Obstetrics and gynecology residents' preparedness to perform essential obstetric procedures autonomously: A national survey among French residents and teachers.
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| Title: | Obstetrics and gynecology residents' preparedness to perform essential obstetric procedures autonomously: A national survey among French residents and teachers. |
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| Authors: | Puroski L; Department of Obstetrics and Gynecology, Charles Nicolle Hospital, University of Rouen, Rouen, France., Touleimat S; Department of Obstetrics and Gynecology, Charles Nicolle Hospital, University of Rouen, Rouen, France., Crochet P; Department of Obstetrics and Gynecology, Charles Nicolle Hospital, University of Rouen, Rouen, France; Univ Rouen Normandie, INSERM, NORDIC UMR 1239 -Team Adrenal and Gonadal Pathophysiology (AGoPath), Rouen, France., Guerin O; CHU Rouen, Department of Biostatistics and Clinical Research, Rouen F-76000, France., Coq JM; Univ Rouen Normandie, CRFDP, UR 7475, Rouen F-76000, France., Verspyck E; Department of Obstetrics and Gynecology, Charles Nicolle Hospital, University of Rouen, Rouen, France., Braund S; Department of Obstetrics and Gynecology, Charles Nicolle Hospital, University of Rouen, Rouen, France; Université Paris Cité, INSERM U1153, Obstetric, Perinatal, Paediatric Life Course Epidemiology (OPPaLE) Research Team, Center for Research in Epidemiology and Statistics (CRESS), Paris, France. Electronic address: sophia.braund@chu-rouen.fr. |
| Source: | Journal of gynecology obstetrics and human reproduction [J Gynecol Obstet Hum Reprod] 2025 Dec; Vol. 54 (10), pp. 103038. Date of Electronic Publication: 2025 Sep 17. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Elsevier Masson SAS Country of Publication: France NLM ID: 101701588 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2468-7847 (Electronic) Linking ISSN: 24687847 NLM ISO Abbreviation: J Gynecol Obstet Hum Reprod Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Paris : Elsevier Masson SAS, [2017]- |
| MeSH Terms: | Internship and Residency*/statistics & numerical data , Internship and Residency*/standards , Obstetrics*/education , Obstetrics*/statistics & numerical data , Gynecology*/education , Clinical Competence*/standards , Clinical Competence*/statistics & numerical data, Humans ; France ; Surveys and Questionnaires ; Female ; Adult ; Faculty, Medical/statistics & numerical data ; Pregnancy ; Male |
| Abstract: | Competing Interests: Declaration of competing interest The authors have no conflicts of interest to disclose. Objective: To assess the self-evaluation of French residents and the opinion of academic teachers regarding the autonomy granted during residents' training and the level of preparation achieved at the end of the residency to perform essential obstetric procedures. Methods: A national survey of French obstetrics and gynecology residents and their academic teachers was conducted using an online questionnaire distributed in 2023, which gathered the self-evaluation by residents and opinion of academic teachers on the level of autonomy for essential obstetric procedures and perceptions of preparedness upon graduation. The survey also examined perceptions on the impact of factors that improve autonomy. Results: 510 of the 1197 (43%) residents and 49 of the 137 academic teachers (36%) completed the questionnaire. Both residents and academic teachers were confident that residents would be prepared at the end of residency to perform most essential obstetric procedures, including vacuum and forceps or spatula assisted vaginal delivery. However, regarding advanced obstetric surgery in case of severe postpartum hemorrhage (PPH), only 36% of 6th-year residents reported feeling capable of performing a uterine artery ligation in case of an emergency, and 11% in performing a hemostatic hysterectomy. Main factors that were perceived as important for improving autonomy were the number of cases and the quality of coaching. Conclusion: French residents reported a gradual increase in autonomy throughout their residency for the majority of essential obstetric procedures, with the exception of surgical management of severe PPH. Teachers shared a similar opinion. Simulation and the quality of supervision appear to be promising pathways for enhancing their autonomy. (Copyright © 2025 The Authors. Published by Elsevier Masson SAS.. All rights reserved.) |
| Contributed Indexing: | Keywords: Autonomy; Obstetrics; Preparation levels; Residency; Training |
| Entry Date(s): | Date Created: 20250919 Date Completed: 20251116 Latest Revision: 20251116 |
| Update Code: | 20251117 |
| DOI: | 10.1016/j.jogoh.2025.103038 |
| PMID: | 40972866 |
| Database: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstract: | Competing Interests: Declaration of competing interest The authors have no conflicts of interest to disclose.<br />Objective: To assess the self-evaluation of French residents and the opinion of academic teachers regarding the autonomy granted during residents' training and the level of preparation achieved at the end of the residency to perform essential obstetric procedures.<br />Methods: A national survey of French obstetrics and gynecology residents and their academic teachers was conducted using an online questionnaire distributed in 2023, which gathered the self-evaluation by residents and opinion of academic teachers on the level of autonomy for essential obstetric procedures and perceptions of preparedness upon graduation. The survey also examined perceptions on the impact of factors that improve autonomy.<br />Results: 510 of the 1197 (43%) residents and 49 of the 137 academic teachers (36%) completed the questionnaire. Both residents and academic teachers were confident that residents would be prepared at the end of residency to perform most essential obstetric procedures, including vacuum and forceps or spatula assisted vaginal delivery. However, regarding advanced obstetric surgery in case of severe postpartum hemorrhage (PPH), only 36% of 6th-year residents reported feeling capable of performing a uterine artery ligation in case of an emergency, and 11% in performing a hemostatic hysterectomy. Main factors that were perceived as important for improving autonomy were the number of cases and the quality of coaching.<br />Conclusion: French residents reported a gradual increase in autonomy throughout their residency for the majority of essential obstetric procedures, with the exception of surgical management of severe PPH. Teachers shared a similar opinion. Simulation and the quality of supervision appear to be promising pathways for enhancing their autonomy.<br /> (Copyright © 2025 The Authors. Published by Elsevier Masson SAS.. All rights reserved.) |
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| ISSN: | 2468-7847 |
| DOI: | 10.1016/j.jogoh.2025.103038 |