Evidence map›Paper›PMID 41859505›Full record

ArticleO&G open2026

Case Log Trends of Graduating Obstetrics and Gynecology Residents Between 2018 and 2024.

Merima Ruhotina, Fei Cai, R Nicholas Burns

Abstract read
In one paragraph

Article in O&G open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Merima RuhotinaDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of Vermont, Burlington, Vermont; Department of Obstetrics and Gynecology, Division of Perinatology, Oregon Health & Science University, Portland, Oregon; and Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas.
Fei CaiDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of Vermont, Burlington, Vermont; Department of Obstetrics and Gynecology, Division of Perinatology, Oregon Health & Science University, Portland, Oregon; and Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas.
R Nicholas BurnsDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of Vermont, Burlington, Vermont; Department of Obstetrics and Gynecology, Division of Perinatology, Oregon Health & Science University, Portland, Oregon; and Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate logged operative experience of obstetrics and gynecology residents in the United States between 2018 and 2024.

methodsThis was a retrospective analysis of publicly available Accreditation Council for Graduate Medical Education case log summary statistics of graduating obstetrics and gynecology residents. National mean case volumes per resident were summarized. Changes in operative experience between 2018 and 2024 classes were described with absolute and percent differences. Longitudinal trends across academic years were evaluated with Spearman rank correlation. To assess distributional changes in hysterectomies and operative vaginal deliveries, selected national percentiles (10th, 50th, and 90th) were additionally evaluated.

resultsAcross multiple procedures, mean operative experience declined between 2018 and 2024, with the largest relative decreases observed in abdominal hysterectomy (-35.3%) and operative vaginal deliveries (-15.4%). Strong monotonic downward trends were observed over time for these procedures. In contrast, laparoscopic hysterectomy experience increased steadily across academic years. Percentile-based analyses showed parallel shifts at the 10th, 50th, and 90th percentiles for several procedures.

conclusionOperative experience between 2018 and 2024 changed among graduating obstetrics and gynecology residents, with declining exposure in several core procedures and increased experience noted with laparoscopic hysterectomy. These findings highlight the importance of ongoing evaluation of training exposure in the context of national discussions regarding resident surgical readiness at the end of training.

Identifiers

PMID41859505
PMCPMC12999107

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.