Skip Navigation LinksHome > January/February 2014 - Volume 20 - Issue 1 > Surgical Privileging in Gynecology: A Fellows’ Pelvic Resear...
Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0000000000000050
Original Articles

Surgical Privileging in Gynecology: A Fellows’ Pelvic Research Network Study

Crane, Andrea K. MD*; Illanes, Diego S. MD; Adams, Sonia R. MD; Nosti, Patrick MD§; Crisp, Catrina MD, MSc; LeBrun, Emily Weber MD; Sung, Vivian MD, MPH# ; On Behalf of FPRN

Collapse Box

Abstract

Objectives

This study aimed to describe the criteria used by US hospitals to grant surgical privileges for select gynecologic procedures and to compare the privileging processes between university-based and community-based hospitals.

Methods

We conducted a cross-sectional study from January 2011 to December 2012 that included institutions represented by Fellows’ Pelvic Research Network members. A 5-page, anonymous survey was distributed to hospitals to determine the hospital criteria used for initial surgical privileges and for renewal of privileges for 13 gynecologic procedures. Information on training requirements, minimum number of supervised cases, and annual case number needed for maintenance was obtained. Criteria for privileging were described and compared between university-based and community-based hospitals.

Results

Of the 25 institutions that completed the surveys, 56% were university-based and 44% were community-based. Community hospitals differed significantly from university institutions with a larger portion of community hospitals requiring preceptorship for laparoscopic hysterectomy (70% vs 15%, P = 0.027), robotic hysterectomy (90% vs 25%, P = 0.012), robotic sacrocolpopexy (90% vs 20%, P = 0.009), and sacral neuromodulation (67% vs 0%, P = 0.004).

Conclusions

Considerable variability exists in the criteria used by US hospitals for surgical privileging in gynecology. When compared to university centers, a higher proportion of community hospitals required preceptorship for minimally invasive hysterectomy, robotic sacrocolpopexy, and sacral neuromodulation.

Copyright © 2013 by Lippincott Williams & Wilkins

Login

Article Tools

Share

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.