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November 22, 1993

Internal Medicine Training in Ambulatory Gynecology: A House Staff Survey

Author Affiliations

From the Multnomah County HIV Clinical Services (Dr M. K. Coodley), Division of Internal Medicine (Dr G. O. Coodley), Good Samaritan Medical Center (Dr Levinson), Providence Medical Center (Dr Rosenberg), Division of Internal Medicine, Oregon Health Sciences University, and Center for Outcomes Research (Dr Dull), Portland.

Arch Intern Med. 1993;153(22):2588-2592. doi:10.1001/archinte.1993.00410220100011

Objectives:  Practicing internists commonly provide gynecologic care, yet internists receive little formal training in ambulatory gynecology. To evaluate current residency training, we surveyed house staff perceptions of their training in gynecology.

Methods:  Data were collected from house staff at five Portland, Ore, internal medicine training programs by questionnaire using a Likert scale about training in 24 gynecologic and five nongynecologic internal medicine problems. Responses were compared by level of training, institution, and gender.

Results:  Responses were received from 195 (89%) of 221 residents. House staff reported less than adequate training in gynecology, particularly in the areas of family planning and medical complications of pregnancy, while reporting much superior training in the traditional medicine problems.

Conclusions:  House staff in internal medicine report little training in the diagnosis and treatment of gynecologic problems. Training in family planning may be particularly deficient. Residency programs must seek effective teaching strategies to address this deficiency.(Arch Intern Med. 1993;153:2588-2592)