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评估毕业生妇产科医生住院人员在产后永久避孕程序方面的培训

Ann C Frisse¹, Shanell Morrison-Buckley¹, Britt Lunde¹

¹Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY.

|January 23, 2026

概括

产后永久避孕 (PPPC) 手术病例数量在妇产科医生住院患者中较低,影响了信心. 越来越多的外科经验显著提高了住院人员对这些手术的准备.

科学领域:

生殖健康生殖健康
外科教育的外科教育
避孕药是一种避孕药,用于避孕.

背景情况:

产后永久避孕 (PPPC) 手术是有效和安全的程序.
经过阴道分娩后的PPPC的最小侵入性技术已经成熟.
评估居民对PPPC的培训和信心对于未来的提供者能力至关重要.

研究的目的:

评估毕业生妇产科 (OBGYN) 住院医生中PPPC手术的病例数量.
评估居民对执行PPPC程序的信心水平.
确定影响PPPC培训和在住院期间完成PPPC培训的障碍.

主要方法:

在Ryan Residency计划中对第四年妇产科医生住院生进行了横截面调查.
收集的数据包括PPPC病例数量,完成障碍和自我报告的信心.
统计分析包括描述性统计,线性混合效应模型和多变量后勤回归.

主要成果:

接受调查的居民平均进行了10次PPPC手术.
78%的居民感到舒服地执行PPPC,86%的人感到为紧急情况做好准备.
较高的病例数量与增加的信心相关 (p<0.0001),但对管理并发症和切除术的信心较低 (63-64%).

结论:

在住院期间PPPC病例数量较低,限制了居民的信心和准备.
系统性障碍,如OR和护理人员的可用性,阻碍了培训机会.
改善居民对PPPC的教育对于患者的自主性和解决未来提供者短缺至关重要,特别是在当前的生殖健康环境中.

关键词:

永久的避孕方法永久的避孕方法居民教育居民教育进行外科手术培训.

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