Schlumbrecht Matthew, Siemon John, Morales Guillermo, Huang Marilyn, Slomovitz Brian
Division of Gynecologic Oncology, Sylvester Comprehensive Cancer Center, University of Miami, 1121 NW 14th St, Suite 345C, Miami, FL 33136 USA.
Department of Obstetrics and Gynecology, University of Miami, Miami, USA.
Gynecol Oncol Res Pract. 2017 Sep 22;4:14. doi: 10.1186/s40661-017-0051-z. eCollection 2017.
Preparation in the business of medicine is reported to be poor across a number of specialties. No data exist about such preparation in gynecologic oncology training programs. Our objectives were to evaluate current time dedicated to these initiatives, report recent graduate perceptions about personal preparedness, and assess areas where improvements in training can occur.
Two separate surveys were created and distributed, one to 183 Society of Gynecologic Oncology candidate members and the other to 48 gynecologic oncology fellowship program directors. Candidate member surveys included questions about perceived preparedness for independent research, teaching, job-hunting, insurance, and billing. Program director surveys assessed current and desired time dedicated to the topics asked concurrently on the candidate survey. Statistical analysis was performed using Chi-squared (or Fisher's exact test if appropriate) and logistic regression.
Survey response rates of candidate members and program directors were 28% and 40%, respectively. Candidate members wanted increased training in all measures except retrospective protocol writing. Female candidates wanted more training on writing letters of intent (LOI) ( = 0.01) and billing ( < 0.01). Compared to their current schedules, program directors desired more time to teach how to write an investigator initiated trial (p = 0.01). 94% of program directors reported having career goal discussions with their fellows, while only 72% of candidate members reported that this occurred ( = 0.05).
Recent graduates want more preparation in the non-clinical aspects of their careers. Reconciling program director and fellow desires and increasing communication between the two may serve to achieve the educational goals of each.
据报道，多个专业在医学业务方面的准备情况不佳。目前尚无关于妇科肿瘤学培训项目中此类准备情况的数据。我们的目标是评估目前用于这些举措的时间，报告近期毕业生对个人准备情况的看法，并评估培训中可以改进的领域。
创建并分发了两项独立的调查问卷，一项发给183名妇科肿瘤学会候选成员，另一项发给48名妇科肿瘤学 fellowship 项目主任。候选成员调查问卷包括关于独立研究、教学、求职、保险和计费方面的准备情况的问题。项目主任调查问卷评估了目前和期望用于与候选调查问卷中同时提出的主题的时间。使用卡方检验（或适当情况下的费舍尔精确检验）和逻辑回归进行统计分析。
候选成员和项目主任的调查回复率分别为28%和40%。除回顾性方案撰写外，候选成员希望在所有方面增加培训。女性候选成员希望在撰写意向书（LOI）（P = 0.01）和计费方面接受更多培训（P < 0.01）。与目前的时间表相比，项目主任希望有更多时间教授如何撰写研究者发起的试验（P = 0.01）。94%的项目主任报告与他们的学员进行了职业目标讨论，而只有72%的候选成员报告发生了这种情况（P = 0.05）。
近期毕业生希望在其职业生涯的非临床方面得到更多准备。协调项目主任和学员的愿望并加强两者之间的沟通可能有助于实现各自的教育目标。
