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Encyclopedia > Obstetrics and gynaecology

Obstetrics and Gynaecology (often abbreviated to OB/GYN or O&G) are the two surgical specialties dealing with the female reproductive organs, and as such are often combined to form a single medical speciality and postgraduate training program. This combined training prepares the practicing OB/GYN to be adept at the surgical management of the entire scope of clinical pathology involving female reproductive organs, and to provide care for both pregnant and non-pregnant patients. The training for physicians in this field is often quite arduous: in Australia, for example, the residency training period is among the longest at six years, matched only by neurosurgery. In the United States, however, OB/GYN specialists require four years of secondary education at an accredited college or university, followed by four years of medical school and four years in residency. Some OB/GYN surgeons elect to do further subspecialty training in programs known as 'fellowships' after completing their residency training, although the majority choose to enter private or academic practice as general OB/GYNs. Fellowship training in an obstetric or gynaecologic subspeciality can range from one to four years in duration, and these 'fellowship' programs usually have a research component involved with the clinical and operative training. Image File history File links Gnome-globe. ... Image File history File links Emblem-important. ... This article or section does not adequately cite its references or sources. ... Obstetrics (from the Latin obstare, to stand by) is the surgical specialty dealing with the care of a woman and her offspring during pregnancy, childbirth and the puerperium (the period shortly after birth). ... The shamefulness associated with the examination of female genitalia has long inhibited the science of gynaecology. ... “Surgeon” redirects here. ... A medical specialist is someone who specializes in a particular field of medicine. ... This article is about human pregnancy in biological females. ... It has been suggested that this article or section be merged with residency (medicine). ... Insertion of an electrode during neurosurgery for Parkinsons disease. ... Secondary education - Wikipedia, the free encyclopedia /**/ @import /skins-1. ... College (Latin collegium) is a term most often used today to denote an educational institution. ... Representation of a university class, 1350s. ... Texas Tech University Health Sciences Center in Lubbock, Texas, USA. A medical school or faculty of medicine is a tertiary educational institution or part of such an institution that teaches medicine. ... Residency is a stage of postgraduate medical training in North America and leads to eligibility for board certification in a primary care or referral specialty. ... Obstetrics (from the Latin obstare, to stand by) is the surgical specialty dealing with the care of a woman and her offspring during pregnancy, childbirth and the puerperium (the period shortly after birth). ... The shamefulness associated with the examination of female genitalia has long inhibited the science of gynaecology. ...


Examples of subspecialty training available to physicians in the US are:

  • Maternal-Fetal Medicine - an obstetrical subspecialty that focuses on the medical and surgical management of high-risk pregnancies
  • Reproductive Endocrinology and Infertility - gynaecologic subspecialty focusing on the medical and surgical evaluation of women with problems related to the menstrual cycle and fertility
  • Gynaecological Oncology - gynaecologic subspecialty focusing on the medical and surgical treatment of women with cancers of the reproductive organs
  • Urogynaecology and Pelvic Reconstructive Surgery - gynaecologic subspecialty focusing on the diagnosis and surgical treatment of women with urinary incontinence and prolapse of the pelvic organs. Sometimes referred to (incorrectly) by laypersons as "Female Urology"
  • Advanced Laparoscopic Surgery
  • Family Planning - gynaecologic subspecialty offering training in contraception and (sometimes) pregnancy termination
  • Pediatric and Adolescent Gynaecology
  • Menopausal and Geriatric Gynaecology

Of these, only the first four are truly recognized sub-specialties by the Accredited Council of Graduate Medical Education (ACGME) and the American Board of Obstetrics and Gynecology (ABOG.) The other sub-specialities are recognized as informal concentrations of practice. To be recognized as a board-certified subspecialist, a practitioner must have completed an ACGME-accredited fellowship and obtained a Certificate of Added Qualifications (CAQ) which requires an additional standardized examination. [1] This article does not cite its references or sources. ... Obstetrics (from the Latin obstare, to stand by) is the surgical specialty dealing with the care of a woman and her offspring during pregnancy, childbirth and the puerperium (the period shortly after birth). ... The shamefulness associated with the examination of female genitalia has long inhibited the science of gynaecology. ... Menstrual cycle The menstrual cycle is a recurring cycle of physiological changes that occurs in the females of several mammals, including human beings and apes. ... Fertility is the natural capability of giving life. ... For other uses, see Cancer (disambiguation). ... The tone or style of this article or section may not be appropriate for Wikipedia. ... Prolapse literally means To fall out of place. ... This article or section is in need of attention from an expert on the subject. ... Laparoscopic surgery, also called keyhole surgery (when natural body openings are not used), bandaid surgery, or minimally invasive surgery (MIS), is a surgical technique. ... An abortion is the removal or expulsion of an embryo or fetus from the uterus, resulting in or caused by its death. ... Menopause is the physiological cessation of menstrual cycles associated with advancing age in women. ... Geriatrics is the branch of medicine that focuses on health promotion and the prevention and treatment of disease and disability in later life. ...


In rural areas of the United States, particularly in areas west of the Mississippi River, it is not uncommon for general practitioners to offer obstetrical services to their patients. However, these generalists are most often not trained in the surgical aspects of obstetrics, nor have they been trained in gynaecology, and as such, they should not be confused with residency trained and board-certified OB/GYNs. All gynaecologists, therefore, are trained obstetricians, although the reverse is not necessarily true. However, some OB/GYNs may choose to drop the obstetric component of their practice and focus solely on gynaecology, especially as they get older. This decision is often based on the double burden of very late hours and, depending on the country, high rates of litigation.[citation needed] For the river in Canada, see Mississippi River (Ontario). ... A general practitioner (GP) or family physician (FP) is a physician/medical doctor who provides primary care. ... Obstetrics (from the Latin obstare, to stand by) is the surgical specialty dealing with the care of a woman and her offspring during pregnancy, childbirth and the puerperium (the period shortly after birth). ... The shamefulness associated with the examination of female genitalia has long inhibited the science of gynaecology. ... The shamefulness associated with the examination of female genitalia has long inhibited the science of gynaecology. ... For other uses, see Malpractice (disambiguation). ...


In the last few years, medical malpractice suits and skyrocketing insurance premiums have forced many American obstetricians and gynaecologists to leave or limit their practice. From 2000 through 2 increasingly choosing not to specialize in obstetrics (see Bower 2003). This led to a critical shortage of obstetricians in some states and often, fewer health care options for women - although it did lead to higher average salaries, as an article by Medical Economics points out. [1]. However, beginning in 2004, increasing state legislation mandating tort reform combined with the ACGME's decision to limit resident work hours lead to a gradual resurgence in the number of medical students choosing OB/GYN as a specialty. In the medical residency match for 2007, only six spots in OB/GYN training programs remained vacant throughout the entire United States; a record low number, and one that puts OB/GYN on-par in terms of competitiveness with other surgical specialties. [2] Medical malpractice is an act or omission by a health care provider which deviates from accepted standards of practice in the medical community and which causes injury to the patient. ... Health economics is a branch of economics concerned with issues related to scarcity in the allocation of health and health care. ... Tort reform is the phrase used by its advocates who claim it is a change in the legal system to reduce litigations alleged adverse effects on the economy. ... Residency is a stage of postgraduate medical training in North America and leads to eligibility for board certification in a primary care or referral specialty. ... “Surgeon” redirects here. ...

Contents

Further reading

References

  1. ^ http://www.abog.org
  2. ^ http://www.nrmp.org/res_match/data_tables.html
  • http://www.abog.org
  • http://www.nrmp.org/res_match/data_tables.html
  • Llewellyn-Jones, Derek, Fundamentals of Obstetrics and Gynaecology, 7th ed., Mosby, 1999.
  • Bower, Amanda, "Today’s Lesson: Switch Specialty." Time. June 9, 2003. Vol. 161, Issue 23, p. 58, 1/2p, 1c.

See also

A medical specialist is someone who specializes in a particular field of medicine. ...

External links


  Results from FactBites:
 
BJOG: An International Journal of Obstetrics and Gynaecology - Journal Information (476 words)
New research published today in BJOG: An International Journal of Obstetrics and Gynaecology proposes the use of statistical process control (SPC) charts to provide continuous assessment of obstetricians' performance.
Obstetrics is a high risk specialty with high negligence claims payments in the NHS.
The introduction of the European Working Time Directive (EWTD) and the breakdown of the traditional 'firm' structure has meant that contact time between consultants and their trainees is falling, and young doctors run the risk of losing valuable experience gained from being mentored by senior staff.
Current Obstetrics & Gynaecology (291 words)
Over three years at six issues a year these main articles cover the full range of knowledge and practice in obstetrics, gynaecology and allied subjects at a level suitable for MRCOG Part II candidates.
The journal is invaluable for Specialists in Obstetrics & Gynaecology, both in their role as trainers of MRCOG candidates and in keeping up to date across the broad span of the subject area.
In addition to the topic-related papers, each issue includes articles that deal with specific clinical problems, bringing together the knowledge and practice from several areas and demonstrating how these are applied to common or difficult clinical presentations.
  More results at FactBites »


 

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