Westhoff C, Marks F, Rosenfield A
Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, New York, NY.
Obstet Gynecol. 1993 Feb;81(2):311-4.
Obstetrics and gynecology residency program directors and chief residents were surveyed, and 80% responded to a questionnaire regarding training in contraception, sterilization, and abortion. Most program directors reported that teaching and clinical experience is provided in these areas. The chief residents, however, reported having less clinical experience than was estimated by their program directors. Most residents reported experience prescribing oral contraceptives and performing tubal ligations, but had little experience with other methods. Thirty-eight percent of graduating chief residents reported never having inserted an intrauterine device, 47% had never performed a first-trimester abortion, and 43% had never performed a dilation and evacuation. Residency programs need to set competency goals in these areas so that new practitioners will be well prepared to care for American women who wish to control their fertility.
对妇产科住院医师培训项目主任和总住院医师进行了调查，80%的人回复了一份关于避孕、绝育和堕胎培训的问卷。大多数项目主任报告称，这些领域都提供了教学和临床经验。然而，总住院医师报告称，他们的临床经验比项目主任估计的要少。大多数住院医师报告有开具口服避孕药和进行输卵管结扎的经验，但对其他方法的经验很少。38%即将毕业的总住院医师报告从未放置过宫内节育器，47%从未进行过孕早期堕胎，43%从未进行过扩张刮宫术。住院医师培训项目需要在这些领域设定能力目标，以便新从业者能够做好充分准备，为希望控制生育的美国女性提供护理。
