title: Does the North American Society for Pediatric and Adolescent Gynecology Short Curriculum Increase Resident Knowledge in Pediatric and Adolescent Gynecology?
abstract: OBJECTIVE
  To determine if the North American Society for Pediatric and Adolescent Gynecology (NASPAG) Short Curriculum improves self-reported knowledge in pediatric and adolescent gynecology (PAG) among obstetrics and gynecology (Ob/Gyn) residents, at programs without PAG-trained faculty.
  
  
  METHODS
  Prospective, cross-sectional exposure to the NASPAG short curriculum with a follow-up questionnaire.
  
  
  METHODS
  Ob/Gyn residency training programs without PAG faculty.
  
  
  METHODS
  Ob/Gyn residents in training from February 2015 to June 2015.
  
  
  METHODS
  Exposure to the NASPAG Short Curriculum.
  
  
  METHODS
  Improvement in self-perceived knowledge after completion of curriculum.
  
  
  RESULTS
  Two hundred twenty-seven residents met inclusion criteria; 34 completed the study (15% response). Less than 50% of residents reported adequate knowledge in the areas of prepubertal vaginal bleeding, vulvovaginitis, precocious and delayed puberty, Home environment, Education and Employment, Eating, peer-related Activities, Drugs, Sexuality, Suicide/depression, Safety from injury and violence (HEEADSSS) interview, pelvic pain, and bleeding management in teens with developmental delay. After completion of the curriculum, self-reported knowledge improved in 8 of 10 learning objectives, with no significant improvement in bleeding disorders or Müllerian anomalies. There was no association between pretest knowledge and level of residency training, type of residency program, previous exposure to PAG lectures, and previous exposure to patients with PAG complaints.
  
  
  CONCLUSIONS
  Significant deficiencies exist regarding self-reported knowledge of core PAG topics among Ob/Gyn residents at programs without PAG-trained faculty. Use of the NASPAG Short Curriculum by residents without access to PAG-trained faculty resulted in improved self-reported knowledge in PAG.
authors.affiliation: Pediatric and Adolescent Gynecology, Children's Hospital Colorado, Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, Colorado. Electronic address: Patricia.Huguelet@ucdenver.edu.
authors.forename: P S
authors.initials: PS
authors.lastname: Huguelet
authors.affiliation: Division of Adolescent Medicine, Children's Hospital, Memorial University Medical Center, Savannah, Georgia.
authors.forename: K J
authors.initials: KJ
authors.lastname: Browner-Elhanan
authors.affiliation: Pediatric and Adolescent Gynecology, Children's Hospital of Eastern Ontario, Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, Ontario, Canada.
authors.forename: N
authors.initials: N
authors.lastname: Fleming
authors.affiliation: Department of Obstetrics and Gynecology, Virginia Commonwealth University, Richmond, Virginia.
authors.forename: N W
authors.initials: NW
authors.lastname: Karjane
authors.affiliation: Pediatric and Adolescent Gynecology, Kosair Children's Hospital, Louisville, Kentucky.
authors.forename: M
authors.initials: M
authors.lastname: Loveless
authors.affiliation: Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, Colorado.
authors.forename: J
authors.initials: J
authors.lastname: Sheeder
authors.affiliation: Division of Adolescent Medicine, Children's Hospital at Montefiore, Albert Einstein College of Medicine, The Bronx, New York City, New York.
authors.forename: H J
authors.initials: HJ
authors.lastname: Talib
authors.affiliation: Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, Rhode Island.
authors.forename: C
authors.initials: C
authors.lastname: Wheeler
authors.affiliation: Division of Adolescent Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado.
authors.forename: P
authors.initials: P
authors.lastname: Kaul
mesh_terms: D000293:Adolescent; D003430:Cross-Sectional Studies; D003479:Curriculum; D004521:Educational Measurement; D005260:Female; D006176:Gynecology / Q000193:education* / Q000458:organization & administration; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007396:Internship and Residency / Q000379:methods; D009656:North America; D009774:Obstetrics / Q000193:education; D010372:Pediatrics / Q000193:education* / Q000458:organization & administration; D011247:Pregnancy; D011446:Prospective Studies; D012955:Societies, Medical; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires; D014481:United States
keywords: PAG curriculum; Pediatric and adolescent gynecology education; Resident education