Minassian Vatche A, Ross Sue, Lovatsis Danny, Al-Badr Ahmed, Drutz Harold P
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, 700 University Ave, M5G 1Z5 Toronto, Ontario, Canada.
Int Urogynecol J Pelvic Floor Dysfunct. 2004 Sep-Oct;15(5):331-5. doi: 10.1007/s00192-004-1177-1. Epub 2004 May 25.
This study aimed to evaluate the exposure of obstetrics and gynecology residents to urogynecologic training and to compare this to the program directors' expectations. A cross-sectional questionnaire study was performed surveying the 60 final-year residents and their program directors at all 16 Canadian residency programs. Questions covered areas of knowledge and skills in basic and advanced urogynecology. Thirty-two (53%) residents and nine (56%) program directors responded. Twenty-six (81%) residents had a formal urogynecology rotation with training in incontinence, prolapse, pessary-fitting, and urodynamics. Residents performed a median of: 50 vaginal hysterectomies, 30 anterior repairs, 30 posterior repairs, 35 retropubic urethropexies, and 15 cystoscopies. All other procedures had a median of 6 or less. Responses of residents and program directors correlated well. Although residents in Canada have adequate exposure to simple urogynecologic procedures, they perform few complex cases. Such procedures should be performed by physicians with additional urogynecology fellowship training.
本研究旨在评估妇产科住院医师接受泌尿妇科培训的情况，并将其与项目主任的期望进行比较。我们开展了一项横断面问卷调查研究，对加拿大所有16个住院医师培训项目中的60名最后一年住院医师及其项目主任进行了调查。问题涵盖基础和高级泌尿妇科的知识与技能领域。32名（53%）住院医师和9名（56%）项目主任做出了回应。26名（81%）住院医师进行了正式的泌尿妇科轮转，接受了尿失禁、盆腔器官脱垂、子宫托适配和尿动力学方面的培训。住院医师进行的手术中位数为：50例阴道子宫切除术、30例前路修补术、30例后路修补术、35例耻骨后尿道悬吊术和15例膀胱镜检查。所有其他手术的中位数为6例或更少。住院医师和项目主任的回答相关性良好。虽然加拿大的住院医师有足够的机会接触简单的泌尿妇科手术，但他们很少进行复杂病例的手术。此类手术应由接受过额外泌尿妇科专科培训的医生进行。
