Arendas Kristina, Posner Glenn D, Singh Sukhbir S
Department of Obstetrics, Gynecology and Newborn Care, University of Ottawa, The Ottawa Hospital, Ottawa ON.
J Obstet Gynaecol Can. 2013 Jul;35(7):640-646. doi: 10.1016/S1701-2163(15)30892-6.
To determine if the opinion of obstetrics and gynaecology postgraduate trainees differs from practising gynaecologists with respect to the expected endoscopic surgical skill set of a general gynaecologist upon graduation from residency.
An electronic survey was designed, validated, and pre-tested. It was sent to 775 Canadian obstetrics and gynaecology residents, fellows, and practising physicians through the Society of Obstetricians and Gynaecologists of Canada's electronic mailing list. Survey respondents were asked their opinion on the level of training (no extra post-residency training vs. fellowship) required to perform various endoscopic procedures.
We received 301 responses (39% response rate). Obstetrics and gynaecology trainees and practising physicians agreed on the training and skill level necessary to perform many endoscopic procedures. However, there were significant differences of opinion among trainees and practising physicians regarding advanced endoscopic procedures such as laparoscopic hysterectomy, cystotomy and enterotomy repair, and appendectomy. More trainees felt that a general gynaecologist without additional post-residency surgical training should be competent to perform such procedures, while practising physicians felt fellowship training was necessary.
Our survey highlights the different expectations of learners versus those in practice with regard to skills required to perform certain endoscopic procedures, particularly laparoscopic hysterectomy. Trainees who responded believed that after graduation from residency any obstetrician-gynaecologist should be able to perform more advanced endoscopic procedures, but practising physicians did not agree. This discordance between learners and practising colleagues highlights an important educational challenge in obstetrics and gynaecology surgical training. Greater clarification of what is expected of our training programs would be beneficial for both residents and training programs.
确定妇产科研究生培训学员对于普通妇科医生从住院医师培训毕业时应具备的预期内镜手术技能的看法，是否与执业妇科医生不同。
设计、验证并预测试了一项电子调查问卷。通过加拿大妇产科医师协会的电子邮件列表，将问卷发送给775名加拿大妇产科住院医师、研究员和执业医师。调查对象被问及他们对于进行各种内镜手术所需培训水平（住院医师培训后无额外培训与专科培训）的看法。
我们收到了301份回复（回复率为39%）。妇产科培训学员和执业医师对于进行许多内镜手术所需的培训和技能水平达成了共识。然而，在学员和执业医师之间，对于诸如腹腔镜子宫切除术、膀胱切开术和肠切开术修复以及阑尾切除术等高级内镜手术存在显著的意见分歧。更多学员认为，没有额外住院医师培训后手术训练的普通妇科医生应该有能力进行此类手术，而执业医师则认为需要专科培训。
我们的调查凸显了学习者与从业者对于进行某些内镜手术所需技能的不同期望，特别是腹腔镜子宫切除术。回复的学员认为，从住院医师培训毕业后，任何妇产科医生都应该能够进行更高级的内镜手术，但执业医师并不认同。学习者与执业同事之间的这种不一致凸显了妇产科手术培训中的一个重要教育挑战。更明确我们的培训项目期望，对住院医师和培训项目都将有益。
