Abstract
There are global variations in obstetrics and gynaecology (OBGYN) training curricula,
both in length and in their structure and content. The ultimate goal for all residency
programs is to ensure a skilled, competent physician, capable of independent practice
by the end of his or her training. An online search was used for nationally recognized
OBGYN training curricula. The curricula of Australia, Canada, the Netherlands, the
United Kingdom, and the United States were individually reviewed and evaluated for
their use of competency-based medical education and methods of assessment, including
simulation. These were also compared to the World Federation for Medical Education’s
Global Standards for postgraduate medical education. Comparing the OBGYN curricula
of these five countries led to quite similar results. Even though curricula reviewed
have or will be integrating competency-based medical education into their residency
program, there is a need to develop adequate assessment tools, including simulation,
to train competent physicians capable of independent practice. Standardization of
curricula leads to a decrease in the variability and an increase in the quality of
training and allows for measurements and comparisons across centres. Ultimately, modifications
to the curricula or even consensus for an international standard, including a standardized
national simulation curriculum, may potentially increase the quality and efficiency
of training, which could have a direct impact on patient safety and quality of care.
Résumé
La formation en obstétrique-gynécologie varie dans le monde, autant dans sa durée
que dans sa structure et son contenu. Tous les programmes de résidence ont le même
objectif ultime : former des médecins compétents et qualifiés, capables de pratiquer
seuls à la fin de leur formation. Nous avons effectué une recherche en ligne pour
repérer les programmes nationaux reconnus de formation en obstétrique-gynécologie.
Nous avons ensuite examiné et évalué ceux de l’Australie, du Canada, des Pays-Bas,
du Royaume-Uni et des États-Unis en ce qui a trait à l’utilisation de l’apprentissage
par compétences et aux méthodes d’évaluation, notamment la simulation. Les programmes
ont aussi été comparés aux normes internationales relatives aux études postdoctorales
en médecine de la Fédération mondiale pour l’éducation médicale. L’évaluation a montré
que la formation dans les cinq pays était similaire. Bien que les programmes de résidence
utilisent ou utiliseront l’apprentissage par compétences, il faudra élaborer des outils
d’évaluation adéquats, y compris des exercices de simulation, pour former des médecins
compétents pouvant travailler de façon autonome. L’uniformisation des programmes limite
la variabilité et fait augmenter la qualité de la formation, en plus de permettre
la collecte de données et d’assurer la comparabilité d’un centre à l’autre. Au final,
modifier les programmes, voire arriver à un consensus sur une norme internationale
de formation – prévoyant un programme de simulation national –, pourrait rehausser
la qualité et l’efficacité de la formation, et ainsi avoir une incidence directe sur
la sécurité des patients et la qualité des soins.
Key Words
Abbreviations:
ACGME (Accreditation Council for Graduate Medical Education), BOEG (Better Education for Obstetrics and Gynecology), CBD (Competence by Design), CBME (competency-based medical education), EPA (entrustable professional activity), GMC (General Medical Council), GMP (Good Medical Practice), OBGYN (obstetrics and gynaecology), PME (postgraduate medical education), RANZCOG (Royal Australian and New Zealand College of Obstetricians and Gynaecologists), STAR (statement of awarded responsibility), WFME (World Federation for Medical Education)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: May 19, 2017
Accepted:
January 25,
2017
Received:
December 8,
2016
Footnotes
Competing interests: None declared
Identification
Copyright
© 2017 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
