Murrain V E, Gordon P, Senf J
Department of Family and Community Medicine, University of Arizona, USA.
Fam Med. 1999 Oct;31(9):631-4.
We conducted a study of family practice residency programs to investigate the number of deliveries performed by residents during training.
A one-page questionnaire was mailed to family practice residency program directors, requesting an estimate of the number of deliveries performed by each resident. In addition, information on residency characteristics was taken from the American Academy of Family Physicians Directory of Family Practice Residency Programs.
Responses were received from 316 programs, for a response rate of 70%. Residency directors estimated that residents did a mean of 18 continuity and 24.5 obstetrics block month deliveries. On the average, residents delivered 93.9 babies in 3 years of residency. The number of continuity deliveries was related to location of the program and type of program. Total deliveries related to the presence of a competing obstetrics program, faculty who were doing their own deliveries, location of the program, and number of required months of obstetrics. On multivariate analysis, only the latter two variables predicted the number of total deliveries.
Family practice residents deliver an average of 94 babies in 3 years of residency training. Programs that want to increase deliveries can best do so by increasing the number of required months of training.
我们开展了一项针对家庭医学住院医师培训项目的研究,以调查住院医师在培训期间进行的分娩数量。
向家庭医学住院医师培训项目主任邮寄了一份单页问卷,要求估算每位住院医师进行的分娩数量。此外,住院医师培训项目的相关信息取自美国家庭医师学会的家庭医学住院医师培训项目名录。
收到了316个项目的回复,回复率为70%。住院医师培训项目主任估计,住院医师平均进行18次连续性分娩以及24.5次产科集中培训月分娩。平均而言,住院医师在3年的住院医师培训期间接生93.9名婴儿。连续性分娩的数量与项目地点和项目类型有关。总分娩数量与是否存在竞争性产科项目、自行接生的教员、项目地点以及所需产科培训月数有关。多变量分析显示,只有后两个变量可预测总分娩数量。
家庭医学住院医师在3年的住院医师培训期间平均接生94名婴儿。希望增加分娩数量的项目最好通过增加所需培训月数来实现。