Abstract
Objective:To evaluate the current problems and future career plans of obstetrics and gynecology residents in Turkey.Materials and Methods:In this cross-sectional study, a survey was conducted with 143 trainees from 25 cities in different regions of Turkey. The questionnaire, which was sent via e-mail to all available trainees, consisted of four parts: information on hospitals, number and variety of surgical interventions, scientific activities, and current problems. Descriptive statistics were used to analyze participants’ responses.Results:The mean number of trainees in each hospital was 24 in education and research hospitals and 15 in university hospitals (p<0.001). Perinatology, oncology, and infertility clinics were present in about 70% of the hospitals, and there was no difference in this regard between public and university hospitals. Most trainees (68.5%) complained about being alone in an outpatient clinic. Third-year trainees from training and research hospitals performed a significantly higher number of vaginal births than those at universities (p=0.035). Most trainees complained about their workload during their residency in both training and research hospitals (74.4%) and university hospitals (66%). The three most common plans for the future were to attend a subspecialty program in the field of obstetrics and gynecology (28%), to pursue an academic career (23.1%), and to work in a private hospital (21%).Conclusion:Extremely long work hours, excessive workload, many monthly duties, and lack of supervision at outpatient clinics were found to be the major problems of the obstetrics and gynecology residents in Turkey. The most common future plan of the residents was to attend a subspecialty program in the field of obstetrics and gynecology.
Highlights
Turkish Trainees of Obstetrics and Gynecology is an organization that has collaborated with the European Board College for Obstetrics and Gynecology and European Network Trainees of Obstetrics and Gynecology (ENTOG) since 2010(1)
Perinatology, oncology, and infertility clinics were present in about 70% of the hospitals, and there was no difference in this regard between public and university hospitals
The median number of births per day was higher in public hospitals than in university hospitals, there was no significant difference between university and public hospitals (20 vs. 10; p>0.05)
Summary
Turkish Trainees of Obstetrics and Gynecology is an organization that has collaborated with the European Board College for Obstetrics and Gynecology and European Network Trainees of Obstetrics and Gynecology (ENTOG) since 2010(1). The population of Turkey is about 80 million(2) and the annual number of trainees in OBGYN is about 1200. The low trainee to population ratio results in long working hours and fatigue. The upside of this low ratio is the high number of operations per trainee(3). Training in OBGYN takes place in two types of hospitals in Turkey. To the best of our knowledge, there is no study evaluating current problems and characteristics of OBGYN training in Turkey. This survey evaluates the current conditions and issues regarding OBGYN residency. We believe that identifying the issues is the first step to developing the relevant solutions
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