Why Gynecologists are not good at treating menopause.

I have noticed that many of my patients had already been to a gynecologist before seeing me, and had not been happy with the outcome of the gyne’s treatment. I also notice that most gynecologists do not follow the guidelines of the various menopause associations around the world. Interesting, isn’t it?
Menopause. 2013 Nov;20(11):1120-5. doi: 10.1097/GME.0b013e31828ced7f.

Menopause education: needs assessment of American obstetrics and gynecology residents.

Source

From the 1Division of Reproductive Endocrinology, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Lutherville, MD; 2Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD; 3Department of Gynecology and Obstetrics, Johns Hopkins Bayview Medical Center, Baltimore, MD; and 4Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.

Abstract

OBJECTIVE:

This study aims to understand the current teaching of menopause medicine in American obstetrics and gynecology residency programs.

METHODS:

A Web-based survey was e-mailed to all American obstetrics and gynecology residency directors, with a request that they forward it to their residents.

RESULTS:

Of 258 residency program directors contacted, 79 (30.6%) confirmed forwarding the survey. In all, 1,799 people received the survey, with 510 completions, for a response rate of 28.3%. Most residents reported that they had limited knowledge and needed to learn more about these aspects of menopause medicine: pathophysiology of menopause symptoms (67.1%), hormone therapy (68.1%), nonhormone therapy (79.0%), bone health (66.1%), cardiovascular disease (71.7%), and metabolic syndrome (69.5%). Among fourth-year residents who will be entering clinical practice soon, a large proportion also reported a need to learn more in these areas: pathophysiology of menopause symptoms (45.9%), hormone therapy (54.2%), nonhormone therapy (69.4%), bone health (54.2%), cardiovascular disease (64.3%), and metabolic syndrome (63.8%). When asked to rate the most preferred modalities for learning about menopause, the top choice was supervised clinics (53.2%), followed by case presentations (22.2%), formal lectures (21.3%), small groups (14.7%), Web-based learning (7.8%), and independent reading (5.2%).

Only 20.8% of residents reported that their program had a formal menopause medicine learning curriculum, and 16.3% had a defined menopause clinic as part of their residency.

CONCLUSIONS:

It seems that some American residency programs do not fulfill the educational goals of their residents in menopause medicine. A curriculum would be beneficial for increasing knowledge and clinical experience on menopause issues.

About Dr Colin Holloway

Gp interested in natural hormone treatment for men and women of all ages

Posted on December 16, 2013, in Uncategorized. Bookmark the permalink. 1 Comment.

  1. Thank you for sharing your info. I truly appreciate your
    efforts and I will be waiting for your further post thank you once again.

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