Abu Mahfouz Ismaiel A, Asali Fida F, Abu Saleem Heba O, Mohammad Maha T, Al Mehaisen Lama M, Badran Darwish H
Department of Obstetrics and Gynaecology, Faculty of Medicine, Al Balqa Applied University, Al Salt, Jordan.
Department of Obstetrics and Gynaecology, Faculty of Medicine, Hashemite University, Al Zarqa, Jordan.
J Taibah Univ Med Sci. 2021 Jun 1;16(5):657-664. doi: 10.1016/j.jtumed.2021.04.008. eCollection 2021 Oct.
Intraoperative identification of anatomical structures can potentially reduce the risk of surgical complications. This study aims to report specialists' perspectives about the anatomical structures that third-year residents should be able to identify during surgical operations. In addition, the factors which may influence specialists' opinions are discussed.
This qualitative cross-sectional study was conducted on obstetricians and gynaecologists between 1/2/2019 and 30/10/2019. The specialists practising in a hospital with a residency programme were included, and were asked to rate the importance of structures that a third-year resident should be able to identify during operations. We performed a comparison of responses based on specialists' age, gender, practice type, years of experience, and surgical workload.
One hundred and sixty-five specialists were recruited with a response rate of 69.3%. The mean age of respondents was 46.1 years, and they had a mean experience of 13.4 years. Furthermore, 86.6% of specialists rated all the anatomical structures as "more important". The importance of surgical structures, as rated by specialists, was not related to gender, years of experience, or surgical workload. The importance of 63% of the anatomical structures was rated higher by junior specialists than senior specialists.
Knowledge of anatomical structures is vital for gynaecologic residency training. Specialist's perceptions of the importance of various anatomical structures reflect their understanding of the training requirements. Our results highlighted the important anatomical structures that third-year residents are expected to identify during surgical operations. Future research may establish a reference for the core anatomy knowledge essential for each training year.
术中识别解剖结构有可能降低手术并发症的风险。本研究旨在报告专家对于三年级住院医师在手术过程中应能够识别的解剖结构的看法。此外，还讨论了可能影响专家意见的因素。
本定性横断面研究于2019年2月1日至2019年10月30日对妇产科医生进行。纳入在设有住院医师培训项目的医院执业的专家，并要求他们对三年级住院医师在手术中应能够识别的结构的重要性进行评分。我们根据专家的年龄、性别、执业类型、经验年限和手术工作量对回答进行了比较。
共招募了165名专家，回复率为69.3%。受访者的平均年龄为46.1岁，平均经验为13.4年。此外，86.6%的专家将所有解剖结构评为“更重要”。专家评定的手术结构的重要性与性别、经验年限或手术工作量无关。63%的解剖结构的重要性被初级专家评定得高于高级专家。
解剖结构知识对于妇科住院医师培训至关重要。专家对各种解剖结构重要性的认知反映了他们对培训要求的理解。我们的结果突出了三年级住院医师在手术过程中应识别的重要解剖结构。未来的研究可为每个培训年度所需的核心解剖学知识建立参考。
