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Effectiveness of a 2-year menopause medicine curriculum for obstetrics and gynecology residents

Christianson, Mindy S. MD; Washington, Chantel I. MD; Stewart, Katherine I. MD, MBA; Shen, Wen MD, MPH

doi: 10.1097/GME.0000000000000531
Original Articles

Objective: Previous work has shown American obstetrics and gynecology (OB/GYN) residents are lacking in menopause training. Our objective was to assess the effectiveness of a 2-year menopause medicine curriculum in improving OB/GYN residents’ knowledge and self-assessed competency in menopause topics.

Methods: We developed a menopause medicine-teaching curriculum for OB/GYN residents at our academic hospital-based residency program. The 2-year curriculum was composed of year 1: four 1-hour lectures and one 2-hour lab with cases presentations, and year 2: three 1-hour lectures and one 2-hour lab. Core topics included menopause physiology, hormone therapy, breast health, bone health, cardiovascular disease, and autoimmune disease. Pre- and posttests assessed resident knowledge and comfort in core topics, and a pre- and postcurriculum survey assessed utility and learning satisfaction.

Results: From July 2011 to June 2013, 34 OB/GYN residents completed the menopause curriculum annually with an average attendance at each module of 23 residents. Pre-/posttest scores improved from a mean pretest score of 57.3% to a mean posttest score of 78.7% (P < 0.05). Before the curriculum, most residents did not feel comfortable managing menopause patients with 75.8% reporting feeling “barely comfortable” and 8.4% feeling “not at all comfortable.” After the 2-year curriculum, 85.7% reported feeling “comfortable/very comfortable” taking care of menopause patients. The majority of residents (95.2%) reported the menopause curriculum was “extremely useful.”

Conclusions: A 2-year menopause medicine curriculum for OB/GYN residents utilizing lectures and a lab with case studies is an effective modality to improve resident knowledge required to manage menopause patients.

Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD.

Address correspondence to Mindy S. Christianson, MD, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Division of Reproductive Endocrinology, Falls Concourse, 10751 Falls Road, Suite #280, Lutherville, MD 20193. E-mail:

Received 30 March, 2015

Revised 2 July, 2015

Accepted 2 July, 2015

Funding/support: None.

Financial disclosure/conflicts of interest: None reported.

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© 2016 by The North American Menopause Society.