Trainees and the management of ectopic pregnancy

Subair, O.; Omojole, F; Mistry, Nirav; Morgan, Herbert R.

doi:10.1080/014436104100014840

Cited by 10 publications

(2 citation statements)

References 5 publications

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“…In a recent regional study, 84% of patients were managed via laparoscopic surgery [8]. An earlier regional study revealed that 37% of trainees performed laparoscopic surgery for EP, but more recently, an urban single institution experience revealed that 53% of procedures were performed by trainees [9,10]. With structured enthusiastic effort, over 90% of cases can be managed through laparoscopic route [11].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic tubal surgery for ectopic pregnancy: trainees’ perspective in the UK

2011

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Ectopic pregnancies (EP) account for approximately 1% of all pregnancies. Surgical management of such patients should be accomplished through the laparoscopic route. Presently, available data from national studies suggest that only a minority of women benefit from such an approach. Regional studies and single institution reports suggest that trainee involvement in these procedures vary widely. Competency in laparoscopic surgery for EP is a mandatory requirement for independent practice in the UK. In a recent survey of UK trainees of all grades in obstetrics and gynaecology, 53.4% of trainees reported that they were trained or being trained in such procedures. This study examines the perspectives of the trainees. We performed a national questionnaire survey of intermediate-and advanced-level trainees in the UK During a 12-month period, 52% of trainees had performed at least one procedure independently; 80% of trainees performed most of the procedure on at least one occasion. The satisfaction with training was rated as 3 on a five-point Likert scale. Thirty percent of the trainees had access to a laparoscopy simulator. We found a high level of trainee engagement with laparoscopic tubal surgery. The intensity of experience is likely inadequate to satisfy the learning curve. A holistic approach s required to ensure surgical competence.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic tubal surgery for ectopic pregnancy: trainees’ perspective in the UK

2011

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“…However, laparoscopy has been used extensively in gynecologic surgeries and has proven to be invaluable in procedures such as total and supracervical hysterectomy and the evaluation and treatment of endometriosis [5•]. More recently, laparoscopy has been reported for staging purposes of gynecologic malignancies, for the treatment of early-stage endometrial cancer, and the treatment of ectopic pregnancies [6][7][8].…”

Section: Introductionmentioning

confidence: 99%