Rathat G, Hoa D, Gagnayre R, Hoffet M, Mares P
Gynécologie-obstétrique, hôpitaux de Montpellier, Nîmes, France.
J Gynecol Obstet Biol Reprod (Paris). 2008 Nov;37(7):672-84. doi: 10.1016/j.jgyn.2008.06.005. Epub 2008 Aug 3.
The goal of this dissertation is to assess the current situation of surgical training provided to French trainees in obstetrics and gynecology.
An online survey was made available to all French gynecologists. Within six months, 657 answer forms had been submitted and respondents were sorted out into five subgroups: residents (group 1 [G1]), fellows (group 2 [G2]), public sector surgeons (group 3 [G3]), private sector surgeons (group 4 [G4]) and all surgeons and fellows (group A [GA]).
Only 30% of interns (G1) and 78% of surgeons (GA) were satisfied with their training. Most respondents agreed that two general surgery courses as currently offered in the curriculum do not provide enough good basic surgical knowledge. Courses that allow residents to train in other hospitals are generally preferred to those that focus on a particular hospital. Ninety-two percent of respondents consider camaraderie and bonding within a medical unit to be key to a successful course. Theoretical training, including lectures and access to listed references, is thought to be weak. Resources and tools for practical training outside the operating room, including pelvic trainer and anatomical dissection, are scarce. Course evaluation is expected by 83% of all respondents, although it is now virtually nonexistent.
Surgical training of residents in obstetrics and gynecology can be improved in many ways, such as using synthetic materials and operating on animals or cadavers. Rigorous course evaluation is key to improving surgical training of French residents in obstetrics and gynecology.
本论文的目的是评估法国妇产科实习医生所接受的外科培训的现状。
向所有法国妇科医生开展了一项在线调查。在六个月内,共提交了657份答卷,受访者被分为五个亚组:住院医师(第1组[G1])、专科住院医生(第2组[G2])、公共部门外科医生(第3组[G3])、私营部门外科医生(第4组[G4])以及所有外科医生和专科住院医生(A组[GA])。
只有30%的实习生(G1)和78%的外科医生(GA)对他们的培训感到满意。大多数受访者认为,课程中目前提供的两门普通外科课程没有提供足够的良好基础外科知识。允许住院医师在其他医院培训的课程通常比专注于某一特定医院的课程更受青睐。92%的受访者认为医疗团队内部的同志情谊和团结是成功课程的关键。包括讲座和获取所列参考文献在内的理论培训被认为较为薄弱。手术室之外的实践培训资源和工具,包括盆腔训练器和解剖,很匮乏。83%的受访者期望进行课程评估,尽管目前实际上不存在这种评估。
妇产科住院医师的外科培训在很多方面可以得到改进,比如使用合成材料以及对动物或尸体进行手术。严格的课程评估是提高法国妇产科住院医师外科培训水平的关键。