Département de Gynécologie-Obstétrique, Hôpital Maison Blanche, 45 rue Cognacq Jay, 51092, Reims Cedex, France.
Université de Reims-Champagne-Ardennes, Reims, France.
Arch Gynecol Obstet. 2019 Nov;300(5):1353-1366. doi: 10.1007/s00404-019-05284-9. Epub 2019 Sep 17.
The main objective of this study was to evaluate surgery training and evaluation of French gynecology-obstetrics residents. The second objective was to evaluate using simulation during residency.
This national descriptive study, utilized a questionnaire to survey all interns in French gynecology and obstetrics. At the end of a study, 129 responses of residents were analyzed.
The participation rate was 12%. The majority of residents were women (84%) and the highest response rate was from the Ile-de-France region (36%). The lowest rate was from the Southern region. The majority of residents were in the eighth semester (20%). Residents reported surgical and obstetric orientations in 53% (n = 68) and 44% (n = 57) of cases, respectively. Registration for cancer oncology was reported by 22% (n = 28) of respondents. Evaluation of oncologic surgery training was mostly considered "good" by the surgical group and "passable" by the obstetrics group. Access to simulators was usually restricted and most often utilized the pelvitrainer. Sessions were typically not mandatory and numbered between zero and five per semester. Three types of simulators were accessible in the Ile-de-France, North-West, West and Rhône-Alpes. The North-East did not have access to animal models, and the South-West did not have access to corpses. Surgical classes were more common in the Rhône-Alpes, North-East, Ile-de-France and North-West regions. To improve their training in oncological surgery, 64% (n = 18) of residents planned to do an inter-university exchange and 54% had completed additional specialized training. Measures that were most expected to improve training were increased training in surgery (96% of respondents, n = 27) and more intensive coaching (96%, n = 27).
Companionship is a pillar of residents training, but its effectiveness is variable. One solution could be to implement better use of simulation methods.
本研究的主要目的是评估法国妇科-产科住院医师的手术培训和评估。第二个目的是评估住院医师培训期间使用模拟的情况。
这是一项全国性描述性研究，使用问卷对法国妇科和产科的所有实习医生进行了调查。在研究结束时，分析了 129 名住院医师的回复。
参与率为 12%。大多数住院医师为女性（84%），最高回复率来自法兰西岛大区（36%）。最低的是来自南部地区。大多数住院医师处于第八学期（20%）。住院医师报告说，在 53%（n=68）和 44%（n=57）的情况下分别接受了手术和产科方向的培训。22%（n=28）的受访者报告了癌症肿瘤学的注册。手术组认为肿瘤手术培训的评估“良好”，而产科组认为“尚可”。访问模拟器通常受到限制，最常使用 pelvitrainer。课程通常不是强制性的，每学期有零到五次。在法兰西岛、西北、西部和罗纳-阿尔卑斯大区可以访问三种类型的模拟器。东北地区没有动物模型，西南地区没有尸体。手术课程在罗纳-阿尔卑斯、东北、法兰西岛和西北等地区更为常见。为了提高他们在肿瘤手术方面的培训，64%（n=18）的住院医师计划进行校际交流，54%的住院医师已经完成了额外的专业培训。预计最能提高培训的措施是增加手术培训（96%的受访者，n=27）和更密集的指导（96%，n=27）。
同伴关系是住院医师培训的一个支柱，但效果因人而异。一种解决方案可能是更好地利用模拟方法。
