title: Changes in the Practice of Obstetrics and Gynecology.
abstract: A projected shortage of obstetrician-gynecologists (OB-GYNs) is a result of both the increasing US population and the relatively static number of residency graduates. In addition, generational changes have contributed to increasing subspecialization, more desiring part-time employment, and earlier retirement. This article reviews data regarding changes in the practice of obstetrics and gynecology. Residency education is focusing more on a core curriculum in general obstetrics and gynecology, while subspecialty fellowship training has grown in popularity. There are no recent data to describe whether OB-GYNs are working fewer hours, yet more are employed in larger practices at mostly metropolitan locations. A team-based care model that incorporates nonphysician clinicians and digital conversion of clinical data has been encouraged to increase accessibility, improve comprehensiveness, commit to more continuity of care, and reduce redundancy. Compared with other medical specialists, OB-GYNs retire slightly earlier, especially females who will represent the field more. The specialty is moving toward a more comprehensive women's health care practice model that is more patient-centered, efficient, cost controlling, team-based, and adaptable to the needs of a diverse population. Implications from these changes for our practices and improving patient care are currently unclear and await more reported experience.
authors.affiliation: Distinguished Professor and Chair Emeritus, Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque, NM.
authors.forename: William F
authors.initials: WF
authors.lastname: Rayburn
authors.affiliation: Assistant Professor, Vincent Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
authors.forename: Erin E
authors.initials: EE
authors.lastname: Tracy
mesh_terms: D000367:Age Factors; D005257:Fellowships and Scholarships; D005260:Female; D006176:Gynecology / Q000193:education / Q000458:organization & administration* / Q000639:trends*; D006801:Humans; D007396:Internship and Residency; D008297:Male; D017146:Models, Organizational; D009774:Obstetrics / Q000193:education / Q000458:organization & administration* / Q000639:trends*; D018802:Patient-Centered Care; D010561:Personnel Staffing and Scheduling; D011364:Professional Practice / Q000639:trends*; D012179:Retirement; D012737:Sex Factors; D013038:Specialization / Q000639:trends*; D000078329:Workforce