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Structured Workshop for Repair of High-Grade Perineal Lacerations Among Obstetrics and Gynecology Residents, the Need for Repetition and Retraining Publisher



Ghanbari Z1 ; Eshghinejad A1 ; Ghaemi M1 ; Hadizadeh A2 ; Adabi K3 ; Hivechi N1 ; Yazdizadeh M4 ; Pasikhani MD1
Authors
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Authors Affiliations
  1. 1. Vali-E-Asr Reproductive Health Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Research Center for Advanced Technologies in Cardiovascular Medicine, Cardiovascular Diseases Research Center Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Gynecology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Akbarabadi Hospital, Iran University of Medical Sciences, Tehran, Iran

Source: Journal of Obstetrics and Gynecology of India Published:2024


Abstract

Objective: The objective of this study was to evaluate the effectiveness of structured workshops in improving the knowledge and skills of obstetrics and gynecology residents for repairing high-grade perineal lacerations. Materials and methods: This quasi-experimental multicenter study evaluated the baseline knowledge of obstetrics and gynecology residents using an online patient-management problem (PMP) tool. After the initial evaluation, a workshop was conducted using sponge models to teach the practical technique for repairing high-grade perineal lacerations, including external and internal anal sphincter repair. The residents' knowledge was reassessed by PMP exams at 3 and 6 months after the workshop, and the scores were compared to the baseline statistics. Result: Eighty residents participated in the study, including 26, 22, and 32 at the first, second, and third-year levels of residency, respectively. The total PMP scores significantly improved after three months of the workshop, with an increasing total score from 15.5 (baseline) to 31.3 (p = 0.027) (range of total score from − 63 to + 52). The senior residents performed better before and after three months of the intervention. However, in the six-month follow-up, the total PMP score of all residents decreased to 12.3 with no significant difference with pre-education scores at all levels. Similar significant results were also reported for each PMP question at all levels of residency. Conclusion: The study found that obstetrics and gynecology residents had substandard knowledge in repairing perineal lacerations. Although the training workshop significantly increased residents' knowledge, its effectiveness diminished over time, indicating a need for continuous or periodic training. © Federation of Obstetric & Gynecological Societies of India 2023.