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National Trends in Radical Hysterectomy at Gynecologic Oncology Fellowship Training Programs
Mitchel Hoffman1, Dennis Chi1, William Cliby1
1Department of Gynecologic Oncology, Moffitt Cancer Center and USF Morsani College of Medicine, Tampa, Florida; Department of Obstetrics & Gynecology, Weill Cornell Medical College, Gynecology Service, Department of Surgery, Memorial Sloan Kettering Cancer, New York, New York; Gynecologic Surgery, Mayo Clinic, Rochester, Minnesota; Moffitt Cancer Center, Houston, Texas; Biostatistics and Bioinformatics Shared Resource, Moffitt Cancer Center, Houston, Texas; and Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Objective:
To investigate trends in radical hysterectomy being performed by gynecologic oncology fellows in the United States.
Methods:
Summary statistics for Accreditation Council for Graduate Medical Education (ACGME) programs were obtained from the ACGME public reporting system. For each academic year spanning 2019-2020 through 2024-2025, the national mean procedure count was extracted for radical hysterectomy.
Results:
Over the past 5 years, there has been a significant decline in the number of radical hysterectomies being performed by fellows in the United States.
Conclusion:
Gynecologic oncology training number in radical hysterectomy has declined. This decline has implications that extend to training in other radical pelvic operations, including lymphadenectomy, cytoreductive surgery, and exenteration.