Eichelberger Kacey Y, Morse Jessica E, Connolly AnnaMarie, Autry Meg
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Greenville Health Systems, University of South Carolina School of Medicine, Greenville, SC, USA.
Division of Family Planning, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Int J Gynaecol Obstet. 2015 Feb;128(2):148-51. doi: 10.1016/j.ijgo.2014.08.016. Epub 2014 Oct 13.
To systematically measure the scope and breadth of global women's health (GWH) training opportunities during obstetrics and gynecology residencies in the USA, as described by program directors (PDs).
In a questionnaire-based study, PDs were asked to complete a web-based survey between January 1 and March 15, 2013. Information about the residency program and GWH opportunities was obtained.
Among 236 PDs contacted, 105 (44.5%) responded. Overall, 82 (78.1%) reported that at least one resident had participated in a GWH rotation during the past 5 years, 36 (34.3%) offered formal didactics, and 29 (27.6%) offered a formal rotation in GWH. Among all respondents, 43 (42.2%) reported having at least one faculty member for whom GWH is a dedicated part of their practice. Programs with dedicated GWH faculty were more likely to offer formal GWH didactics (relative risk [RR] 1.84; 95% confidence interval [CI] 1.07-3.14; P=0.03), but were not significantly more likely to offer a formal GWH rotation (RR 1.91; 95% CI 0.97-3.70; P=0.06).
Many residency programs provide opportunities for GWH training, but few offer formal didactics or a formal rotation.
如项目主任所述，系统衡量美国妇产科住院医师培训期间全球女性健康（GWH）培训机会的范围和广度。
在一项基于问卷调查的研究中，要求项目主任在2013年1月1日至3月15日期间完成一项基于网络的调查。获取了有关住院医师培训项目和全球女性健康培训机会的信息。
在联系的236名项目主任中，105名（44.5%）做出了回应。总体而言，82名（78.1%）报告称在过去5年中至少有一名住院医师参加过全球女性健康轮转，36名（34.3%）提供了正式的教学，29名（27.6%）提供了全球女性健康的正式轮转。在所有受访者中，43名（42.2%）报告称至少有一名教员将全球女性健康作为其业务的专门部分。拥有专门的全球女性健康教员的项目更有可能提供正式的全球女性健康教学（相对风险[RR]1.84；95%置信区间[CI]1.07 - 3.14；P = 0.03），但提供正式的全球女性健康轮转的可能性并没有显著更高（RR 1.91；95% CI 0.97 - 3.70；P = 0.06）。
许多住院医师培训项目提供全球女性健康培训机会，但很少提供正式教学或正式轮转。
