Krischer Benedict, Brechbühl-Litzel Ruth, Breuer Georg-Daniel, Favero Martine, Foessleitner Philipp, Friemann Anna Margareta, Weiss Martin, Windsperger Karin, Winder Franziska
Frauenklinik, Luzerner Kantonsspital, Luzern, Switzerland.
Junges Forum Gynécologie Suisse, Bern, Switzerland.
Arch Gynecol Obstet. 2025 Feb;311(2):569-576. doi: 10.1007/s00404-024-07856-w. Epub 2025 Jan 11.
There is frequent academic exchange between Switzerland, Germany and Austria, facilitated by the common language. Additionally, the postgraduate training curricula in obstetrics and gynecology show some similarities. We aimed to compare self-perceived level of ability, availability of simulation training and teaching and feedback culture among residents in obstetrics and gynecology in Switzerland, Germany, and Austria. The focus was on Switzerland to gain a better understanding of strengths and room for improvement.
With a cross-sectional design, a web-based survey with 30 questions was distributed to obstetrics and gynecology residents in the three countries in August and September 2020. The primary outcome was the self-perception of skills in between-country comparisons of mid-training trainees, i.e., omitting trainees in their first year as well as very advanced trainees and specialists. The secondary outcomes were reported teaching, simulation training and feedback culture. German and Austrian responses were calculated together and compared with the Swiss replies.
A total of 422 participants took part in the survey, 27.5% (n = 116) of whom were from Switzerland, corresponding to a questionnaire response rate of approximately 19%. 48% of Swiss trainees were in training years 2-5. 57% of Swiss participants felt confident in obstetric procedures and 69% in gynecological procedures, compared to 52% and 68% of non-Swiss participants (p = 0.005 and p = 0.176, respectively). Swiss participants felt significantly more confident in performing gynecological than obstetric procedures (p = 0.015). A total of 63% of the Swiss participants had obstetric simulation training, and 28% had gynecological simulation training compared to 37% and 17% in Germany and Austria, respectively (p < 0.001 and p = 0.007). 56% of Swiss participants reported "sufficient structured teaching", 43% reported a "good teaching culture", 47% of Swiss participants stated that they received regular feedback.
The majority of trainees in Switzerland feel confident in a range of procedures and interventions. Simulation training is relatively widespread, although in particular surgical simulation training should be expanded. Clinical teaching and feedback culture should be strengthened. "Teach the teacher" courses should be encouraged to promote a sustainable feedback culture.
瑞士、德国和奥地利之间由于语言相通，学术交流频繁。此外，妇产科的研究生培训课程也有一些相似之处。我们旨在比较瑞士、德国和奥地利妇产科住院医师自我感知的能力水平、模拟培训及教学的可获得性以及反馈文化。重点关注瑞士，以更好地了解其优势和改进空间。
采用横断面设计，于2020年8月和9月向这三个国家的妇产科住院医师发放了一份包含30个问题的网络调查问卷。主要结果是在培训中期学员（即不包括第一年的学员以及非常资深的学员和专家）的国家间比较中对技能的自我认知。次要结果包括报告的教学、模拟培训和反馈文化。将德国和奥地利的回复合并计算，并与瑞士的回复进行比较。
共有422名参与者参加了调查，其中27.5%（n = 116）来自瑞士，问卷回复率约为19%。48%的瑞士学员处于培训的第2至5年。57%的瑞士学员对产科操作有信心，69%对妇科操作有信心，相比之下，非瑞士学员的这一比例分别为52%和68%（p分别为0.005和0.176）。瑞士学员对妇科操作的信心明显高于产科操作（p = 0.015）。共有63%的瑞士参与者接受过产科模拟培训，28%接受过妇科模拟培训，相比之下，德国和奥地利的这一比例分别为37%和17%（p < 0.001和p = 0.007）。56%的瑞士参与者报告“有足够的结构化教学”，43%报告“有良好的教学文化”，47%的瑞士参与者表示他们会定期收到反馈。
瑞士的大多数学员对一系列操作和干预有信心。模拟培训相对普遍，不过特别应扩大手术模拟培训。临床教学和反馈文化应得到加强。应鼓励开展“培训教师”课程以促进可持续的反馈文化。
