Gabriel L, Solomayer E, Schott S, Heesen A von, Radosa J, Wallwiener D, Rimbach S, Juhasz-Böss I
Department of Gynaecology, Obstetrics and Reproductive Medicine, University Hospital of the Saarland, Homburg/Saar, Germany.
Heidelberg University Women's Hospital, Heidelberg, Germany.
Geburtshilfe Frauenheilkd. 2016 Dec;76(12):1330-1338. doi: 10.1055/s-0042-115565.
Endoscopy is an integral part of surgical gynaecology and is playing an increasingly important role in ensuring adequate gynaecological training in the context of specialty training in general. At present, little is known about the expectations and notions of young junior doctors with respect to endoscopic training. For this reason, junior doctors throughout Germany were surveyed on this topic and asked to share their opinions. Using an anonymized standardized survey, the following information was elicited: importance of endoscopic training, willingness to take courses, expectations for instructors and the hospital, ideas about the number of required operations, both as a surgical assistant and as a surgeon, as well as satisfaction with the current status of training. The questionnaires were sent via the Young Forum (Junges Forum) of the German Society of Gynaecology and Obstetrics (DGGG) and the newsletter of the Working Group for Gynaecological Endoscopy (AGE). The evaluation of the study was based on 109 completed questionnaires. The resident junior doctors were 31 years old on average and were in their third to fourth year of their specialty training on average. The majority of the participants (87 %) considered the learning of endoscopic techniques to be very important and advocated regular participation in endoscopy training courses. Among the participants, 48 % were prepared to invest up to €1500 of their own funds to attend courses up to twice a year during the entire specialty training period. The expectations of the instructors and institutions focused on technical expertise, the willingness and time for teaching and on the number and range of surgical procedures, followed by being granted leave for the courses and having costs covered for the courses. Thirty-eight per cent stated that their expectations had been completely or mostly met and 62 % said they had been met in part or inadequately. Eighty-three per cent of the respondents reported that they would change specialty training institutions in order to achieve their own goals in the context of specialty training. This study presents data for the first time on the satisfaction of young junior doctors and their expectations for endoscopic specialty training. The residents exhibited a high level of interest in endoscopy and a high level of willingness to actively shape the specialty training, including course participation. However, there appears to be a great deal of room for improvement for endoscopic specialty training, independent of the current training institution, training year or sex of the junior doctors.
内窥镜检查是妇科手术不可或缺的一部分，在普通专科培训背景下确保充分的妇科培训方面正发挥着越来越重要的作用。目前，对于年轻初级医生在内窥镜培训方面的期望和观念了解甚少。因此，对德国各地的初级医生就这一主题进行了调查，并请他们分享自己的看法。通过匿名标准化调查，获取了以下信息：内窥镜培训的重要性、参加课程的意愿、对带教教师和医院的期望、作为手术助手和主刀医生所需手术数量的想法，以及对当前培训状况的满意度。问卷通过德国妇产科学会（DGGG）的青年论坛（Junges Forum）和妇科内窥镜工作组（AGE）的时事通讯发送。该研究的评估基于109份完整的问卷。住院初级医生平均年龄为31岁，平均处于专科培训的第三至第四年。大多数参与者（87%）认为学习内窥镜技术非常重要，并主张定期参加内窥镜培训课程。在参与者中，48%准备在整个专科培训期间每年自筹资金高达1500欧元参加课程，每年最多参加两次。对带教教师和机构的期望集中在技术专长、教学意愿和时间、手术程序的数量和范围，其次是批准参加课程的假期以及课程费用的报销。38%的人表示他们的期望已完全或大部分得到满足，62%的人表示部分得到满足或未充分得到满足。83%的受访者表示，为了在专科培训中实现自己的目标，他们会更换专科培训机构。这项研究首次提供了关于年轻初级医生对内窥镜专科培训的满意度及其期望的数据。住院医生对内窥镜检查表现出高度兴趣，并非常愿意积极参与专科培训，包括参加课程。然而，无论当前培训机构、培训年份或初级医生的性别如何，内窥镜专科培训似乎都有很大的改进空间。
