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| Affiliation (mark with a cross) | | | | |
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1 | Year of residence | R3 | | R4 | |
2 | Hospital | Level II | | Level III | |
3 | Number of births/year (2006) |
4 | Number of residents/year |
5 | Gender | Male | | Female | |
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| Evaluation on the knowledge of anatomy (mark with a cross) | | | | |
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6 | Do you think you have adequate knowledge of the pelvic floor anatomy? | YES | | NO | |
7 | Do you know the name of the various muscles of the pelvic floor? | YES | | NO | |
8 | Are you able to recognize the various muscles of the pelvic floor during digital vaginal examination? | YES | | NO | |
9 | Are you able to identify the tendinous arc of the anus levator during digital vaginal examination? | YES | | NO | |
10 | Can you identify the sciatica spines during digital vaginal examination? | YES | | NO | |
11 | Do you know the path of the pudenda nerve, and are you able to inject the anaesthetics in it? | YES | | NO | |
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| Evaluation on the knowledge of episiotomy (mark with a cross) | | | | |
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12 | Do you know when an episiotomy would be indicated? | YES | | NO | |
13 | Are you familiar with the suture of the various types of episiotomy (medial, medial lateral)? | YES | | NO | |
14 | Do you know when the medial episiotomy is counter indicated? | YES | | NO | |
15 | Does your centre apply a selective policy for episiotomy? | YES | | NO | |
16 | Do you think a selective policy for episiotomy is positive? | YES | | NO | |
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| Evaluation on the knowledge of the perineal tears (mark with a cross or rate from 0 to 5) | | | | |
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17 | Do you know the definition of grades III and IV perineal tears? | YES | | NO | |
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| Classification of perineal tears grade I: affects the vaginal mucosa and the connective tissue; grade II: affects the underlying muscles in addition; grade III: anal sphincter rupture; grade IV: affects the rectal mucosa | |
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18 | Do you feel able to carry out a C-section? (rate from 0 to 5) |
19 | Do you feel able to repair a grade III or IV perineal tear? (rate from 0 to 5) |
20 | How many grade III or IV perineal tears have you repaired? | 0–10 | 10–20 | | >20 |
21 | Can you distinguish between a grade III and a grade IV perineal tear during the usual practice? | YES | | NO | |
22 | Do you know more than one technique to repair an anal sphincter injury? | YES | | NO | |
23 | Do you know when prophylactic antibiotics should be administered after a tear? | YES | | NO | |
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| Evaluation on teaching (mark with a cross) | | | | |
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24 | Do you feel competent when repairing a perineal tear? | YES | | NO | |
25 | Do you usually followup on a puerpera who has suffered a grade III or IV perineal tear after discharge (followup, pain level, sexual and anal dysfunctions)? | YES | | NO | |
26 | Do you know if there is any difference in the risk of urinary and faecal incontinence after birth (due to mechanical lesion) depending on whether the birth is spontaneous or instrumental? | YES | | NO | |
27 | Do you know if any of the instruments (spatules, forceps, vacuum pads) have higher associated risk or are their risks equivalent? | YES | | NO | |
28 | Did you have a teaching assistant help during your suture in your first perineal tear repair? | YES | | NO | |
29 | Did an assistant supervise/help you on subsequent occasions? | YES | | NO | |
30 | Or did a major resident, in the absence of assistants? | YES | | NO | |
31 | Do you think that you received adequate supervision when faced with a grade III or IV perineal tear? | YES | | NO | |
32 | Do you think you can teach a minor resident to repair a grade III or IV perineal tear, in practice? | YES | | NO | |
33 | Have you received formal training on pelvic anatomy or on the repair f perineal lacerations, within your training programme? | YES | | NO | |
34 | Have you received theoretical training in any clinical session, videos, articles offered by any assistant? | YES | | NO | |
35 | Have you read books, articles related to pelvic anatomy, perineal tears, episiotomy, surgical techniques for repairs, and so forth? | YES | | NO | |
36 | Have you received any theoretical-practical training with corpses? | YES | | NO | |
37 | Do you think you need to receive more supervision by an assistant or major resident to repair grade III or IV perineal tears? | YES | | NO | |
38 | Do you think you need more theoretical training on it? | YES | | NO | |
39 | Do you think a theoretical-practical course on the anatomy of he pelvic floor and the repair of its lesions would be useful? | YES | | NO | |
40 | Would you give the same replies if you reread the questions after some minutes? | YES | | NO | |
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