Huppert Jill S, Hillard Paula J A
Departments of Obstetrics and Gynecology and of Pediatrics, University of Cincinnati College of Medicie, Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
J Reprod Med. 2002 Dec;47(12):1011-5.
To describe the patterns of electives in obstetric and gynecology (OB/GYN) residencies.
A cross-sectional survey of all 274 U.S. and Canadian residency directors assessed the type and number of electives offered by residency programs and correlated these with program characteristics. A separate survey evaluated resident satisfaction with electives at the University of Cincinnati (UC).
Electives were offered by 53.8% of U.S. programs (95% CI: 45.2, 60.4), and 92% of electives were offered in the third year. The median length was four weeks, and surgical experience was the most common type of elective. A larger proportion of Canadian programs offered electives, which were of longer duration. The proportion of programs reporting electives did not vary with city size, program size or location. Among 29 UC residents, 62% arranged an optional elective, 92% were satisfied with the experience, and 5 residents (28%) reported that electives influenced their career choice.
The prevalence of electives appears higher than listed in currently available directories, although lower than in other primary care residencies.
描述妇产科住院医师培训中的选修课程模式。
对美国和加拿大的274位住院医师培训主任进行横断面调查，评估住院医师培训项目提供的选修课程类型和数量，并将这些与项目特征相关联。另一项调查评估了辛辛那提大学（UC）住院医师对选修课程的满意度。
53.8%的美国项目提供选修课程（95%置信区间：45.2, 60.4），92%的选修课程在第三年提供。选修课程的中位时长为四周，手术经验是最常见的选修类型。加拿大提供选修课程的项目比例更高，且课程时长更长。报告有选修课程的项目比例不因城市规模、项目规模或地点而有所不同。在29位UC住院医师中，62%安排了一门选修课程，92%对该经历感到满意，5位住院医师（28%）报告选修课程影响了他们的职业选择。
选修课程的普及率似乎高于目前可用目录中列出的水平，尽管低于其他初级保健住院医师培训项目。
