Reactions of residency directors to primary care requirements in obstetrics and gynecology training.


OBJECTIVE:To determine the opinions of obstetrics and gynecology residency program directors regarding the Residency Review Committee mandate, requires 6 months of primary care training in obstetrics and gynecology. METHODS:A ten-question survey was mailed to the 272 accredited obstetrics and gynecology programs in the United States and Puerto Rico. Program directors were asked about the adequacy of 6 months of primary care training, whether educational deficiencies in obstetrics and gynecology will develop as a result of the mandate, and whether residency programs should be lengthened to encompass primary care. RESULTS:The response rate for the survey was 92.3% (251/272). University-affiliated, community, and military-based programs were surveyed and all geographic areas of the country were represented. Of program directors responding, 53.4% agreed with the mandate, 43.0% disagreed, and 3.6% declined to answer this question or both agreed and disagreed. Fifty-one percent considered 6 months of primary care training to be adequate, and 60.2% of program directors thought that educational deficiencies would develop in obstetrics and gynecology training programs. Whereas 66.1% responded that extension of obstetrics and gynecology training programs beyond 4 years was unnecessary, 32.7% thought program length should be increased. CONCLUSION:The results of this survey demonstrate that a substantial proportion of U.S. residency directors do not agree with the Residency Review Committee mandate for primary care training and think that deficiencies in obstetrics and gynecology training will develop as a result of these changes.


Obstet Gynecol


Kuffel ME,Stovall DW,Kuffel TS,Zlatnik FJ




Has Abstract


1998-01-01 00:00:00














  • Malignant mixed müllerian tumor of the uterus arising in association with a viable gestation.

    abstract::Malignant mixed müllerian tumors of the uterus are rare neoplasms occurring predominantly in postmenopausal women. We report the prenatal course and diagnosis of a stage III malignant mixed müllerian tumor at cesarean section in a 35-year-old woman. Despite aggressive radiation and chemotherapy, the patient died 14 we...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Scioscia AL,Merino MJ,Haas M,Copel JA,Schwartz PE

    更新日期:1988-06-01 00:00:00

  • Use of recombinant activated factor VII in primary postpartum hemorrhage: the Northern European registry 2000-2004.

    abstract:OBJECTIVE:To collect data from nine European countries for cases of obstetric hemorrhage between 2000 and 2004 in which recombinant activated factor VII (rFVIIa) was used. METHODS:The cases were identified through national surveys. Standardized case report forms included sociodemographic details, past medical and obst...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Alfirevic Z,Elbourne D,Pavord S,Bolte A,Van Geijn H,Mercier F,Ahonen J,Bremme K,Bødker B,Magnúsdóttir EM,Salvesen K,Prendiville W,Truesdale A,Clemens F,Piercy D,Gyte G

    更新日期:2007-12-01 00:00:00

  • Precise DNA genotyping diagnosis of hydatidiform mole.

    abstract:OBJECTIVE:To estimate whether tissue DNA genotyping is effective for the confirmation and subclassification of hydatidiform moles. METHODS:Consecutive cases of products of conception were selected based on histologic alterations that are suspicious for molar pregnancy. DNA genotyping was performed by a multiplex polym...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Lipata F,Parkash V,Talmor M,Bell S,Chen S,Maric V,Hui P

    更新日期:2010-04-01 00:00:00

  • Newly diagnosed adult-onset Still disease in pregnancy.

    abstract:BACKGROUND:Adult-onset Still disease is a rare febrile disorder that can present for the first time during pregnancy. It is a diagnosis of exclusion with nonspecific laboratory results. Good maternal and fetal outcomes can be expected after initial diagnosis and treatment. CASE:A 21-year-old (gravida 2, para 1) at 20 ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Pan VL,Haruyama AZ,Guberman C,Kitridou RC,Wing DA

    更新日期:2003-05-01 00:00:00

  • Neonatal Morbidity and Maternal Complication Rates in Women With a Delivery Body Mass Index of 60 or Higher.

    abstract:OBJECTIVE:To investigate neonatal morbidity and maternal complication rates with delivery body mass index (BMI) 60 or greater. METHODS:This retrospective, multicenter cohort study included singleton pregnancies between 23 and 42 weeks of gestation from January 2005 to April 2016. Women with BMI 60 or greater were comp...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究


    authors: Kim T,Burn SC,Bangdiwala A,Pace S,Rauk P

    更新日期:2017-11-01 00:00:00

  • Sexual function in women with urinary incontinence and pelvic organ prolapse.

    abstract:OBJECTIVE:To compare sexual function in women with urinary incontinence and pelvic organ prolapse and to determine the effects of therapy on sexual function. METHODS:343 community-dwelling women older than 45 years with urinary incontinence or advanced prolapse were recruited into a multi-armed clinical trial. Women w...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Barber MD,Visco AG,Wyman JF,Fantl JA,Bump RC,Continence Program for Women Research Group.

    更新日期:2002-02-01 00:00:00

  • Vulvar reconstruction using a pedicle flap based on the superficial external pudendal artery.

    abstract::We present a new method for vulvar reconstruction based on recently described vasculature of the lower abdominal skin and subcutaneous tissue. The superficial external pudendal artery supplies the region encompassing the suprapubic and infraumbilical skin. Thus, a pedicled skin flap based on the superficial external p...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Mayer AR,Rodriguez RL

    更新日期:1991-11-01 00:00:00

  • Low maternal age and neonatal survival of extremely preterm twins (20-28 weeks of gestation).

    abstract:OBJECTIVE:We investigated the relationship between low maternal age and neonatal survival among extremely preterm twins. METHODS:This was a retrospective cohort study on live births of extremely preterm twins delivered to teenaged mothers (aged 15-19 years) in the United States within the period 1995 through 1998. Ove...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Salihu HM,Emusu D,Aliyu MH,Kirby RS,Alexander GR

    更新日期:2004-06-01 00:00:00

  • Post-term pregnancy: fetal death rate with antepartum surveillance.

    abstract::Management of the post-term pregnancy depends on the certainty of dating, likelihood of successful induction, and risks of expectant management. To estimate the risk of fetal death in an expectantly managed post-term population, we reviewed 8038 consecutive post-term gestations followed expectantly with a twice-weekly...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审


    authors: Grubb DK,Rabello YA,Paul RH

    更新日期:1992-06-01 00:00:00

  • Impact of psychodynamic factors on the course and management of patients with pseudocyesis.

    abstract::Comparing and contrasting two patients with pseudocyesis made it clear that differing psychodynamic factors specific to each patient resulted in divergent ways in which they sought out and used medical care. The propensity of these patients to distort reality was observed to interfere with the usefulness of sonography...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Starkman MN

    更新日期:1984-07-01 00:00:00

  • Estimated effect of 17 alpha-hydroxyprogesterone caproate on preterm birth in the United States.

    abstract:OBJECTIVE:A multicenter, randomized placebo-controlled trial among women with singleton pregnancies and a history of spontaneous preterm birth found that weekly injections of 17 alpha-hydroxyprogesterone caproate (17P), initiated between 16 and 20 weeks of gestation, reduced preterm birth by 33%. The current study esti...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Petrini JR,Callaghan WM,Klebanoff M,Green NS,Lackritz EM,Howse JL,Schwarz RH,Damus K

    更新日期:2005-02-01 00:00:00

  • Abuse history and chronic pain in women: II. A multivariate analysis of abuse and psychological morbidity.

    abstract:OBJECTIVE:To assess the potential role of childhood and adulthood physical and sexual abuse and complaints of chronic pain in accounting for psychiatric symptomatology in adult women. METHODS:We assessed sexual abuse, physical abuse, depression, anxiety, and somatization in 64 women with chronic pelvic pain, 42 women ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Walling MK,O'Hara MW,Reiter RC,Milburn AK,Lilly G,Vincent SD

    更新日期:1994-08-01 00:00:00

  • Prediction of preterm delivery in the second trimester.

    abstract:OBJECTIVE:The aim of this study was to estimate the probability of spontaneous delivery at 34 weeks or less according to cervical assessment by transvaginal scan associated with previous obstetric history. METHODS:Ultrasound transvaginal cervical length and presence of funneling were evaluated in 1,958 singleton pregn...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: de Carvalho MH,Bittar RE,Brizot Mde L,Bicudo C,Zugaib M

    更新日期:2005-03-01 00:00:00

  • Forty weeks and beyond: pregnancy outcomes by week of gestation.

    abstract:OBJECTIVE:To assess pregnancy outcomes at 40, 41, and 42 weeks' gestation when labor induction is done routinely at 42 but not 41 weeks. METHODS:We reviewed all singleton pregnancies delivered at 40 or more weeks' gestation between 1988 and 1998 at Parkland Memorial Hospital, Dallas, Texas. We excluded women with hype...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Alexander JM,McIntire DD,Leveno KJ

    更新日期:2000-08-01 00:00:00

  • Antenatal treatment of alloimmune thrombocytopenia.

    abstract:OBJECTIVE:Neonatal alloimmune thrombocytopenia is caused by platelet antigen incompatibility between the mother and fetus. Affected fetuses may have severe thrombocytopenia leading to intracranial hemorrhage before or at birth. We sought to treat this condition in utero to prevent these hemorrhages. METHODS:Eighteen w...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Lynch L,Bussel JB,McFarland JG,Chitkara U,Berkowitz RL

    更新日期:1992-07-01 00:00:00

  • Maternal hemodynamics and impaired fetal growth in pregnancy-induced hypertension.

    abstract::Twenty-one subjects with pregnancy-induced hypertension were investigated with regard to the relationship between maternal hemodynamics and fetal growth. Five of the infants were small for gestational age (SGA) (less than tenth percentile) and 16 were appropriate for gestational age (AGA) (greater than tenth percentil...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Nisell H,Lunell NO,Linde B

    更新日期:1988-02-01 00:00:00

  • Case-control study of cancer of the vulva.

    abstract::A case-control study of 209 vulvar cancer patients and 348 community controls allowed assessment of risk factors for this rare tumor. As with cervical cancer, risk increased with the number of reported lifetime sexual partners, with five or more partners associated with two- to threefold increases in risk compared wit...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Brinton LA,Nasca PC,Mallin K,Baptiste MS,Wilbanks GD,Richart RM

    更新日期:1990-05-01 00:00:00

  • Uncommon type of placentation after previous cesarean deliveries.

    abstract:BACKGROUND:A rare type of placentation leading to cesarean delivery and hysterectomy is described. CASE:A young multigravida in the 26th week of gestation was referred to our department with a history of vaginal bleeding and suspected placenta previa. Three previous children were delivered by elective cesarean. Ultras...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Krasznai I,Rigó J Jr,Boze T,Papp Z

    更新日期:2003-09-01 00:00:00

  • Correlates of seasonal influenza vaccine coverage among pregnant women in Georgia and Rhode Island.

    abstract:OBJECTIVE:To identify facilitators of and barriers to pregnant women being vaccinated against seasonal influenza by identifying factors associated with influenza vaccination during pregnancy among women who had recently given birth to a live infant. METHODS:We analyzed pooled data from Georgia (n=2,692) and Rhode Isla...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Ahluwalia IB,Jamieson DJ,Rasmussen SA,D'Angelo D,Goodman D,Kim H

    更新日期:2010-10-01 00:00:00

  • Efficacy, safety, and tolerability of a monophasic oral contraceptive containing nomegestrol acetate and 17β-estradiol: a randomized controlled trial.

    abstract:OBJECTIVE:To estimate the efficacy, cycle control, tolerability, and safety of a monophasic combined oral contraceptive containing nomegestrol acetate and 17β-estradiol (E2) in comparison with drospirenone and ethinyl E2. METHODS:In a randomized, open-label, comparative multicenter trial, healthy women (n=2,281; age 1...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Westhoff C,Kaunitz AM,Korver T,Sommer W,Bahamondes L,Darney P,Verhoeven C

    更新日期:2012-05-01 00:00:00

  • A maternal and perinatal mortality in pregnancy complicated by the kyphoscoliotic form of Ehlers-Danlos syndrome.

    abstract:BACKGROUND:Ehlers-Danlos syndrome is a group of inherited connective tissue diseases demonstrating autosomal-dominant, autosomal-recessive, and X-linked inheritance patterns. The diagnosis can be established by clinical, biochemical, and genetic findings. CASE:Our nulliparous patient presented with an unspecified diag...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Esaka EJ,Golde SH,Stever MR,Thomas RL

    更新日期:2009-02-01 00:00:00

  • Methicillin-resistant Staphylococcus aureus as a common cause of vulvar abscesses.

    abstract:OBJECTIVE:To estimate the incidence of methicillin-resistant Staphylococcus aureus (MRSA) among women with vulvar abscesses and to describe clinical factors associated with inpatient compared with outpatient treatment. METHODS:We reviewed all women with a vulvar abscess who were treated with incision and drainage betw...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Thurman AR,Satterfield TM,Soper DE

    更新日期:2008-09-01 00:00:00

  • Insulin requirements during pregnancy in women with type I diabetes.

    abstract:OBJECTIVES:To document individual variations in the rise in insulin requirements during type I diabetic pregnancies, to relate the degree of increase to maternal characteristics and fetal outcome, and to examine these factors in a subgroup of patients experiencing a large fall in insulin requirement in the third trimes...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Steel JM,Johnstone FD,Hume R,Mao JH

    更新日期:1994-02-01 00:00:00

  • Intravenous leiomyomatosis with cardiac extension: successful surgical management and histopathologic study.

    abstract::A case of intravenous leiomyomatosis with cardiac extension was treated successfully with a two-stage operation: resection of the intracardiac and intracaval mass for the first stage and total hysterectomy with bilateral salpingo-oophorectomy for the second. Tumors were located either within or in continuity to dilate...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Suginami H,Kaura R,Ochi H,Matsuura S

    更新日期:1990-09-01 00:00:00

  • Influence of acupuncture on maternal serum levels of interleukin-8, prostaglandin F2alpha, and beta-endorphin: a matched pair study.

    abstract:OBJECTIVE:To measure the serum levels of interleukin (IL)-8, prostaglandin (PG) F2alpha, and beta-endorphin in parturients with acupuncture treatment and in controls to clarify the effect of acupuncture and duration of labor on the serum levels of substances active in cervical ripening and dilatation. METHODS:A matche...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章


    authors: Tempfer C,Zeisler H,Heinzl H,Hefler L,Husslein P,Kainz C

    更新日期:1998-08-01 00:00:00

  • Maternal and neonatal outcomes after attempted suicide.

    abstract:OBJECTIVE:The purpose of this study was to describe identifiers and estimate maternal and neonatal outcomes in women who attempt suicide during pregnancy. METHODS:A linked Vital Statistics-Patient Discharge database of the State of California was used to identify cases of intentional injury during pregnancy. A retrosp...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Gandhi SG,Gilbert WM,McElvy SS,El Kady D,Danielson B,Xing G,Smith LH

    更新日期:2006-05-01 00:00:00

  • The relationship of amniotic fluid cytokines and preterm delivery, amniotic fluid infection, histologic chorioamnionitis, and chorioamnion infection.

    abstract:OBJECTIVE:To assess the association between cytokines in the amniotic fluid (AF) and preterm delivery, the isolation of bacteria from the AF or chorioamnion, and histologic chorioamnionitis. METHODS:Fifty afebrile women with intact membranes in preterm labor at or before 34 weeks' gestation underwent amniocentesis. Cy...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Hillier SL,Witkin SS,Krohn MA,Watts DH,Kiviat NB,Eschenbach DA

    更新日期:1993-06-01 00:00:00

  • Stage IA carcinoma of the cervix revisited.

    abstract:OBJECTIVE:To examine some of the controversy that still exists regarding the definition and management of microinvasive or early invasive cervical carcinoma, in particular, the current concepts regarding the definition of these conditions and their inclusion into the staging system for cervical cancer. DATA SOURCES:A ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审


    authors: Benedet JL,Anderson GH

    更新日期:1996-06-01 00:00:00

  • Uterine contractility and placental histology in abortion by laminaria and metreurynter.

    abstract::Abortions by cervical dilatation with laminaria tents followed by placement of a metreurynter into the lower uterine cavity to provide a mechanical stretch (the method most often used in midterm abortions in Japan) was performed in 7 normal Japanese and American women, 19-24 weeks pregnant, to determine similarities ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Manabe Y,Nakajima A,Griggs JF

    更新日期:1973-05-01 00:00:00

  • Bromocriptine mesylate (Parlodel) in the management of amenorrhea/galactorrhea associated with hyperprolactinemia.

    abstract::The efficacy and safety of bromocriptine mesylate (5 to 7.5 mg per day for up to 24 weeks) were studied in 22 clinical trials involving 226 patients who had amenorrhea/galactorrhea associated with hyperprolactinemia and no demonstrable pituitary tumor. Of the 187 patients evaluated for efficacy, 80% experienced reinit...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章


    authors: Cuellar FG

    更新日期:1980-03-01 00:00:00