Department of Gynecology, Breast Center, Campus Mitte, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Young Academy of Gynecologic Oncology (JAGO, ), Berlin, Germany.
Arch Gynecol Obstet. 2024 Jun;309(6):2771-2778. doi: 10.1007/s00404-024-07508-z. Epub 2024 Apr 16.
The primary objective of this study was to establish a benchmark by collecting baseline data on surgical education in obstetrics and gynecology in Germany, including factual number of operations performed.
A nationwide anonymous survey was conducted in Germany between January 2019 and July 2019 utilizing a specially designed questionnaire which addressed both residents and senior trainers.
A total of 601 participants completed the survey, comprising 305 trainees and 296 trainers. The trainees reported performing a median of 125 non-obstetric surgeries (IQR: 41-332) and 75 obstetric procedures (IQR: 27-168) independently. While most last-year residents managed to meet the targeted numbers for minor surgical procedures outlined in the logbook, they fell short of achieving the required numbers for major operations, such as hysterectomies or more complex laparoscopies. Although both trainees and trainers emphasized the significance of surgical training, the overall quality of the training was rated poorly, particularly by trainees. This was attributed to a high proportion of administrative tasks and a deficiency in teaching time within the operating theater. External fellowship and mentoring programs, as well as the implementation of regular, centralized reviews of residency training, were identified as potentially beneficial by both trainees and trainers.
The findings of this survey should serve as a wake-up call both within and outside of Germany, highlighting the importance of comprehensive and structured surgical training to enhance long-term patient care and increase satisfaction among obstetrics and gynecology trainees.
本研究的主要目的是通过收集德国妇产科手术教育的基线数据（包括实际手术数量）来建立基准。
2019 年 1 月至 2019 年 7 月，在德国进行了一项全国性的匿名调查，使用专门设计的问卷，涵盖住院医师和高级培训师。
共有 601 名参与者完成了调查，其中包括 305 名住院医师和 296 名培训师。住院医师报告独立完成了中位数为 125 例非产科手术（IQR：41-332）和 75 例产科手术（IQR：27-168）。虽然大多数最后一年的住院医师能够达到日志中规定的小型手术数量目标，但他们未能达到子宫切除术或更复杂腹腔镜手术等主要手术所需的数量。尽管住院医师和培训师都强调了手术培训的重要性，但培训的整体质量被评为较差，尤其是住院医师。这归因于行政任务比例高，以及手术室内教学时间不足。外部奖学金和指导计划，以及定期集中审查住院医师培训，被住院医师和培训师都认为是有益的。
这项调查的结果应该在德国内外引起警惕，强调全面和结构化的手术培训对于提高长期患者护理和增加妇产科住院医师的满意度的重要性。
