Is surgical training in ob/gyn residency adequate? The combination of less time and more procedures is putting a crunch on training

The adequacy of surgical training in ob/gyn is a real concern. This is in part related to the increasing breadth of required education, which accompanies medical and technological advances in the field. In addition, clinical experience is on the decline with workhour limitations and concerns regarding limited surgical case volume. As a result, more residents are choosing to pursue fellowship training after graduating. If left unchecked, it is foreseeable that these changes could lead to the decline of the generalist ob/gyn practice model. Residency programs face difficult challenges in training competent and independent practitioners. A continued focus on innovation in residency training is key in order for the continued evolution of our specialty.