Department of Obstetrics & Gynaecology, Faculty of Medicine, University of British Columbia, Suite 930, 1125 Howe St, Vancouver, BC, Canada, V6Z 2K8.
BC Children's Hospital, 4480 Oak St, Vancouver, BC, Canada, V6H 3N1; Division of Pediatric Surgery, Department of Surgery, University of British Columbia, 4480 Oak St, Vancouver, BC, Canada, V6H 3V4.
J Pediatr Surg. 2020 May;55(5):904-907. doi: 10.1016/j.jpedsurg.2020.01.037. Epub 2020 Jan 31.
Fellows in Pediatric Surgery need to learn to manage a variety of gynecologic conditions. We completed a needs assessment of Pediatric Surgery training programs to inform development of a standardized gynecology curriculum.
A survey was sent to Program Directors of Canadian Pediatric Surgery training programs with 27 questions that focused on the fellowship program, surgical practice, and trainee exposure to pediatric gynecology, and how the envision a standardized gynecology curriculum.
Six of eight Program Directors responded. All respondents had treated ovarian-related conditions and genital injuries in the past 5 years, and most felt trainees received adequate training in managing these conditions. Most respondents felt trainees had minimal or inadequate training in imperforate hymens, Müllerian anomalies, vulvar abscesses, vaginal foreign bodies, and labial adhesions. Program Directors currently allot an average of 3.5 h to delivering the gynecology objectives. All Program Directors expressed interest in a formal gynecology curriculum delivered through some combination of case-based teaching and/or simulation.
There is a need for a standardized gynecology curriculum for Pediatric Surgery trainees. Most Pediatric Surgeons will manage gynecological conditions as part of their practice and current Program Directors feel that training is inadequate for a number of gynecological conditions.
Observational Cross-Sectional Study.
Level IV.
小儿外科医师需要学习处理各种妇科疾病。我们对小儿外科培训计划进行了需求评估，以制定标准化妇科课程。
向加拿大小儿外科培训计划的主任们发送了一份包含 27 个问题的调查问卷，重点关注 Fellowship 计划、手术实践以及学员对小儿妇科的接触情况，以及他们对标准化妇科课程的设想。
8 个主任中的 6 个做出了回应。所有的回应者在过去的 5 年中都处理过卵巢相关疾病和生殖器损伤，大多数人认为学员在处理这些疾病方面接受了足够的培训。大多数主任认为学员在处女膜闭锁、米勒氏畸形、外阴脓肿、阴道异物和阴唇粘连方面的培训很少或不足。主任们目前平均分配 3.5 小时来完成妇科目标。所有主任都对通过基于案例的教学和/或模拟来提供正式的妇科课程表示了兴趣。
小儿外科医师需要有标准化的妇科课程。大多数小儿外科医生将作为其日常工作的一部分来管理妇科疾病，而目前的主任们认为，对于一些妇科疾病，培训是不足的。
观察性横断面研究。
四级。
