The key features of highly effective training units in obstetrics and gynaecology

Abstract

High-quality training environments may increase job satisfaction, reduce attrition and promote excellence in education and training. Data on training are collected through the General Medical Council Survey, Training Evaluation Form and Workforce Survey. Attrition rates in obstetrics and gynaecology are high (30%)among the highest across all specialtiesand reasons for this include morale and undermining, training processes and paperwork, support and supervision, work-life balance, National Health Service environment and job satisfaction. High attrition rates affect the remaining workforce and can have a negative impact on the working environment.Learning from excellence may be more helpful than focusing on negative aspects of poor training. Learning objectivesTo understand the fundamental features of highly performing units. To identify contributors to poor training performance. To implement a simple structure for analysing training performance. To learn simple interventions that can improve training.

TOGadvisor: the role of online feedback in obstetrics and gynaecology

“…Obstetrics and gynaecology has one of the highest attrition rates of all specialties (30%) 22 . A study of more than 3000 obstetrics and gynaecology doctors in the UK identified that 36% fulfilled the criteria for burnout 23 .…”

Implications for the future of Obstetrics and Gynaecology following the COVID‐19 pandemic: a commentary

“…32 Commonly reported reasons for leaving include a lack of morale, concerns relating to bullying and undermining, administrative issues related to training, and poor work-life balance or support. 32 Moreover, according to a recent study, 36% of all doctors working within O&G in the UK met the criteria for burnout using a validated tool. 33 When focusing on trainees alone, the level of burnout rose to 43%.…”

Factors influencing medical students’ decision to pursue a career in obstetrics and gynaecology

“…Considering the wide-ranging factors that influence medical students’ desire to pursue a career in O&G, the context and geographical location [ 25 , 26 ] within which they are trained should not be underestimated. At present, the evidence does not exist to predict these factors in a population training in the Republic of Ireland.…”