Obstetrics and gynecology residents' attitudes toward maternal-fetal medicine fellowship training.
Obstetrics and gynecology residents' attitudes toward maternal-fetal medicine fellowship training.
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妇产科住院医师对母胎医学专科培训的态度。
DOI：
10.1080/14767050400013412
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发表时间：
2004
期刊：
影响因子：
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通讯作者：
Wenstrom,Kd
中科院分区：
文献类型：
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作者：
Lu,G;Owen,J;Wenstrom,Kd
目的 评估与住院医师决定接受或放弃母胎医学 (MFM) 进修培训有关的因素。 方法 采用多项选择、李克特、序数和分类量表问题进行的调查，分发给 2001-02 学年期间参加经认可的美国培训计划的所有 (n= 2337) 研究生 (PGY) 3 和 4 级妇产科住院医师。这项由 18 个问题组成的调查旨在了解人口统计和住院医师培训细节、与 MFM 教员和研究员的互动质量，以及可能影响住院医师决定接受 MFM 培训的 13 个具体因素的信息。结果 642 名住院医师 (27%) 进行了调查，在 PGY 3 和 4 之间平均分配。只有 90 名 (14%) 住院医师报告正在考虑或已经申请 MFM 培训（MFM 组），而278 人 (43%) 曾考虑过 MFM 培训，但选择留在全科实践或寻求其他奖学金（中立组）。其余 274 人 (43%) 表示从未考虑过 MFM（从未分组）。这三个组在人口特征和住院医师培训方面相似；然而，MFM 组对 MFM 教师的教学质量的评价明显高于中立组和从不组。据报道，MFM 教师的鼓励、进修期间的工资和 3 年（而不是 2 年）持续时间是最强的影响因素，并且与调查中考虑的其他 10 个因素显着不同（p< 0.05）。结论影响 MFM 培训追求的主要积极因素是教育经验的质量和 MFM 教师的鼓励。相反，三年培训计划的持续时间和可预见的财务负担似乎是重大的阻碍因素。
ObjectiveTo assess factors associated with residents' decisions to pursue or forego fellowship training in maternal-fetal medicine (MFM).MethodsA survey utilizing multiple-choice, Likert, ordinal and categorical scale questions was distributed to all (n= 2337) postgraduate year (PGY) 3 and 4 obstetrics and gynecology residents in accredited US training programs during the 2001-02 academic year. The 18-question survey sought demographic and residency training details, quality of interactions with the MFM faculty and fellows, and information about 13 specific factors that might influence a resident's decision to pursue MFM training.ResultsSurveys were returned by 642 (27%) residents, equally divided between PGY 3 and 4. Only 90 (14%) residents reported either ongoing consideration of, or having already applied for, MFM training (MFM group), while 278 (43%) had considered MFM training, but chose to either stay in general practice or pursue another fellowship (neutral group). The remaining 274 (43%) reported never having considered MFM (never group). The three groups were similar with regard to demographic characteristics and residency training; however, the MFM group ranked the quality of teaching by the MFM faculty significantly higher than the neutral and never groups. Encouragement by the MFM faculty, salary during fellowship and the 3-year (as opposed to 2-year) duration were reported to be the strongest influencing factors and were significantly different from ten other factors considered in the survey (p< 0.05).ConclusionMajor positive factors influencing the pursuit of MFM training are the quality of educational experiences and encouragement from the MFM faculty. Conversely, the duration and the perceived financial burden of the 3-year training program appear to be significant deterrents.