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A high-dose constant protocol of oral estradiol for endometrial preparation in oocyte donation
scores comparing the four classes of residents also varied significantly (ranging from a score of 6 for first-year residents to 11.5 for the fourth-year residents), with a P value less than 0.001. There were no differences between scores among the residents after they attended the formal teaching session. CONCLUSIONS: We provide the first formal evaluation of teaching with regard to operative dictations in US residency programs. Formal teaching is rarely done, but felt to be important by most residency program directors. A brief teaching session is effective and can be incorporated into residency programs.
The Impact of Residency Training on Health and Wellness Among ObstetricsGynecology Resident Physicians Michelle Yvonne Perry Memorial Health University Medical Center, Mercer School of Medicine (Savannah Campus), Savannah, GA
William Osborne OBJECTIVE: To evaluate obstetrics-gynecology resident physicians’ perception of the impact of residency training with regard to their health and well-being. STUDY DESIGN: A cross-sectional study of obstetrics-gynecology residency training programs representing different areas of the country and different size programs. Surveys were
ENDOCRINOLOGY
A High-Dose Constant Protocol of Oral Estradiol for Endometrial Preparation in Oocyte Donation Jesus Barron-Vallejo, MD Hospital Angeles de las Lomas, Huixquilucan, Mexico
Susana Velazquez-Macias, MD, Norma A. Castro-Flores, MD, Virginia Arriaga-Avila, and Alfonso Gutierrez-Najar, MD OBJECTIVE: To evaluate the clinical efficacy of a protocol with the administration of a high dose of oral estradiol in patients treated with oocyte donation.
24S
MONDAY POSTERS
also distributed to a control group matched for age and length of time employed at current position. METHODS: Surveys approved by the IRB at Memorial Health University Medical Center were mailed to obstetricsgynecology chief residents in selected accredited programs. Chief residents were instructed to distribute the survey to each resident in their program. Hospitals were selected based on demographics and size, including both university- and community-based programs. Stamped self-addressed envelopes were distributed with each survey. A similar control survey was placed in different public establishments around the country. The survey addressed lifestyle characteristics before and after residency training/employment including eating habits, hours of sleep, recreational time, missed significant events, and exercise. RESULTS: Seven hundred fifty surveys were mailed to selected training programs, with a response rate of 41.1% (362 surveys). Thirty-seven surveys were excluded secondary to late response or vague, inappropriate responses. Obstetricsgynecology residents had a significant reduction in hours of sleep per week (obstetrics-gynecology ⫽ 11.7 hours, control ⫽ 2.3 hours; P ⬍ .05), time spent with family per week (obstetricsgynecology ⫽ 1.2 days, control ⫽ 0.32 days; P ⬍ .05), missed significant events per year (obstetrics-gynecology ⫽ 3.4, control ⫽ 0.74; P ⬍ .05), and time spent exercising per week (obstetrics-gynecology ⫽ 2.4 days, control ⫽ 0.18 days; P ⬍ .05) when compared to the control group. CONCLUSIONS: Obstetrics-gynecology resident physicians matriculating through training programs perceive a reduction in many aspects of health and wellness when compared to the general population.
METHODS: A prospective clinical study was performed in 21 cycles of in vitro fertilization with oocyte donation. Gamete donors were treated with nafarelin acetate and gonadotropins. Receptors received estradiol (4 mg TID) since the first day of menses; progesterone was added the day after human chorionic gonadotropin administration to the oocyte donor. Embryo transfer was performed 3 days after oocyte harvest. If pregnancy was obtained, estradiol and progesterone were employed until 14 weeks of pregnancy. RESULTS: All patients developed adequate endometrial thickness. Main age of receptors was 41.5 ⫾ 5.1 years. Age of donors was 33.0 ⫾ 3.8 years (P ⬍ 0.001). Duration of infertility was 5.2 ⫾ 0.9 years. Poor ovarian reserve was the most frequent indication of treatment. Number of embryos transferred was 3.7 ⫾ 1.0. Pregnancy and implantation rates were 33.3% and 12.8%, respectively. CONCLUSION: Administration of a high dose of oral estradiol is efficacious for endometrial preparation in oocyte donation programs. This protocol is easily accepted. GnRH analogues are not mandatory.
OBSTETRICS & GYNECOLOGY
The Impact of Residency Training on Health and Wellness Among ObstetricsGynecology Resident Physicians Michelle Yvonne Perry Memorial Health University Medical Center, Mercer School of Medicine (Savannah Campus), Savannah, GA
William Osborne OBJECTIVE: To evaluate obstetrics-gynecology resident physicians’ perception of the impact of residency training with regard to their health and well-being. STUDY DESIGN: A cross-sectional study of obstetrics-gynecology residency training programs representing different areas of the country and different size programs. Surveys were
ENDOCRINOLOGY
A High-Dose Constant Protocol of Oral Estradiol for Endometrial Preparation in Oocyte Donation Jesus Barron-Vallejo, MD Hospital Angeles de las Lomas, Huixquilucan, Mexico
Susana Velazquez-Macias, MD, Norma A. Castro-Flores, MD, Virginia Arriaga-Avila, and Alfonso Gutierrez-Najar, MD OBJECTIVE: To evaluate the clinical efficacy of a protocol with the administration of a high dose of oral estradiol in patients treated with oocyte donation.
24S
MONDAY POSTERS
also distributed to a control group matched for age and length of time employed at current position. METHODS: Surveys approved by the IRB at Memorial Health University Medical Center were mailed to obstetricsgynecology chief residents in selected accredited programs. Chief residents were instructed to distribute the survey to each resident in their program. Hospitals were selected based on demographics and size, including both university- and community-based programs. Stamped self-addressed envelopes were distributed with each survey. A similar control survey was placed in different public establishments around the country. The survey addressed lifestyle characteristics before and after residency training/employment including eating habits, hours of sleep, recreational time, missed significant events, and exercise. RESULTS: Seven hundred fifty surveys were mailed to selected training programs, with a response rate of 41.1% (362 surveys). Thirty-seven surveys were excluded secondary to late response or vague, inappropriate responses. Obstetricsgynecology residents had a significant reduction in hours of sleep per week (obstetrics-gynecology ⫽ 11.7 hours, control ⫽ 2.3 hours; P ⬍ .05), time spent with family per week (obstetricsgynecology ⫽ 1.2 days, control ⫽ 0.32 days; P ⬍ .05), missed significant events per year (obstetrics-gynecology ⫽ 3.4, control ⫽ 0.74; P ⬍ .05), and time spent exercising per week (obstetrics-gynecology ⫽ 2.4 days, control ⫽ 0.18 days; P ⬍ .05) when compared to the control group. CONCLUSIONS: Obstetrics-gynecology resident physicians matriculating through training programs perceive a reduction in many aspects of health and wellness when compared to the general population.
METHODS: A prospective clinical study was performed in 21 cycles of in vitro fertilization with oocyte donation. Gamete donors were treated with nafarelin acetate and gonadotropins. Receptors received estradiol (4 mg TID) since the first day of menses; progesterone was added the day after human chorionic gonadotropin administration to the oocyte donor. Embryo transfer was performed 3 days after oocyte harvest. If pregnancy was obtained, estradiol and progesterone were employed until 14 weeks of pregnancy. RESULTS: All patients developed adequate endometrial thickness. Main age of receptors was 41.5 ⫾ 5.1 years. Age of donors was 33.0 ⫾ 3.8 years (P ⬍ 0.001). Duration of infertility was 5.2 ⫾ 0.9 years. Poor ovarian reserve was the most frequent indication of treatment. Number of embryos transferred was 3.7 ⫾ 1.0. Pregnancy and implantation rates were 33.3% and 12.8%, respectively. CONCLUSION: Administration of a high dose of oral estradiol is efficacious for endometrial preparation in oocyte donation programs. This protocol is easily accepted. GnRH analogues are not mandatory.
OBSTETRICS & GYNECOLOGY