OPEN ACCESSJanuary 21, 2025Second Trimester Abortion: A Dilation and Evacuation Simulation for Gynecologic Surgery Obstetrics Residents Kiley Hunkler, MD, MSt, MSc1,*, David Boedeker, DO, MHA2, Elizabeth Gill, MD3, Katelyn Simpkins, MD4, Katerina Shvartsman, MD5, Jill Brown, MPH, MHS5, Sara Drayer, MD6 MSc1,* https://orcid.org/0009-0002-6292-712X Fellow, Department of Obstetrics, Walter Reed National Military Medical Center; Reproductive Endocrinology Infertility, Institute Child Health...

OBJECTIVE: To evaluate female permanent contraception procedure rates in the Military Health System before and after Dobbs v. Jackson Women's Organization decision. METHODS: We performed a repeated monthly cross-sectional study of encounters using data repository. used International Classification Diseases, Tenth Revision, Clinical Modification diagnosis codes Current Procedural Terminology to identify incident beneficiaries aged 21–49 years from January 2018 February 2023. change-point...

The COVID-19 pandemic created unique challenges for clinical medical education, as students and educators had to pivot primarily distance learning. We aimed develop a novel curriculum engage in continued learning maintain readiness. To substitute in-person Obstetrics Gynecology (OBGYN) clerkship teaching during the pandemic, we structured, multi-media virtual course utilizing reading materials, podcasts, videos self-paced, student-controlled supplemented by group discussions with faculty....

Background Over 2 million people worldwide receive a new HIV diagnosis annually. Pre-exposure prophylaxis (PrEP) is highly effective in preventing transmission, but underprescribed, including the US. Lack of clinician comfort and knowledge are most cited reasons for this discrepancy. We aimed to develop mobile application (app) address these barriers improve patient access PrEP. Methods established key criteria point-of-care app that could be utilised low-resource settings by various...

Abstract Background This study evaluates oral naproxen and intrauterine instillation of lidocaine for analgesia with device (IUD) placement as compared to placebo. Methods was a randomized, double-blind, placebo-controlled trial. Patients desiring levonorgestrel 52 mg IUD or Copper T380A were randomized into treatment groups. received either 375 placebo approximately 1 h prior procedure in conjunction 5 mL 2% saline. The primary outcome pain insertion measured on visual analog scale...

Mentorship programs have well-documented benefits to both mentees and mentors. Military medical students face unique challenges in school given their service-specific requirements separate military match process. We therefore aimed determine whether students' participation a mentorship program impacts confidence applying obstetrics gynecology (OB/GYN) residency.

The menopause transition represents a significant life phase for people assigned female at birth marked by various physical and psychological changes. For military service members veterans, this can be even more complex because of unique factors related to service. A tradition excluding women from before reaching the age has left Military Health System unprepared address specific health needs population. lack attention is evidenced absence menopause-related research in active-duty population...

Currently, there are no established guidelines for obstetric ultrasound training at the core medical student clerkship level. Our objective was to develop practical, consensus-based learning objectives in second- and third-trimester assess feasibility of implementing these into a clinical curriculum.

Plasma cell, or Zoon's, vulvitis (PCV) is a rare inflammatory disorder of the female genital tract. Clinically, it characterized by erythematous mucosal lesions associated with burning, pruritus, and dyspareunia. Histologically, thinning epithelium infiltration plasma cells in underlying dermis. There are few case reports describing predominantly vaginal symptoms. Our patient 53-year-old postmenopausal presenting for gynecologic evaluation pinching sensation vulvar irritation three months....

ABSTRACT Introduction Military medical students participate in a separate residency match program, distinct from their civilian counterparts. There is limited information regarding factors that applicants find important when selecting program Gynecologic Surgery and Obstetrics (GSO). We aimed to identify influence applicant selection. Materials Methods A voluntary, anonymous, 45-question survey was distributed military candidates pursuing GSO training the fall of 2023. Participants were...

Menopausal hormone therapy (HT) has been shown to be effective in alleviating symptoms of menopause. While previous literature described the frequency HT use for relief menopausal both general and veteran female populations, there is currently no describing this within active duty population. This study aims address gap knowledge by conducting a retrospective cross-sectional receipt service women (ADSW) ages 45 64 during fiscal years (FYs) 2018 2022. We used Military Health System (MHS) Data...

INTRODUCTION: One of the barriers to IUD insertion is discomfort during placement device. This study was designed compare efficacy intrauterine lidocaine and oral naproxen sodium on pain patients undergoing device insertion. METHODS: a randomized, double-blind, placebo-controlled where women were randomly assigned receive either 5mL 2% or saline 375mg placebo tablet. Patients randomized into one four groups: A placebo/normal infusion; B placebo/lidocaine C: naproxen/normal saline; D:...

ABSTRACT Introduction Our goal was to develop a successful research collaboration program, Military Ob/Gyn HeadHunters, connect military medical students with residents, fellows, and staff physicians across the Health System (MHS) foster mentorship. Materials Methods We conducted needs assessment of from Uniformed Services University Professions Scholarship Program as well physicians, fellows practicing in MHS better understand barriers initiating conducting within MHS. used survey results...

APGO Advisor: Sonya Erickson, MD PURPOSE: To examine the effect of rotation order on end-of-clerkship National Board Medical Examiners (NBME) Obstetrics and Gynecology Subject Examination scores. BACKGROUND: Integrated clerkships are intended to improve overall comprehension critical thinking skills. At our university, a 15‐week interval is divided into 5 weeks blocks general surgery, obstetrics gynecology, surgical subspecialties, in any order. During 16th week, students take NBME...

Pregnancy complications, including pre-eclampsia, gestational diabetes (GDM), and perinatal mood anxiety disorders (PMADs), impact long-term health. We compared the frequency of screening documentation for pregnancy complications versus a general medical history at well woman visits between providers in primary care obstetrics gynecology.We conducted retrospective cohort study subjects with least 1 prior birth who presented visit 2019-2020. Charts were reviewed (hypertension, diabetes,...

Hamar, Benjamin D. MD; Shvartsman, Katerina Keohane, Carol RN; Wong, Geoffrey Cohen, Bruce MD Author Information