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IMPORTANT NOTE TO EDITORS

As per the discussion in the Talk page, there has been no consensus as to using the American (gynecology) or British (gynaecology) spelling for this article, BUT:

  • As per Nightstallion's reasoning (see the green box), the article will stick to the British spelling.


  • As per WP:MOS#National-varieties_of_English, the earliest available version of the article ( http://en.wikipedia.org/w/index.php?title=Obstetrics_and_Gynecology&oldid=75573 ) used British spellings and was not a stub (note that an earlier version is unavailable because of the Phase III switch).


You are therefore discouraged to move this article from its British spelling without first opening a move discussion in WP:RM .

-- VodkaJazz (28 Aug 2006)

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''', for example, the Residency training period is among the longest at six years, matched only by Neurosurgery . In the United States , however, OB/GYN specialists require four years of Secondary Education at an accredited College or University , followed by four years of Medical School and four years in Residency . Some OB/GYN surgeons elect to do further subspecialty training in programs known as 'fellowships' after completing their residency training, although the majority choose to enter private or academic practice as general OB/GYNs. Fellowship training in an Obstetric or Gynaecologic subspeciality can range from one to four years in duration, and these 'fellowship' programs usually have a research component involved with the clinical and operative training.

Examples of subspecialty training available to physicians in the US are:

  • Maternal-Fetal Medicine - an Obstetrical subspecialty that focuses on the medical and surgical management of high-risk pregnancies

  • Reproductive Endocrinology and Infertility - Gynaecologic subspecialty focusing on the medical and surgical evaluation of women with problems related to the Menstrual Cycle and Fertility

  • Gynaecological Oncology - gynaecologic subspecialty focusing on the medical and surgical treatment of women with Cancers of the reproductive organs

  • Urogynaecology and Pelvic Reconstructive Surgery - gynaecologic subspecialty focusing on the diagnosis and surgical treatment of women with Urinary Incontinence and Prolapse of the pelvic organs. Sometimes referred to (incorrectly) by laypersons as "Female Urology "

  • Advanced Laparoscopic Surgery

  • Family Planning - gynaecologic subspecialty offering training in Contraception and (sometimes) Pregnancy Termination

  • Pediatric and Adolescent Gynaecology

  • Menopausal and Geriatric Gynaecology


Of these, only the first four are truly recognized sub-specialties by the Accredited Council of Graduate Medical Education (ACGME) and the American Board of Obstetrics and Gynecology (ABOG.) The other sub-specialities are recognized as informal concentrations of practice. To be recognized as a board-certified subspecialist, a practitioner must have completed an ACGME-accredited fellowship and obtained a Certificate of Added Qualifications (CAQ) which requires an additional standardized examination. http://www.abog.org

In rural areas of the United States, particularly in areas west of the Mississippi River , it is not uncommon for General Practitioners to offer obstetrical services to their patients. However, these generalists are most often not trained in the surgical aspects of Obstetrics , nor have they been trained in Gynaecology , and as such, they should not be confused with residency trained and board-certified OB/GYNs. All gynaecologists, therefore, are trained obstetricians, although the reverse is not necessarily true. However, some OB/GYNs may choose to drop the obstetric component of their practice and focus solely on Gynaecology , especially as they get older. This decision is often based on the double burden of very late hours and, depending on the country, high rates of Litigation .

In the last few years, combined with the ACGME's decision to limit resident work hours lead to a gradual resurgence in the number of medical students choosing OB/GYN as a specialty. In the Medical Residency match for 2007, only six spots in OB/GYN training programs remained vacant throughout the entire United States ; a record low number, and one that puts OB/GYN on-par in terms of competitiveness with other Surgical specialties. http://www.nrmp.org/res_match/data_tables.html


FURTHER READING



REFERENCES

  • http://www.abog.org

  • http://www.nrmp.org/res_match/data_tables.html

  • Llewellyn-Jones, Derek, ''Fundamentals of Obstetrics and Gynaecology'', 7th ed., Mosby, 1999.

  • Bower, Amanda, "Today’s Lesson: Switch Specialty." ''Time''. June 9, 2003. Vol. 161, Issue 23, p. 58, 1/2p, 1c.



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