Browsing by Author "Tsai, Shelun"
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Item Open Access Association between donor gamete use and supernumerary embryo disposition decisions.(Journal of assisted reproduction and genetics, 2023-02) Tsai, Shelun; Hynes, Jenna S; Zanolli, Nicole; Raburn, Douglas; Steiner, Anne ZPurpose
The aim of this study is to determine if donor gamete use is associated with patients' decisions regarding disposition of supernumerary embryos.Methods
Patients who intended to undergo an IVF cycle at a single academic center signed an embryo disposition consent form to indicate their disposition preferences for any supernumerary embryos. A retrospective chart review was performed to obtain the embryo disposition declarations and demographic information. The primary outcome was the distribution of embryo disposition choices between patients who used donor gametes compared to patients who did not use donor gametes. Fisher's exact test was used to compare groups. Logistic regression models were created to determine the association between donor gamete use and disposition decision after adjusting for patient age, body mass index, and nulliparity.Results
Five hundred six patients were included. Ninety-one (18.0%) patients used donor gametes [46 (9.0%) donor oocytes, 52 (10.3%) donor sperm]. Patients using donor gametes differed from those not using donor gametes when making decisions concerning death of the patient (P < 0.01), simultaneous death (P = 0.04), separation (P < 0.01), discontinuation of ART (P = 0.01), and time-limited storage (P < 0.01). Most patients, regardless of donor or autologous gamete use, awarded embryos to themselves or their partner if given the option. For patients who did not choose this option, excess embryos were generally awarded to research or discarded rather than donating to another couple. Patients using donor gametes were more likely to award embryos to research over discarding.Conclusion
Patients using donor gametes made different choices regarding supernumerary embryo disposition compared to patients not using donor gametes.Item Open 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.].Item Open 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, ElizabethIntroduction
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.