The face of obstetrics and gynaecology is changing, driven by the reduction in inpatient length of stay, the increase in the total number of general specialists, an explosion of knowledge from advances in science and information technology, increasing patient education and an increased emphasis on life-work balance with a concomitant reduction in working hours. Specifically, the last 20 years have seen the rise of subspecialization to the point where almost one in three specialists pursue further subspecialist training according to the Workforce Intentions Survey.
The purpose of this study was to assess the progress of trainees in the AGES accredited advanced training program in endoscopic surgery.
Methodology
This study employed a mixed methods design. In March 2016 and 2017, semi-structured interviews were conducted of current trainees and graduates of the training program. Interview candidates were selected by exhaustive criterion sampling.
Training records of all trainees in the program were reviewed for final analysis.
Data analysis
Interview data were organised into categories and analysed by NVivo 10 and analytic induction in a staged, independent analysis. Units, themes and sub-themes were finalised and the data processed in a framework approach to data analysis. The validity of the qualitative data analysis and interpretation was established using traditional approaches in qualitative research including data triangulation.
Quantitative continuous and categorical data were subject to parametric, nonparametric and regression analysis where appropriate using SPSS Professional.
Ethics approval for this study was granted from Queensland University of Technology Human Research Ethics Committee (1500000108 ).
Results
In March 2017, all graduates of the AGES Training Program (13) were invited to participate in interviews, of which 6 agreed and 4 attended the interviews. Further data was received from two graduates. The main themes identified in the study were autonomy, competency and professionalization.
Trainees are exceeding all surgical parameters, though there are significant regional variations.
Conclusion
Though there are a number of barriers, trainees emerge from the program with an increased skill set, increased experience but tempered by a greater understanding of their limitations. There is a greater understanding of other professional qualities, including the role of training, continued education and research.