Reported case numbers and variability in delivery route and volume by obstetrics and gynecology residents from 2003 to 2019

Bennett, Carrie; Chambers, Laura M.; Yao, Meng; Chien, Edward K.; Berghella, Vincenzo

doi:10.1016/j.ajogmf.2021.100398

Cited by 2 publications

(5 citation statements)

References 22 publications

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“…In a study involving retrospective analysis of ACGME operative logs, Gupta found that the number of vaginal deliveries declined from 320.8 to 261 (2002-2003 versus 2013-2014) [7] . Similarly, Bennett [8] reported that from 2003 to 2019, the mean number of spontaneous vaginal deliveries performed by graduating residents significantly decreased over time by 20% from 320.8 to 256.1 (p<.001). The currently established minimum thresholds for graduating obstetrics and gynecology residents, as set forth by the Residency Review Committee are just 200 spontaneous vaginal deliveries, 145 cesarean deliveries, and 15 operative vaginal deliveries.…”

Section: Discussionmentioning

confidence: 91%

“…The currently established minimum thresholds for graduating obstetrics and gynecology residents, as set forth by the Residency Review Committee are just 200 spontaneous vaginal deliveries, 145 cesarean deliveries, and 15 operative vaginal deliveries. From 2015 to 2019, the average number of deliveries reported by graduating residents ranged from 254.3-273.9 [8] . As shoulder dystocia complicates 0.2% to 2.4% of all vaginal deliveries [9] , this could potentially mean that a resident could only be involved in at most 1 to 7 shoulder dystocias during their four year training period and even if involved many not have had the opportunity to independently manage.…”

Section: Discussionmentioning

confidence: 99%

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Are residents confident to manage shoulder dystocia?

Gherman,

Choi,

Burgess

et al. 2024

Int. J. Clin. Obstet. Gynaecol.

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Background: Data are lacking to determine whether residents are confident in independently managing shoulder dystocia, as the ACGME does not track this condition. Objective: A 25-question web-based survey was electronically disseminated to program directors of all 243 accredited OB/GYN residency programs in the United States. The survey was sent weekly over a four week period to encourage completion, through April and May of 2018. A Likert scale was used to assess U.S. obstetric and gynecology residents clinical and didactic training experience related to shoulder dystocia. Survey monkey and IBM SPSS Statistics were used to analyze the responses.Results: Nearly all (97%) of the 116 (total of 5,493) residents who responded (2%) had received formal lecture or simulation training (87%), and most (89%) felt that they had received appropriate didactic training. 64% of residents had participated in < 10 total cases of shoulder dystocia. Only 51.7% and 48.3% agreed that they could currently independently perform delivery of the posterior fetal arm and fetal rotational maneuvers, respectively. Approximately half of the residents (47%) responded that they had never independently managed a shoulder dystocia from start to finish. After completion of residency training, 34.5% and 52.6% strongly agreed or agreed, respectively, that they would feel comfortable independently managing a shoulder dystocia. Conclusions: Graduating obstetric residents do not appear to be confident to independently manage shoulder dystocia.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Are residents confident to manage shoulder dystocia?

Gherman,

Choi,

Burgess

et al. 2024

Int. J. Clin. Obstet. Gynaecol.

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“…The logged cases represent a 4-year aggregate of cases logged throughout residency for each resident. Methods described by Bennett et al 8 were used. Anonymous data were extracted from the ACGME Case Log Graduate Statistics National Report (publicly available at https://apps.acgme.org/ads/Public/Reports/Report/25).…”

Section: Methodsmentioning

confidence: 99%

“…Data analyses described by Bennett et al 8 were used. The mean number of logged cases and variability in logged cases were analyzed over time.…”

Section: Methodsmentioning

confidence: 99%

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Trends in Urogynecologic Surgery Among Obstetrics and Gynecology Residents From 2002 to 2022

Nutaitis¹,

George

Mangira

et al. 2023

UROGC

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Importance The number of American women with a pelvic floor disorder is projected to increase from 28.1 million in 2010 to 43.8 million in 2050. Objectives The objective of this study was to evaluate trends in the number of urogynecologic procedures performed by graduating obstetrics and gynecology residents and to compare variability in volume between residents in the 70th and 30th percentiles for logged cases. Study Design National case log measures for residents who graduated between 2003 and 2022 were reviewed. Mean case numbers and variability in case numbers were analyzed over time. Results Data were collected from a median of 1,216.5 residents (range, 1,090 to 1,427) annually. Mean number of vaginal hysterectomies logged per resident decreased by 46.4% from 2002/2003 to 2021/2022 (P = 0.0007). Mean number of urogynecology procedures increased by 1,165.5% from 2002/2003 to 2007/2008 (P = 0.0015). Mean number of incontinence and pelvic floor procedures (including cystoscopies) increased by 190.9% from 2002/2003 to 2011/2012 (P = 0.0002). Mean number of incontinence and pelvic floor procedures (excluding cystoscopies) decreased by 39.7% from 2012/2013 to 2021/2022 (P < 0.0001). Mean number of cystoscopies increased by 19.7% from 2012/2013 to 2021/2022 (P < 0.0001). Ratios of cases logged by residents in the 70th percentile to those in the 30th percentile decreased for vaginal hysterectomies and cystoscopies (P < 0.0001 and P = 0.0040, respectively). The ratio for incontinence and pelvic floor procedures (excluding cystoscopies) was 1.76 in 2012/2013 and 2.35 in 2021/2022 (P = 0.2878). Conclusion Resident surgical training in urogynecology is decreasing nationally.

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Reported case numbers and variability in delivery route and volume by obstetrics and gynecology residents from 2003 to 2019

Cited by 2 publications

References 22 publications

Are residents confident to manage shoulder dystocia?

Are residents confident to manage shoulder dystocia?

Trends in Urogynecologic Surgery Among Obstetrics and Gynecology Residents From 2002 to 2022

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