caa a22 4500 445795042 CHVBK 20180317145122.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s10620-010-1532-7 doi (NATIONALLICENCE)springer-10.1007/s10620-010-1532-7 Women's Health Training in Gastroenterology Fellowship: A National Survey of Fellows and Program Directors [Elektronische Daten] [Sumona Saha, Erica Roberson, Kelly Richie, Mary Lindstrom, Silvia Esposti, Arnold Wald] Background and Aims: The Gastroenterology Core Curriculum requires training in women's digestive disorders; however, requirements do not necessarily produce knowledge and competence. Our study goals were: (1) to compare perceptions of education, fellow-reported levels of competence, and attitudes towards training in women's gastrointestinal (GI) health issues during fellowship between gastroenterology fellows and program directors, and (2) to determine the barriers for meeting training requirements. Methods: A national survey assessing four domains of training was conducted. All GI program directors in the United States (n=153) and a random sample of gastroenterology fellows (n=769) were mailed surveys. Mixed effects linear modeling was used to estimate all mean scores and to assess differences between the groups. Cronbach's alpha was used to assess the consistency of the measures which make up the means. Results: Responses were received from 61% of program directors and 31% of fellows. Mean scores in perceived didactic education, clinical experiences, and competence in women's GI health were low and significantly differed between the groups (P<0.0001). Fellows' attitudes towards women's GI health issues were more positive compared to program directors' (P=0.004). Barriers to training were: continuity clinic at a Veteran's Administration hospital, low number of pregnant patients treated, low number of referrals from obstetrics and gynecology, and lack of faculty interest in women's health. Conclusions: (1) Fellows more so than program directors perceive training in women's GI health issues to be low. (2) Program directors more so than fellows rate fellows to be competent in women's GI health. (3) Multiple barriers to women's health training exist. Springer Science+Business Media, LLC, 2011 Women's health nationallicence Gastroenterology fellowship nationallicence Training guidelines nationallicence AASLD : American Association for the Advancement of Liver Disease nationallicence ABIM : American Board of Internal Medicine nationallicence ACG : American College of Gastroenterology nationallicence ACGME : Accreditation Council for Graduate Medical Education nationallicence AGA : American Gastroenterological Association nationallicence AMA : American Medical Association nationallicence ASGE : American Society for Gastrointestinal Endoscopy nationallicence FREIDA : Fellowship and Residency Electronic Interactive Database Access nationallicence GCC : Gastroenterology Core Curriculum nationallicence GI : Gastrointestinal nationallicence GLC : Gastroenterology Leadership Council nationallicence Ob/Gyn : Obstetrics and gynecology nationallicence VA : Veterans Administration nationallicence Saha Sumona Division of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, UW Medical Foundation Centennial Building, Room 4224, 1685 Highland Avenue, 53705, Madison, WI, USA aut Roberson Erica Division of Gastroenterology, Department of Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road L461, 97239-3098, Portland, OR, USA aut Richie Kelly Division of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, H6/516 Clinical Science Center, 600 Highland Ave, Box 5124, 53792, Madison, WI, USA aut Lindstrom Mary University of Wisconsin-Madison, K6/432 Clinical Sciences Center, 600 Highland Avenue, 53792-4675, Madison, WI, USA aut Esposti Silvia Center for Women's Digestive Diseases, Women & Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, 101 Dudley Street, Suite #1440, 02905, Providence, RI, USA aut Wald Arnold Division of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, UW Medical Foundation Centennial Building, Room 4215, 1685 Highland Avenue, 53705, Madison, WI, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/3(2011-03-01), 751-760 0163-2116 56:3<751 2011 56 10620 https://doi.org/10.1007/s10620-010-1532-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-010-1532-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Saha Sumona Division of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, UW Medical Foundation Centennial Building, Room 4224, 1685 Highland Avenue, 53705, Madison, WI, USA aut NATIONALLICENCE 700 1- Roberson Erica Division of Gastroenterology, Department of Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road L461, 97239-3098, Portland, OR, USA aut NATIONALLICENCE 700 1- Richie Kelly Division of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, H6/516 Clinical Science Center, 600 Highland Ave, Box 5124, 53792, Madison, WI, USA aut NATIONALLICENCE 700 1- Lindstrom Mary University of Wisconsin-Madison, K6/432 Clinical Sciences Center, 600 Highland Avenue, 53792-4675, Madison, WI, USA aut NATIONALLICENCE 700 1- Esposti Silvia Center for Women's Digestive Diseases, Women & Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, 101 Dudley Street, Suite #1440, 02905, Providence, RI, USA aut NATIONALLICENCE 700 1- Wald Arnold Division of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, UW Medical Foundation Centennial Building, Room 4215, 1685 Highland Avenue, 53705, Madison, WI, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/3(2011-03-01), 751-760 0163-2116 56:3<751 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer