Steinauer Jody, Drey Eleanor A, Lewis Rebekah, Landy Uta, Learman Lee A
Department of Obstetrics, Gynecology and Reproductive Sciences, and Center for Reproductive Health Research and Policy, University of California, San Francisco, California 94110, USA.
Obstet Gynecol. 2005 Jun;105(6):1335-40. doi: 10.1097/01.AOG.0000158859.35943.be.
To evaluate obstetrics and gynecology resident satisfaction with a comprehensive, integrated abortion rotation.
The University of California, San Francisco obstetrics and gynecology residency program includes a 6-week PGY-3 family planning rotation at an in-hospital clinic where abortions are provided up to 23 weeks of gestation. Residents annually evaluate the educational value of all clinical rotations on a 5-point Likert scale, with 5 indicating "maximum value," and 1 "no value." Using data from 1998-2003, we compared ratings of the family planning rotation with all other PGY-3 rotations. We also surveyed residents 1 to 3 years after graduation to assess the rotation qualitatively and quantitatively.
Forty residents completed the abortion training, none opted out of training, and all completed the evaluations. Of all rotations in the third year, the family planning rotation was the highest rated (4.70), was similar in value to a high-volume surgical rotation (4.51, P > .10) and the elective rotation (4.45, P >.05), and surpassed the average score for all inpatient rotations (4.00, P < .001), continuity clinic (4.10, P < .001), and outpatient clinical experiences (4.06, P <.01). According to residency graduates, the family planning rotation was rated 4.8 (where 5 indicates "far greater value" than other rotations), and 85% of respondents rated it of "maximum learning value".
Obstetrics and gynecology residents place high value in the University of California, San Francisco PGY-3 family planning rotation during their training and in their first years of practice.
评估妇产科住院医师对全面综合的堕胎轮转培训的满意度。
加利福尼亚大学旧金山分校的妇产科住院医师培训项目包括在一家医院诊所进行为期6周的PGY - 3计划生育轮转培训,该诊所提供妊娠23周以内的堕胎服务。住院医师每年会使用5分制李克特量表对所有临床轮转培训的教育价值进行评估,5分表示“价值最大”,1分表示“无价值”。利用1998年至2003年的数据,我们将计划生育轮转培训的评分与所有其他PGY - 3轮转培训的评分进行了比较。我们还在住院医师毕业后1至3年对他们进行了调查,以对该轮转培训进行定性和定量评估。
40名住院医师完成了堕胎培训,无人退出培训,且所有人都完成了评估。在第三年的所有轮转培训中,计划生育轮转培训的评分最高(4.7分),其价值与高容量手术轮转培训(4.51分,P > 0.10)和选修轮转培训(4.45分,P > 0.05)相似,且超过了所有住院轮转培训(4.00分,P < 0.001)、连续性诊所轮转培训(4.10分,P < 0.001)以及门诊临床实习(4.06分,P < 0.01)的平均得分。根据住院医师毕业生的反馈,计划生育轮转培训的评分为4.8分(5分表示比其他轮转培训“价值大得多”),85%的受访者将其评为“学习价值最大”。
加利福尼亚大学旧金山分校的妇产科住院医师在培训期间及执业的头几年对PGY - 3计划生育轮转培训评价很高。