Having to give up OB for Gyn Fellowship?

[Guest1001]

Hi all,

I'm a third year on rotations and I had a truly wonderful time on my Ob-gyn rotation and came to love the diversity of the specialty. I feel like the diversity would keep me from too bored as the years tic by . However, if one were to do a gyn fellow ship like Onc or Urogyn, or even like the unaccredited peds gyn or MIS, are they essentially giving up doing OB?

And vice versa with like MFM?

Of course you could stay a generalist but what if you wanted to practice in academia or were really excited about gyn onc but still love OB? I know our onc attendings never took OB shifts, is that the norm?

Thanks! Still got plenty of rotations to make a decision and I know fellowship is even further away so I'm not gonna let that make a decision for me, but just trying to get some thoughts!

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[Dr G Oogle]

You generally do not do any OB as a urogyn or oncologists (I'd say most people view this as a perk), MIGS may still do OB but it depends on how the contract is negotiated, and every day you spend on L&D is a day lost of clinic or the OR, which may not matter because RVUs are actually better in OB, but surgical outcomes (and OB outcomes) are linked with volume so really you want surgeons doing surgery and obstetricians managing labor. I do OB moonlighting in my fellowship 24 hours a month and even a couple of years out from residency i feel a little uncomfortable managing anything beyond normal labor and I trained at a very high acuity place where more patients were sick than not.

You can be a generalist and still be in academics, in fact most academic departments probably have more generalists than subspecialists and you can be a specialist in private practice.