Laparoscopy-to-laparotomy quotient in obstetrics and gynecology residency programs

Abstract

Introduction: Laparoscopic skills are indispensable to the practice of present-day gynecologists. Hence, we investigated the share of minimal invasive surgery in the training of obstetricians and gynecologists. Materials and methods: Information on resident experience from 197 obstetrics and gynecology (OBGYN) residency programs was obtained from the Association of Professors of Gynecology and Obstetrics. Results: Over a period of 4 years, an OBGYN resident performs-as surgeon or assistant-on average 190 abdominal procedures including 111 abdominal hysterectomies as well as 53 vaginal hysterectomies and 95 operative laparoscopic procedures with or without hysterectomy. The average laparoscopy-tolaparotomy quotient (LPQ) is 0.54, and the average vaginal-to-abdominal hysterectomy quotient (VAQ) is 0.50. Conclusion: More attention to minimal invasive surgery is needed in OBGYN residency programs. © 2010 Springer-Verlag.