Türkiye kardiyoloji uzmanlık eğitimi dönemi değerlendirme anketi

A survey for the evaluation of the training period of cardiology specialists in Turkey

İlker GÜL, Murat BİLGİN, Bekir Serhat YILDIZ, BEYAZIT Mustafa ALKAN, Senem NALBANTGİL, Mehdi ZOGHİ, Mustafa AKIN, Hasan GÜNGÖR

Abstract

Objective: To evaluate postgraduate training period, social life and problems of cardiology residents in Turkey by using a questionnaire form and to compare with the core curriculum of European Society of Cardiology for general cardiology. Methods: Overall, 529 residents of cardiology ages in range of 24-35 years (mean age: 26.5±2.0 years, 81.4% male) participated as volunteers in this cross-sectional survey study. An 86-item questionnaire form was used to evaluate the education process, capacity of knowledge and skill and social effectiveness level of participants. The questionnaire were composed both closed- and open-ended questions. The questionnaire form was filled in with the face-to-face communication method. The data of survey were compared with the core curriculum of European Society of Cardiology for general cardiology training period. Chi-square or Fischer exact test was used for statistical analysis. Results: The participants were working in various university hospitals (70.3%) and training-research (state) hospitals in 31 different provinces in Turkey (40.8% in Marmara region). They visited 40±10 outpatients and 10±5 hospitalized pts daily in the clinics. The 3-5 residents worked at the clinic on night shifts and mostly (89%) 8 or more night shifts per month were held in their first training years. During first three-years of training 76% of residents have performed echocardiography, 40.8%-transesophageal echocardiography and 10%-intraoperative echocardiography. The 84.3% of them evaluated exercise tests, 76.4%-Holter electrocardiography and 53.3%-tilt-table tests. The rate of residents working in coronary angiography laboratories was 54.3%. The 53.7% of residents performed coronary angiography and 64%-only in the 4th year of their training. The number of coronary angiography performance was under expected when compared with European Society of Cardiology curriculum. The 18.5% of residents were participated as assistant researcher in an international multi-center study and only 10% had an article published in national journals (4.3% published in Science Citation Index). The 30.6% considered the cardiology training period in their centers to be insufficient, whereas 37.4% found it partially sufficient and 31.9% sufficient. Only 32.9% of participants could dedicate time for social activities. Conclusion: According to the referred core curriculum of ESC for general cardiology the training of cardiology residents in non-invasive applications is adequate however coronary angiography applications are slightly insufficient in Turkey. In addition, the number of publications per capita is quiet low. (Anadolu Kardiyol Derg 2011; 11: 661-5)

Özet

Amaç: Türkiye’deki kardiyoloji asistanlarının uzmanlık eğitim sürecini, sosyal yaşantılarını, sorunlarını bir anket formu aracılığıyla değerlendirmek ve Avrupa Kardiyoloji Cemiyetinin genel kardiyoloji müfredatıyla karşılaştırmak. Yöntemler: Bu enine-kesitsel anket çalışmasına yaş aralığı 24-35 yıl olan 529 kardiyoloji asistanı (yaş ortalaması: 26.5±2 yıl, %81.4’ü erkek) gönüllü olarak katıldı. Katılımcıların eğitim süreçleri, bilgi kapasitesi, beceri ve sosyal etkinlik düzeylerini değerlendirmek için 86 sorudan oluşan bir anket formu kullanıldı. Anket hem kapalı, hem de açık uçlu sorulardan oluşmaktaydı. Anket formu yüz yüze görüşülerek dolduruldu. Anket verileri, Avrupa Kardiyoloji Cemiyetinin genel kardiyoloji eğitim sürecine ilişkin müfredatıyla karşılaştırıldı. Kategorik değişkenlerin karşılaştırılması için Ki-kare veya “Fisher exact” testi kullanıldı. P değerinin