{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:14:04Z","timestamp":1777673644410,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Nature Science Foundation of China","doi-asserted-by":"publisher","award":["82001626"],"award-info":[{"award-number":["82001626"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health\ufffdServ\ufffdInsights"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Residency training is important worldwide and recent studies have put more emphasis on its quality evaluation. This study aims to first explore the impact of educational backgrounds on the quality of gynecology and obstetrics (OB-GYN) standardized resident training (SRT) program in China, which may provide crucial evidence for policy considerations to improve SRT quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 397 OB-GYN resident graduates were enrolled in this retrospective cohort study. They were divided into three groups according to their educational background, that is Bachelor of Medicine (BM), Master of Medicine (MM), and Doctor of Medicine (DM) groups. The characteristics and the results of SRT graduation examination and annual assessment of these residents were collected and compared using one-way analysis of variance or Pearson\u2019s chi-square test. A multivariable logistic regression analysis was performed to identify the association between sociodemographic variables and pass rates of SRT graduation examination. Besides, a subgroup analysis on training time for the DM group was performed. Strobe protocol was followed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The residents were older in DM group than that in BM and MM groups ( P\u2009&lt;\u20090.001). There was significant difference of the training length and the proportion taking part in SRT graduation examination among three groups ( P\u2009&lt;\u20090.001). Although the written test scores of SRT graduation examination were the lowest in BM group ( P\u2009=\u20090.015), there was no significant difference in other results among three groups. No significant variable was found associated with the pass rates of SRT examination. No significant difference was found in the subgroup analysis of DM group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Overall, the SRT quality of OB-GYN residents with different educational backgrounds was good and comparable. However, residents with BM degrees had lowest written scores and need to be strengthened during training. The training time of residents with DM degrees can be shortened according to their own conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11786329241306392","type":"journal-article","created":{"date-parts":[[2024,12,14]],"date-time":"2024-12-14T00:47:47Z","timestamp":1734137267000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Educational Background on the Quality of Standardized Residency Training Program: The Case of China, a Cohort Study"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5087-9792","authenticated-orcid":false,"given":"Xiaoyu","family":"Tu","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Women\u2019s Hospital, School of Medicine, Zhejiang University, Hangzhou, China"}]},{"given":"Xiaoquan","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China"}]},{"given":"Wanru","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Women\u2019s Hospital, School of Medicine, Zhejiang University, Hangzhou, China"}]},{"given":"Xiangrong","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Women\u2019s Hospital, School of Medicine, Zhejiang University, Hangzhou, China"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3644-1022","authenticated-orcid":false,"given":"Paulo","family":"Moreira","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital, Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China"}]},{"given":"Runju","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Women\u2019s Hospital, School of Medicine, Zhejiang University, Hangzhou, China"}]}],"member":"179","published-online":{"date-parts":[[2024,12,13]]},"reference":[{"key":"bibr1-11786329241306392","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e3181850a92"},{"key":"bibr2-11786329241306392","doi-asserted-by":"publisher","DOI":"10.1080\/10872981.2016.1270020"},{"key":"bibr3-11786329241306392","doi-asserted-by":"publisher","DOI":"10.1097\/AS9.0000000000000148"},{"key":"bibr4-11786329241306392","doi-asserted-by":"publisher","DOI":"10.1177\/120347541201600103"},{"key":"bibr5-11786329241306392","doi-asserted-by":"publisher","DOI":"10.5116\/ijme.5ad1.d8be"},{"key":"bibr6-11786329241306392","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2020-138556"},{"key":"bibr7-11786329241306392","unstructured":"National Health and Family Planning Commission. State Commission Office for Public Sector Reform, National Development and Reform Commission, Ministry of Education, Ministry of Finance, Ministry of Human Resources and Social Security, State Administration of Traditional Medicine. Guiding Opinions on Establishing the Standardised Residency Training System. 2014. Article in Chinese. https:\/\/www.gov.cn\/zhengce\/201401\/17\/content_2603822.htm?from=timeline&isappinstalled=0&wd=&eqid=fbebda620000013500000006648123cd"},{"key":"bibr8-11786329241306392","doi-asserted-by":"publisher","DOI":"10.5116\/ijme.5780.9b85"},{"key":"bibr9-11786329241306392","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00582-1"},{"key":"bibr10-11786329241306392","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-021-02875-6"},{"key":"bibr11-11786329241306392","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-022-03863-0"},{"key":"bibr12-11786329241306392","unstructured":"The Chinese Medical Association. Guideline for Standardized Medical Residency Training in China. The Chinese Medical Association; Revised in 2022. Article in Chinese. https:\/\/www.ccgme-cmda.cn\/news\/15117\/1\/article"},{"key":"bibr13-11786329241306392","unstructured":"The Chinese Medical Association. Guideline for standardized Medical Residency Training in China. The Chinese Medical Association; 2015. Article in Chinese. https:\/\/www.ccgme-cmda.cn\/news\/22\/1\/article"},{"key":"bibr14-11786329241306392","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000004919"},{"key":"bibr15-11786329241306392","unstructured":"Ministry of Education. Regulations of the People\u2019s Republic of China on academic medical degrees. Article in Chinese. 1998. http:\/\/www.moe.gov.cn\/srcsite\/A22\/s7065\/199802\/t19980204_163521.html"},{"key":"bibr16-11786329241306392","unstructured":"Ministry of Education. Opinions on deepening the reform of clinical medicine personnel training in collaboration with medical education. Article in Chinese. 2014. http:\/\/www.moe.gov.cn\/srcsite\/A22\/s7065\/201407\/t20140714_178832.html"},{"key":"bibr17-11786329241306392","doi-asserted-by":"publisher","DOI":"10.3402\/meo.v19.23141"},{"key":"bibr18-11786329241306392","unstructured":"Ministry of Education. Outline of reform and development of medical education in China. 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