Objective

To perform a needs assessment to determine whether a mandatory Pediatric and Adolescent Gynecology (PAG) training experience in each Obstetrics and Gynecology (ObGyn) residency program in Canada is required and feasible.

Materials and Methods

This was a comparative descriptive design in which the 16 ObGyn Residency Program Directors (PD) in Canada were asked to undergo a 20-minute structured phone interview. These interviews were recorded, and explored how PAG and Reproductive Endocrinology (RE) objectives are met in each program, the PD's awareness of PAG opportunities in North America, and the feasibility of a mandatory training experience. This project is Research Ethics Board (REB) approved.

Results

Of 16 PDs, 12 gave consent and completed the phone interview. There is at least 1 PAG-trained ObGyn per institution, with a wide variety of clinical and academic experiences in PAG for residents between residency programs. There is much overlap among PAG and RE. All PDs interviewed believe that PAG training is important and should be mandatory; however, many feel that they lack the resources to implement a PAG mandatory training experience and that many barriers to such a curriculum exist.

Conclusion

PAG training experiences should be mandatory in all ObGyn training programs, according to participating PDs. PAG providers were identified at all the participating residency programs, and efforts should be made to support these providers in delivering the educational PAG content to ObGyn residents so the residents can become competent in the care of young women and children. PDs should be provided with the available PAG resources and resident elective opportunities.

中文翻译：

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加拿大儿科和青少年妇科住院医师培训的现状：项目主管的需求评估

客观的

进行需求评估，以确定在加拿大的每个妇产科 (ObGyn) 住院医师计划中是否需要和可行的强制性儿科和青少年妇科 (PAG) 培训经验。

材料和方法

这是一个比较描述性设计，其中加拿大的 16 位 ObGyn 住院医师计划主任 (PD) 被要求接受 20 分钟的结构化电话采访。这些采访被记录下来，并探讨了 PAG 和生殖内分泌 (RE) 目标如何在每个项目中实现、PD 对北美 PAG 机会的认识，以及强制性培训经验的可行性。该项目已获得研究伦理委员会 (REB) 的批准。

结果

在 16 名 PD 中，12 名同意并完成了电话采访。每个机构至少有 1 名受过 PAG 培训的 ObGyn，在 PAG 方面为住院医师提供了广泛的临床和学术经验。PAG 和 RE 之间有很多重叠。所有接受采访的 PD 都认为 PAG 培训很重要，应该是强制性的；然而，许多人认为他们缺乏实施 PAG 强制性培训经验的资源，并且此类课程存在许多障碍。

结论

根据参与的 PD 的说法，PAG 培训经验应该是所有 ObGyn 培训计划中的强制性要求。在所有参与的住院医师计划中都确定了 PAG 提供者，应努力支持这些提供者向 ObGyn 住院医师提供教育性 PAG 内容，以便住院医师能够胜任照顾年轻妇女和儿童的工作。应向 PD 提供可用的 PAG 资源和居民选修机会。