Radwa Hablase, Alexander Shushkevich, Ana Tatiana Palacios Torres, Anisa Mburu, Houssein El Hajj, Nicolò Bizzarri, Stamatios Petousis, Joanna Kacperczyk-Bartnik, Sara Nasser, Basel Refky, Helena Obermair, Andrej Cokan, Alfiya Fatikhova, Angie Mora Calderón, Alfonso Lenin Salinas Miranda, Catalin Bogdan Coroleuca, Delfina Ramirez Jimenez, Emma Rose Allanson, Fernando M Heredia, Florencia Noll, Gabrijela Sopta Primorac, Giulio Bonaldo, Gvantsa Kochiashvili, Hiroshi Nishio, Ilya Tarasau, Julio Lau, Jorge Hoegl, Joan Flaubert Pérez Villena, Jeslyn Wong, Maria Clara Santia, Martin Hruda, María Elena Lara Hernández, Muhterem Melis Canturk, Osnat Elyashiv, Pajtim Asani, Pernille Trent, Raikhan Bolatbekova, Romelyn Imperio-Ongloa, Sarita Kumari, Sabrina Piedimonte, Tatiana Yelitza Quijano Atencio, Teresa Lucia Pan, Vanessa Alvarenga-Bezerra, Wilmot L Smith, Ya-Min Cheng, Zwimpfer Tibor Andrea, Geetu Bhandoria
{"title":"Q-GOAL study: quality in gynecologic oncology advancement for learning: a global perspective.","authors":"Radwa Hablase, Alexander Shushkevich, Ana Tatiana Palacios Torres, Anisa Mburu, Houssein El Hajj, Nicolò Bizzarri, Stamatios Petousis, Joanna Kacperczyk-Bartnik, Sara Nasser, Basel Refky, Helena Obermair, Andrej Cokan, Alfiya Fatikhova, Angie Mora Calderón, Alfonso Lenin Salinas Miranda, Catalin Bogdan Coroleuca, Delfina Ramirez Jimenez, Emma Rose Allanson, Fernando M Heredia, Florencia Noll, Gabrijela Sopta Primorac, Giulio Bonaldo, Gvantsa Kochiashvili, Hiroshi Nishio, Ilya Tarasau, Julio Lau, Jorge Hoegl, Joan Flaubert Pérez Villena, Jeslyn Wong, Maria Clara Santia, Martin Hruda, María Elena Lara Hernández, Muhterem Melis Canturk, Osnat Elyashiv, Pajtim Asani, Pernille Trent, Raikhan Bolatbekova, Romelyn Imperio-Ongloa, Sarita Kumari, Sabrina Piedimonte, Tatiana Yelitza Quijano Atencio, Teresa Lucia Pan, Vanessa Alvarenga-Bezerra, Wilmot L Smith, Ya-Min Cheng, Zwimpfer Tibor Andrea, Geetu Bhandoria","doi":"10.1016/j.ijgc.2026.104868","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Gynecologic oncology surgery is delivered by clinicians with diverse specialty backgrounds and varied training pathways. The Q-GOAL (Quality in Gynecologic Oncology Advancement for Learning) study aimed to explore the heterogeneity of these training experiences, identify common training structures and surgical exposure profiles, evaluate self-reported surgical confidence, and compare these findings across income levels.</p><p><strong>Methods: </strong>An open, cross-sectional, web-based survey was conducted between July and September 2025 using convenience and snowball sampling. The survey was distributed globally to trainees and consultants in obstetrics and gynecology, general surgery, gynecologic oncology, and surgical oncology. Descriptive statistics and exploratory unsupervised multi-variate analyses were performed.</p><p><strong>Results: </strong>A total of 1,035 clinicians participated (92% completion rate), of whom 64% were from low- and middle-income countries. Most respondents had an obstetrics and gynecology background, with general surgeons contributing a greater proportion in low- and middle-income countries than in high-income countries (23% vs 5.5%). Training pathways included dedicated sub-specialty programs, rotation-based training, and a small proportion reporting no formal training. Rotation-based training was associated with a less structured training environment in the latent class analysis. Multiple correspondence analysis identified distinct low-, intermediate-, and high-volume training profiles. Increased surgical exposure was associated with higher self-reported confidence, and income status remained an independent predictor of surgical confidence.</p><p><strong>Conclusions: </strong>The study demonstrated the diversity of the workforce delivering gynecologic oncology surgery globally. These findings highlight the need for internationally harmonized training standards and a minimum level of surgical exposure, while recognizing the differences among health care systems worldwide.</p>","PeriodicalId":14097,"journal":{"name":"International Journal of Gynecological Cancer","volume":"36 10","pages":"104868"},"PeriodicalIF":5.4000,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Gynecological Cancer","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ijgc.2026.104868","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: Gynecologic oncology surgery is delivered by clinicians with diverse specialty backgrounds and varied training pathways. The Q-GOAL (Quality in Gynecologic Oncology Advancement for Learning) study aimed to explore the heterogeneity of these training experiences, identify common training structures and surgical exposure profiles, evaluate self-reported surgical confidence, and compare these findings across income levels.
Methods: An open, cross-sectional, web-based survey was conducted between July and September 2025 using convenience and snowball sampling. The survey was distributed globally to trainees and consultants in obstetrics and gynecology, general surgery, gynecologic oncology, and surgical oncology. Descriptive statistics and exploratory unsupervised multi-variate analyses were performed.
Results: A total of 1,035 clinicians participated (92% completion rate), of whom 64% were from low- and middle-income countries. Most respondents had an obstetrics and gynecology background, with general surgeons contributing a greater proportion in low- and middle-income countries than in high-income countries (23% vs 5.5%). Training pathways included dedicated sub-specialty programs, rotation-based training, and a small proportion reporting no formal training. Rotation-based training was associated with a less structured training environment in the latent class analysis. Multiple correspondence analysis identified distinct low-, intermediate-, and high-volume training profiles. Increased surgical exposure was associated with higher self-reported confidence, and income status remained an independent predictor of surgical confidence.
Conclusions: The study demonstrated the diversity of the workforce delivering gynecologic oncology surgery globally. These findings highlight the need for internationally harmonized training standards and a minimum level of surgical exposure, while recognizing the differences among health care systems worldwide.
期刊介绍：
The International Journal of Gynecological Cancer, the official journal of the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology, is the primary educational and informational publication for topics relevant to detection, prevention, diagnosis, and treatment of gynecologic malignancies. IJGC emphasizes a multidisciplinary approach, and includes original research, reviews, and video articles. The audience consists of gynecologists, medical oncologists, radiation oncologists, radiologists, pathologists, and research scientists with a special interest in gynecological oncology.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
