Gyn Heavy Programs

[GYN DOC]

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Which programs are really heavy in gyn procedures? Which programs actually have the da vinci and use it regularly? Anyone have a grasp on how much gyn only doc that perform gyn surgeries +primary care make?

 

[boyob]

Which programs are really heavy in gyn procedures? Which programs actually have the da vinci and use it regularly? Anyone have a grasp on how much gyn only doc that perform gyn surgeries +primary care make?

Most large academic programs are actively using the da vinci for at least gyn onc surgeries. I don't exactly know what you want for GYN heavy? In what area are you looking.

Also many doctors have gyn only practices. You would still be able to make a generalist salary doing gyn only. The more you do in the office the more you will make.

But remember more than half your time in residency is delivering babies. If you don't like that general surg or oncology might be a better fit.

 

[GYN DOC]

I actually enjoy delivering babies. So i really wouldn't mind residency. I just dont see myself doing it forever. I really want a practice that focuses on women's health and wellness. I would like to perform all of the gyn surgeries...hysterectomies, oophorectomies, fibroidectomies, etc..(except pelvic prolapse surgeries) and deal with gyn issues such as endometriosis, pelvic pain, ovarian cysts etc. I would also like to be able to focus on primary care and counsel/treat diabetes, htn, hypothryoidism, and psych issues. I would probably do a lot of youth counseling on self esteem, teenage pregnancy prevention, std counseling, and diet/excercise. If i managed any pregancies it would likely be on the side in a government/clinic setting for prenatal care in underserved communities. If possible, later i would probably add nonsurgical cosmetic services.

Do you think this is feasible? Will be able to maintain a living just doing surgeries?

 

[GYN DOC]

I was also thinking about working at a pelvic pain clinic. I hope to most likely do a laparascopic/minimally invasive surgery fellowship after residency. Short and sweet surgeries with short recovery and post op hospital stays (unlike gyn onc)

 

[boyob]

I think you could absolutely make a living! I know many doing this exact thing that make 200-300k in CA. Doing the laproscopic fellowship might help, but they are often doing laporoscopy on people with stage 4 endometriosis, or urinary dysfunction. You have no worries

 

[FormerOB]

I think you guys should consider to some degree doing cosmetic surgery. In your waiting room are women with real gyn issues, but they will also be requesting other services, ie botox, liposculpturing. etc. These are YOUR patients, decide whether or not YOU can benefit by providing them a highly desired service or to refer them out to a plastic surgeon (who by the way do not get extensive lipo or "botox" training in residency, if any at all). I just want you guys to consider providing complete care of your female patients- the real benefit of OBGYN is no need to hope for referrals as plastic surgeons must- cut the middle man out, these are your patients!

 

[FormerOB]

Let me preface my previous post- I fully expect expect some medical student or resident in "plastic surgery" to say the only people "worthy" do to do any cosmetic surgery are plastic surgeons... well, can they say with a straight face that they have extensive liposuction experience, botox, restylene, juvederm training experience in residency?... I work in Beverly Hills and I can so no, that is not the case... Get over the fact that plastic surgeons are the ones to do cosmetic surgery.. a fallacy... any attendings to differ? bring it on!

 

[Options]

This is a good thread and I have a comment as a student applying to ob/gyn this year... after going through the residency directory on apgo and looking at the surgical numbers people get, there does seem to be a huge discrepancy between programs.
For instance, if you look at the program in Las Vegas, it states they only get 23 abdominal hysterectomies total... that number scares me and makes me feel that if you went to that program you may find yourself only able to do OB when you graduate. I want a good well rounded practice of OB and GYN, but it seems there may be some programs where you might not get that training.
Any comments on this from current residents or attendings?

 

[Diane L. Evans]

Which programs actually have the da vinci
First you need subspecilized training and most programs do not train fellows on this machine. The urogynecologist at Indiana University use this but residents do not.

Gyn oriented programs:
For instance look for those who have gyn-onc faculty as their chairs or are large referral centers.... Most university programs have large GYN #'s but you would be suprised for instance one program with strong gyn #'s is a small community hospital in Akron Ohio.

 

[goodsamob]

Community programs are often the way to go if you want big gyn numbers. By the end of my third year, I had completed ~65 vag hysts and almost 100 abdominal hysts. I have almost 130 urogyn procedures. ~350 c-sections (sure, we do a lot of OB too). Surgical experience is not a problem. And yes, most of these are as primary surgeon, not an observer from across the table. I feel fairly confident in the OR and I still have a year of training...

And yes, we have 2 DaVinci's available to the GYN service and an attending who is willing to staff resident DaVinci cases once the resident receives some training (We can do this in the hospital as we have one Da Vinci dedicated only to training and a dedicated training staff).

So yes, you can definitely find a gyn heavy program! Happy hunting 🙂

 

[Sharkfan]

Where are you located? That sounds awesome!!

 

[Dre1207]

did you get a response to your question, sharkfan?

 

[goodsamob]

I am at the Tri Health residency in Cincinnati OH. It is the recently merged programs of Bethesda and Good Samaritan. This year we will interview for our 3rd merged class. I am a chief and per merger so I can mainly speak to the Good Sam experience. You can search my past posts to see all the reasons I think I have a great program. (the list is too long to retype!)

The other stat I think is indicative of our volume and our training is my forceps numbers. I have done over 50 FAVDs (3 more to add to the stats from just my call last night). Our attendings here are extremely comfortable with forceps and very willing to teach them. Some will even teach the classical application. One of our chiefs last year graduated with ~150 FAVDs. Our chairman asks us to use more vacuums for our stats, but its hard to pass up a great FAVD. (the challenge now is to do them without an epis or laceration!) I'll take a FAVD over a crash section on a complete patient any day!

If you have questions about my program feel free to PM me.

🙂 goodsamob