Abstract：
OBJECTIVE: Urogynecology and Reconstructive Pelvic Surgery (URPS) fellowship can be pursued after completion of either a urology (URO) or obstetrics and gynecology (GYN) residency. Our aim is to determine differences in graduating fellow cohort (GFC) case logs between URO- and GYN-based URPS programs.
METHODS: Accreditation Council for Graduate Medical Education case logs for URPS GFCs in both GYN- and URO-based programs were analyzed for the 2019-2023 academic years (AY). Unpaired t-tests with Welch\'s correction were used to compare annual mean logged cases between URO- versus GYN-based GFCs for select surgical categories and the top 11 most logged index cases.
RESULTS: GYN-based GFCs logged more cases for all pelvic organ prolapse (POP) categories including surgery on apical POP, anterior wall POP, and posterior wall POP (all p < 0.01), while URO-based GFCs logged more cases for surgery on the urinary system (p = 0.03). For the top 11 logged procedures, URO-based GFCs logged more sacral neuromodulation cases (p = 0.02), whereas GYN-based GFCs logged more slings, vaginal hysterectomies, minimally-invasive hysterectomies, vaginal apical POP, vaginal posterior POP, vaginal anterior POP, and minimally-invasive apical POP cases (all p < 0.01). There was no difference between URO- and GYN-based GFCs for complex urodynamics, cystoscopy with botox injection, or periurethral injection cases.
CONCLUSIONS: URO-based URPS fellows tend to graduate with more surgery on the urinary system and sacral neuromodulation cases, while GYN-based fellows perform more slings, hysterectomies, and POP surgery. These findings may help fellowships better understand potential differences in training among graduates from URO- and GYN-based programs and encourage collaboration to lessen these discrepancies.
METHODS: Accreditation Council for Graduate Medical Education case logs for URPS GFCs in both GYN- and URO-based programs were analyzed for the 2019-2023 academic years (AY). Unpaired t-tests with Welch\'s correction were used to compare annual mean logged cases between URO- versus GYN-based GFCs for select surgical categories and the top 11 most logged index cases.
RESULTS: GYN-based GFCs logged more cases for all pelvic organ prolapse (POP) categories including surgery on apical POP, anterior wall POP, and posterior wall POP (all p < 0.01), while URO-based GFCs logged more cases for surgery on the urinary system (p = 0.03). For the top 11 logged procedures, URO-based GFCs logged more sacral neuromodulation cases (p = 0.02), whereas GYN-based GFCs logged more slings, vaginal hysterectomies, minimally-invasive hysterectomies, vaginal apical POP, vaginal posterior POP, vaginal anterior POP, and minimally-invasive apical POP cases (all p < 0.01). There was no difference between URO- and GYN-based GFCs for complex urodynamics, cystoscopy with botox injection, or periurethral injection cases.
CONCLUSIONS: URO-based URPS fellows tend to graduate with more surgery on the urinary system and sacral neuromodulation cases, while GYN-based fellows perform more slings, hysterectomies, and POP surgery. These findings may help fellowships better understand potential differences in training among graduates from URO- and GYN-based programs and encourage collaboration to lessen these discrepancies.
摘要：
目的：完成泌尿外科（URO）或妇产科（GYN）住院医师后，可以继续进行泌尿外科和盆腔重建手术（URPS）研究金。我们的目标是确定基于URO和GYN的URPS计划之间毕业同组（GFC）病例日志的差异。
方法：在2019-2023学年（AY）分析了基于GYN和URO的计划中URPSGFC的研究生医学教育案例日志认证委员会。非配对t检验和Welch校正用于比较选定手术类别的URO与GYNGGC之间的年平均记录病例和记录指数最高的前11例。
结果：基于GYN的GGC记录了所有盆腔器官脱垂（POP）类别的更多病例，包括根尖POP手术，前壁POP,和后壁POP（均p<0.01），而基于URO的GGC记录了更多的泌尿系统手术病例(p=0.03)。对于记录的前11个程序，基于URO的GFC记录了更多的骶骨神经调节病例（p=0.02），而基于GYN的GFC记录了更多的吊索，阴道子宫切除术,微创子宫切除术,阴道顶端POP，阴道后部POP，阴道前POP,和微创根尖POP病例（均p<0.01）。基于URO和GYN的GFC在复杂的尿动力学方面没有差异，膀胱镜检查与肉毒杆菌注射，或尿道周围注射病例。
结论：基于URO的URPS研究员倾向于毕业于泌尿系统和骶神经调节病例的更多手术，而基于GYN的研究员执行更多的吊索，子宫切除术,和POP手术。这些发现可能有助于奖学金更好地了解来自基于URO和GYN的计划的毕业生在培训方面的潜在差异，并鼓励合作以减少这些差异。
方法：在2019-2023学年（AY）分析了基于GYN和URO的计划中URPSGFC的研究生医学教育案例日志认证委员会。非配对t检验和Welch校正用于比较选定手术类别的URO与GYNGGC之间的年平均记录病例和记录指数最高的前11例。
结果：基于GYN的GGC记录了所有盆腔器官脱垂（POP）类别的更多病例，包括根尖POP手术，前壁POP,和后壁POP（均p<0.01），而基于URO的GGC记录了更多的泌尿系统手术病例(p=0.03)。对于记录的前11个程序，基于URO的GFC记录了更多的骶骨神经调节病例（p=0.02），而基于GYN的GFC记录了更多的吊索，阴道子宫切除术,微创子宫切除术,阴道顶端POP，阴道后部POP，阴道前POP,和微创根尖POP病例（均p<0.01）。基于URO和GYN的GFC在复杂的尿动力学方面没有差异，膀胱镜检查与肉毒杆菌注射，或尿道周围注射病例。
结论：基于URO的URPS研究员倾向于毕业于泌尿系统和骶神经调节病例的更多手术，而基于GYN的研究员执行更多的吊索，子宫切除术,和POP手术。这些发现可能有助于奖学金更好地了解来自基于URO和GYN的计划的毕业生在培训方面的潜在差异，并鼓励合作以减少这些差异。
