Department of Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences, Washington, D.C, USA.
Department of Surgery, The George Washington University School of Medicine and Health Sciences, Washington, D.C, USA.
BMC Med Educ. 2020 Jun 5;20(1):185. doi: 10.1186/s12909-020-02090-9.
Very little is known regarding the readiness of senior U.S. Ob/Gyn residents to perform minimally invasive surgery. This study aims to evaluate the self-perceived readiness of senior Ob/Gyn residents to perform complex minimally invasive gynecologic surgery as well as their perceptions of the minimally invasive gynecologic surgery subspecialty.
We performed a national survey study of 3rd and 4th year Ob/Gyn residents. A novel 58-item survey was developed and sent to residency program directors and coordinators with the request to forward the survey link along to their senior residents.
We received 158 survey responses with 84 (53.2%) responses coming from 4th year residents and 74 (46.8%) responses from 3rd year residents. Residents who train with graduates of a fellowship in minimally invasive gynecologic surgery felt significantly more prepared to perform minimally invasive surgery compared to residents without this exposure in their training. The majority of senior residents (71.5%) feel their residency training adequately prepared them to be a competent minimally invasive gynecologic surgeon. However, only 50% feel prepared to perform a laparoscopic hysterectomy on a uterus greater than 12 weeks size, 29% feel prepared to offer a vaginal hysterectomy on a uterus 12-week size or greater, 17% feel comfortable performing a laparoscopic myomectomy, and 12% feel prepared to offer a laparoscopic hysterectomy for a uterus above the umbilicus.
The majority of senior U.S. Ob/Gyn residents feel prepared to provide minimally invasive surgery for complex gynecologic cases. However, surgical confidence in specific procedures decreases when surgical complexity increases.
关于美国妇产科住院医师进行微创手术的准备情况，我们知之甚少。本研究旨在评估妇产科高年住院医师对实施复杂微创妇科手术的自我准备情况，以及他们对微创妇科手术亚专业的看法。
我们对第三年和第四年妇产科住院医师进行了一项全国性的调查研究。设计了一个新颖的 58 项调查，并分发给住院医师项目主任和协调员，请他们将调查链接转发给他们的高年住院医师。
我们共收到 158 份调查回复，其中 84 份（53.2%）来自第四年住院医师，74 份（46.8%）来自第三年住院医师。在培训中接触过微创妇科手术奖学金毕业生的住院医师，相比没有这种接触的住院医师，他们觉得自己在微创手术方面的准备更加充分。大多数高年住院医师（71.5%）认为他们的住院医师培训使他们有能力成为一名合格的微创妇科外科医生。然而，只有 50%的人认为自己能够对大小超过 12 周的子宫进行腹腔镜子宫切除术，29%的人认为自己能够对 12 周大小或更大的子宫进行阴道子宫切除术，17%的人对进行腹腔镜子宫肌瘤切除术感到舒适，12%的人对进行腹腔镜子宫切除术有信心，而子宫在脐部以上。
大多数美国妇产科高年住院医师认为自己有能力为复杂的妇科病例提供微创手术。然而，当手术复杂性增加时，对特定手术的信心就会下降。
