Variability in gynecologic case volume of obstetrician -gynecologist residents graduating from 2009 to 2017
Variability in gynecologic case volume of obstetrician -gynecologist residents graduating from 2009 to 2017
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DOI：
10.1016/j.ajog.2019.11.1258
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发表时间：
2020-06-01
影响因子：
9.8
通讯作者：
Hampton, Brittany S.
中科院分区：
文献类型：
--
作者：
Hall, Evelyn F.;Raker, Christina A.;Hampton, Brittany S.
背景：随着时间的推移，妇产科住院医师培训发生了显着变化，住院医师预计掌握越来越多的外科手术。住院医师操作病例日志由研究生医学教育认证委员会跟踪，该委员会规定了所有程序的最低病例数。 2018 年，研究生医学教育认证委员会创建了组合微创子宫切除术类别，现在要求即将毕业的住院医师完成至少 70 例微创子宫切除术。 目的：该研究的目的是评估美国即将毕业的妇产科医生住院医师的妇科手术经验范围，并估计能够满足新的研究生医学认证委员会要求的住院医师人数研究设计：研究生医学教育认证委员会对 2009 年至 2017 年即将毕业的妇产科医生住院医师的手术病例日志进行了病例数量趋势分析。结果：每个住院医师的平均妇科病例总数从 438.2 减少到 431.5 (P < .0001)。微创子宫切除术的平均值从 43.6 增加到 69.3（P
BACKGROUND: Residency training in obstetrics-gynecology has changed significantly over time, with residents expected to master an increasing number of surgical procedures. Residency operative case logs are tracked by the Accreditation Council for Graduate Medical Education, which sets case minimums for all procedures. In 2018, the Accreditation Council for Graduate Medical Education created a combined minimally invasive hysterectomy category and now requires graduating residents to complete a minimum of 70 minimally invasive hysterectomies.OBJECTIVES: The objectiges of the study were to evaluate the range of operative gynecological experience across graduating obstetrician gynecologist residents in the United States and to estimate the number of residents able to meet new Accreditation Council for Graduate Medical Education minimum hysterectomy cases.STUDY DESIGN: Accreditation Council for Graduate Medical Education surgical case logs of graduating obstetrician-gynecologist residents from 2009 to 2017 were analyzed for case volume trends.RESULTS: The average total number of gynecological cases per resident decreased from 438.2 to 431.5 (P < .0001). Minimally invasive hysterectomy averages increased from 43.6 to 69.3 (P