The Changing Scenario of Obstetrics and Gynecology Residency Training

Gupta, Natasha; Dragovic, Kristina; Trester, Richard; Blankstein, Josef

doi:10.4300/jgme-d-14-00730.1

Cited by 86 publications

(21 citation statements)

References 33 publications

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“…We hypothesize that there is a difference in operative case volume between female and male residents in otolaryngology residencies in the United States. Case log data have been used to make broad observations about the state of surgical education in many disciplines . While operative experience and case logs in residency do not necessarily correlate to surgical competency, these data do provide a marker for operative experience.…”

Section: Introductionmentioning

confidence: 99%

Evaluating gender parity in operative experience for otolaryngology residencies in the United States

et al. 2019

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Objectives Gender disparity exists in medicine, such as differences in pay and promotion opportunities. We hypothesize that there is also a gender difference in graduate medical education as manifested by operative case volume. This study compares surgical case volume by gender for graduating US otolaryngology residents. Study Design Cohort study. Methods With data use approval from the Accreditation Council for Graduate Medical Education, we evaluated the key indicator case log summaries of graduating otolaryngology residents from 2009–2017. Mean and standard deviation were used for all cases, and t‐tests were used to compare cases by resident gender. The Bonferroni method was used to adjust for multiple comparisons across years. Results Data from 1740 male and 804 female residents were evaluated. Across all years, the average number of key indicator cases reported was 778.8 and 813.6 by female and male residents, respectively, with an average difference of 34.8 cases per graduating year (95% confidence interval [CI] 19.4, 50.2; P < .001). When a resident self‐reported the role of resident surgeon/supervisor, the average number of key indicator cases reported was 602.6 and 643.9 by female and male residents, respectively, with an average difference of 41.3 cases per graduating year (95% CI, 28.0, 54.6; P < .001). Conclusion Gender‐based discrepancies in surgical case volume exist among graduating otolaryngology residents. This disparity is partially attributed to the self‐reported role in the surgery. This study has identified those discrepancies so that training programs can implement strategies to ensure improved gender parity. Level of Evidence 2b Laryngoscope, 130:1651–1656, 2020

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Section: Introductionmentioning

confidence: 99%

Evaluating gender parity in operative experience for otolaryngology residencies in the United States

et al. 2019

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“…Meanwhile, obstetric patients' age and medical morbidities increased, raising the potential for intrapartum obstetric emergencies such as abruptio placentae that require rapid team response [6][7][8][9][10]. These facts are consistent with an increase in the average number of cesarean sections per ObGyn resident from 191.8 in 2002-2003 to 233.4 in 2012-2013, while volumes of vaginal, forceps, and vacuum deliveries, and amniocentesis decreased [11]. Nevertheless, operative time per CD increased by a mean of 16.3 minutes from 2003-2004 to 2010-2011, p<0.001, attributable to declining trainee skill and/or increasing surgical complexity [12].…”

Section: Introductionmentioning

confidence: 71%

Surgical Skills Simulation Center Implementation: Healthcare Continuous Quality Improvement Project

Nwanodi¹

2017

Health Sci J

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In the United States, upon resident work hour restriction implementation, obstetrics and gynaecology residents' gynaecologic surgery volume decreased and operative time per caesarean delivery increased. High volume surgeons can have clinically significantly lower complication rates than low volume surgeons, p<0.001. Decreasing surgical volumes and increasing operative time raise the question of procedural patient safety in teaching institutions. Some institutions are turning to international rotations in resource-limited nations to increase residents' surgery volume, possibly doubling monthly surgical volume. As resource-limited nations need to train and increase their indigenous health care workforce, surgical skills simulation is ethically preferable to training high-resource nation residents in resourcelimited nations. A medical and surgical skills simulation center (SSSC) implementation is a workplace continuous quality improvement (CQI) project that can benefit multiple facility departments and community organizations. Stakeholder preparedness must be evaluated before embarking on a CQI project. Anonymous brainstorming contributes to CQI project selection. There is a preferred strategy for incorporating a SSSC into an obstetrics and gynecology department. Staff, space, systems, supplies, science, success, support, and sustainability will come into play at different stages of SSSC implementation. Once operational, the SSSC must undergo CQI to optimize effectiveness. Continuous quality improvement plan-do-study-act cycles are recommended at least as frequently as equipment upgrades.

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“…International studies support the concern of suboptimal surgical skill following O&G training . With the current high number of trainees and reduced surgical opportunities, additional methods of surgical teaching may be required to assist surgical skill development …”

Section: Introductionmentioning

confidence: 99%

Simulation training in obstetrics and gynaecology: What's happening on the frontline?

Wilson

Janssens

Hewett

et al. 2016

Aust NZ J Obst Gynaeco

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The Changing Scenario of Obstetrics and Gynecology Residency Training

Abstract: Background Significant changes have been noted in aspects of obstetrics-gynecology (ob-gyn) training over the last decade, which is reflected in Accreditation Council for Graduate Medical Education (ACGME) operative case logs for graduating ob-gyn residents.

Cited by 86 publications

References 33 publications

Evaluating gender parity in operative experience for otolaryngology residencies in the United States

Evaluating gender parity in operative experience for otolaryngology residencies in the United States

Surgical Skills Simulation Center Implementation: Healthcare Continuous Quality Improvement Project

Simulation training in obstetrics and gynaecology: What's happening on the frontline?

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