目的 了解国内妇产科医师在住院医师规范化培训(以下简称住培)期间参与临床实践的情况,为完善相关培训细则提供参考。方法 选择分层随机抽样方法,对来自国内6大地区不同等级医院完成住培后2年及未参加住培的第4年或第5年的1 341名妇产科住院医师进行在线调查,了解住培(或前3年住院医师)期间参与20种常见妇产科手术操作的情况。结果 19.0%(255/1 341)的妇产科医师临床实践合格。logistic回归分析结果显示,本科学历(OR=1.661,95%CI:1.225～2.252)、东北地区(OR=2.637,95%CI:1.564～4.446)和华南地区(OR=2.362,95%CI:1.442～3.869)的妇产科住院医师临床实践参与情况比硕士研究生学历、西南西北地区的妇产科住院医师更好。结论 妇产科医师住培期间临床实践不足,不同地区之间差距较大。应当依据疾病谱和手术方式的变化修订住培细则。

Objective To understand the clinical performance by standardized training of residents of obstetrics and gynecology in China, and to provide reference for improving residency training program. Methods Using stratified random sampling, an online questionnaire survey was conducted on 1341 obstetrics and gynecology residents (including the same-seniority physicians who did not participate in residency training program), who obtained certification of residency training program within 2 years and came from different grades of hospitals in six regions of the country. Number and extent of participation in 20 common clinical performance during the training phase were investigated. Results It is found that 19.0% (255/1341) of them showed qualified participation in clinical practice. Logistic regression analysis indicated that resident clinical practice participation of the undergraduate degree (OR=1.661, 95%CI: 1.225~2.252), northeast China(OR=2.637, 95%CI: 1.564～4.446) and north China (OR=2.362, 95%CI: 1.442～3.869) was better than those of master's degree and the southwest and northwest China. Conclusions The participation of obstetrics and gynecology resident trainees in clinical performance is insufficient in China, and there is a big gap among different regions. It is recommended that the training rules of obstetrics and gynecology should be revised according to the changes in disease spectrum and surgical methods.