BMJ 1996;312:592-593 (9 March)

Editorials

Gynaecology--medical or surgical?

A more medical approach could reduce inappropriate surgical procedures

Historically, obstetrics and gynaecology brought together medically interested obstetricians and surgically interested gynaecologists,1 2 but gynaecology has always been seen as a surgical specialty. However, the increasing complexity of the subject and women's enhanced awareness of their reproductive health have opened up four subspecialties within obstetrics and gynaecology--reproductive medicine, maternofetal medicine, urogynaecology, and gynaecological oncology--all of which involve growing elements of medical expertise. So, should gynaecology remain a surgical specialty, or has it changed so much over the past 30 years that its training requirements need to be reviewed? And might a more medical approach to gynaecological disease lead to fewer women undergoing inappropriate surgical interventions?

One of the great achievements of obstetrics and gynaecology has been to establish a specialty in which women and not a disease or organ are the focus. There can be few other specialties in which the . . . [Full text of this article]


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to StumbleUpon StumbleUpon   Add to Technorati Technorati    What's this?

Relevant Article

Gynaecological problems should continue to be treated in primary care initially
Clare J Seamark and David A Seamark
BMJ 1996 312: 1672-1673. [Extract] [Full Text]

This article has been cited by other articles:

  • Mascarenhas, L., Williamson, J., Smith, S. (1997). The changing face of ectopic pregnancy. BMJ 315: 141-141 [Full text]  
Access jobs at BMJ Careers
Whats new online at Student BMJ