1. Improving our training curriculum Pros and cons in Finland Milla Juhantalo-Takala, Trainee Tampere University Hospital

2. Pros Independent work A senior is awailable, but first you try to figure it out by yourself Trust – guardianship Adult learners Responsibility We are responsible for finding a proper post for training by ourselves

3. Pros Rotation schedule organised Focusing on one thing at a time Orientation A named tutor In the university hospitals

4. Pros… Log-book Practice Experience Osats Immediate feedback Learning curve Self evaluation – what skills should be improved

5. Objective structured assessment of technical skills www.rcog.org.uk/files/rcog-corp/uploaded-files/Ed-Core-OSATS.pdf

6. Pros/Cons…? A national specialist exam which is a written 6 h exam Compulsory for all the trainees from different universities Maintains a certain standard of what we’re supposed to learn Academic skills / Professional knowledge Trainee prepares and presentates a lecture of given subject for the whole clinic

7. Cons 50/50 % rule Forces most of us to move back and forth ”Do it when you’re still young and enthusiast” Reduction of small peripheral hospitals

8. Cons General reduction in surgical procedures Hysterectomies Suction curettages

9. Cons Lack of ultrasound training Lack of urogynecologic training Prenatal policlinic is mainly monotonous for trainees Something else than gestational diabetes or breech controls?

10. How to improve? Surgical competency pretest? Entry and exit Specific goals for each rotation unit? Web-based courses and surgical techniques should be practisiced in a stress free environment Fantoms, simulators Will there be enough operations in the future? Should we orientate already as a trainee?

11. …improving Scientific knowledge Structured lessions for opening and understanding scientific articles (Journal club)

12. Feedback, feedback and feedback Immediate Spesific Descriptive Interactive from midwives?

13. In an ideal world You’d become a specialist after you have achieved the needed knowledge and skills Not how many tricks you did Or where you learnt it geographically