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妇产科住院医师模拟培训的实践与期望。

Practice and expectations regarding simulation for residents in obstetrics and gynecology.

机构信息

Gynecologic and Obstetric unit, CHU d'Amiens-Picardie, 1 Bd du Pr Christian Cabrol, F-80054 Amiens, France.

Gynecologic and Obstetric unit, CHU d'Amiens-Picardie, 1 Bd du Pr Christian Cabrol, F-80054 Amiens, France; Université Picardie Jules Verne, 3 rue des Louvels, F-80000 Amiens, France.

出版信息

J Gynecol Obstet Hum Reprod. 2022 Mar;51(3):102306. doi: 10.1016/j.jogoh.2021.102306. Epub 2021 Dec 31.

DOI:10.1016/j.jogoh.2021.102306
PMID:34974149
Abstract

BACKGROUND

Simulation now has an important role in theoretical and practical aspects of medical education and training.

METHODS

We performed an epidemiological, observational, multicenter study based on nationwide data collection. French obstetrics and gynecologic residents were invited to complete an anonymous survey.

RESULTS

We received 305 answers. The most frequently offered gynecology sessions were laparoscopy on pelvitrainer (76%) and pelvic ultrasound (60%) while the most frequently offered obstetric sessions were breech delivery (61%), shoulder dystocia (62%) and postpartum hemorrhage (68%) managements. Regarding session frequency, 29.1% of residents thought that one session per month would be ideal. Two hundred and sixty three residents (96%) considered that simulation-training sessions were beneficial. One hundred and thirty-six residents (49%) had an opportunity to repeat sessions and a majority of them (96%) found a daily benefit following a training simulation session.

CONCLUSION

Simulation programs were extremely popular among the surveyed residents. To improve OBGYN resident training, simulation should be an integral part of residency programs.

摘要

背景

模拟在医学教育和培训的理论和实践方面发挥着重要作用。

方法

我们基于全国范围内的数据收集,进行了一项流行病学、观察性、多中心研究。邀请法国妇产科住院医师完成一项匿名调查。

结果

我们收到了 305 份回复。提供频率最高的妇科课程是骨盆训练器上的腹腔镜(76%)和盆腔超声(60%),而提供频率最高的产科课程是臀位分娩(61%)、肩难产(62%)和产后出血(68%)管理。关于课程频率,29.1%的住院医师认为每月一次的课程比较理想。263 名住院医师(96%)认为模拟培训课程有益。136 名住院医师(49%)有机会重复课程,他们中的大多数(96%)在进行培训模拟课程后每天都能受益。

结论

调查住院医师非常喜欢模拟项目。为了提高妇产科住院医师培训水平,模拟应该成为住院医师培训计划的一个组成部分。

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