Comparison of surgical training and quality of life among obstetrics and gynaecology residents in public and private sector hospitals in Pakistan

In Pakistan, OBGYN is a highly demanding specialty, and residents undergo rigorous training to become proficient in various procedures and surgical interventions. Our study aims to compare QoL and surgical training in both sectors and its influencing factors which can help make possible attempts towards standardization of OBGYN training. Primary objective. To compare and evaluate the QoL of OBGYN residents and their surgical training in Pakistan's public and private sector hospitals. Secondary objective. To identify factors influencing the QoL and surgical training of OBGYN residents in both sectors. A multi-institutional, cross-sectional study that involves four institutions, Agha Khan University Hospital, Liaquat National Hospital, Lady Reading Hospital Peshawar and Jinnah Post Graduate Medical Centre JPMC, Karachi. These institutions are selected because they are tertiary care with structured training. Standardized questionnaires were used for assessing the quality of life and surgical training. There was no significant difference in work-related Quality of life scale with public and private sectors. Although surgical training had some differences which need to be focussed. Obstetric surgical exposure of the residents in public sector hospital is high but exposure to subspecialities like Gyn Oncology, urogynaecology and maternal fetal medicine is considerably low. Whereas in private settings exposure of the residents to surgeries is low in the beginning of training but at the end of 4 years of training, exposure to wide variety of surgical procedures and sub speciality is high.