The gestational age at which obstetric training programs aggressively manage and attempt to salvage preterm vertex fetuses in distress was determined by survey. More than half the programs initiate fetal monitoring and perform cesarean section for certain cases of fetal distress by 26 weeks gestational age. By 28 weeks gestational ...

The authors suggest that diagnostic accuracy could be improved in 1% of cases by combining real-time ultrasound with digital examination of the pelvis or rectum. Differences of opinion between clinician and ultrasonologist regarding a possible pelvic mass can easily be settled. This technique can also be used to displace loops ...

Now that the subspecialty of gynecologic oncology is well established within the specialty of obstetrics and gynecology, it seems timely to evaluate the pros and cons, the strengths and weaknesses of such a program as it interrelates with other programs in an academic department. A survey is presented which reflects ...

Using personality style preferences as the basis for faculty development workshops, physician educators in several departments of obstetrics and gynecology learned how to use these differences to enhance clinical teaching. Data from five workshops are analyzed to determine the predominant personality styles of 184 department chairmen, faculty, and residents in ...

Since its creation in 1967, the Council on Resident Education in Obstetrics and Gynecology (CREOG) in-training examination has become an integral part of obstetric and gynecology resident training programs in the United States and Canada. Refinements over the past 12 years have made the examination more useful in fulfilling its ...

In a specific Obstetrics and Gynecological program, the program and certifying ITERs were evaluated for their measurement qualities. The internal consistency of the ITERs is supported. The tendency for high inter-item correlations suggest overall judgment of candidates may be influencing individual item rankings--particularly on the Program ITER. Unfamiliarity of faculty ...

A tension headache sufferer was treated with a newly developed procedure called behavioral relaxation training that assumes relaxed postures. The client was a 21 yr old female who had a 15-yr chronicity of headaches. During treatment, headache activity was reduced to a near zero level. After the first week of ...

The objective structured clinical examination is now being used to examine medical students in obstetrics. Each student circulates around various timed stations where he carries out preset tasks. Groups of up to 20 students can be tested in rotation against previously agreed upon checklists. A wide range of clinical and ...

The evaluation of student performance in clinical obstetrics and gynecology is frequently based on results of the National Board Examination, Part II. An Obstetrics and Gynecology subtest of this examination was studied to determine its value as a measure of this clinical experience. The clinical usefulness of each question and ...

The Accreditation Council for Graduate Medical Education (ACGME) accredits U.S. institutions that offer graduate medical education, including that in obstetrics and gynecology. The ACGME's 23 Residency Review Committees (RRCs) monitor these programs. The RRC for obstetrics and gynecology has identified 18 common problems in obstetrics-gynecology residency programs. Upon identifying one ...

The efficacy of progressive relaxation, fingertip temperature training, and EMG training of the frontalis muscles was tested against chronic migraine and tension headaches in a double-blinded 3 X 2 design. All 56 subjects reported being conditioned in the course of the nine 1/2-hour training sessions. Detailed records of perceived severity ...

Planning or renovation of a labor and delivery area is a major undertaking. It is often necessarily done in dynamic condition--changing facilities, numbers of deliveries, residents, students. Input from the large number of disciplines that provide care for mothers and babies should be sought in the early planning stages. Visiting ...

A review of the research reveals no evidence that finger temperature biofeedback training or temporal artery pulse biofeedback training is effective for treating migraine headaches. On the other hand, there is evidence that EMG biofeedback training is effective for treating tension headaches, but the EMG biofeedback training is not more ...

The program directors of obstetrics-gynecology residencies in the United States were questioned regarding their perceptions of benign gynecologic surgical volume change at their institutions. Most responding departments had experienced a decline volume during the 5 years prior to the study. This volume decrease tended to be more frequent and more ...

Two investigations of paediatric manpower in England, Wales, and Northern Ireland were carried out, each using a different method. The first survey located registrars and senior registrars and checked on their occupational status 3 years later in order to see which ones had been promoted. Loss factors--such as emigration, retirement ...

Questionnaires on the material and the size of sutures used in obstetric-gynecologic surgery were sent to the directors of 110 residency programs in the specialty in medical schools in the United States. Replies were received from 80 (73%) programs. The findings indicate that the use of chromic catgut still predominates, ...

This study examines the relationship between Spiegel's Hypnotic Induction profile (HIP) and ability to perform EMG relaxation under conditions of self-induced and audio-assisted biofeedback training. One hundred women volunteered for screening with Spiegel's test for hypnotizability. Thirty students were then selected from the top, middle, and bottom of the HIP ...

In a survey mailed to all obstetric and gynecologic residents in January 1978, the content of residency training programs was evaluated in regard to quantity of procedures and quality of supervision. The interaction of family practice residents, nurse midwives, and nurse clinicians was explored as it related to residency training ...

Previous work, conducted under laboratory conditions, has shown that biofeedback using infrared eye position monitoring can be used to successfully treat strabismus. For the present study, seven matched pairs of strabismic patients were selected. One member of each pair received biofeedback enhanced vision therapy while the other member received traditional ...

As knowledge grows and our experience is tabulated and analyzed, there must occur modifications in our management of disease and in the principles and policies that direct our decisions. In gynecologic oncology, some degree of change in perspective has taken place in almost every aspect, in prevention, screening, detection, diagnostics, ...

Although it is common for EMG frontalis feedback to be used to train general relaxation, there is a growing literature that challenges its use. This experiment explored whether successful frontalis EMG training produces concomitant covariation of autonomic nervous system indicators of decreased arousal and tension for highly anxious subjects. Twenty-four ...

An analysis of the effectiveness of FIGO's Teaching Manual on Human Reproduction is reported on the basis of answers to a questionnaire received from 100 heads of teaching departments, chiefly of obstetrics and gynecology. These represented 32 countries widely distributed throughout the developing countries of the world. The most significant ...

Current training programs in obstetrics and gynecology are not producing an excess of specialists in view of future manpower needs. In addition to being specialists and consultants, obstetrician-gynecologists also function as providers of primary care for women. During the last decade, three formal sub-specialties of obstetrics and gynecology have evolved: ...

Increasing numbers of family practice residents and medical students require training in obstetrics and gynecology. The effect of these residents on medical student learning in a basic obstetrics and gynecology clerkship at the University of Washington was examined. Results of a questionnaire completed by 314 medical students revealed that family ...

A resident in obstetrics and gynecology obtains adequate experience in basic gynecologic surgery during a 3-year training program, but the technical skill acquired in surgery of the bowel, bladder, ureters, and pelvic vessels is limited by the clinical material available. A program is described in which 3 animal models (dog, ...

The E. W. Sparrow Family Practice Residency Program has developed a unique system of training family practice residents in obstetrics. A continuous obstetrical training experience is provided on a non-rotational basis over the three-year residency training period. This experience has been arranged through the creation of the family practice obstetrical ...

The need for a more effective and timely method of keeping a department's faculty and house staff knowledgeable of current developments and research is recognized. A program utilizing the clinical librarian as a member of the patient care team has been developed by the staff of the Department of Obstetrics ...

The author has conducted seminars with small groups of medical students beginning their training on an obstetrics and gynecology service. Six characteristic responses of students to performing their first pelvic examination are described. Within the framework of the seminar discussion, an attempt is made to help the students cope with ...

Representatives of 114 academic departments of obstetrics and gynecology in North America completed a written questionnaire in 1977 designed to assess undergraduate educational programs. Respondents reported increases in numbers of departments and faculty per department and decreases in the length and number of students per clerkship in comparison with a ...

The effects of EMG biofeedback training on cursive handwriting were investigated for 4 girls and 5 boys in Grade 4. A significant reduction in EMG between the first baseline session and the last training session was obtained. Four of 5 characteristics of handwriting improved significantly. The need for carefully designed ...

Residency training goals and manpower needs in the 1980's and beyond should bear a consistent relationship. Projections for supply and demand for obstetrics and gynecology and for those medical specialties with overlapping responsibilities, though fraught with uncertainties, suggest that currently approved training programs in obstetrics and gynecology will meet clinical ...

The impetus for the development of the Gynecorps Training Program was the identification of medically underserved populations of women in Washington State and their need for preventive health care, the maldistribution of physicians, and the success of a pilot program for training midlevel personnel conducted in 1972 by the Department ...

Out of 450 specially selected cases (gynecological and non-gynecological material) presented to 30 students during their educational program lasting 12 months, 20 cases caused the most problems. These 20 cases, in effect "selected by the students", were again presented as "unknowns" at the end of the course. The mean percentage ...

A survey of 108 departments of obstetrics and gynecology in United States medical schools was completed for 1975, and a statistical evaluation of their resources was made. The mean data showed that the student core clerkship had a duration of 6.9 weeks and an enrollment of 17.8 students. The departments ...

Four, and later five, of the medical schools in the one multiple choice question (MCQ) paper in Obstertrics and Gynaecology to their students at the end of the Obstetrics and Gynaecology courses. The paper was amended twice after intervals of approximately 12 months. The results showed differences in performance between ...

A questionnaire to members of the College was returned, completed, by over half the members. It appears that very heavy work loads are carried by many members, and 44% of those in private practice consider themselves overworked. The opinion of 18% of the respondents is that too few specialists are ...

The current status of obstetric anesthesia training in the United States is reviewed. The 39 anesthesia residency training programs having full time chiefs of obstetric anesthesia were surveyed regarding clinical practice, physical facilities, teaching and research. This paper reports the results and compares them to recommendations of JCAH, ACOG and ...

In order to assess the effectiveness of verbal relaxation instructions and EMG relaxation training on the relief of tension headaches, 18 medically documented tension-headache sufferers were randomly assigned to one of three conditions: (1) Jacobson-Wolpe autogenic-relaxation training, (2) EMG relaxation training, or (3) EMG relaxation training combined with Jacobson-Wolpe autogenic ...

The biofeedback literature affirms the therapeutic efficacy of EMG-biofeedback-assisted relaxation for the treatment of tension headache. However, this form of therapy has failed to focus on the role of cognitive variables in the control and perception of tension headache. The present case study provides a prototype treatment combining cognitive behavior--modification ...

We studied the biofeedback treatment of migraine headaches, attempting to control for some of the methodological limitations of previous work. Seven individuals suffering from migraine headache were trained in the usual finger warming procedure with the omission of autogenic phrases. Additionally, to control for placebo-expectance effects, three of these subjects ...

The number of trainees produced by a residency program must relate directly to manpower needs in a specialty, not to the service needs of the training institution. In order to avoid geographic maldistribution of specialists, it is preferable to determine correct trainee output on a regional basis and combine such ...

It has been reported that biofeedback training of 12- to 14-Hz activity recorded over Rolandic cortex was accompanied by a reduction in seizure incidence in four human epileptics (Sterman et al., 1974). Biofeedback training of 12- to 14-Hz activity was provided for two epileptics and had no effect on clinical ...

The development of a program to provide complete anesthesia coverage for obstetrics in a community hospital was undertaken as a prospective project which emphasized continuous caudal techniques. Mutually acceptable guidelines were formulated by a group of anesthesiologists and the Department of Obstetrics and Gynecology. A computerized study involving 3,500 labor ...

As a follow-up to Wolf's study of attitudes of obstetrical housestaff toward therapeutic abortion,(5) the attitudes of 48 obstetrical residents in the San Francisco Bay area were evaluated by questionnaire and structured interview. Specific issues studied were: (1) Willingness to perform therapeutic abortion, (2) impact of therapeutic abortion on Resident ...