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• W1974001489 abstract "ObjectiveSurgical experience in the operating room is an essential component of the education and training of residents in Obstetrics and Gynecology. With the revolution in minimally invasive technologies, the medical management of conditions that were previously surgically managed, and the introduction of the 80-hour work week, the time available to residents for the development of surgical skills has become more limited. The aim of our study is to quantify the changes over time in the operative experiences of graduating residents in Obstetrics and Gynecology.DesignThe Accreditation Council for Graduate Medical Education (ACGME) Resident Statistics Summary reports from the academic year 2002-2003 till the present were retrospectively reviewed.Materials and MethodsThe mean number of cases performed during the chief year as the primary surgeon for both abdominal hysterectomy and vaginal hysterectomy were analyzed. Statistical analysis was carried out using unpaired t tests and the analysis of variance (ANOVA). All statistical tests were performed using SAS 9.2 (SAS Institute, Cary, NC) and statistical significance was set at P<0.05.ResultsThe mean number of abdominal hysterectomies performed by a graduating resident was 89.1 in 2002-2003 as compared to 68.6 in 2009-2010 (P< 0.001). The mean number of vaginal hysterectomies performed by a graduating resident was 34.9 in 2002-2003 as compared to 19.7 in 2009-2010 (P< 0.001). In addition, there was a statistically significant decrease in the operative experience of graduating chief residents during the study period (P<0.001).ConclusionCurrent graduating residents are more likely to be performing fewer abdominal and vaginal hysterectomies than previous generations. To develop the technical skills required to be a competent and independently practicing gynecologic surgeon, graduating residents should consider additional fellowship training. ObjectiveSurgical experience in the operating room is an essential component of the education and training of residents in Obstetrics and Gynecology. With the revolution in minimally invasive technologies, the medical management of conditions that were previously surgically managed, and the introduction of the 80-hour work week, the time available to residents for the development of surgical skills has become more limited. The aim of our study is to quantify the changes over time in the operative experiences of graduating residents in Obstetrics and Gynecology. Surgical experience in the operating room is an essential component of the education and training of residents in Obstetrics and Gynecology. With the revolution in minimally invasive technologies, the medical management of conditions that were previously surgically managed, and the introduction of the 80-hour work week, the time available to residents for the development of surgical skills has become more limited. The aim of our study is to quantify the changes over time in the operative experiences of graduating residents in Obstetrics and Gynecology. DesignThe Accreditation Council for Graduate Medical Education (ACGME) Resident Statistics Summary reports from the academic year 2002-2003 till the present were retrospectively reviewed. The Accreditation Council for Graduate Medical Education (ACGME) Resident Statistics Summary reports from the academic year 2002-2003 till the present were retrospectively reviewed. Materials and MethodsThe mean number of cases performed during the chief year as the primary surgeon for both abdominal hysterectomy and vaginal hysterectomy were analyzed. Statistical analysis was carried out using unpaired t tests and the analysis of variance (ANOVA). All statistical tests were performed using SAS 9.2 (SAS Institute, Cary, NC) and statistical significance was set at P<0.05. The mean number of cases performed during the chief year as the primary surgeon for both abdominal hysterectomy and vaginal hysterectomy were analyzed. Statistical analysis was carried out using unpaired t tests and the analysis of variance (ANOVA). All statistical tests were performed using SAS 9.2 (SAS Institute, Cary, NC) and statistical significance was set at P<0.05. ResultsThe mean number of abdominal hysterectomies performed by a graduating resident was 89.1 in 2002-2003 as compared to 68.6 in 2009-2010 (P< 0.001). The mean number of vaginal hysterectomies performed by a graduating resident was 34.9 in 2002-2003 as compared to 19.7 in 2009-2010 (P< 0.001). In addition, there was a statistically significant decrease in the operative experience of graduating chief residents during the study period (P<0.001). The mean number of abdominal hysterectomies performed by a graduating resident was 89.1 in 2002-2003 as compared to 68.6 in 2009-2010 (P< 0.001). The mean number of vaginal hysterectomies performed by a graduating resident was 34.9 in 2002-2003 as compared to 19.7 in 2009-2010 (P< 0.001). In addition, there was a statistically significant decrease in the operative experience of graduating chief residents during the study period (P<0.001). ConclusionCurrent graduating residents are more likely to be performing fewer abdominal and vaginal hysterectomies than previous generations. To develop the technical skills required to be a competent and independently practicing gynecologic surgeon, graduating residents should consider additional fellowship training. Current graduating residents are more likely to be performing fewer abdominal and vaginal hysterectomies than previous generations. To develop the technical skills required to be a competent and independently practicing gynecologic surgeon, graduating residents should consider additional fellowship training." @default.
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• W1974001489 title "Operative experience during residency training in obstetrics and gynecology: is there a trend towards fewer surgical cases?" @default.
• W1974001489 doi "https://doi.org/10.1016/j.fertnstert.2011.07.579" @default.
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