Education/ethics , Education, Medical, Graduate/ethics , Ethics, Clinical , HumansSubject(s)
Colonoscopy/methods , Papanicolaou Test , Uterine Cervical Dysplasia/pathology , Uterine Cervical Neoplasms/pathology , Vaginal Smears/methods , Decision Making , Diagnosis, Differential , Female , Follow-Up Studies , Humans , Hysterectomy/methods , Middle Aged , Uterine Cervical Neoplasms/surgery , Uterine Cervical Dysplasia/surgerySubject(s)
Genital Diseases, Female , Genital Diseases, Male , International Cooperation , Journalism, Medical , Societies, Medical , Female , Humans , MaleSubject(s)
Papillomaviridae , Papillomavirus Infections , Uterine Cervical Dysplasia/surgery , Uterine Cervical Dysplasia/virology , Adolescent , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/surgery , Carcinoma, Squamous Cell/virology , Colposcopy , Electrosurgery , Female , Humans , Laser Therapy , Papillomavirus Infections/diagnosis , Papillomavirus Infections/virology , Tumor Virus Infections/diagnosis , Tumor Virus Infections/virology , Uterine Cervical Dysplasia/pathology , Uterine Cervical Neoplasms/pathology , Uterine Cervical Neoplasms/surgery , Uterine Cervical Neoplasms/virology , Vaginal SmearsSubject(s)
Ulcer/diagnosis , Vulvar Diseases/diagnosis , Adult , Diagnosis, Differential , Female , Humans , Ulcer/therapy , Vulvar Diseases/therapyABSTRACT
Educators in obstetrics and gynecology are concerned that the surgical training of residents is not sufficient to meet the needs of new graduates. Since the current standards for time and requirements in training were established, our specialty has greatly increased its body of knowledge, expanded the number and variety of procedures performed, and become more business oriented. With the current emphasis on evidence-based decision making, shouldn't this same philosophy guide the education of future gynecologic physicians and surgeons? This presentation discusses resident teaching, curriculum, and time in training and challenges educational leaders to apply the same robust standards appropriate for scientific investigation to resident education.
Subject(s)
General Surgery/education , Gynecology/education , Internship and Residency , Curriculum , United StatesABSTRACT
Diagnostic and operative hysteroscopic procedures are performed to evaluate women with abnormal uterine bleeding structural uterine anomalies. Diagnostic and minimally invasive hysteroscopic surgical procedures in the hands of well-trained, experienced hysteroscopists offer little chance of serious complications. More extensive procedures offer greater risks, with fluid overload being the most common. The well-prepared and experienced hysteroscopic surgeon should have the ability, equipment, ancillary personnel, and facilities to prevent and to treat this problem, as well as the knowledge necessary to handle mechanical accidents, anesthetic complications, and post-procedure infections. The greatest risk in this procedure is, as always, an inadequately trained or ill-prepared operator.
