{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:52:13Z","timestamp":1790704333860,"version":"4.1.0"},"reference-count":21,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,5,30]]},"published-print":{"date-parts":[[2019,7]]},"abstract":"\n Objectives<\/jats:title>\n To explore the current status to which Canadian obstetrics and gynaecology (Ob-Gyn) programmes teach residents about pregnancy in patients with physical disabilities, and to assess the level of interested in providing formal education sessions in this field. This study also assesses the residents\u2019 perception of their knowledge and their comfort level caring for women with physical disabilities (WWPD), which will further determine the need for incorporation of this topic into the residency curriculum.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cross-sectional survey.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n All Canadian English accredited Ob-Gyn residency programmes.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Programme directors and residents.<\/jats:p>\n <\/jats:sec>\n \n Main outcome measures<\/jats:title>\n The current self-reported education and exposure Canadian Ob-Gyn residents have surrounding WWPD in pregnancy, and if there is an interest in further education in this area.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n An online survey was developed and distributed to all Canadian English accredited Ob-Gyn residency programme directors and residents. Answers were collected over a 2-month period in 2017, which consisted of an initial email and two email reminders. Questions were in three key areas: demographic characteristics, knowledge gap and level of interest in a formal method of education.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Eighty-four residents and nine programme directors participated in the surveys. Eighty-six per cent of residents and all programme directors responded that there are no formal scheduled training sessions on WWPD as part of the residency curriculum. Two-thirds of the residents reported being uncomfortable with the management issues surrounding a woman with a disability in pregnancy. A vast majority of residents (91.67%) and all programme directors have an interest in incorporating this topic into the residency curriculum to meet the need of pregnant women with disabilities.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This survey indicated that there is both a need for and interest in education in the area of pregnancy and physical disability in the Canadian Ob-Gyn residency programme. This information suggests that the development of educational materials in this area should be considered to address an unmet need with the ultimate goal of improving the care provided to WWPD in pregnancy. Future projects in this area should focus on content development taking into account the CanMEDS and competency-based medical education framework.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjopen-2018-024505","type":"journal-article","created":{"date-parts":[[2019,7,10]],"date-time":"2019-07-10T06:26:20Z","timestamp":1562739980000},"page":"e024505","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":22,"title":["Women with physical disability in pregnancy resident education: a national survey as a needs assessment for curriculum improvement in obstetrics and gynaecology in Canada"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2419-6832","authenticated-orcid":false,"given":"Gharid Nourallah","family":"Bekdache","sequence":"first","affiliation":[{"name":"Maternal Fetal Medicine Division, Mount Sinai Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Berndl","sequence":"additional","affiliation":[{"name":"Obstetric and Gynecology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,7,9]]},"reference":[{"key":"2025121407074349000_9.7.e024505.1","unstructured":"Metzler M . Statistics Canada. Table 2: Prevalence of disability by age and sex group, Canada, 2012. In Disability in Canada: Initial findings from the Canadian Survey on Disability. 2013. Retrieved from http:\/\/www.statcan.gc.ca\/pub\/89-654-x\/ 20013002-eng.htm."},{"key":"2025121407074349000_9.7.e024505.2","unstructured":"World Health Organization. InternationalClassification of Functioning, Disability and Health. Geneva: World Health Organization, 2001."},{"key":"2025121407074349000_9.7.e024505.3","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1186\/1471-2393-14-58","article-title":"Systematic review of heath care interventions to improve outcomes for women with disability and their family during pregnancy, birth and postnatal period","volume":"14","author":"Malouf","year":"2014","journal-title":"BMC Pregnancy Childbirth"},{"key":"2025121407074349000_9.7.e024505.4","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2017-016757","article-title":"Access and quality of maternity care for disabled women during pregnancy, birth and the postnatal period in England: data from a national survey","volume":"7","author":"Malouf","year":"2017","journal-title":"BMJ Open"},{"issue":"2","key":"2025121407074349000_9.7.e024505.5","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1111\/aogs.12544","article-title":"Effects of disability on pregnancy experiences among women with impaired mobility","volume":"94","author":"Iezzoni","year":"2015","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2025121407074349000_9.7.e024505.6","doi-asserted-by":"publisher","DOI":"10.1891\/2156-5287.3.4.203"},{"key":"2025121407074349000_9.7.e024505.7","unstructured":"National Institute of Child Health and Human Development, Office of the Director. Pregnancy in women with physical disabilities. 2010. 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The CanMEDS 2015 Patient Safety and Quality Improvement Expert Working Group Report. Ottawa: Royal College of Physicians and Surgeons of Canada, 2015."},{"key":"2025121407074349000_9.7.e024505.17","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.dhjo.2017.02.009","article-title":"Time trends in births and cesarean deliveries among women with disabilities","volume":"10","author":"Horner-Johnson","year":"2017","journal-title":"Disabil Health J"},{"key":"2025121407074349000_9.7.e024505.18","unstructured":"Vuchnich A , Tang V . Specialized clinic provides care for pregnant women with disabilities. 2018. Available at https:\/\/globalnews.ca\/news\/3447669\/specialized-clinic-provides-care-for-pregnant-women-with-disabilities (accessed 26 Jan 2018)."},{"key":"2025121407074349000_9.7.e024505.19","unstructured":"Cox JL , Signore C , Quint E ; American College of Obstetricians and Gynecologists. Interactive site for clinicians serving women with disabilities. 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Ottawa: The Royal College of Physicians and Surgeons of Canada, 2005."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2018-024505","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:07:51Z","timestamp":1765724871000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2018-024505"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":21,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2019,7,9]]},"published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1136\/bmjopen-2018-024505"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2018-024505","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7]]}}}