A survey of Japanese interns to prepare for mandatory clinical training in obstetrics and gynecology.


Journal

The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761

Informations de publication

Date de publication:
Jul 2021
Historique:
revised: 21 02 2021
received: 03 02 2021
accepted: 10 03 2021
pubmed: 29 4 2021
medline: 6 7 2021
entrez: 28 4 2021
Statut: ppublish

Résumé

Obstetrics and gynecology (Ob/Gyn) training became compulsory for Japanese physician interns from April 2020 to improve medical competence in treating women's diseases. This study aims to understand the Ob/Gyn training needs of postgraduate year 1-2 physicians (interns) and thereby improve training efficiency. This study was administered to interns at Ob/Gyn training facilities from December 2019 to February 2020. An original questionnaire was used to evaluate their assessment of training needs. In analyses, interns were categorized according to whether they were willing to major in Ob/Gyn. Of the 1154 participants, 163 (14.1%) would major in Ob/Gyn (Ob/Gyn applicants) and 967 (83.8%) would not (non-Ob/Gyn applicants). At the time of the survey, 634 (54.9%) had rotated in Ob/Gyn, 253 (21.9%) planned to rotate, and 267 (23.1%) chose not to rotate. The two most favorable training experiences were "experience in surgical procedures" (81/141, 57.4%) and "wide treatment areas covered by Ob/Gyn" (78/141, 55.3%) among the Ob/Gyn applicants, and "specificity of women's treatment" (308/488, 63.1%) among the non-Ob/Gyn applicants. Ob/Gyn applicants and non-Ob/Gyn applicants differed in their assessment of Ob/Gyn rotations. It is crucial to provide medical training based on interns' needs to improve their skills for treating female patients.

Identifiants

pubmed: 33908114
doi: 10.1111/jog.14766
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2291-2297

Informations de copyright

© 2021 Japan Society of Obstetrics and Gynecology.

Références

Ministry of Health, Labor and Welfare. Ishi Rinsyou Kenshuu Sidou Guideline - 2020 nendo ban [Postgraduate medical training guideline ver. 2020] (in Japanese). https://www.mhlw.go.jp/content/10800000/000496242.pdf. Accessed 17 Dec 2020.
Gercenshtein L, Fogelman Y, Yaphe J. Increasing the satisfaction of general practitioners with continuing medical education programs: a method for quality improvement through increasing teacher-learner interaction. BMC Fam Pract. 2002;20:15.
Japan Society of Obstetrics and Gynecology. Rinsyou kensyuu Sidou Q&A [Tools to assist clinical training guidance - Clinical training guidance Q&A 2020] (in Japanese). http://www.jsog.or.jp/modules/committee/index.php?content_id=134. Accessed 17 Dec 2020.
Chang JC, Odrobina MR, McIntyre-Seltman K. The effect of student gender on the obstetrics and gynecology clerkship experience. J Womens Health (Larchmt). 2010;19:87-92.
Craig LB, Buery-Joyner SD, Bliss S, Everett EN, Forstein DA, Graziano SC, et al. To the point: gender differences in the obstetrics and gynecology clerkship. Am J Obstet Gynecol. 2018;219:430-5.
Shinnick J, Spelke MB, Martinez AR. Student-led training day increases student confidence in women's primary care skills. Fam Med. 2016;48:551-5.
Bullard MJ, Leuck JA, Howley LD. Unifying interdisciplinary education: designing and implementing an intern simulation educational curriculum to increase confidence in critical care from PGY1 to PGY2. BMC Res Notes. 2017;10:563.
Arias T, Tran A, Breaud J, Fournier JP, Bongain A, Delotte J. A prospective study into the benefits of simulation training in teaching obstetric vaginal examination. Int J Gynaecol Obstet. 2016;133:380-4.
Dayal AK, Fisher N, Magrane D, Goffman D, Bernstein PS, Katz NT. Simulation training improves medical students' learning experiences when performing real vaginal deliveries. Simul Healthc. 2009;4:155-9.
Alston MJ, Ehrig J, Autry AM, et al. Career expectations of obstetrics and gynecology residents and future residents. Obstet Gynecol. 2018;132:1S-7S.
West CP, Dyrbye LN, Shanafelt TD. Physician burnout: contributors, consequences, and solutions. J Intern Med. 2018;283:516-29.

Auteurs

Yohei Onodera (Y)

Department of Obstetrics & Gynecology, Akita University School of Medicine, Akita, Japan.

Yusuke Matoba (Y)

Department of Obstetrics & Gynecology, Keio University School of Medicine, Tokyo, Japan.

Tokumasa Suemitsu (T)

Department of Obstetrics and Gynecology, Kameda Medical Center, Kamogawa, Japan.

Manaka Shinagawa (M)

Department of Obstetrics and Gynecology, Shinshu University School of Medicine, Matsumoto, Japan.

Yosuke Sugita (Y)

Department of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.

Michinori Mayama (M)

Department of Obstetrics and Gynecology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

Kouji Banno (K)

Department of Obstetrics & Gynecology, Keio University School of Medicine, Tokyo, Japan.

Nozomu Yanaihara (N)

Department of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan.

Hiroaki Komatsu (H)

Department of Obstetrics and Gynecology, Tottori University School of Medicine, Yonago, Japan.

Makio Shozu (M)

Department of Reproductive Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan.

Hidemichi Watari (H)

Department of Obstetrics and Gynecology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

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