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Surgical anatomy in obstetrics and gynaecology: The trainees' perspective
Author(s) -
Sgroi Joseph,
Abbott Jason
Publication year - 2014
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12190
Subject(s) - medicine , competence (human resources) , accreditation , medical education , psychology , social psychology
Background The aim of the R oyal A ustralian and N ew Z ealand C ollege of O bstetricians and G ynaecologists ( RANZCOG ) I ntegrated and E lective T raining P rogram is to ensure trainees have both clinical and surgical competence. The capacity to recognise important anatomical structures underpins this aim; however, quantification of RANZCOG trainees' anatomical knowledge and their training and assessment is not available. Aim To survey trainees at all levels relating to applied anatomy, training and assessment within the RANZCOG training program. Methods All accredited RANZCOG trainees were invited to participate in an online survey relating to anatomy knowledge, application, assessment and means of improving anatomical training. Results At the commencement of training, 11% of trainees perceived their anatomical knowledge as adequate and this increased to 77% by the final year of training. For final‐year trainees, 78% perceived their anatomy knowledge as sufficient to perform a total abdominal hysterectomy and 87% an ovarian cystectomy or salpingectomy. Eighty‐four per cent of trainees perceived the RANZCOG training programme as providing inadequate anatomy teaching. 100% of respondents supported a RANZCOG approved anatomy training course. Limitations This is a survey‐based study and therefore subjective. Consequently, accurate determination of anatomical knowledge for RANZCOG trainees is inexact. Conclusion Trainees perceive limitations in their anatomical knowledge. A formalised RANZCOG anatomy course would be of value in providing structured education and assessment of trainees' knowledge and establishing whether there are improvements in surgical competencies.