Major problems, current characteristics and future career plans of obstetrics and gynecology residents in Turkey

Objective: To evaluate the current problems and future career plans of obstetrics and gynecology residents in Turkey. Materials and Methods: In this cross-sectional study, a survey was conducted with 143 trainees from 25 cities in different regions of Turkey. The questionnaire, which was sent via e-mail to all available trainees, consisted of four parts: information on hospitals, number and variety of surgical interventions, scientific activities, and current problems. Descriptive statistics were used to analyze participants’ responses. Results: The mean number of trainees in each hospital was 24 in education and research hospitals and 15 in university hospitals (p<0.001). Perinatology, oncology, and infertility clinics were present in about 70% of the hospitals, and there was no difference in this regard between public and university hospitals. Most trainees (68.5%) complained about being alone in an outpatient clinic. Third-year trainees from training and research hospitals performed a significantly higher number of vaginal births than those at universities (p=0.035). Most trainees complained about their workload during their residency in both training and research hospitals (74.4%) and university hospitals (66%). The three most common plans for the future were to attend a subspecialty program in the field of obstetrics and gynecology (28%), to pursue an academic career (23.1%), and to work in a private hospital (21%). Conclusion: Extremely long work hours, excessive workload, many monthly duties, and lack of supervision at outpatient clinics were found to be the major problems of the obstetrics and gynecology residents in Turkey. The most common future plan of the residents was to attend a subspecialty program in the field of obstetrics and gynecology.

[1]  J. Ehrig,et al.  Career Expectations of Obstetrics and Gynecology Residents and Future Residents. , 2018, Obstetrics and gynecology.

[2]  T. Muffly,et al.  Recent Ob/Gyn Residency Graduates' Experience With Hysterectomy , 2018, Obstetrics & Gynecology.

[3]  A. Winkel,et al.  Obstetricians and Gynecologists of the Future: A Survey of Medical Students Applying to Residency. , 2017, Obstetrics and gynecology.

[4]  M. Milad,et al.  Trends in malpractice claims for obstetric and gynecologic procedures, 2005 through 2014 , 2017, American journal of obstetrics and gynecology.

[5]  I. Sahin,et al.  University hospitals in Turkey: Structural crisis in financing or consequence of mismanagement? , 2017 .

[6]  W. Rayburn,et al.  Is There a Shortage of Obstetrician-Gynecologists? , 2017, Obstetrics and gynecology clinics of North America.

[7]  T. Metz,et al.  Factors Influencing Residency Program Selection by Medical Students Pursuing Obstetrics and Gynecology. , 2017, Journal of graduate medical education.

[8]  Marisa E. Pulcrano,et al.  Quality of Life and Burnout Rates Across Surgical Specialties: A Systematic Review. , 2016, JAMA surgery.

[9]  Kathryn A. Lee,et al.  Effects of home call on obstetrics and gynecology resident sleep patterns. , 2016, American journal of obstetrics and gynecology.

[10]  S. Srinivas,et al.  Impact of the medical liability crisis on postresidency training and practice decisions in obstetrics-gynecology. , 2012, Journal of graduate medical education.

[11]  P. Christopoulos,et al.  Working conditions survey and trainees situation: new approach to auditing the situation of European trainees in obstetrics and gynaecology ten years later. , 2009, European journal of obstetrics, gynecology, and reproductive biology.

[12]  S. Klock,et al.  Burnout, depression, and career satisfaction: cross-sectional study of obstetrics and gynecology residents. , 2006, American journal of obstetrics and gynecology.

[13]  F. Nunes,et al.  The implementation of a European Network of Trainees in Obstetrics and Gynaecology (ENTOG). , 1999, European Journal of Obstetrics, Gynecology, and Reproductive Biology.

[14]  C. Maher,et al.  Apical prolapse , 2013, International Urogynecology Journal.

[15]  F. Gode,et al.  CURRENT CHALLENGES OF THE GYNECOLOGY ASS‹STANTS IN TURKEY , 2013 .