Satisfaction and Experiences of Gynecology and Obstetrics Residents in Croatia and Bosnia and Herzegovina with Training in Obstetrics
Background: Specialization in gynecology and obstetrics is declared by the laws and regulations of individual countries prescribed by the competent Ministry of Health, as well as in Croatia and Bosnia and Herzegovina. Methods: During the daily clinical practice, educational unevenness and dissatisfa...
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| Format: | Article |
| Language: | English |
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IMR Press
2023-06-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/50/6/10.31083/j.ceog5006131 |
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| author | Dubravko Habek Anis Cerovac Mislav Mikuš Petar Šimun Praljak Mislav Banić Ramiz Halilović |
| author_facet | Dubravko Habek Anis Cerovac Mislav Mikuš Petar Šimun Praljak Mislav Banić Ramiz Halilović |
| author_sort | Dubravko Habek |
| collection | DOAJ |
| description | Background: Specialization in gynecology and obstetrics is declared by the laws and regulations of individual countries prescribed by the competent Ministry of Health, as well as in Croatia and Bosnia and Herzegovina. Methods: During the daily clinical practice, educational unevenness and dissatisfaction of individual residents were noticed along with other organizational-communication and professional problems in basic obstetric skills, which we objectified by a voluntary anonymous survey of 122 residents of gynecology and obstetrics (RGO) from Croatia and Bosnia and Herzegovina. Residents completed survey during their postgraduate resident education. Results: RGOs state global dissatisfaction with specialization in 78.6%, believe in 84.4% that the skills and number of skills are not consistent with the years of specialization and 89.3% believe that they do not have enough skills to be able to work independently after specialization. Thus, the average number of skills from the first level competencies according to 1–5 years of specialization correlates with the above: the average number of cesarean section is 95.6, vaginal breech delivery extremely low 2.2, vacuum extration 6, forceps in the Croatia and Bosnia and Herzegovina does not perform, care of obstetrics anal sfincter injuries average 3 as well as shoulder distotia, internal version 0.36 and external version 0.6. Thus, 29.5% of them believe that there is a global lack of interest in the specialization system, 31.9% cite the incompetence of mentors, 33.6% the usual practice of individual schools and clinics. In conclusion, 59.8% of RGOs believe that obstetrics is a challenging profession, 10.6% a demanding profession, 18.8% consider it a dangerous occupation, only 13.9% an attractive occupation, and the fact that obstetrics has turned into a profession with caesarean sections as the most common skill is considered by 56.6%, even 84.2% of RGOs in the last year of specialization. Conclusions: There is evidently an academic-professional disproportion between the necessity and need for education and skills, that is, required competencies and reality. We must become and be arbiters between anti-obstetrics and obstetrics full of skills and craftsmanship as a true profession of allopathic conventional medicine, and academic honesty towards RGOs. |
| format | Article |
| id | doaj-art-2957f3ce95b545768d8148e18e11ef08 |
| institution | OA Journals |
| issn | 0390-6663 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-2957f3ce95b545768d8148e18e11ef082025-08-20T02:03:53ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632023-06-0150613110.31083/j.ceog5006131S0390-6663(23)02083-3Satisfaction and Experiences of Gynecology and Obstetrics Residents in Croatia and Bosnia and Herzegovina with Training in ObstetricsDubravko Habek0Anis Cerovac1Mislav Mikuš2Petar Šimun Praljak3Mislav Banić4Ramiz Halilović5School of Medicine, Catholic University of Croatia, 10000 Zagreb, CroatiaDepartment of Gynaecology and Obstetrics, General Hospital Tešanj, 74260 Tešanj, Bosnia and HerzegovinaDepartment of Obstetrics and Gynecology, Clinical Hospital Center Zagreb, 10000 Zagreb, CroatiaSchool of Medicine, Catholic University of Croatia, 10000 Zagreb, CroatiaSchool of Medicine, Catholic University of Croatia, 10000 Zagreb, CroatiaDepartment of Gynaecology and Obstetrics, General Hospital Tešanj, 74260 Tešanj, Bosnia and HerzegovinaBackground: Specialization in gynecology and obstetrics is declared by the laws and regulations of individual countries prescribed by the competent Ministry of Health, as well as in Croatia and Bosnia and Herzegovina. Methods: During the daily clinical practice, educational unevenness and dissatisfaction of individual residents were noticed along with other organizational-communication and professional problems in basic obstetric skills, which we objectified by a voluntary anonymous survey of 122 residents of gynecology and obstetrics (RGO) from Croatia and Bosnia and Herzegovina. Residents completed survey during their postgraduate resident education. Results: RGOs state global dissatisfaction with specialization in 78.6%, believe in 84.4% that the skills and number of skills are not consistent with the years of specialization and 89.3% believe that they do not have enough skills to be able to work independently after specialization. Thus, the average number of skills from the first level competencies according to 1–5 years of specialization correlates with the above: the average number of cesarean section is 95.6, vaginal breech delivery extremely low 2.2, vacuum extration 6, forceps in the Croatia and Bosnia and Herzegovina does not perform, care of obstetrics anal sfincter injuries average 3 as well as shoulder distotia, internal version 0.36 and external version 0.6. Thus, 29.5% of them believe that there is a global lack of interest in the specialization system, 31.9% cite the incompetence of mentors, 33.6% the usual practice of individual schools and clinics. In conclusion, 59.8% of RGOs believe that obstetrics is a challenging profession, 10.6% a demanding profession, 18.8% consider it a dangerous occupation, only 13.9% an attractive occupation, and the fact that obstetrics has turned into a profession with caesarean sections as the most common skill is considered by 56.6%, even 84.2% of RGOs in the last year of specialization. Conclusions: There is evidently an academic-professional disproportion between the necessity and need for education and skills, that is, required competencies and reality. We must become and be arbiters between anti-obstetrics and obstetrics full of skills and craftsmanship as a true profession of allopathic conventional medicine, and academic honesty towards RGOs.https://www.imrpress.com/journal/CEOG/50/6/10.31083/j.ceog5006131gynecologyobstetricseducationskillsspecialization |
| spellingShingle | Dubravko Habek Anis Cerovac Mislav Mikuš Petar Šimun Praljak Mislav Banić Ramiz Halilović Satisfaction and Experiences of Gynecology and Obstetrics Residents in Croatia and Bosnia and Herzegovina with Training in Obstetrics Clinical and Experimental Obstetrics & Gynecology gynecology obstetrics education skills specialization |
| title | Satisfaction and Experiences of Gynecology and Obstetrics Residents in Croatia and Bosnia and Herzegovina with Training in Obstetrics |
| title_full | Satisfaction and Experiences of Gynecology and Obstetrics Residents in Croatia and Bosnia and Herzegovina with Training in Obstetrics |
| title_fullStr | Satisfaction and Experiences of Gynecology and Obstetrics Residents in Croatia and Bosnia and Herzegovina with Training in Obstetrics |
| title_full_unstemmed | Satisfaction and Experiences of Gynecology and Obstetrics Residents in Croatia and Bosnia and Herzegovina with Training in Obstetrics |
| title_short | Satisfaction and Experiences of Gynecology and Obstetrics Residents in Croatia and Bosnia and Herzegovina with Training in Obstetrics |
| title_sort | satisfaction and experiences of gynecology and obstetrics residents in croatia and bosnia and herzegovina with training in obstetrics |
| topic | gynecology obstetrics education skills specialization |
| url | https://www.imrpress.com/journal/CEOG/50/6/10.31083/j.ceog5006131 |
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