Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan.
Department of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan.
Int J Med Educ. 2022 Sep 28;13:261-266. doi: 10.5116/ijme.6320.36eb.
To investigate the association between online activities and the number of new obstetrics and gynecology senior residents.
A nationwide web-based, self-administered anonymous survey was conducted to investigate recruitment and clerkship activities during the coronavirus disease 2019 pandemic. An online questionnaire was sent to 576 obstetrics and gynecology training institutions in Japan between December 21, 2020, and January 31, 2021. Overall, 334 institutions that gave valid responses were included (response rate: 58.0%). Multivariate logistic regression analysis examined the association between online activities, including recruitment and clerkship activities, and the number of new obstetrics and gynecology senior residents in 2021. The stratified analysis by implementing face-to-face activities was conducted to clarify the association.
The number of new senior residents increased in 187 facilities (56.0%) and decreased in 147 facilities (44.0%). The facilities that implemented face-to-face and online activities were 185 (55.4%) and 120 (35.9%), respectively. In multivariate logistic regression analysis, an increased number of new obstetrics and gynecology senior residents was significantly associated with face-to-face activities (adjusted odds ratio (AOR)=2.58, 95% confidence interval (CI): 1.11-5.97, p<.001) but not with online activities. In the stratified analysis, online activities were significantly associated with an increased number of new obstetrics and gynecology senior residents among the facilities without face-to-face activities (AOR=3.81, 95% CI: 1.40-10.32, p=.009) but not among those with face-to-face activities (AOR=0.87, 95% CI: 0.42-1.78).
Online activities were associated with an increased number of new obstetrics and gynecology senior residents among the facilities that did not conduct face-to-face activities.
探讨线上活动与妇产科高年住院医师数量的关系。
在 COVID-19 大流行期间,我们开展了一项全国范围的、基于网络的、自我管理的匿名调查,以调查招聘和实习活动。我们于 2020 年 12 月 21 日至 2021 年 1 月 31 日期间向日本的 576 家妇产科培训机构发送了在线问卷。共有 334 家机构给出了有效回复(回复率:58.0%)。多变量逻辑回归分析考察了线上活动(包括招聘和实习活动)与 2021 年妇产科新高年住院医师数量之间的关系。我们进行了按实施面对面活动分层的分析,以明确这种关联。
187 家机构(56.0%)新增加了高年住院医师,147 家机构(44.0%)减少了高年住院医师。实施面对面活动和线上活动的机构分别为 185 家和 120 家。多变量逻辑回归分析显示,妇产科新高年住院医师数量的增加与面对面活动显著相关(调整后的优势比(AOR)=2.58,95%置信区间(CI):1.11-5.97,p<.001),但与线上活动无关。在分层分析中,在没有面对面活动的机构中,线上活动与妇产科新高年住院医师数量的增加显著相关(AOR=3.81,95% CI:1.40-10.32,p=.009),而在有面对面活动的机构中则没有显著相关(AOR=0.87,95% CI:0.42-1.78)。
在线活动与没有开展面对面活动的机构中妇产科新高年住院医师数量的增加有关。