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Moving the Needle: Using Guidelines on Diversity, Equity, and Inclusion to Uplift a Stronger Medical Education Community. 移动针头：使用《多样性、公平性和包容性指南》提升更强大的医学教育社区。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-05-28 DOI: 10.1097/GRF.0000000000000875
Samantha D Buery-Joyner, Laura Baecher-Lind, Nadine T Katz
{"title":"Moving the Needle: Using Guidelines on Diversity, Equity, and Inclusion to Uplift a Stronger Medical Education Community.","authors":"Samantha D Buery-Joyner, Laura Baecher-Lind, Nadine T Katz","doi":"10.1097/GRF.0000000000000875","DOIUrl":"10.1097/GRF.0000000000000875","url":null,"abstract":"<p><p>The Association of Professors of Gynecology and Obstetrics created the Diversity, Equity, and Inclusion Guidelines Task Force to develop best practices to establish a diverse physician workforce and eliminate racism in medical education. Using the guidelines, educators are impacting their communities and, in some areas, leading their institutions toward greater diversity and inclusion. The guidelines are organized by 4 domains: learning environment, grading and assessment, pathway programs, and metrics. This manuscript uses that framework to highlight the work of individual educators who are moving the needle towards racism-free health care and aims to inspire others contemplating incorporation into their programs.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influenza in Pregnancy: Maternal, Obstetric, and Fetal Implications, Diagnosis, and Management. 妊娠期流感：妊娠期流感：孕产妇、产科和胎儿的影响、诊断和管理》（Maternal, Obstetric, and Fetal Implications, Diagnosis, and Management.
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-07-25 DOI: 10.1097/GRF.0000000000000880
Sarah K Dotters-Katz
{"title":"Influenza in Pregnancy: Maternal, Obstetric, and Fetal Implications, Diagnosis, and Management.","authors":"Sarah K Dotters-Katz","doi":"10.1097/GRF.0000000000000880","DOIUrl":"10.1097/GRF.0000000000000880","url":null,"abstract":"<p><p>Influenza(flu) in pregnancy is associated with higher rates of hospitalization, ICU admission, and death and with increased odds of congenital anomalies and stillbirth, but not preterm birth. Clinical manifestations of flu in pregnancy are the same as nonpregnant patients. Pregnant individuals with flu-like symptoms or flu exposure should be treated with antivirals. Diagnostic testing is not needed. Oseltamivir is the mainstay of treatment(and prophylaxis), and when given within 48 hours of symptom onset, it decreases morbidity and mortality. Influenza is associated with worse maternal, obstetric, and neonatal outcomes. These risks are mitigated by early oseltamivir treatment and maternal vaccination; hence the recommendation for universal vaccination in pregnancy.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141765696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Malaria in Pregnancy, Current Challenges, and Emerging Prevention Strategies in a Warming Climate. 气候变暖背景下的妊娠期疟疾、当前挑战和新兴预防策略。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-07-04 DOI: 10.1097/GRF.0000000000000888
Anju Ranjit, Blair J Wylie
{"title":"Malaria in Pregnancy, Current Challenges, and Emerging Prevention Strategies in a Warming Climate.","authors":"Anju Ranjit, Blair J Wylie","doi":"10.1097/GRF.0000000000000888","DOIUrl":"10.1097/GRF.0000000000000888","url":null,"abstract":"<p><p>Malaria still presents a grave threat to the health of pregnancies worldwide with prevention currently stalling as traditional control and prevention strategies are limited by both insecticide and drug resistance. Furthermore, climate change is bringing malaria to locations where it was once eradicated and intensifying malaria in other areas. Even where malaria is not currently common, obstetricians will need to understand the pathogenesis of the disease, how it is transmitted, methods for prevention and treatment in pregnancy, and promising emerging strategies such as vaccines. A renewed global response is needed for this age-old disease in which pregnancy poses specific susceptibility.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141765697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancing Equity: Understanding, Addressing, and Mitigating Bias in Assessment in Medical Education. 促进公平：了解、解决和减轻医学教育评估中的偏见。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-05-09 DOI: 10.1097/GRF.0000000000000870
Virginia Sheffield, Mary Finta, Abigail Erinc, Tammy L Sonn, Jennifer Reilly Lukela
{"title":"Advancing Equity: Understanding, Addressing, and Mitigating Bias in Assessment in Medical Education.","authors":"Virginia Sheffield, Mary Finta, Abigail Erinc, Tammy L Sonn, Jennifer Reilly Lukela","doi":"10.1097/GRF.0000000000000870","DOIUrl":"10.1097/GRF.0000000000000870","url":null,"abstract":"<p><p>Despite the growing presence of women and historically underrepresented groups in academic medicine, significant disparities remain. This article examines a key aspect of these disparities: biases in assessment and learning environments. Reviewing current literature, including in OBGYN, reveals persistent gender and racial biases in subjective clinical narrative assessments. The paper then outlines a 2-pronged approach for change: first, enhancing the learning environment, and subsequently, providing targeted recommendations for individuals, academic leaders, and healthcare institutions to effectively address these biases.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Abortion Education for Medical Students in an Era of Increased Abortion Restrictions. 在堕胎限制增多的时代对医科学生进行堕胎教育。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-05-30 DOI: 10.1097/GRF.0000000000000874
Valerie A French, Melody Y Hou
{"title":"Abortion Education for Medical Students in an Era of Increased Abortion Restrictions.","authors":"Valerie A French, Melody Y Hou","doi":"10.1097/GRF.0000000000000874","DOIUrl":"10.1097/GRF.0000000000000874","url":null,"abstract":"<p><p>Following the Supreme Court's decision in Dobbs v Jackson Women's Health in June 2022, many states restricted or banned abortion. Medical educators have focused on how this change impacts abortion training for residents, but schools must also adapt undergraduate medical education. Medical schools provide the foundation for future physicians' knowledge and attitudes on abortion. Comprehensive, high-quality abortion education for all medical students is essential for the future of abortion care. Here, we present how education champions can lead curricular improvements in abortion education in the preclinical, clerkship, and postclerkship phases of undergraduate medical education.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141174582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Taking the Express Lane: Student Attitudes Towards Tracking in Ob/Gyn Residency. 走快车道：学生对妇产科住院医生追踪的态度。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-06-27 DOI: 10.1097/GRF.0000000000000873
Fei Cai, Sarah Santiago, Elizabeth Southworth, Alyssa Stephenson-Famy, Emily Fay, Eileen Y Wang, Ralph Nicholas Burns
{"title":"Taking the Express Lane: Student Attitudes Towards Tracking in Ob/Gyn Residency.","authors":"Fei Cai, Sarah Santiago, Elizabeth Southworth, Alyssa Stephenson-Famy, Emily Fay, Eileen Y Wang, Ralph Nicholas Burns","doi":"10.1097/GRF.0000000000000873","DOIUrl":"10.1097/GRF.0000000000000873","url":null,"abstract":"<p><p>We sought to determine the subspecialty interests of fourth-year medical students (MS4s) matched to Ob/Gyn and evaluate their attitudes towards residency tracking. Matched MS4s completed a survey regarding subspecialization, confidence in that choice, and desire for tracking. A total of 922 MS4s completed the survey. Of these, 474 (51.4%) desired subspecialty training, but were less confident in their choice compared with those desiring generalist careers (60.0/100 vs. 64.9/100, P =0.003). Those seeking subspecialty training were more likely to desire tracking (15.2% vs. 39.5%, P <0.001). In conclusion, 51% of MS4s desired subspecialty training over generalist careers. Almost 40% of these students are interested in tracking.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141455718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Benzodiazepines in Pregnancy: Erratum. 妊娠期苯二氮卓类药物：勘误。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-07-25 DOI: 10.1097/GRF.0000000000000429
{"title":"Benzodiazepines in Pregnancy: Erratum.","authors":"","doi":"10.1097/GRF.0000000000000429","DOIUrl":"10.1097/GRF.0000000000000429","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37212461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Trials That Have Changed Clinical Practice and Care of Pregnant People With HIV. 改变艾滋病病毒感染者孕妇的临床实践和护理的临床试验。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-06-01 Epub Date: 2024-03-07 DOI: 10.1097/GRF.0000000000000860
Stephanie A Fisher, Nigel Madden, Mariana Espinal, Patricia M Garcia, Jennifer K Jao, Lynn M Yee
{"title":"Clinical Trials That Have Changed Clinical Practice and Care of Pregnant People With HIV.","authors":"Stephanie A Fisher, Nigel Madden, Mariana Espinal, Patricia M Garcia, Jennifer K Jao, Lynn M Yee","doi":"10.1097/GRF.0000000000000860","DOIUrl":"10.1097/GRF.0000000000000860","url":null,"abstract":"<p><p>Over the last 4 decades, significant advances in the care of HIV during pregnancy have successfully reduced, and nearly eliminated, the risk of perinatal HIV transmission. The baseline risk of transmission without intervention (25% to 30%) is now <1% to 2% in the United States with contemporary antepartum, intrapartum, and postnatal interventions. In this review, we discuss 3 landmark clinical trials that substantially altered obstetric practice for pregnant individuals with HIV and contributed to this extraordinary achievement: 1) the Pediatric AIDS Clinical Trials Group 076 Trial determined that antepartum and intrapartum administration of antiretroviral drug zidovudine to the pregnant individual, and postnatally to the newborn, could reduce the risk of perinatal transmission by approximately two-thirds; 2) the European Mode of Delivery Collaboration Trial demonstrated performance of a prelabor cesarean birth before rupture of membranes among pregnant people with viremia reduced the risk of perinatal transmission compared with vaginal birth; and 3) the International Maternal Pediatric Adolescent AIDS Clinical Trials Network 2010 Trial identified that dolutegravir-containing, compared with efavirenz-containing, antiretroviral regimens during pregnancy achieved a significantly higher rate of viral suppression at delivery with shorter time to viral suppression, with fewer adverse pregnancy outcomes. Collectively, these trials not only advanced obstetric practice but also advanced scientific understanding of the timing, mechanisms, and determinants of perinatal HIV transmission. For each trial, we will describe key aspects of the study protocol and outcomes, insights gleaned about the dynamics of perinatal transmission, how each study changed clinical practice, and relevant updates to current practice since the trial's publication.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140048957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antenatal Late Preterm Steroids: The Evolution of the ALPS Trial. 产前晚期早产类固醇：ALPS 试验的演变。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-06-01 Epub Date: 2024-04-29 DOI: 10.1097/GRF.0000000000000865
Cynthia Gyamfi-Bannerman
{"title":"Antenatal Late Preterm Steroids: The Evolution of the ALPS Trial.","authors":"Cynthia Gyamfi-Bannerman","doi":"10.1097/GRF.0000000000000865","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000865","url":null,"abstract":"<p><p>The Antenatal Late Preterm Steroids (ALPS) trial was designed to address respiratory morbidity common in infants born late preterm. The study was published in April, 2016 and, shortly thereafter, changed clinical practice in obstetrics in the United States. The following chapter describes the ALPS trial study design in detail, including the background leading to the trial, the study outcomes, and the initial findings of the long-term follow-up study. The ALPS story would not be complete without Elizabeth Thom, PhD, who died before her time. Her brilliance largely contributed to the design of the ALPS trial.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11068095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Teeter-Totter or Tapestry: A Life in Academic Medicine. 跷跷板还是挂毯：学术医学生涯。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-06-01 Epub Date: 2024-01-15 DOI: 10.1097/GRF.0000000000000852
Kirtly Parker Jones
{"title":"Teeter-Totter or Tapestry: A Life in Academic Medicine.","authors":"Kirtly Parker Jones","doi":"10.1097/GRF.0000000000000852","DOIUrl":"10.1097/GRF.0000000000000852","url":null,"abstract":"<p><p>Constructing a career in academic medicine involves more than a focus on work-life balance. That image of a teeter-totter suggests that life is what happens when you are not working. The nature of the scope of interests (clinical, research, teaching) and values (service, leadership, curiosity, transparency, and honesty) creates a larger framework through which home life and work life become one interwoven tapestry. The author reflects on these perspectives as she looks back on a career in academic medicine.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139485271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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