RESUMO
OBJECTIVE: Assessing criteria of post-internship choices of residents registered to postgraduate study in gynecology-obstetric (GO) and incentive measures which may impact the attractiveness of maternity hospitals. METHODS: A regional anonymous survey composed of four parts was performed between 2015 and 2016 with 39 residents in GO from Lorraine. RESULTS: The answer rate was 89.7% with 80% of women in the specialty. 97.1% of residents have considered a fellowship, 28.6% as a university assistant. 88.6% wanted to stay in an attractive city. 51.4% of the residents wanted to be an obstetrician, 37.1% a gynecological surgeon and 11.4% an Assisted Reproductive Technology doctor. 82.8% of the residents wanted to work in a public hospital. Among the 31 residents for whom the type of maternity was a criteria of choice, 58.1% opted for a type II maternity, 32.2% a type III and only 9.7% a type I. A timeshare job between two hospitals could be an option for 94.3% of residents whereas becoming a private physician was considered by only 2.9% of them. 42.4% of them explained this choice by the possibility of keeping a multi-directional practice. CONCLUSION: Gynecology-Obstetrics residents want to keep a multi-directional practice in an attractive maternity unit according to their activities, safety of practice, highest levels of health care and also to their demographic situation. This favors the progressive closing of small structures, for the benefit of larger structures.
