« Back to Search
Attitudes of Obstetrics and Gynecology Residents Regarding Current Requirements for Gynecologic Surgical Training
Purpose: Understanding perspectives of residents in Obstetrics
and Gynecology (OB/GYN) regarding gynecologic surgical training requirements
including the Fundamentals of Laparoscopic Surgery (FLS) and the Accreditation
Council for Graduate Medical Education (ACGME) case minimums.
Background: The specialty of OB/GYN has changed substantially over
the past several decades, including a reduction in overall surgical volume and
more focused practice patterns. The American Board of Obstetrics and Gynecology
(ABOG) and ACGME have instituted surgical training requirements . This study
assesses the alignment of resident preferences with these requirements.
Methods: Current residents and newly matched first year
residents within OB/GYN residency programs during the 2018-2019 academic year
at the University of Colorado, University of Washington, University of
California San Francisco, Loyola University, St. Joseph’s Hospital, University
of Utah and Texas A&M (n=225) were invited to participate in a 13-item
electronic survey regarding the FLS requirement and case minimums.
Results: One hundred fifty six respondents completed the survey
for a response rate of 69%. PGY 2-4 residents were less likely to indicate that
the FLS requirement strengthens surgical training (71% v. 43%, p< .001) or
makes them more confident with laparoscopy (79% v. 26%, p< .001). PGY2-4
trainees found the current abdominal hysterectomy requirement too low (66% v.
43%, p< .001).
Discussions: PGY2-4 OB/GYN residents report that FLS will not
enhance their surgical training, and that the current ACGME case minimum number
for abdominal hysterectomy is insufficient. New requirements for gynecologic
surgical training are discordant with resident perspectives. Involving trainees
as stakeholders in specialty training reform is critical.
CREOG & APGO Annual Meeting, 2020, Resident, Faculty, Residency Director, Residency Coordinator, Patient Care, Medical Knowledge, GME, Assessment, Simulation, Minimally Invasive Surgery, General Ob-Gyn,