Association of online activities with obstetrics and gynecology specialty choice: a nationwide online survey

Objectives: To investigate the association between online ac-tivities and the number of new obstetrics and gynecology senior residents. Methods: A nationwide web-based, self-administered anon-ymous survey was conducted to investigate recruitment and clerkship activities during the coronavirus disease 2019 pan-demic. An online questionnaire was sent to 576 obstetrics and gynecology training institutions in Japan between De-cember 21, 2020, and January 31, 2021. Overall, 334 institu-tions that gave valid responses were included (response rate: 58.0%). Multivariate logistic regression analysis examined the association between online activities, including recruitment and clerkship activities, and the number of new obstetrics and gynecology senior residents in 2021. The stratified analysis by implementing face-to-face activities was conducted to clarify the association.Results: The number of new senior residents increased in 187 facilities (56.0%) and decreased in 147 facilities (44.0%). The facilities that implemented face-to-face and online activities were 185 (55.4%) and 120 (35.9%), respectively. In multivariate logistic regression analysis, an increased number of new obstetrics and gynecology senior residents was significantly associated with face-to-face activities (adjusted odds ratio (AOR)=2.58, 95% confidence interval (CI): 1.11-5.97, p<.001) but not with online activities. In the stratified analysis, online activities were significantly associated with an increased number of new obstetrics and gynecology senior residents among the facilities without face-to-face activities (AOR=3.81, 95% CI: 1.40-10.32, p=.009) but not among those with face-to-face activities (AOR=0.87, 95% CI: 0.42-1.78).Conclusions: Online activities were associated with an increased number of new obstetrics and gynecology senior residents among the facilities that did not conduct face-to -face activities.