Aabakke Anna J M, Kristufkova Alexandra, Boyon Charlotte, Bune Laurids T, Van de Venne Maud
Dept. Obstetrics and Gynecology, University of Copenhagen, Holbæk Hospital, Holbæk, Denmark; Dept. Obstetrics and Gynecology, Herlev University Hospital, Herlev, Denmark.
1st Department of Obstetrics and Gynaecology of Faculty of Medicine, Comenius University in Bratislava, Slovakia.
Eur J Obstet Gynecol Reprod Biol. 2017 Jul;214:156-161. doi: 10.1016/j.ejogrb.2017.05.007. Epub 2017 May 10.
OBJECTIVE(S): To describe the infrastructural differences in training in Obstetrics and Gynaecology (ObGyn) across Europe.
Descriptive web-based survey of 31 national ObGyn trainee societies representing the 30 member countries of the European Network of Trainees in Obstetrics and Gynaecology. Answers were verified in a telephone interview and only countries which had completed the telephone interview were included in the final analysis.
The final analysis included 28 of 31 societies representing 27 countries (response rate 90%). The median formal duration of training was 5 years (range 4-7). There were mandatory requirements in addition to medical school graduation before specialisation could be started in 20 (71%) countries. The job opportunities after completion of training varied and included academic fellowships (n=21 [75%]), clinical fellowships/junior consultancy (n=21 [75%]), consultancy (n=11 [40%]), and private practice (n=23 [82%)]. Training and working as a specialist abroad was uncommon (≤20% in 21 [78%] and 26 [96%] countries respectively). Exams during ObGyn training were offered in 24 (85%) countries. Unemployment after completion of training was rare (<5% in 26 [93%] countries). Assessment of ObGyn specialists took place in 20 (71%) countries.
CONCLUSION(S): The study illustrates that there are organisational variations in ObGyn training in Europe; A) The requirements to obtain a training post vary causing differences in the qualifications of trainees starting training. B) The duration of training varies. And C) newly trained specialists carry varying levels of responsibility. The results suggest that the content, organisation, and outcome of training differ across Europe. Differences due to political, social and cultural reasons are expected. However, further harmonisation of training across Europe still seems desirable in order to improve women's healthcare and facilitate the mobility of ObGyn trainees and specialists across Europe. There are currently several European initiatives, however, national and local measures are essential for training to improve.
描述欧洲各地妇产科培训在基础设施方面的差异。
对代表欧洲妇产科实习生网络30个成员国的31个国家妇产科实习生协会进行基于网络的描述性调查。通过电话访谈对答案进行核实，最终分析仅纳入完成电话访谈的国家。
最终分析纳入了31个协会中的28个，代表27个国家（回复率90%）。培训的正式中位时长为5年（范围4 - 7年）。在20个（71%）国家，除医学院毕业外，开始专科培训前还有强制性要求。培训结束后的工作机会各不相同，包括学术奖学金（n = 21 [75%]）、临床奖学金/初级顾问职位（n = 21 [75%]）、顾问职位（n = 11 [40%]）和私人执业（n = 23 [82%]）。在国外接受专科培训并工作的情况并不常见（分别在21个[78%]和26个[96%]国家中≤20%）。24个（85%）国家在妇产科培训期间设有考试。培训结束后失业率很低（26个[93%]国家中<5%）。20个（71%）国家对妇产科专科医生进行评估。
该研究表明欧洲妇产科培训存在组织差异；A）获得培训岗位的要求各不相同，导致开始培训的实习生资质存在差异。B）培训时长各不相同。C）新培训的专科医生承担的责任水平各异。结果表明欧洲各地培训的内容、组织和结果存在差异。由于政治、社会和文化原因导致的差异是可以预期的。然而，为了改善女性医疗保健并促进妇产科实习生和专科医生在欧洲的流动，欧洲各地培训的进一步协调似乎仍然是可取的。目前有几项欧洲倡议，然而，国家和地方措施对于培训的改进至关重要。
