Propst Katie, Steinberg Adam C, O'Sullivan David M, Schimpf Megan O, LaSala Christine
From the *Female Pelvic Medicine and Reconstructive Surgery, Department of Women's Health, and †Research Administration, Hartford Hospital, Hartford, CT; and ‡Division of Gynecology, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.
Female Pelvic Med Reconstr Surg. 2017 Jul/Aug;23(4):263-266. doi: 10.1097/SPV.0000000000000369.
The aim of this study was to evaluate whether obstetrics and gynecology trainees feel satisfied with the female pelvic medicine and reconstructive surgery (FPMRS) education received in residency.
This is a survey study of obstetrics and gynecology residents in the United States and Puerto Rico during the 2015-2016 academic year. The anonymous 29-question survey was approved by the Hartford HealthCare institutional review board. Responses were included only if the trainee had ever rotated on the FPMRS service. Descriptive analyses were performed using mean and SD for continuous data; categorical data were described using frequencies, expressed as percentages. The results were analyzed for statistical significance using χ for categorical variables and Student t test for continuous variables. All results yielding P < 0.05 were deemed statistically significant.
Of the 333 responses received, 172 met criteria for inclusion. Regarding amount of training in FPMRS, 126 trainees (73.3%) reported satisfaction, 40 (23.3%) reported too little training, and 6 trainees (3.5%) reported too much. Residents in programs with a board-certified FPMRS surgeon more commonly reported satisfaction with training (75.0 vs 28.6%, P = 0.02). When fourth-year residents were asked if they would feel comfortable performing specific surgical procedures independently after graduation, the percentage answering affirmatively ranged from 23.6% to 98.8%.
Satisfaction with training in FPMRS has improved, but poor confidence performing surgical procedures compared with previous reports demonstrates that improvements in resident training are still needed.
本研究旨在评估妇产科住院医师对住院期间接受的女性盆底医学与重建手术（FPMRS）教育是否满意。
这是一项对2015 - 2016学年美国和波多黎各妇产科住院医师的调查研究。这份包含29个问题的匿名调查问卷经哈特福德医疗保健机构审查委员会批准。仅当受训者曾在FPMRS科室轮转时的回复才被纳入。连续数据采用均值和标准差进行描述性分析；分类数据用频率描述，以百分比表示。分类变量结果采用χ检验分析统计学意义，连续变量采用学生t检验。所有P < 0.05的结果被视为具有统计学意义。
在收到的333份回复中，172份符合纳入标准。关于FPMRS培训量，126名受训者（73.3%）表示满意，40名（23.3%）表示培训太少，6名（3.5%）表示培训太多。有经委员会认证的FPMRS外科医生的项目中的住院医师更常报告对培训满意（75.0%对28.6%，P = 0.02）。当询问四年级住院医师毕业后是否对独立进行特定外科手术感到自信时，肯定回答的比例从23.6%到98.8%不等。
对FPMRS培训的满意度有所提高，但与之前的报告相比，手术操作信心不足表明住院医师培训仍需改进。
