Abstract：
OBJECTIVE: Although approximately one-fifth of obstetrics and gynecology (OBGYN) residents matriculate from osteopathic or international medical schools, most literature regarding the transition to residency focuses on allopathic medical school graduates. To create comprehensive interventions for this educational transition, we must understand the needs of all incoming residents. Our objective was to examine OBGYN residents\' perceptions of their transition to residency, and to understand how residents\' background and medical school environment influence their perceived sense of readiness.
METHODS: A 16-item survey asked questions about demographics, the transition to residency, resident well-being, burnout, and the transition to fellowship. Perception of preparedness was assessed with the question \"I felt that I was well-prepared for the first year of residency\" (1=strongly agree, 5=strongly disagree). Chi-squared and Fisher\'s exact tests and logistic regression explored association of perceived preparedness with residents\' backgrounds.
METHODS: Survey administered at time of the in-training examination in 2022.
METHODS: All OBGYN residents.
RESULTS: Of 5761 eligible participants, 3741 (64.9%) provided consent and completed the survey. Of the 3687 participants who answered the question, 2441 (66.2%) either agreed or strongly agreed that they felt well-prepared. Fewer osteopathic graduates reported feeling prepared compared to allopathic graduates (379/610, 62.1% vs 1,924/2,766, 69.6%) (OR 0.72, 95%CI 0.60-0.86, p < 0.01). International medical school graduates were seven times less likely to report feeling prepared compared to those from allopathic institutions (137/304, 45.1% vs 1924/2776, 69.6%) (OR 0.60, 95%CI 0.53-0.68, p < 0.01). Respondents from underrepresented racial and ethnic backgrounds were less likely to report feeling prepared compared to White respondents (276/535, 51.6% vs 1738/2387, 72.8%) (OR 0.39, 95%CI 0.33-0.48, p < 0.01).
CONCLUSIONS: Differences in residents\' perceptions of their transition to residency highlight the need to begin offsetting pervasive inequities with comprehensive and accessible resources.
METHODS: A 16-item survey asked questions about demographics, the transition to residency, resident well-being, burnout, and the transition to fellowship. Perception of preparedness was assessed with the question \"I felt that I was well-prepared for the first year of residency\" (1=strongly agree, 5=strongly disagree). Chi-squared and Fisher\'s exact tests and logistic regression explored association of perceived preparedness with residents\' backgrounds.
METHODS: Survey administered at time of the in-training examination in 2022.
METHODS: All OBGYN residents.
RESULTS: Of 5761 eligible participants, 3741 (64.9%) provided consent and completed the survey. Of the 3687 participants who answered the question, 2441 (66.2%) either agreed or strongly agreed that they felt well-prepared. Fewer osteopathic graduates reported feeling prepared compared to allopathic graduates (379/610, 62.1% vs 1,924/2,766, 69.6%) (OR 0.72, 95%CI 0.60-0.86, p < 0.01). International medical school graduates were seven times less likely to report feeling prepared compared to those from allopathic institutions (137/304, 45.1% vs 1924/2776, 69.6%) (OR 0.60, 95%CI 0.53-0.68, p < 0.01). Respondents from underrepresented racial and ethnic backgrounds were less likely to report feeling prepared compared to White respondents (276/535, 51.6% vs 1738/2387, 72.8%) (OR 0.39, 95%CI 0.33-0.48, p < 0.01).
CONCLUSIONS: Differences in residents\' perceptions of their transition to residency highlight the need to begin offsetting pervasive inequities with comprehensive and accessible resources.
摘要：
目标：尽管大约五分之一的妇产科（OBGYN）居民从骨科或国际医学院入学，关于向住院医师过渡的大多数文献都集中在对抗疗法的医学院毕业生身上。为这种教育转型创造全面的干预措施，我们必须了解所有入境居民的需求。我们的目标是检查OBGYN居民对他们过渡到居住权的看法，并了解居民的背景和医学院环境如何影响他们感知的准备感。
方法：一项16项调查询问了有关人口统计的问题，向居住权的过渡，居民福祉,倦怠,以及向团契的过渡。对准备的感知进行了评估，提出了以下问题：“我觉得我已经为居住的第一年做好了充分的准备”（1=强烈同意，5=强烈反对）。卡方检验和Fisher精确检验和逻辑回归探讨了感知准备与居民背景的关联。
方法：2022年培训考试时进行的调查。
方法：所有OBGYN居民。
结果：在5761名符合条件的参与者中，3741（64.9％）同意并完成了调查。在回答问题的3687名参与者中，2441（66.2％）同意或强烈同意他们已经做好了充分的准备。与同种疗法毕业生相比，骨病毕业生报告的感觉准备较少（379/610，62.1％vs1,924/2,766，69.6％）（OR0.72，95CI0.60-0.86，p<0.01）。与来自对抗疗法机构的毕业生相比，国际医学院毕业生报告感觉准备好的可能性要低7倍（137/304，45.1％vs1924/2776，69.6％）（OR0.60，95CI0.53-0.68，p<0.01）。与白人受访者相比，来自代表性不足的种族和族裔背景的受访者不太可能报告感觉准备好了（276/535，51.6％vs1738/2387，72.8％）（OR0.39，95CI0.33-0.48，p<0.01）。
结论：居民对向居住权过渡的看法的差异突出表明，有必要开始用全面和可获得的资源来抵消普遍存在的不平等现象。
方法：一项16项调查询问了有关人口统计的问题，向居住权的过渡，居民福祉,倦怠,以及向团契的过渡。对准备的感知进行了评估，提出了以下问题：“我觉得我已经为居住的第一年做好了充分的准备”（1=强烈同意，5=强烈反对）。卡方检验和Fisher精确检验和逻辑回归探讨了感知准备与居民背景的关联。
方法：2022年培训考试时进行的调查。
方法：所有OBGYN居民。
结果：在5761名符合条件的参与者中，3741（64.9％）同意并完成了调查。在回答问题的3687名参与者中，2441（66.2％）同意或强烈同意他们已经做好了充分的准备。与同种疗法毕业生相比，骨病毕业生报告的感觉准备较少（379/610，62.1％vs1,924/2,766，69.6％）（OR0.72，95CI0.60-0.86，p<0.01）。与来自对抗疗法机构的毕业生相比，国际医学院毕业生报告感觉准备好的可能性要低7倍（137/304，45.1％vs1924/2776，69.6％）（OR0.60，95CI0.53-0.68，p<0.01）。与白人受访者相比，来自代表性不足的种族和族裔背景的受访者不太可能报告感觉准备好了（276/535，51.6％vs1738/2387，72.8％）（OR0.39，95CI0.33-0.48，p<0.01）。
结论：居民对向居住权过渡的看法的差异突出表明，有必要开始用全面和可获得的资源来抵消普遍存在的不平等现象。
