Browsing by Author "Deans, Elizabeth"

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    ItemOpen Access
    Correction to: Novel Spaced Repetition Flashcard System for the In-training Examination for Obstetrics and Gynecology.
    (Medical science educator, 2021-08) Tsai, Shelun; Sun, Michael; Asbury, Melinda L; Weber, Jeremy M; Truong, Tracy; Deans, Elizabeth
    [This corrects the article DOI: 10.1007/s40670-021-01320-z.].
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    ItemOpen Access
    Factors associated with low-lying intrauterine devices: a cross-sectional ultrasound study in a cohort of African-American women.
    (Contraception, 2018-07) Moshesh, Malana; Saldana, Tina; Deans, Elizabeth; Cooper, Tracy; Baird, Donna

    Objective

    The object of this study is to examine factors and symptoms associated with low-lying IUDs as defined by ultrasound.

    Study design

    This is a cross-sectional sub-study of participants in the Study of Environment, Life-style, and Fibroids (SELF). SELF participants had screening ultrasounds for fibroids at study enrollment; those with an IUD in place are included in this sub-study. Low-lying IUDs were identified and localized. Logistic regression was used to identify factors and symptoms associated with low-lying IUDs.

    Results

    Among 168 women with IUDs at ultrasound, 28 (17%) had a low-lying IUD. Having a low-lying IUD was associated with low education level (≤high school: aOR 3.1 95% CI 1.14-8.55) and with increased BMI (p=.002). Women with a low-lying IUD were more likely to report a "big problem" with dysmenorrhea (the highest option of the Likert scale) as compared to women with a normally-positioned IUD (OR 3.2 95% CI 1.07-9.54).

    Conclusion

    Our study found that women with a low-lying IUD are more likely to be of lower education and higher BMI, and to report more dysmenorrhea.

    Implications

    Women who are obese may benefit from additional counseling and closer follow-up after IUD placement. Future research is warranted to investigate IUD placement and possible IUD migration among women who are obese.
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    ItemOpen Access
    Novel Spaced Repetition Flashcard System for the In-training Examination for Obstetrics and Gynecology.
    (Medical science educator, 2021-08) Tsai, Shelun; Sun, Michael; Asbury, Melinda L; Weber, Jeremy M; Truong, Tracy; Deans, Elizabeth

    Introduction

    Electronic flashcards allow repeated information exposure over time along with active recall. It is increasingly used for self-study by medical students but remains poorly implemented for graduate medical education. The primary goal of this study was to determine whether a flashcard system enhances preparation for the in-training examination in obstetrics and gynecology (ob-gyn) conducted by the Council on Resident Education in Obstetrics and Gynecology (CREOG).

    Methods

    Ob-gyn residents at Duke University were included in this study. A total of 883 electronic flashcards were created and distributed. CREOG scores and flashcard usage statistics, generated internally by interacting with the electronic flashcard system, were collected after the 2019 exam. The primary outcome was study aid usage and satisfaction. The secondary outcome was the impact of flashcard usage on CREOG exam scores.

    Results

    Of the 32 residents, 31 (97%) participated in this study. Eighteen (58%) residents used the study's flashcards with a median of 276 flashcards studied over a median of 3.7 h. All of the flashcard users found the study aid helpful, and all would recommend them to another ob-gyn resident. Using the flashcards to study for the 2019 CREOG exam appeared to correlate with improvement in scores from 2018 to 2019, but did not achieve statistical significance after adjusting for post-graduate year (beta coefficient = 10.5; 95% confidence interval =  - 0.60,21.7; p = 0.06).

    Discussion

    This flashcard resource was well received by ob-gyn residents for in-training examination preparation, though it was not significantly correlated with improvement in CREOG scores after adjusting for post-graduate year.