WebmedCentral.com :: Article Review View

Impact of faculty structure on resident experience in OBGyn residency programs

Posted by Dr. Neena Agarwala on 31 Aug 2011 12:44:17 PM GMT

1	Is the subject of the article within the scope of the subject category?	Yes
2	Are the interpretations / conclusions sound and justified by the data?	No
3	Is this a new and original contribution?	Yes
4	Does this paper exemplify an awareness of other research on the topic?	No
5	Are structure and length satisfactory?	No
6	Can you suggest brief additions or amendments or an introductory statement that will increase the value of this paper for an international audience?	Yes
7	Can you suggest any reductions in the paper, or deletions of parts?	No
8	Is the quality of the diction satisfactory?	Yes
9	Are the illustrations and tables necessary and acceptable?	Yes
10	Are the references adequate and are they all necessary?	No
11	Are the keywords and abstract or summary informative?	Yes

Other Comments:
I agree that faculty structure can dictate the residency training, but the key issue is TIME spent doing a certain activity, not just having the faculty. The reason you saw that correlation is that those are the subspecialties that the residents spend the least time on as well. I speak from the urogynecology perspective since I am one. Generally the programs have a one or two month urogynecology rotation in the entire 48 months - You cannot expect the residents to gain a lot of experience there. Due to reduction is work hours further, the most time is spent on obstetrics service, followed by outpatient clinics and general gynecology. MFM rotations are built into obstetrics and come as the residents become more senior. Due to strict criterion, residents spend about 6 months on gyn oncology and 4-6 months on reproductive endocrine. They spend the least amount of time on urogyn and therefore, despite volumes, do not make use of the experience available. Therefore, in my mind, the solution is a track system to better prepare the ones that are going to be surgeons for surgery and the ones that are going to be obstetricians for labor and delivery suites.
Competing interests:
no
Invited by the author to review this article? :
No
Have you previously published on this or a similar topic?:
No
References:
None
Experience and credentials in the specific area of science:

Am faculty
How to cite: Agarwala N .Impact of faculty structure on resident experience in OBGyn residency programs[Review of the article 'Impact of Faculty Structure on Resident Experience in OBGYN Residency Programs ' by Walid M].WebmedCentral 2011;2(8):WMCRW00913

Rating
Rating	1	2	3	4	5	6	7	8	9

Report abuse

The need for inter residency cooperation in training and extension to a five year training program

Posted by Dr. Richard L Heaton on 28 Aug 2011 02:45:39 AM GMT

1	Is the subject of the article within the scope of the subject category?	Yes
2	Are the interpretations / conclusions sound and justified by the data?	Yes
3	Is this a new and original contribution?	Yes
4	Does this paper exemplify an awareness of other research on the topic?	Yes
5	Are structure and length satisfactory?	Yes
6	Can you suggest brief additions or amendments or an introductory statement that will increase the value of this paper for an international audience?	Yes
7	Can you suggest any reductions in the paper, or deletions of parts?	Yes
8	Is the quality of the diction satisfactory?	Yes
9	Are the illustrations and tables necessary and acceptable?	Yes
10	Are the references adequate and are they all necessary?	No
11	Are the keywords and abstract or summary informative?	Yes

Other Comments:
Needs more discussion about recomendation for standerdization of residency experience in order to assure equality in training inorder to lead to more uniformity in services to patients after residency training is complete.Clearly itner-residency cooperation is needed and since residency training has been reduced in this country to 80 hour a week residency should be extended to 5 years inorder to allow adequate surgical training in a specialty that has declared itself to be primry care and added a focus on clinic care at about the same time resident hours were deceased resulting in a decrease in surgical training. The only operative primary care specialty that I am aware of.
Competing interests:
I have published a number of articles with the author
Invited by the author to review this article? :
No
Have you previously published on this or a similar topic?:
Yes
References:
None
Experience and credentials in the specific area of science:

Opinions and knoledge but no experience. I was trained in a era that we were specialist and had more extensive surgical training and much longer hours and opertunity to see more pathology.
How to cite: Heaton R L.The need for inter residency cooperation in training and extension to a five year training program[Review of the article 'Impact of Faculty Structure on Resident Experience in OBGYN Residency Programs ' by Walid M].WebmedCentral 2011;2(8):WMCRW00908

Rating
Rating	1	2	3	4	5	6	7	8	9

Report abuse

Reviews