Original Satisfaction and Experiences of Gynecology and Obstetrics Residents in Croatia and Bosnia and with in Obstetrics

Background: Specialization in gynecology and obstetrics is declared by the laws and regulations of individual countries prescribed by the competent Ministry of Health, as well as in Croatia and Bosnia and Herzegovina. Methods: During the daily clinical practice, educational unevenness and dissatisfaction of individual residents were noticed along with other organizational-communication and professional problems in basic obstetric skills, which we objectified by a voluntary anonymous survey of 122 residents of gynecology and obstetrics (RGO) from Croatia and Bosnia and Herzegovina. Residents completed survey during their postgraduate resident education. Results: RGOs state global dissatisfaction with specialization in 78.6%, believe in 84.4% that the skills and number of skills are not consistent with the years of specialization and 89.3% believe that they do not have enough skills to be able to work independently after specialization. Thus, the average number of skills from the first level competencies according to 1-5 years of specialization correlates with the above: the average number of cesarean section is 95.6, vaginal breech delivery extremely low 2.2, vacuum extration 6, forceps in the Croatia and Bosnia and Herzegovina does not perform, care of obstetrics anal sfincter injuries average 3 as well as shoulder distotia, internal version 0.36 and external version 0.6. Thus, 29.5% of them believe that there is a global lack of interest in the specialization system, 31.9% cite the incompetence of mentors, 33.6% the usual practice of individual schools and clinics. In conclusion, 59.8% of RGOs believe that obstetrics is a challenging profession, 10.6% a demanding profession, 18.8% consider it a dangerous occupation, only 13.9% an attractive occupation, and the fact that obstetrics has turned into a profession with caesarean sections as the most common skill is considered by 56.6%, even 84.2% of RGOs in the last year of specialization. Conclusions: There is evidently an academic-professional disproportion between the necessity and need for education and skills, that is, required competencies and reality. We must become and be arbiters between anti-obstetrics and obstetrics full of skills and craftsmanship as a true profession of allopathic conventional medicine, and academic honesty towards RGOs.