Department of Obstetrics, Gynaecology and Women's Health, University of Otago Wellington, New Zealand; and Corresponding author. Email:
Department of Obstetrics, Gynaecology and Women's Health, University of Otago Wellington, New Zealand.
J Prim Health Care. 2021 Dec;13(4):323-333. doi: 10.1071/HC20113.
INTRODUCTION There are important changes in the health care needs of women presenting to general practice in New Zealand, which prompted an evaluation of postgraduate training needs of general practitioners (GPs) who care for women in the community. AIM To evaluate the perceived relevance of the curriculum of Otago University postgraduate programmes in women's health to GPs' work profile to identify any need for curricular change. This study was also performed to investigate the need for refresher courses or a Master's degree in obstetrics, gynaecology and women's health. METHODS In total, 426 GPs and GP trainees who had completed the postgraduate Certificate and Diploma programmes in women's health were invited to complete an online survey. The survey consisted of multiple-choice questions with five-point Likert scale ratings to rate the relevance of papers to general practice, and options for free-text comments. RESULTS There were 86 responses (20.2% response rate) and we analysed 73 (17.1%). Curriculum modules related to gynaecological care were rated as more relevant than obstetric and newborn care. GPs suggested more training in contraception and management of infertility, abnormal uterine bleeding and pelvic pain including procedural skills such as insertion of long-acting reversible contraceptives, implants and intrauterine devices. An interest in a refresher course was indicated by 76.6% of GPs. DISCUSSION GPs recognised the need for enhanced training in women's gynaecological care. Revision of the postgraduate women's health curriculum and development of new refresher courses will enable GPs, trainees and prospective GPs to improve their care for women in the community.
简介
新西兰普通科医生所照顾的女性的健康需求发生了重大变化，这促使人们评估社区中照顾女性的普通科医生（GP）的研究生培训需求。
目的
评估奥塔哥大学女性健康研究生课程对 GP 工作概况的相关性，以确定课程是否需要更改。本研究还旨在调查是否需要进修课程或妇产科和女性健康硕士学位。
方法
共有 426 名已完成女性健康研究生证书和文凭课程的 GP 和 GP 学员受邀完成在线调查。该调查由多项选择题和五分制李克特量表评分组成，用于评估论文与普通科实践的相关性，并提供自由文本评论的选项。
结果
共收到 86 份回复（20.2%的回复率），我们分析了其中的 73 份（17.1%）。妇科护理相关课程模块的相关性评分高于产科和新生儿护理。GP 建议在避孕和不孕管理、异常子宫出血和盆腔痛方面进行更多培训，包括长效可逆避孕措施、植入物和宫内节育器的插入等程序技能。76.6%的 GP 表示有兴趣参加进修课程。
讨论
GP 认识到需要加强女性妇科护理方面的培训。修订研究生女性健康课程并开发新的进修课程将使 GP、学员和潜在 GP 能够提高他们在社区中对女性的护理水平。
