Case Log Trends of Graduating Obstetrics and Gynecology Residents Between 2018 and 2024

The aim of this study was to evaluate logged operative experience of obstetrics and gynecology residents in the United States between 2018 and 2024.

This was a retrospective analysis of publicly available Accreditation Council for Graduate Medical Education case log summary statistics of graduating obstetrics and gynecology residents. National mean case volumes per resident were summarized. Changes in operative experience between 2018 and 2024 classes were described with absolute and percent differences. Longitudinal trends across academic years were evaluated with Spearman rank correlation. To assess distributional changes in hysterectomies and operative vaginal deliveries, selected national percentiles (10th, 50th, and 90th) were additionally evaluated.

Across multiple procedures, mean operative experience declined between 2018 and 2024, with the largest relative decreases observed in abdominal hysterectomy (-35.3%) and operative vaginal deliveries (-15.4%). Strong monotonic downward trends were observed over time for these procedures. In contrast, laparoscopic hysterectomy experience increased steadily across academic years. Percentile-based analyses showed parallel shifts at the 10th, 50th, and 90th percentiles for several procedures.

Operative experience between 2018 and 2024 changed among graduating obstetrics and gynecology residents, with declining exposure in several core procedures and increased experience noted with laparoscopic hysterectomy. These findings highlight the importance of ongoing evaluation of training exposure in the context of national discussions regarding resident surgical readiness at the end of training.