Scotti R J, Davidson E C
Department of Obstetrics and Gynecology, Drew University of Medicine and Science, Los Angeles, California.
J Reprod Med. 1994 Aug;39(8):631-4.
An observational study reviewed the efficacy of resident training in urogynecology and pelvic floor disorders. After instituting a formal urogynecology rotation consisting of two one-month rotations in the second and third years at a major inner city county hospital, 24 residents were prospectively followed to assess their cognitive and clinical skills, including endoscopic, urodynamic and surgical competence. They were evaluated by objective testing and close observation. The results showed 41.875% (+/- 16.669 SD) entry level objective correct answers as compared to 82.083% (+/- 10.206) upon completion of the rotation. Residents were observed and graded over the six-year period by one (occasionally two) faculty members for successful task completion. The residents' mastery of surgical, endoscopic and urodynamic skills was deemed acceptable through a subjective evaluation by urogynecology faculty members based on satisfactory completion of 80% of the assigned task. Formal urogynecologic training by a knowledgeable subspecialist is a useful adjunct to the obstetrics-and-gynecology residency program.
一项观察性研究评估了住院医师在女性泌尿生殖系统疾病和盆底功能障碍方面培训的效果。在一家位于市中心的大型县级医院实施了一项正式的女性泌尿生殖系统疾病轮转培训计划，该计划在第二年和第三年各安排为期一个月的轮转培训。对24名住院医师进行前瞻性跟踪，以评估他们的认知和临床技能，包括内镜检查、尿动力学检查和手术能力。通过客观测试和密切观察对他们进行评估。结果显示，培训开始时客观测试的正确答案率为41.875%（±16.669标准差），而轮转培训结束时为82.083%（±10.206）。在六年时间里，由一名（偶尔两名）教员对住院医师完成任务的情况进行观察和评分。根据女性泌尿生殖系统疾病教员的主观评估，住院医师对手术、内镜检查和尿动力学技能的掌握程度在完成80%的指定任务后被认为是可以接受的。由知识渊博的专科医生进行的正式女性泌尿生殖系统疾病培训是妇产科住院医师培训计划的有益补充。
