title: Residency training in pediatric and adolescent gynecology across obstetrics and gynecology residency programs: a cross-sectional study.
abstract: OBJECTIVE
  To estimate the prevalence of Pediatric and Adolescent Gynecology formal training in the United States Obstetric and Gynecology residency programs.
  
  
  METHODS
  Prospective, anonymous, cross-sectional study.
  
  
  METHODS
  United States program directors of Obstetrics and Gynecology residency programs, N = 242; respondents 104 (43%).
  
  
  RESULTS
  104 residency programs responded to our survey. Among the 104 residency programs, 63% (n = 65) have no formal, dedicated Pediatric and Adolescent Gynecology clinic, while 83% (n = 87) have no outpatient Pediatric and Adolescent Gynecology rotation. There is no significant difference in the amount of time spent on a Pediatric and Adolescent Gynecology rotation among residents from institutions with a Pediatric and Adolescent Gynecology fellowship (P = .359), however, the number of surgeries performed is significantly higher than those without a Pediatric and Adolescent Gynecology fellowship (P = .0020). When investigating resident competency in Pediatric and Adolescent Gynecology, program directors reported that residents who were taught in a program with a fellowship-trained Pediatric and Adolescent Gynecology faculty were significantly more likely to be able to interpret results of selected tests used to evaluate precocious puberty than those without (P = .03).
  
  
  CONCLUSIONS
  Residency programs without fellowship trained Pediatric and Adolescent Gynecology faculty or an established Pediatric and Adolescent Gynecology fellowship program may lack formal training and clinical exposure to Pediatric and Adolescent Gynecology. This information enables residency directors to identify deficiencies in their own residency programs and to seek improvement in resident clinical experience in Pediatric and Adolescent training.
authors.affiliation: Department of Obstetrics and Gynecology, Obstetrics, Gynecology, and Women's Health Institute, Cleveland Clinic, Cleveland, OH 44195, USA. solomoe@ccf.org
authors.forename: Ellen R
authors.initials: ER
authors.lastname: Solomon
authors.forename: Tyler M
authors.initials: TM
authors.lastname: Muffly
authors.forename: Carrie
authors.initials: C
authors.lastname: Hood
authors.forename: Marjan
authors.initials: M
authors.lastname: Attaran
mesh_terms: D000295:Adolescent Medicine / Q000193:education* / Q000706:statistics & numerical data; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005180:Faculty, Medical / Q000592:standards; D005257:Fellowships and Scholarships / Q000706:statistics & numerical data; D005260:Female; D006176:Gynecology / Q000193:education* / Q000706:statistics & numerical data; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D009774:Obstetrics / Q000193:education* / Q000706:statistics & numerical data; D010372:Pediatrics / Q000193:education* / Q000706:statistics & numerical data; D011629:Puberty, Precocious / Q000175:diagnosis; D014481:United States