Surgical Procedures
Please see below for the average graduating senior resident reported performance as primary surgeon.
| Surgical Procedure |
UW Graduating PGY4 Average Surgeon Experience (June, 2012) |
ACGME Minimum Threshold |
UW Compared to National % (ACGME Sept, 2011 –most recent) |
| GYNECOLOGIC |
| Total Vaginal Hysterectomy (TVH) |
43 |
15 |
> 95th % |
| Total Laparoscopic Hysterectomy (TLH) |
62 |
15 |
70th % |
| Total Abdominal Hysterectomy (TAH) |
38 |
35 |
10th % |
| Total Hysterectomy |
143 |
70 |
70th % (>95TH% is 144) |
| Operative Laparoscopy |
108 |
60 |
70th % |
| Incontinence/Prolapse Procedures |
134 |
60 |
70th % |
| Hysteroscopy |
91 |
40 |
70th % |
| OBSTETRIC |
| Vaginal Delivery |
244 |
200 |
15th % |
| Cesarean Delivery |
247 |
145 |
50th % |
| Operative Vaginal Delivery* |
34
Forceps 12
Vacuum 22 |
15 |
70th % |
| *Now reported as a single procedure. In the past forceps and vacuum were reported separately |
Didactic Schedule
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Simulation Lab 2012-2013
Fundamentals of Laparoscopic Surgery (FLS)
PGY1 residents: Introduction to and practice of basic laparoscopic skills.
Electro-surgery
All residents: Basic theory of electro-surgery and practice with electro-surgery equipment.
Laparoscopic Entry and Exit
PGY1 & PGY2’s: Review and practice of techniques and instruments for proper laparoscopic entry/exit.
Robotic Surgery Simulation in OR
PGY3 & 4’s: Practice on DaVinci robot in Meriter OR.
Shoulder Dystocia
All residents: Practice on Noelle of proper technique for shoulder dystocia.
Abdominal Hysterectomy
All residents: Practice proper Abdominal Hysterectomy technique on simulation models.
Breech Delivery
All residents: Practice on Noelle of proper technique for breech delivery.
Laparoscopic Suturing
All residents: Practice of laparoscopic suturing under faculty supervision.
Post-Partum Hemorrhage
All residents: Practice on Noelle of proper technique for post-partum hemorrhage, including suturing.
Vaginal Hysterectomy
All residents: Practice proper Vaginal Hysterectomy technique on simulation models.
Anatomy Lab
All residents: Dissection of pelvic anatomy using cadavers in medical school anatomy lab.
Forceps/Vacuum Delivery
All residents: Practice on Noelle of proper technique for forceps/vacuum delivery.
Colposcopy
Description: Review of proper technique and practice with colposcopy equipment.
FLS Testing
All residents: Complete several timed laparoscopic skill tests, including suturing.
Research
Completion of a clinical, basic science or educational research project is a requirement for graduation. Many of the department's clinical and basic scientists would be delighted to mentor a resident's project. Up to $2,500 in departmental funds may be requested to finance the work. Results of the research are presented during the Senior Research Seminar in May of the 4th year of residency. A prize is awarded for the best project.
Continuity Clinics
At the PGY1-4 training levels, each resident has one half day each week in the Resident Continuity outpatient clinic. A team of residents is assigned each afternoon. The resident clinics are designed to function with a great deal of autonomy. Ob-Gyn generalist faculty members are available on site for staffing and consultation.