Subspecialization of OB/GYN = decreased gen OB/GYN scope?

[Twirler7]

I was talking with a practicing (20 years) OB today. He was talking about the increased subspecialization withint the field. He mentioned that he feels his surgical skills are suffering as a result of decreased surgical procedures available (e.g. the urogyn does the ant/post repair, the gynonc does all adnexal masses, etc). He mentioned that he feels that very soon general OB/GYN's will not do procedures except deliveries (which as mentioned before can often be handled by midwives) and general office procedures.

Any comments? I'm not looking for "midwives can't do all deliveries, etc, etc. Just the thoughts on decrease in surgerical procedures. Thanks!

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[Diane L. Evans]

Most residents graduating today are able to do laproscopic LAVH and even total laproscopic hysterectomies. I learned how to do A&P repairs, mid urethral slings, cystoscopy, stenting. The scope of care is moving to specialist but there's a ton of training in residency today to do all these procedures.

Minimal invasive 1-2 yr fellowships are also available to let surgeons bone up on skills.

Those who trained 20 yrs ago didn't get much l/s surgery and if they haven't kept up with the changing times they will fall behind.

This is just my oppinion others may have a different view
Diane