Obstetrics and Gynecology Resident and Physician Experience With Management of Cesarean Wound Complications [A238]

Résumé fourni par la source

INTRODUCTION: With the increasing BMI of the pregnant population putting women at higher risk for cesarean delivery and subsequent wound complications, it is important to identify where our specialty stands in our ability to manage these complications independently. This study was designed to elicit the general knowledge and comfort level of residents and practicing physicians with respect to managing complex postoperative wound infections after cesarean. METHODS: This descriptive study was performed as an anonymous online survey using REDCap database tools. Institutional review board approval was obtained. Links to the online study were sent electronically to program coordinators at U.S. residency programs in obstetrics and gynecology for distribution to their residents and faculty. RESULTS: Of the 65 respondents, 65% were trainees and 35% were practicing physicians. Of those with community or combined community/academic training, 65% felt they did not have enough hands-on training in residency. This was true of 33% of those who trained in a predominantly academic setting. Overall, only 10% of respondents either identified wound care as something they did not desire to participate in or as something that was out of their scope of practice. Over half (55%) of respondents in each training group identified continued education in wound care as an essential part of being able to manage these complications independently. CONCLUSION: This preliminary study suggests that training in postoperative wound care is often insufficient in residency, and that a significant portion of obstetrician–gynecologists would provide this care to their postoperative patients independently with access to enhanced educational opportunities.

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