Knowledge and Confidence of Obstetrics and Gynecology Residents in the Evaluation and Management of Heavy Menstrual Bleeding Due to Inherited Bleeding Disorders

Authors

Patricia S. Huguelet, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO
Irmel A. Ayala, Johns Hopkins All Children's Hospital, St. Petersburg, FL
Laurel Beaty, University of Colorado Anschutz Medical Campus Aurora, CO
Christina Bemrich-Stolz, University of Alabama at Birmingham, Birmingham, AL
Claudia Borzutzky, Keck School of Medicine of University of Southern California and Children's Hospital Los Angeles, Los Angeles, CA
Tazim Dowlut-McElroy, Children's Mercy Hospital, Kansas City, MO
Sweta Gupta, Indiana Hemophilia and Thrombosis Center, Indianapolis, IN
Kendra Hutchens, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO
Corinna L. Schultz, Nemours Children's Health, Jacksonville, FL
Lakshmi Srivaths, University of Texas Health Sciences Center-Houston, Houston, TX
Maria C. Velez, LSU Health Sciences Center - New OrleansFollow
Neeraja Swaminathan, University of Michigan Medical School, Ann Arbor, MI

Document Type

Article

Publication Date

9-24-2024

Publication Title

Women's Health Reports

Abstract

BACKGROUND: Heavy menstrual bleeding (HMB) is common, and 20-30% of patients presenting with HMB are diagnosed with an inherited bleeding disorder (IBD). Despite the frequent association of HMB with bleeding disorders, specific learning objectives on this topic are lacking for Obstetrics and Gynecology (OBGYN) residents. OBJECTIVE: We sought to determine the exposure of OBGYN residents to didactics, clinical training, and confidence in evaluation and management of patients with HMB due to IBDs. METHODS: Prospective survey of OBGYN residents through email solicitation. Residents were invited to complete an anonymous 26-item survey, querying residents' confidence in evaluation and management of HMB in patients with and without IBDs. RESULTS: In total, 239 OBGYN residency programs were invited to participate and 20 programs responded. Among 388 residents, 84 completed the survey (21.6%). The majority reported didactics on HMB evaluation (n = 71, 85.5%) and treatment (n = 77, 92.8%); however, for HMB due to IBDs, only 35 residents (42.4%) reported didactics on evaluation and 28 (33.7%) reported didactics on treatment. Confidence in evaluation and management of HMB was high but decreased significantly with an IBD. Residents who received didactics on IBDs reported more confidence in their evaluation than residents who did not receive didactics (mean Likert scale score of 3.67 vs. 3.23, p = 0.002). Increasing postgraduate year level was associated with more confidence in treatment (p < 0.001) and did not differ based on type of training program (p = 0.825). CONCLUSION: OBGYN residents have decreased confidence in evaluation and management of HMB due to IBDs. Resident confidence increases with didactics and training. Residents would benefit from curricula designed to address this deficit in training.

First Page

705

Last Page

711

PubMed ID

39439770

Volume

5

Issue

1

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Recommended Citation

Huguelet, Patricia S.; Ayala, Irmel A.; Beaty, Laurel; Bemrich-Stolz, Christina; Borzutzky, Claudia; Dowlut-McElroy, Tazim; Gupta, Sweta; Hutchens, Kendra; Schultz, Corinna L.; Srivaths, Lakshmi; Velez, Maria C.; and Swaminathan, Neeraja, "Knowledge and Confidence of Obstetrics and Gynecology Residents in the Evaluation and Management of Heavy Menstrual Bleeding Due to Inherited Bleeding Disorders" (2024). School of Medicine Faculty Publications. 3038.
https://digitalscholar.lsuhsc.edu/som_facpubs/3038
10.1089/whr.2024.0086