Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.
Department of Obstetrics and Gynecology, Kaiser Permanente Northern California East Bay- Oakland, Oakland, California.
J Surg Educ. 2021 Nov-Dec;78(6):1965-1972. doi: 10.1016/j.jsurg.2021.06.010. Epub 2021 Jul 19.
To assess resident and faculty interest in, as well as content and preferred format for, a leadership curriculum during obstetrics and gynecology residency DESIGN: From June to July 2019, a needs assessment survey on leadership training was distributed to residents and academic faculty at 3 United States obstetrics and gynecology residency programs. Descriptive and bivariate analyses were performed. Open ended questions were analyzed for themes.
Three ob/gyn residency programs across the United States: Kaiser Permanente East Bay in Oakland, California, Baylor College of Medicine in Houston, Texas, and Weill Cornell Medicine in New York, New York.
Surveys were distributed to all residents (n = 111) and affiliated academic faculty (n = 124) at each of the 3 participating sites.
Resident response rate was 71% (79/111) and faculty rate was 63% (78/124). Postgraduate year (PGY) 1 residents were more likely to believe there was sufficient leadership training during residency (17/23, 74%) compared to PGY 2-4s (16/56, 29%) and faculty (20/76, 26%; p < 0.01). Most residents (66/79, 84%) and faculty (74/78, 82%) expressed that residents would benefit from a leadership curriculum. Both deemed small group exercises and leadership case studies taught by physicians were the preferred format for this curriculum. Residents and faculty agreed on 3 of the top 4 topics for a leadership curriculum - effective communication, team management, and time management - while residents chose self-awareness and faculty chose professionalism as the fourth of their top domains. Open-ended survey questions revealed that leadership demands in obstetrics and gynecology are similar to other specialties but differ in emphasis on crisis management, situational awareness, and advocacy training.
Given unique aspects of leadership within the specialty, obstetrics and gynecology residents and faculty see benefit for specialty-specific formalized leadership training.
评估住院医师和教师对妇产科住院医师培训中的领导力课程的兴趣、内容和偏好格式。
2019 年 6 月至 7 月，向美国 3 个妇产科住院医师培训项目的住院医师和学术教师发放领导力培训需求评估调查。进行描述性和双变量分析。对开放式问题进行主题分析。
美国 3 个妇产科住院医师培训项目：加利福尼亚州奥克兰的 Kaiser Permanente East Bay、德克萨斯州休斯顿的 Baylor College of Medicine 和纽约的 Weill Cornell Medicine。
向每个参与站点的所有住院医师（n=111）和附属学术教师（n=124）分发了调查。
住院医师的回复率为 71%（79/111），教师的回复率为 63%（78/124）。一年级住院医师（PGY1）比二年级至四年级住院医师（PGY2-4）（16/56，29%）和教师（20/76，26%；p<0.01）更有可能认为住院期间有足够的领导力培训。大多数住院医师（66/79，84%）和教师（74/78，82%）表示住院医师将从领导力课程中受益。两者都认为小团体练习和由医生教授的领导力案例研究是该课程的首选形式。住院医师和教师在领导力课程的前 4 个主题中有 3 个达成一致，即有效沟通、团队管理和时间管理，而住院医师选择自我意识，教师选择专业精神作为第四个主题。开放式调查问题表明，妇产科领导力的独特方面与其他专业相似，但在危机管理、情境意识和倡导培训方面的侧重点不同。
鉴于该专业领导力的独特方面，妇产科住院医师和教师认为需要专门针对该专业的正式领导力培训。
