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In 15 stations, the result was a The best performances were achieved in the following stations: take the pap smear All the rest got a mark lower than The results are lower than the ones obtained in written exams, because these cannot assess clinical skills.

It could be observed that a student's performance in a clinical problem does not certainly predict his performance in other, so it seems to be determined more by the specific knowledge and the student's experience related to the case, than by a general problem-solving skill. The results show the advantages of this instrument to assess clinical skills, that justify its application in the formative process.

This work evidences that its necessary to improve the acquisition of basic clinical skills trough systematic instructionals strategies and greater opportunities of learning. Patient safety culture in obstetrics and gynecology and neonatology units: the nurses' and the midwives' opinion. Patients treated in health care facilities that provide services in the fields of obstetrics , gynecology , and neonatology are especially vulnerable.

Large multidisciplinary teams of physicians, multiple invasive and noninvasive diagnostic and therapeutic procedures, and the use of advanced technologies increase the probability of adverse events. The evaluation of knowledge about patient safety culture among nurses and midwives working in such units and the identification of critical areas at a health care institution would reduce the number of adverse events and improve patient safety.

The aim of the study was to evaluate the opinion of nurses and midwives working in clinical departments that provide services in the fields of obstetrics , gynecology , and neonatology about patient safety culture and to explore potential predictors for the overall perception of safety. The analysis of the dimensions of safety on the unit level showed that the respondents' most positive evaluations were in the Organizational Learning - Continuous Improvement On the hospital level, the evaluation of the safety dimensions ranged between The percentage of positive responses in the outcome dimensions Frequency of Events Reported was On the hospital level, the critical domains in health care facilities that provide services in the fields of obstetrics , gynecology , and neonatology were Teamwork.

German words: still used by Japanese obstetrics and gynecology doctors. German used to be frequently employed in Japanese obstetric and gynecologic OBGYN practice; however, it is now less frequently used. Description and analysis of this situation may shed some light on the change of OBGYN practice and education in Japan, which may at least partly hold true to counties other than Japan. German words have become less frequently used with each successive generation. Obstetric and gynecological diseases and complications resulting from vaginal dysbacteriosis.

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Accurate knowledge of the composition and ecology of vaginal microbial environment of a healthy woman is necessary for the understanding of normal flora and how to reduce the risk for diseases. Vagina and its microflora form a balanced ecosystem in which dominated bacteria are vaginal lactobacilli. There are dynamic changes in this ecosystem having structure and composition depending on many factors. Such a change in the quantity and quality of the respective microbial balance is fraught with danger and requires correction and recovery. The purpose of this overview is to examine obstetric and gynecological diseases that can cause vaginal impaired microbial balance.

Vaginal dysbacteriosis is a cause, predecessor, and often also consequence of vaginal infections. In essence, any vaginal infection can be seen as dysbacteriosis, developed to the most severe extent. Here, there is a dominant microorganism other than lactic acid bacteria in the vagina clinically manifested or not, respectively , depletion of defense mechanisms of the vagina associated with the shift of lactobacilli from their dominant role in the vaginal balance, decrease in their number and species diversity, and a resulting change in the healthy status of the vagina. Vaginal dysbacteriosis can be found in pathogenetic mechanism, whereby many obstetric and gynecological diseases develop.

Most of these diseases lead directly to increased maternal and infant morbidity and mortality, so it is important to understand the reasons for them and the arrangements for their prevention. Evaluation of ethics education in obstetrics and gynecology residency programs. The objective of the study was to assess the current status of ethics education in obstetrics-gynecology residency programs.

A cross-sectional, web-based survey was designed in conjunction with a professional survey laboratory at the University of Chicago. The survey was piloted with a convenience sample of clinical medical ethics fellows to assess question content and clarity. The survey was deployed by e-mail to all obstetrics-gynecology residency program directors.

Descriptive statistics were used to analyze participant responses. The University of Chicago's Institutional Review Board deemed this study exempt from institutional review board formal review. This study found that a lack of structured curricula, inadequate faculty expertise, and limited time were important barriers for ethics education in obstetrics-gynecology programs across the nation. Despite these existing challenges, program directors have a strong interest in increasing ethics. Hematological complications in obstetrics , pregnancy, and gynecology.

Recent changes to the Polish healthcare system have forced healthcare managers and administrators to implement modern instruments for strategic and operations management. The main aim of the study was to analyze the effect of managerial decisions in the area of human resources, resulting from the adopted restructuring program, on the economic situation of the OGCH, PUMS. The research material comprised of secondary sources on finance, accounting and human resources data: financial statements, analysis of costs incurred by individual hospital departments , reports on the implementation of NHF contracts for providing health services and on hospital workforce at the time of the study, as well as the results of patient satisfaction survey at the OGCH, PUMS.

Inclusion of department heads into the decision making processes of managerial accounting seems to be necessary to improve the overall financial condition of a hospital. However, it requires a more flexible hospital structure, what can be achieved by implementing a divisional organizational structure, which grants individual organizational units a certain autonomy in the process of making medical-financial decisions.

Maternity leave: existing policies in obstetrics and gynecology residency programs. To survey program directors in obstetrics and gynecology regarding maternity leave and to determine how programs are dealing with maternity leave coverage. Questionnaires regarding impact and policy on maternity leave were mailed to accredited obstetrics and gynecology residency programs.

Eighty-five percent of programs require residents to make up time if their leave exceeds 6 weeks during the fourth year. Ninety-three percent of programs require residents to make up time if their leave exceeds 20 weeks over the 4 years. Seventy-seven percent of respondents have other residents in their program cover for the absent resident.

Thirty-seven percent of programs have schedules flexible enough to allow rearrangement so that some rotations go uncovered. Eighty-three percent of programs surveyed stated that maternity leave has a somewhat to very significant impact on the residents' schedules. A more flexible curriculum may help to accommodate the residents on leave without overburdening the residents who are left to cover. Scientific research in obstetrics and gynecology : changes in the trends over three decades.

Results: A total of theses and essays were reviewed.


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The important topics in the specialty of obstetrics and gynecology were covered and updated. Infertility, in vitro fertilization—embryo transfer IVF-ET and related techniques, and polycystic ovarian disease were the most common gynecologic topics Preeclampsia was the most common obstetrics topic The number of researches that allow the candidates to learn skills was and it was increased from 4. Ultrasonography was on the top and was present in 99 out of Multi-disciplinary research was decreased by Researches in academic fields were abandoned and in some clinically important areas like preeclampsia were decreased.

Research which enable the candidate to learn skills were increased on the expense of academic, clinical and multidisciplinary research. It could be recommended that plans for scientific. The methodological quality of economic evaluation studies in obstetrics and gynecology : a systematic review. We evaluated the methodological quality of economic evaluation studies in the field of obstetrics and gynecology published in the last decade.

We included full economic. The authors in a prospective, analytical study of 8 months from January 1st to August 31st performed at the Ignace Deen Clinic of Gynecology and Obstetrics , Conakry University Hospital ; assessed the impact of the mode of delivery in breech presentation on maternal and fetal outcome in the African context of Guinea. Breech presentation in mono fetal pregnancy of at least 28 weeks of amenorrhea was the inclusion criterion in this study.

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Among deliveries, breech presentations were reviewed, representing a frequency of 9. Half of breech deliveries The breech was incomplete in Caesarean section was performed in The indications were often primiparity Deliveries through the lower route frequently used the maneuver of Bracht Morbid Apgar score at the 1st minute after delivery through the lower route was found in The maternal morbidity concerned essentially perineal lesions The outcome is largely better in case of delivery through the upper route.

The caesarean section is an alternative for the improvement of fetal outcome in countries with low resources.

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Full Text Available introduction and objectives. The impact of general gender stereotypes on nursing is severe and influential, especially with regard to male nursing students working in obstetrics and gynecology wards. This study examined the experience of male nursing students in obstetrics and gynecology wards. We used a phenomenological qualitative research approach and a sample of 10 male nursing students currently studying at a nursing college in central Taiwan.

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All participants had obstetrics and gynecology ward experience. Individual interviews were transcribed into the procedural record. Colaizzi content analysis analyzed and categorized research data. Based on participants practical experiences in the obstetrics and gynecology ward, the main stages of participants professional development through their internship experience included: 1 Unbalanced self-role recognition; 2 being defined by the gender framework gender stereotypes ; 3 the difference between male doctor and male nurse; 4 learning appropriate communication techniques; 5 mutual and empathetic understanding of the female psychology during childbirth; 6 gaining sources for positive feedback; 7 releasing the shackles of gender and gaining full insight into and comprehension of nursing functions; and 8 given the opportunity to learn.

Through ongoing examination and learning, participant internships in the obstetrics and gynecology wards were significant and essential learning experiences that validated their necessity. Nursing schools and internship institutions alike must realize the importance of gender-equality education to the nursing profession. Medical institutions are encouraged to offer equal learning opportunities to male and female nursing students and provide targeted assistance to males to help them master clinical nursing care practices in the obstetrics and gynecology department.

RRD evaluators rated the overall symposium and the quality of resident oral and poster presentations as either "excellent" or "above average. Surveyed residents reported that the symposium promoted their research and was a valuable investment of their time. An annual specialty-specific, statewide RRD was created, experienced good participation, and was well evaluated. Menopause education: needs assessment of American obstetrics and gynecology residents.

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

Of residency program directors contacted, 79 In all, 1, people received the survey, with completions, for a response rate of Most residents reported that they had limited knowledge and needed to learn more about these aspects of menopause medicine: pathophysiology of menopause symptoms 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 When asked to rate the most preferred modalities for learning about menopause, the top choice was supervised clinics 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. Effect of resident evaluations of obstetrics and gynecology faculty on promotion. Promotion for academic faculty depends on a variety of factors, including their research, publications, national leadership, and quality of their teaching.

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We sought to determine the importance of resident evaluations of faculty for promotion in obstetrics-gynecology programs. A item questionnaire was developed and distributed to department chairs of US obstetrics-gynecology residency programs. The most common reason for rejection for promotion in all tracks was the number of publications.

Awards for excellence in teaching improved chances of promotion. Teaching quality is becoming more important in academic obstetrics-gynecology departments , especially for clinical faculty.


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    7. Physician's gender, communication style, patient preferences and patient satisfaction in gynecology and obstetrics : A systematic review. OBJECTIVE: Review of studies published in the last 10 years about women seeking gynecological - or obstetrical care and physician's gender in relation to patient preferences, differences in communication style and patient satisfaction.

    Center for routine gynecological and obstetrical examination. We compa'tred mean values for the serum tests and haematological data and investigated etiological factors such as age, marital status, education, spouse's education, occupation, spouse's occuption, number of days of menstrual bleeding, severity of menstrual bleeding, pregnancy status, number of pregnancies, number of deliveries, intervals between successive pregnancies, ami smoking status, as probable causes of iron-deficiency anaemia in women.

    Moreover the relevance between occurance of iron-deficiency anaemia or ferritin serum level to etiological factors and diagnostic laboratory tests arc analyzed. For the purpose of this study anaemia was difind as haemoglobin Hb below 12 gdf. Women have been classified into two groups of anaemic Vs normal according to the diagnosis.

    Prevalence of anaemia among 41 subjects with complete laboratory results was Moreover, the probability of occurance of iron-deficiency anaemia, in general population was fount!