{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T15:39:50Z","timestamp":1648741190633},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T00:00:00Z","timestamp":1600819200000},"content-version":"vor","delay-in-days":84,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJP Rep"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003Residency applicants often express concern that fellows negatively impact surgical opportunities, especially with less common procedures. We sought to describe the impact of maternal-fetal medicine (MFM) fellows on resident surgical opportunities.<\/jats:p><jats:p>\n          Study Design\u2003Anonymous 27-question e-survey sent to obstetrics and gynecology (OBGYN) residents in the United States and Puerto Rico in March 2018. Questions included experience as primary surgeon, for fourth year residents only, comfort performing procedures postresidency, and demographics. Residents from programs with MFM fellows (pMFM) were compared with those without (nMFM). Descriptive statistics used as appropriate. Regression was performed, controlling for significant variables.<\/jats:p><jats:p>\n          Results\u2003A total of 417 residents completed the survey; 275 (66%) from nMFM and 142 (33%) from pMFM. PMFM residents were more likely to have &gt;7 residents\/year, be from an academic residency, and less likely to be planning to practice obstetrics postresidency (all, p\u2009&lt;\u20090.01). Plan to pursue MFM fellowship did not differ. NMFM residents were more likely to have been primary surgeon on a vacuum assisted delivery (77 vs. 63%, p\u2009&lt;\u20090.01). No difference in primary surgeon experience was seen for forceps delivery, breech deliveries, third- or fourth-degree repairs, cerclage, or cesarean hysterectomy. With regard to comfort performing procedures postresidency, vacuum-assisted vaginal delivery (VAVD) was more likely among nMFM trainees, no other differences seen. In regression models, no differences in likelihood of comfort performing procedures postresidency for any procedures based on the presence of MFM fellows were seen. Among pMFM residents, 94% stated fellows positively impacted their learning.<\/jats:p><jats:p>\n          Conclusion\u2003MFM fellows do not appear to impact residents' perceived competency in obstetric procedures and the majority of trainees report that fellows positively impact their education.<\/jats:p>","DOI":"10.1055\/s-0040-1715168","type":"journal-article","created":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T01:56:43Z","timestamp":1600912603000},"page":"e319-e323","source":"Crossref","is-referenced-by-count":0,"title":["Debunking the Myth: Do Maternal-Fetal Medicine Fellows Negatively Impact Resident Obstetrical Skills?"],"prefix":"10.1055","volume":"10","author":[{"given":"Sarah K.","family":"Dotters-Katz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Duke University, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Grace","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Vanderbilt University, Nashville, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R Phillips","family":"Heine","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Wake Forest University, Winston-Salem, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie","family":"Propst","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Obstetrics\/Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,9,23]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.5489\/cuaj.522","article-title":"Fellow or foe: the impact of fellowship training programs on the education of Canadian urology residents","volume":"2","author":"E D Grober","year":"2008","journal-title":"Can Urol Assoc J"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.jamcollsurg.2019.03.009","article-title":"Effect of new fellowship programs on resident case volume in pediatric surgery","volume":"229","author":"J R Potts III","year":"2019","journal-title":"J Am Coll Surg"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1097\/SPV.0000000000000369","article-title":"Resident education in female pelvic medicine and reconstructive surgery","volume":"23","author":"K Propst","year":"2017","journal-title":"Female Pelvic Med Reconstr Surg"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1111\/j.1525-1438.2007.00986.x","article-title":"Residents' perspectives on surgical training and the resident-fellow relationship: comparing residency programs with and without gynecological oncology fellowships","volume":"18","author":"D E Cohn","year":"2008","journal-title":"Int J Gynecol Cancer"},{"key":"ref5","first-page":"48","volume-title":"Educational objectives: core curriculum in obstetrics and gynecology, 11th ed","author":"CREOG","year":"2016"},{"issue":"S 01","key":"ref6","first-page":"129","article-title":"The obstetrics and gynecology milestone project","volume":"6","year":"2014","journal-title":"J Grad Med Educ"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1007\/s00192-006-0203-x","article-title":"Resident education and training in urogynecology and pelvic reconstructive surgery: a survey","volume":"18","author":"M O Schimpf","year":"2007","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"401","DOI":"10.4300\/JGME-D-14-00730.1","article-title":"The changing scenario of obstetrics and gynecology residency training","volume":"7","author":"N Gupta","year":"2015","journal-title":"J Grad Med Educ"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1016\/j.juro.2007.09.104","article-title":"The impact of a fellowship on resident training in an academic pediatric urology practice","volume":"179","author":"J W Duffy III","year":"2008","journal-title":"J Urol"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1111\/j.1477-2574.2009.00146.x","article-title":"Incorporating an HPB fellowship does not diminish surgical residents' HPB experience in a high-volume training centre","volume":"12","author":"N J Zyromski","year":"2010","journal-title":"HPB (Oxford)"},{"issue":"06","key":"ref11","doi-asserted-by":"crossref","first-page":"999","DOI":"10.7863\/ultra.33.6.999","article-title":"Do emergency ultrasound fellowship programs impact emergency medicine residents' ultrasound education?","volume":"33","author":"S Adhikari","year":"2014","journal-title":"J Ultrasound Med"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"16","DOI":"10.3402\/meo.v16i0.7205","article-title":"Fellows as teachers: a model to enhance pediatric resident education","volume":"16","author":"C H Backes","year":"2011","journal-title":"Med Educ Online"}],"container-title":["American Journal of Perinatology Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1715168.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T01:59:30Z","timestamp":1600912770000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1715168"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":12,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2020,8,4]]},"published-print":{"date-parts":[[2020,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1715168","relation":{},"ISSN":["2157-6998","2157-7005"],"issn-type":[{"value":"2157-6998","type":"print"},{"value":"2157-7005","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7]]}}}