Ease with which one can choose to just practice gyn after residency?

[mdwilson23]

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Does anyone have a good sense of the ease with which one can choose to just practice gyn after an Ob/Gyn residency? Does it depend signifcantly on whether you want to go into private practive verses academic medicine? Would it be necessary to pursue a gyn specific fellowship (like REI) before you can realistically expect to develop a gyn-only practice straight out of training? Do any of you know if people who have gyn-only practices are able to work reasonable hours with little call?

Thanks so much for all your input!

 

[Global Disrobal]

Not including Urogyn, REI, and Gyn Onc, I know several people personally who are in gyn practive without any OB care. However their practices are predominantly based on laprascopic surgery. It is not impossible to do Gyn only and get away with it, however many people use obstetrics to build their practice and then (several years later) move into gyn only with a volume high enough to support their practice.

 

[Wednesday]

Not including Urogyn, REI, and Gyn Onc, I know several people personally who are in gyn practive without any OB care. However their practices are predominantly based on laprascopic surgery. It is not impossible to do Gyn only and get away with it, however many people use obstetrics to build their practice and then (several years later) move into gyn only with a volume high enough to support their practice.

How does someone practice predominately gyn laprascopic surgery? Is there any extra laproscopic training available? Or are there certain programs that are known to be strong in laproscopic training?

 

[Leukocyte]

How does someone practice predominately gyn laprascopic surgery? Is there any extra laproscopic training available? Or are there certain programs that are known to be strong in laproscopic training?

The attendings who I came across learnt it "one their own" by attending CME classes / seminars which are offered at various surgical organizations. I am sure there are other ways of learning it also...International fellowships, The Army, ect.

 

[DrBuzzLightYear]

there are one year fellowships for laproscopic gyn.

 

[uptoolate]

Just anecdotal info:

At Hopkins, gynecology and OB are practiced separately-as explained to me by my gyn, who I really liked a lot, after I told her I was pregnant. I don't know much more about the details of how they run their program. She did tell me she loses an awful lot of patients to the OBs after she has to refer them out.

To add to that: the OB that delivered my daughter now practices gyn only because her malpractice insurance made it too expensive to carry on with OB. Ironically, she had been voted best OB in the city a around the same time. She's now spear heading the tort reform movement in our state and I believe made a documentary about the whole thing. Back on topic- she also practices gyn only.