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妇产科住院医师培训项目中的课程改革及其对住院医师孕期的影响。

Curriculum change in an obstetrics-gynecology residency program and its impact on pregnancy in residency.

作者信息

Nichols M

机构信息

Department of Obstetrics and Gynecology, Oregon Health Sciences University.

出版信息

Am J Obstet Gynecol. 1994 Jun;170(6):1658-64; discussion 1664-5.

PMID:8203423
Abstract

OBJECTIVE

Our purpose was to determine whether pregnancy was better tolerated by the individual female resident and the program as a whole after changes in the curriculum.

STUDY DESIGN

The 1983 through 1992 graduates of an obstetrics-gynecology residency program were questioned to assess the stress experienced by all residents and by the pregnant female residents. The level of agreement to statements expressing support and resentment for pregnancy in residency was measured.

RESULTS

Resentment among residents toward their pregnant colleagues was significantly greater in 1983 through 1987 than in 1988 through 1992. Male residents expressed more resentment toward pregnancy in their colleagues than did female residents, but they were perceived by the pregnant female residents as equally supportive as female residents. The level of stress experienced by the 1983 through 1987 graduates was greater than by those from 1988 through 1992.

CONCLUSION

Reducing the workload in training programs is associated with a decrease in the resentment of the residents toward pregnant residents and in the overall stress of the program.

摘要

目的

我们的目的是确定课程改革后,个体女性住院医师以及整个项目对怀孕情况的耐受性是否更佳。

研究设计

对某妇产科住院医师培训项目1983年至1992年的毕业生进行询问,以评估所有住院医师以及怀孕女性住院医师所经历的压力。测量对住院医师培训中表达对怀孕支持和不满的陈述的认同程度。

结果

1983年至1987年期间,住院医师对怀孕同事的不满程度显著高于1988年至1992年。男性住院医师对同事怀孕表现出的不满多于女性住院医师,但怀孕女性住院医师认为男性住院医师与女性住院医师一样支持她们。1983年至1987年毕业的住院医师所经历的压力水平高于1988年至1992年毕业的住院医师。

结论

减少培训项目的工作量与住院医师对怀孕住院医师的不满减少以及项目整体压力降低相关。

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