How to improve our training curriculum Katrn Kristjnsdttir

+ How to improve our training curriculum Katrín Kristjánsdóttir Ómar Sigurvin

+ Overview n. Training environment n. Training requirements n. Resident n. How Survey - How are we doing? can we improve?

+ Landspítali University Hospital, Kvennadeild: Department of Obstetrics and gynecology n Referral center for all Iceland: Approx. 3500 deliveries/year; 70% of all deliveries, nearly all the preterm. 25 bed gynecological unit. Referral of all gynecological cancers. n University hospitals of a similar size in Nordic countries: Odense, Lund, Trondheim, Turku

+ Icelandic requirements for specialist training in Obstetrics and gynecology n Four years of Obstetrics and Gynecology n One year of General Surgery n No mention of training abroad n Landspitali University Hospital´s department of Obstetrics and Gynecology ( 3500 del. /year) offers 2 -3 year training posts n Almost all go abroad for further training n RCOG accreditates 2 years of training at Landspitali

+ Resident survey - How are we doing? n Sent to 32 ob&gyn residents currently or recently in the Icelandic program n Nine compound questions n Answers 25 = 78%

+ How well could you attend scheduled teaching?

+ Compared to other specialities, scheduled teaching is. . .

+ Specialist’s interests in teaching

+ I’ve done the following number of operations

+ I’ve done the following number of operations 20 18 16 14 12 10 0 1 to 5 5 to 10 8 10 to 50 6 >50 4 2 0 Vacuum extractions. Forceps extractions. Caesarean sections

Strengths?

Weaknesses?

+ How to improve our training curriculum n Identify education n Clinical n Academic n Protect education time n 2 year curriculum n Morbidity and Mortality n Supervision n Evaluation- feedback

+ Educational opportunities n. Academic n. Lectures, education conferences, journal clubs etc. n. Simulation training n. Clinical education n. Clinical work n. Obstetric and Gyn cases

Protected educational time!

+ 2 year curriculum n. Our program has resident trainees that stay with us for 2 years n Identify educational objectives n Create an educational curriculum that rotates biannually

Morbidity and Mortality

Supervision

Evaluation and Feedback