虽然妇女健康 (WH) 是初级保健的优先事项（家庭医学 (FM)、内科 (IM)、儿科 (Peds) 和综合医学/儿科 (Med/Peds)），但住院医师课程仍然多种多样，在以下方面存在缺陷：毕业生的 WH 专业知识和技能。本研究的总体目标是评估美国 (US) 初级保健住院医师计划的 WH 课程质量，重点关注妇产科 (OBGYN) 主题。PubMed®、ERIC、Cochrane 图书馆、MedEdPORTAL 、专业组织网站于 2019 年进行了系统搜索，并于 2021 年进行了更新。纳入的研究描述了美国初级保健住院医师计划中的妇产科教育课程。经过摘要筛选和全文审查后，使用医学教育研究质量工具 (MERSQI) 提取合格研究的数据并进行质量评估。共有 109 项研究符合纳入标准。超过四分之一的研究是跨部门或跨学科的。最常见的单科研究是 IM (38%) 和 FM (26%)。二十 (25%) 项研究涉及综合妇产科课程；最常见的个人主题是宫颈癌和乳腺癌筛查（31%）和避孕（16%）。大多数研究采用多种教学方式，最常见的是教学法 (54%)、临床经验 (41%) 和/或模拟 (21%)。大多数研究包括居民自我报告的结果（70%），很少有（11%）报告更高级别的评估（即患者或临床结果）。大多数研究是单组前测和后测（42%），少数随机对照试验（4%）。具有足够数据 (90%) 的研究的平均 MERSQI 得分为 9.8（范围 3 至 15.5）。美国初级保健学员的妇产科教育课程各不相同，在代表的居民、内容、评估和学习质量方面存在差异。© 2024 . 作者获得普通内科医学会的独家许可。

While Women's Health (WH) is a priority for primary care, (Family Medicine (FM), Internal Medicine (IM), Pediatrics (Peds), and combined Medicine/Pediatrics (Med/Peds)), residency curricula remain heterogeneous with deficits in graduates' WH expertise and skills. The overall objective of this study was to assess the quality of WH curricula at primary care residency programs in the United States (US), with a focus on topics in obstetrics and gynecology (OBGYN).PubMed®, ERIC, The Cochrane Library, MedEdPORTAL, and professional organization websites were systematically searched in 2019 and updated in 2021. Included studies described OBGYN educational curricula in US primary care residency programs. Following abstract screening and full-text review, data from eligible studies was abstracted and quality assessed using the Medical Education Research Study Quality Instrument (MERSQI).A total of 109 studies met the inclusion criteria. Over a quarter of studies were interdepartmental or interdisciplinary. The most common single-department studies were IM (38%) and FM (26%). Twenty (25%) studies addressed comprehensive OBGYN curricula; the most common individual topics were cervical and breast cancer screening (31%) and contraception (16%). Most studies utilized multiple instructional modalities, most commonly didactics (54%), clinical experiences (41%), and/or simulation (21%). Most studies included self-reported outcomes by residents (70%), with few (11%) reporting higher-level assessments (i.e., patient, or clinical outcomes). Most studies were single-group pre- and post-test (42%) with few randomized controlled trials (4%). The mean MERSQI score for studies with sufficient data (90%) was 9.8 (range 3 to 15.5).OBGYN educational curricula for primary care trainees in the US was varied with gaps in represented residents, content, assessments, and study quality.© 2024. The Author(s), under exclusive licence to Society of General Internal Medicine.