title: Surgical competence of obstetrics and gynecology residents performing microsurgical tubal anastamoses.
abstract: OBJECTIVE
  To assess tubal patency rates after microsurgical tubal anastamosis in a residency program.
  
  
  METHODS
  Retrospective cohort analysis. Primary outcome measurement was tubal patency rates.
  
  
  RESULTS
  Twenty-seven of the forty-nine patients (55.1%) had bilateral tubal patency and twenty-one of the forty-nine (42.9%) had only one tube open after surgery. No statistical difference in tubal patency rate was noted between the REI staff (85.7%) and the resident (71.4%) (p=0.09). No statistical difference was noted when comparing the patency rate of the residents' first procedure (68.6%) to subsequent procedures (72.8%) (p=0.99).
  
  
  CONCLUSIONS
  These data suggest that with appropriate guidance, residents without prior experience are able to perform microsurgical procedures under direct supervision. Residents completed the procedure with patency rates similar to the REI staff. Additionally, tubal patency rates were not significant different in comparing the residents' first or subsequent procedures.
authors.affiliation: Tripler Army Medical Center, Honolulu, Hawaii, USA. jfrattarelli@rmanj.com
authors.forename: John L
authors.initials: JL
authors.lastname: Frattarelli
authors.forename: Steve
authors.initials: S
authors.lastname: Hong
authors.forename: Grant D E
authors.initials: GD
authors.lastname: McWilliams
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000706:statistics & numerical data*; D005186:Fallopian Tube Patency Tests; D005260:Female; D006176:Gynecology / Q000193:education; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D008505:Medical Staff, Hospital / Q000706:statistics & numerical data; D008866:Microsurgery / Q000706:statistics & numerical data; D009774:Obstetrics / Q000193:education; D013243:Sterilization Reversal / Q000706:statistics & numerical data*