Department of Obstetrics & Gynaecology, Sunshine Hospital, Melbourne, Victoria, Australia.
Emergency & Trauma Centre, Alfred Hospital, Melbourne, Victoria, Australia.
Aust N Z J Obstet Gynaecol. 2020 Aug;60(4):616-621. doi: 10.1111/ajo.13122. Epub 2020 Jan 29.
Global health (GH) training aims to equip clinicians with the skills and knowledge to practise in international and cross-cultural environments. Interest among obstetrics and gynaecology trainees is unknown.
The Trainee Interest in Global Health Training (TIGHT) study aimed to assess demand for GH training among specialty trainees in Australia and New Zealand. The primary objective was to quantify the number of trainees interested in undertaking a rotation in a resource-limited environment (RLE) in a low- or middle-income country during specialty training. This paper reports the results of a planned sub-group analysis of Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) trainees.
A cross-sectional study was conducted between August and October 2018. Data were collected using an anonymous, self-reporting, web-based survey.
There were 210 respondents among 698 RANZCOG trainees, equating to a response rate of 30.1%. Overall, 77% (157/204) of respondents were keen to undertake a rotation in a RLE, with the vast majority (166/203, 81.8%) interested or very interested in having their GH accredited for training. Sixty-four percent (125/195) expressed interest in undertaking an integrated GH training or fellowship program as an adjunct to specialty training, and a majority (177/201, 88.1%) were keen to continue GH work as a specialist obstetrician and gynaecologist.
There is significant demand for GH training among RANZCOG trainees. These findings should inform the development of accredited rotations in RLEs and the cultivation of safe and effective global women's health training pathways. Ideally, these arrangements should be underpinned by mutually beneficial partnerships with both educational and development objectives.
全球健康（GH）培训旨在使临床医生具备在国际和跨文化环境中执业的技能和知识。但目前尚不清楚妇产科住院医师对其的兴趣。
“培训生对全球健康培训的兴趣（TIGHT）”研究旨在评估澳大利亚和新西兰专业住院医师对 GH 培训的需求。主要目的是量化在专业培训期间对在资源有限环境（RLE）中进行轮转的住院医师数量感兴趣。本文报告了对澳大利亚和新西兰皇家妇产科学院（RANZCOG）住院医师的计划子组分析的结果。
在 2018 年 8 月至 10 月期间进行了一项横断面研究。数据通过匿名、自我报告的网络调查收集。
在 698 名 RANZCOG 住院医师中，有 210 名（占 30.1%）作出了回应。总体而言，77%（157/204）的受访者热衷于在 RLE 中进行轮转，绝大多数（166/203，81.8%）对 GH 培训获得认证感兴趣或非常感兴趣。64%（125/195）对作为专业培训的辅助，进行综合 GH 培训或奖学金计划表示有兴趣，大多数（177/201，88.1%）热衷于继续作为妇产科专家从事 GH 工作。
RANZCOG 住院医师对 GH 培训有很大的需求。这些发现应该为在 RLE 中开展认证轮转以及培养安全有效的全球妇女健康培训途径提供信息。理想情况下，这些安排应以具有教育和发展目标的互利伙伴关系为基础。
