Chen Innie, Bajzak Krisztina I, Guo Yanfang, Singh Sukhbir S
Department of Obstetrics and Gynecology, University of Alberta, Edmonton AB.
Discipline of Obstetrics and Gynecology, Memorial University, St John's NL.
J Obstet Gynaecol Can. 2012 Mar;34(3):257-263. doi: 10.1016/S1701-2163(16)35186-6.
To assess the current status of endoscopic gynaecological surgery in Canada, as well as the attitudes, perceptions, and educational preferences regarding endoscopy among Canadian obstetrician-gynaecologists.
An electronic online survey was sent to 630 obstetrician-gynaecologists in Canada through the Society of Obstetricians and Gynaecologists of Canada electronic mailing list. Survey respondents were asked about demographic variables, level of training and current practice of endoscopic procedures, reasons for and barriers to performing endoscopy, and interest in continuing surgical education in laparoscopy and hysteroscopy.
A total of 178 responses (28.3%) were collected and 152 (85.4%) analyzed. The majority of respondents were general obstetrician-gynaecologists (78.0%). More gynaecologic surgeons performed abdominal (92.7%) and vaginal hysterectomies (89.7%) than laparoscopic (68.4%) and robotic hysterectomies (2.2%). Even though 93.2% of respondents selected the endoscopic approach as the preferred approach to surgery for their patients, 38.7% of respondents did not feel that they had adequate training during residency to perform endoscopy. Lack of operating room resources and lack of time and opportunity for further training were frequently selected as major barriers to performing endoscopy. Participants identified weekend continuing medical education courses and trained endoscopic surgeon outreach as preferred methods of acquiring endoscopic skills.
This survey provides a contemporary assessment of the current endoscopic practice patterns of Canadian obstetrician-gynaecologists, and it helps to identify some potentially modifiable factors hindering the practice of endoscopy and some possible solutions to overcoming these barriers.
评估加拿大妇科内镜手术的现状，以及加拿大妇产科医生对内窥镜检查的态度、看法和教育偏好。
通过加拿大妇产科医师协会的电子邮件列表，向630名加拿大妇产科医生发送了一份电子在线调查问卷。调查对象被问及人口统计学变量、内镜手术的培训水平和当前实践、进行内镜检查的原因和障碍，以及对腹腔镜和宫腔镜继续外科教育的兴趣。
共收集到178份回复（28.3%），其中152份（85.4%）进行了分析。大多数受访者是普通妇产科医生（78.0%）。与腹腔镜子宫切除术（68.4%）和机器人辅助子宫切除术（2.2%）相比，更多的妇科外科医生进行腹部子宫切除术（92.7%）和阴道子宫切除术（89.7%）。尽管93.2%的受访者选择内镜手术作为其患者的首选手术方式，但38.7%的受访者认为他们在住院期间没有接受足够的内镜手术培训。手术室资源不足以及缺乏进一步培训的时间和机会经常被选为进行内镜检查的主要障碍。参与者将周末继续医学教育课程和训练有素的内镜外科医生外展视为获得内镜技能的首选方法。
本调查对加拿大妇产科医生当前的内镜手术实践模式进行了当代评估，并有助于确定一些可能阻碍内镜手术实践的潜在可改变因素，以及克服这些障碍的一些可能解决方案。
