Objective

The purpose of this study was to evaluate resident trainees’ perspectives on the pediatric and adolescent gynecology (PAG) training in obstetrics and gynecology training programs in Europe.

Study Design

This study was a cross-sectional survey using an online questionnaire, on the basis of the PAG training in obstetrics and gynecology section of the European Board & College of Obstetrics and Gynaecology Project of Achieving Consensus in Training curriculum. We aimed to survey the national programs in 35 European Network of Trainees in Obstetrics and Gynaecology (ENTOG) member countries. Taking part in the survey was voluntary. The questionnaire was shared on the ENTOG online platforms.

Results

Ninety obstetrics and gynecology trainees in 33 of 35 countries responded to our questionnaire. Of the 35 ENTOG member countries, 33 participated in the survey, and a total of 90 responses were collected, giving a response rate of 9% of all European trainees and representing 94% of the member countries. Only 27% of trainees reported having a PAG rotation during their training program, and a PAG elective was only available to 34% of the trainees. Forty-one percent reported that PAG training was not included in their curriculum (no official rotations or lectures planned). Despite the lack of formal training, 72% of trainees felt able to diagnose and manage prepubertal vaginal bleeding and adnexal masses in children and adolescents by the end of their training. Most (58%) also confirmed that they could determine indications for treatment of vulval, vaginal, perineal, and rectal conditions.

However, despite scoring positively for the management and counseling of subjects that often overlap with adult patients, such as “contraception in adolescents with health problems,” “acute abdominal pain,” “menstrual abnormalities,” and “vaginal discharge,” the study revealed poorer scores when the trainees were asked about more specific PAG topics such as “premature puberty” and “developmental disorders of the genital tract.”

Conclusion

Most core training programs across Europe do not include formal PAG training, and trainees reported a need to improve the provision of core PAG training in Europe.

中文翻译：

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儿科和青少年妇科研究生培训：学员的观点

客观的

本研究的目的是评估住院医师对欧洲妇产科培训计划中儿科和青春期妇科 (PAG) 培训的看法。

学习规划

本研究是基于欧洲委员会和妇产科学院在培训课程中达成共识项目的妇产科 PAG 培训部分，使用在线问卷进行的横断面调查。我们旨在调查 35 个欧洲妇产科培训人员网络 (ENTOG) 成员国的国家计划。参与调查是自愿的。问卷在 ENTOG 在线平台上共享。

结果

来自 35 个国家/地区中的 33 个国家/地区的 90 名妇产科实习生回答了我们的问卷调查。在 ENTOG 的 35 个成员国中，有 33 个参与了调查，共收集到 90 份答复，答复率为所有欧洲受训人员的 9%，代表了 94% 的成员国。只有 27% 的学员报告说在他们的培训计划中有 PAG 轮换，并且只有 34% 的学员可以选择 PAG 选修课。百分之四十一的人报告说 PAG 培训没有包括在他们的课程中（没有正式的轮换或讲座计划）。尽管缺乏正规培训，但 72% 的受训者​​认为在培训结束时能够诊断和处理儿童和青少年的青春期前阴道出血和附件包块。大多数 (58%) 还证实他们可以确定治疗外阴、

然而，尽管在“有健康问题的青少年避孕”、“急性腹痛”、“月经异常”和“阴道分泌物”等经常与成年患者重叠的主题的管理和咨询方面得分积极，但该研究显示当受训者被问及更具体的 PAG 主题（例如“性早熟”和“生殖道发育障碍”）时，他们的得分较低。

结论

欧洲的大多数核心培训计划不包括正式的 PAG 培训，受训人员报告说需要改进欧洲核心 PAG 培训的提供。