On April 8 and 9, 2006, District I of the American College of Obstetricians and Gynecologists (ACOG) held a retreat to assess the future of the specialty. The retreat leaders were Dr. Fredric D. Frigoletto Jr, MD, and Dr. Michael Tesoro, MD. Dozens of issues were identified, analyzed, and prioritized for action. The participants identified the twin goals of continuing professional development and improved patient care as critical and central to the healthy evolution of the specialty. The participants also identified nine major issues that greatly influence our ability to realize these twin goals. The nine issues include 1) ensuring career longevity, 2) balancing family life and work life, 3) optimizing residency training and medical student recruitment, 4) developing the careers of a cadre of physician-scientists, 5) enhancing competency-based continuing professional education, 6) supporting practice development, 7) improving patient safety, 8) securing patient access to care, and 9) advancing our legislative agenda, including tort reform. The retreat leaders identified the need for the specialty to develop a “road map” to constructively address these key issues.
The leaders of obstetrics and gynecology must develop a “road map” to guide the evolution of the discipline through a challenging era of monumental environmental change.
From the 1Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts; 2Department of Obstetrics and Gynecology, Saint Francis Hospital and Medical Center, Hartford, Connecticut; and 3Vincent Memorial Obstetrics/Gynecology Department, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
The authors thank the members of the ACOG District I Advisory Council for their contributions and invited guests who participated in the April 2006 retreat.
Corresponding author: Robert L. Barbieri, MD, Department of Obstetrics and Gynecology, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA 02115; e-mail: firstname.lastname@example.org.