[Evaluation of the instruction and the instructors by the students during a clinical training period in a gynecology and obstetrics unit].
OBJECTIVE
The evaluation of an educational system is part of the essential process to get high-quality teaching. We wanted to assess the teaching and the teachers in a gynaecological unit with a view to improve the education of the trainees within a dynamic educational system.


METHODS
It is a prospective study which took place in the gynecology-obstetric unit of the University of Nantes. Thanks to a questionnaire called "Evaluation of the teaching during a gynecologic-obstetric training course", we evaluated the feelings of 21 medical students about their two-month training course. This questionnaire of 27 items is divided in several parts. The first one is about the quality of the teaching, the second about planification, the third about the quality of the learning resources, and the fourth is about the educational quality of each teacher (interaction teacher-student). The fifth one evaluates the perception of this work experience by the student, notably his clinical activity and his personal implication in the unity. There are also some open questions which point out the positive aspects of the teaching but also its failings and the parts that must be improved. We give here the details of the different stages of this assessment from the questionnaire up to the results, mentioning their limits considering the conceptual orientations and the methodological orientations chosen.


RESULTS
Analysis of the data was done determining the percentage of agreement and disagreement to a statement of the questionnaire. All the students find the teachings interesting and stimulating, objectives were gone through thoroughly. Courses were well organised. Their integration in the medical team was good. They feel responsible especially when they are on call (88.3%). On the other hand, for a quarter of them, educational supports are not adapted, teaching documents are not clear and adapted to the National Test. Half of them (45%) are not satisfied by the numerical campus which does not facilitate understanding. Staffs are not an opportunity to learn for 37% of them. Management by senior doctors is insufficient.


CONCLUSIONS
Students are completely integrated into the process of evaluation but concrete actions to improve the teaching have to be realised in the hospital departments. Questionnaire is an informative and adapted tool. It permits to highlight the flaws in the learning process and to remedy them.
Ploteau
S
S
Service de gynécologie-obstétrique, pavillon de la mère et de l'enfant, CHU de Nantes, 38, boulevard Jean-Monnet, 44093 Nantes cedex, France.
Winer
N
N
Barrier
J
J
Rogez
J-M
JM
Philippe
H-J
HJ
D004504:Education, Medical, Undergraduate / Q000592:standards*; D006176:Gynecology / Q000193:education* / Q000592:standards; D006801:Humans; D009774:Obstetrics / Q000193:education* / Q000592:standards; D015397:Program Evaluation; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D013663:Teaching / Q000379:methods*