Impact of Educational Background on the Quality of Standardized Residency Training Program: The Case of China, a Cohort Study

Objectives: Residency training is important worldwide and recent studies have put more emphasis on its quality evaluation. This study aims to first explore the impact of educational backgrounds on the quality of gynecology and obstetrics (OB-GYN) standardized resident training (SRT) program in China...

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Main Authors: Xiaoyu Tu, Xiaoquan Ding, Wanru Huang, Xiangrong Xu, Paulo Moreira, Runju Zhang
Format: Article
Language:English
Published: SAGE Publishing 2024-12-01
Series:Health Services Insights
Online Access:https://doi.org/10.1177/11786329241306392
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author Xiaoyu Tu
Xiaoquan Ding
Wanru Huang
Xiangrong Xu
Paulo Moreira
Runju Zhang
author_facet Xiaoyu Tu
Xiaoquan Ding
Wanru Huang
Xiangrong Xu
Paulo Moreira
Runju Zhang
author_sort Xiaoyu Tu
collection DOAJ
description Objectives: Residency training is important worldwide and recent studies have put more emphasis on its quality evaluation. This study aims to first explore the impact of educational backgrounds on the quality of gynecology and obstetrics (OB-GYN) standardized resident training (SRT) program in China, which may provide crucial evidence for policy considerations to improve SRT quality. Methods: A total of 397 OB-GYN resident graduates were enrolled in this retrospective cohort study. They were divided into three groups according to their educational background, that is Bachelor of Medicine (BM), Master of Medicine (MM), and Doctor of Medicine (DM) groups. The characteristics and the results of SRT graduation examination and annual assessment of these residents were collected and compared using one-way analysis of variance or Pearson’s chi-square test. A multivariable logistic regression analysis was performed to identify the association between sociodemographic variables and pass rates of SRT graduation examination. Besides, a subgroup analysis on training time for the DM group was performed. Strobe protocol was followed. Results: The residents were older in DM group than that in BM and MM groups ( P  < 0.001). There was significant difference of the training length and the proportion taking part in SRT graduation examination among three groups ( P  < 0.001). Although the written test scores of SRT graduation examination were the lowest in BM group ( P  = 0.015), there was no significant difference in other results among three groups. No significant variable was found associated with the pass rates of SRT examination. No significant difference was found in the subgroup analysis of DM group. Conclusion: Overall, the SRT quality of OB-GYN residents with different educational backgrounds was good and comparable. However, residents with BM degrees had lowest written scores and need to be strengthened during training. The training time of residents with DM degrees can be shortened according to their own conditions.
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spelling doaj-art-dc9612dc80a94f01b97695cddbc7b0dc2024-12-14T07:03:19ZengSAGE PublishingHealth Services Insights1178-63292024-12-011710.1177/11786329241306392Impact of Educational Background on the Quality of Standardized Residency Training Program: The Case of China, a Cohort StudyXiaoyu Tu0Xiaoquan Ding1Wanru Huang2Xiangrong Xu3Paulo Moreira4Runju Zhang5Department of Gynecology and Obstetrics, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Orthopedics, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Gynecology and Obstetrics, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Gynecology and Obstetrics, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaThe First Affiliated Hospital, Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, ChinaDepartment of Gynecology and Obstetrics, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaObjectives: Residency training is important worldwide and recent studies have put more emphasis on its quality evaluation. This study aims to first explore the impact of educational backgrounds on the quality of gynecology and obstetrics (OB-GYN) standardized resident training (SRT) program in China, which may provide crucial evidence for policy considerations to improve SRT quality. Methods: A total of 397 OB-GYN resident graduates were enrolled in this retrospective cohort study. They were divided into three groups according to their educational background, that is Bachelor of Medicine (BM), Master of Medicine (MM), and Doctor of Medicine (DM) groups. The characteristics and the results of SRT graduation examination and annual assessment of these residents were collected and compared using one-way analysis of variance or Pearson’s chi-square test. A multivariable logistic regression analysis was performed to identify the association between sociodemographic variables and pass rates of SRT graduation examination. Besides, a subgroup analysis on training time for the DM group was performed. Strobe protocol was followed. Results: The residents were older in DM group than that in BM and MM groups ( P  < 0.001). There was significant difference of the training length and the proportion taking part in SRT graduation examination among three groups ( P  < 0.001). Although the written test scores of SRT graduation examination were the lowest in BM group ( P  = 0.015), there was no significant difference in other results among three groups. No significant variable was found associated with the pass rates of SRT examination. No significant difference was found in the subgroup analysis of DM group. Conclusion: Overall, the SRT quality of OB-GYN residents with different educational backgrounds was good and comparable. However, residents with BM degrees had lowest written scores and need to be strengthened during training. The training time of residents with DM degrees can be shortened according to their own conditions.https://doi.org/10.1177/11786329241306392
spellingShingle Xiaoyu Tu
Xiaoquan Ding
Wanru Huang
Xiangrong Xu
Paulo Moreira
Runju Zhang
Impact of Educational Background on the Quality of Standardized Residency Training Program: The Case of China, a Cohort Study
Health Services Insights
title Impact of Educational Background on the Quality of Standardized Residency Training Program: The Case of China, a Cohort Study
title_full Impact of Educational Background on the Quality of Standardized Residency Training Program: The Case of China, a Cohort Study
title_fullStr Impact of Educational Background on the Quality of Standardized Residency Training Program: The Case of China, a Cohort Study
title_full_unstemmed Impact of Educational Background on the Quality of Standardized Residency Training Program: The Case of China, a Cohort Study
title_short Impact of Educational Background on the Quality of Standardized Residency Training Program: The Case of China, a Cohort Study
title_sort impact of educational background on the quality of standardized residency training program the case of china a cohort study
url https://doi.org/10.1177/11786329241306392
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