American Journal of Medical and Clinical Sciences. 2021; 6(4):(60-102)


Analysis of Medical Students’ Ability in Evaluating Genital Prolapse

Tamires de Menezes França, Caio Kzan Geyer Nogueira, Maria Gabriela Baumgarten Kuster Uyeda, Manoel João Batista Castelo Girao and Marair Gracio Ferreira Sartori

Abstract
Objective: To evaluate the ability to analyze pelvic organ prolapse of the undergraduate students and to infer the inter-examiner agreement (students and preceptor) on POP-Q ICS classification.
Methods: A prospective, randomized observational study that evaluated urogynecology learning by fifth-year students of medicine of Escola Paulista de Medicina/UNIFESP, Brazil using a questionnaire based on the Likert scale before and after Hospital São Paulo Gynecology Sector stage. We also compared the pelvic organ prolapse staging with POP-Q between students and the preceptor after the internship in gynecology.
Results: A total of 85 students and 5 preceptors were included. 94% of the students reported feeling totally uncomfortable or uncomfortable assessing patients with genital dystopia prior to the internship in gynecology, and 42% remained totally uncomfortable or uncomfortable after the stage. Concerning the inter-examiner agreement, it was verified that the students and preceptors presented greater concordance in the stages 0 and 4, but the stages 1, 2, and 3 are presented as points of less agreement. About the general agreement between students and preceptors, we observed that there is regular agreement Kappa 0.206 with p-value <0.001 for 95% confidence interval.
Conclusion:
We can conclude that the students are able to perform an evaluation using POP-Q prolapse system however, it is necessary to improve their accuracy. Only a small portion of the students were fully comfortable in this care, the number of women with dystopia effectively attended seems to influence the comfort of students to attend patients.
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