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- W2998172854 abstract "Chorionic villus sampling (CVS) remains the sole method for first-trimester prenatal diagnosis. Most physicians are unable to provide this service because of a lack of training. The goal was to identify the impact of a well-established international training program in invasive diagnosis on provider confidence and practice pattern among those trained through the hands-on program. A 20-question online survey was sent to all physicians who had completed at least one week of training at the host institution. The survey was distributed via an email from the supervising physician. The survey included questions about the trainees educational, procedural experiences before the experience, estimate of the number/type of procedures performed, and self-evaluation of competence in invasive testing since completing the training. Descriptive statistics were performed and the Student t-test was used as indicated. Multiple logistic regression was applied to adjust for covariates. Of the 72 surveys sent, 47 (65.3%) were returned. 30 (63.8%) of respondents were female. Trainees had completed an average of 8.7 (SD: 21.8) CVS and 115.8 (SD: 222.8) amniocentesis before the training program. Of rotators, 25 (51%) were faculty and 22 (47%) were residents/fellows. 24 (51.1%) work in a private practice, 18 (38.3%) in academics, and 5 (10.6%) in public hospitals. The mean length of rotation was 2.7 weeks. Attendees came from 13 countries including 14 (29.8%) from Italy and 11(23.4%) from United States. Comfort with CVS (3.26 to 4.70, p< 0.001) and amniocentesis (Likert 1.86 to 3.93, p< 0.001) improved significantly after the training (Figure 1-2). Following training, 34.7% are currently teaching or mentoring CVS following training. There was no association with pre- vs post-training comfort in CVS or amniocentesis following training, when adjusted for age, gender, or experience (p >0.05). As comprehensive training in invasive fetal procedures dwindles, a program able to improve confidence and skill in these procedures is critical. The critical components of training remain challenging.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
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- W2998172854 date "2020-01-01" @default.
- W2998172854 modified "2023-09-25" @default.
- W2998172854 title "215: An international chorionic villus sampling training program in ongoing-pregnancies with demonstrable outcomes: a survey study" @default.
- W2998172854 doi "https://doi.org/10.1016/j.ajog.2019.11.231" @default.
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