Speed in operating should be rendhe achievement, not the aim, of every surgeon. – Russell John Howard This old school howardism makes an excellent point: speed […]
The Lost Purpose of a Chief Resident
The modern chief resident in Ob/Gyn (and I am certain in other specialities) has few characteristics in common with the role of a chief resident […]
To Cysto or Not To Cysto ….
A current controversy in gynecology illustrates several issues with the implementation of evidence-based medicine into surgical procedures. The clinical question is, Should we perform universal […]
Four Tips for A Non-Descending Uterus
“If you do only routine cases eventually even they will become difficult.” A limiting factor for many during vaginal hysterectomy is the non-descending uterus. Women […]
Paved With Good Intentions … Or, How Do I Do A Vaginal Delivery?
Here are some steps of vaginal delivery that have been used in various combinations over the last century: In early labor, nurses should shave the […]
People Still Matter
Laparoscopic Burch Colpopexy Uncontrolled variables are a huge problem with every scientific study. When we compare two blood pressure medications to one another, the results will have […]
I Read It On The Internet…
Most people, it turns out, aren’t really all that skeptical. The 2016 election has taught us that what passes as ‘news’ isn’t always very true. […]
What’s Old Is New Again
I recently came across this quote from an article in The American Journal of Surgery: Then gynecologists became enthused over this new surgery and departed […]
The Percentile Fallacy
Tallinn, Estonia In ancient times they had no statistics so they had to fall back on lies. – Stephen Leacock In almost every situation where data […]
Sample Operative Notes
Here are some sample operative notes for obstetrics and gynecology. Feel free to download and modify these for your use. We will add others from […]