The journal of obstetrics and gynaecology research · 2026
Factors Associated With Junior Residents' Choice of the Obstetrics and Gynecology Specialty: A Longitudinal Survey Based on 2025 Career Decisions.
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Mori Koichiro, Komatsu Hiroaki, Sakaguchi Kazuki, Dofutsu Mihoko, Isobe Masanori, Taniguchi Fuminori
Аннотация
AIM: In Japan, the chronic shortage of obstetric-gynecologists exists in reality. To tackle the issue, we aim to identify the factors that promote or discourage junior residents' choice of the obstetrics-gynecology (Ob/Gyn) specialty.
METHODS: We conducted a questionnaire survey of junior residents at the Summer School (SS) in 2023 and the Plus One Project 2 (POP2) in 2024 (preparatory educational events). One hundred and twenty-two and 179 junior residents responded, respectively. In 2025, they decided whether to specialize in Ob/Gyn. We collected anonymized data on their decisions. Using the data, as a longitudinal study, we conducted a logistic regression analysis to examine how their preferences regarding working conditions are associated with their decisions.
RESULTS: There are several significant findings. First, those who consider the workplace's urban location more important are more likely to choose the Ob/Gyn specialty, according to the SS data. Second, concerns about the risk of lawsuits, fewer deliveries in the workplace, and low income prevent them from specializing in Ob/Gyn, according to the SS data. Third, those who consider annual income more important are more likely to choose the Ob/Gyn specialty, according to the POP2 data. Fourth, those who think that a sufficiently small number of night shifts is more important are less likely to specialize in Ob/Gyn, according to the POP2 data.
CONCLUSION: The findings are provisional. However, after further data collection and analysis updates, this study may inform what should be done to increase the number of Ob/Gyn specialists in Japan.
METHODS: We conducted a questionnaire survey of junior residents at the Summer School (SS) in 2023 and the Plus One Project 2 (POP2) in 2024 (preparatory educational events). One hundred and twenty-two and 179 junior residents responded, respectively. In 2025, they decided whether to specialize in Ob/Gyn. We collected anonymized data on their decisions. Using the data, as a longitudinal study, we conducted a logistic regression analysis to examine how their preferences regarding working conditions are associated with their decisions.
RESULTS: There are several significant findings. First, those who consider the workplace's urban location more important are more likely to choose the Ob/Gyn specialty, according to the SS data. Second, concerns about the risk of lawsuits, fewer deliveries in the workplace, and low income prevent them from specializing in Ob/Gyn, according to the SS data. Third, those who consider annual income more important are more likely to choose the Ob/Gyn specialty, according to the POP2 data. Fourth, those who think that a sufficiently small number of night shifts is more important are less likely to specialize in Ob/Gyn, according to the POP2 data.
CONCLUSION: The findings are provisional. However, after further data collection and analysis updates, this study may inform what should be done to increase the number of Ob/Gyn specialists in Japan.