title: Impact of 1996 Residency Review Committee Obstetrics-Gynecology primary care requirements on residency training and surgical procedures.
abstract: OBJECTIVE
  This study evaluated the impact of required primary care rotations in obstetrics-gynecology residency training after 1996.
  
  
  METHODS
  A questionnaire was sent to the 1994 to 2003 graduates from 1 residency program, and records of surgical procedures completed during residency were analyzed.
  
  
  RESULTS
  Thirty-nine of 46 graduates participated in the study (response rate 85%). Required primary care training was associated with increased confidence in providing primary care (81.5% versus 54.5%, P = .12) but less agreement that obstetrics-gynecology is a primary care specialty (21.4% versus 45.5%, P = .23). Abdominal hysterectomies and vaginal hysterectomies per resident did not decrease (127 versus 113, P = 0.149, and 55 versus 48, P = .06, respectively). Adjusted for temporal trends, cesarean sections per resident decreased (366 versus 321, P = .009).
  
  
  CONCLUSIONS
  Residents maintained adequate rates of major inpatient surgical procedures after implementation of required primary care training. There was a tendency for residents who graduated after 1996 to have less favorable attitudes about primary care.
authors.affiliation: Department of Obstetrics and Gynecology, University of Kansas School of Medicine, Wichita, KS 67214, USA.
authors.forename: Margaret W
authors.initials: MW
authors.lastname: Chu
authors.forename: Martha J
authors.initials: MJ
authors.lastname: Rall
authors.forename: Linda M
authors.initials: LM
authors.lastname: Frazier
authors.forename: Douglas V
authors.initials: DV
authors.lastname: Horbelt
authors.forename: Travis W
authors.initials: TW
authors.lastname: Stembridge
mesh_terms: D000328:Adult; D002983:Clinical Competence; D013502:General Surgery / Q000193:education*; D006176:Gynecology / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D009774:Obstetrics / Q000193:education*; D011320:Primary Health Care