Ob-gyn is a completely separate field from surgery -- it entails 4 years of
residency after medical school, during which residents rotate through the
different areas of practice -- lots of clinic, L/D floor, OR for gyn
surgery.  At our institution they do a month each of emergency medicine,
ICU, and medicine wards during their first year, but other than that spend
the entirety of their residency doing obstetrics and gynecology.  I think
television shows often portray this quite differently.

Many who hope to do a lot of gynecologic surgery do an additional 1-2 years
fellowship training following their residency because so much of their
residency time is spent in clinic or in training in obstetrics, often
leaving almost inadequate time to become quite skilled in the OR.  

But yes, with the way physicians are trained in the U.S. and with insurance
reimbursement declining (only the last 2 years having legal requirements to
*limit* work hours to 80 hrs a week), there is definitely a trend towards
"doing" and "getting things done," and this is most obvious in fields like
surgery and ob-gyn...

-Sarah (anesthesia resident currently on extended leave of absence solely so
I can breastfeed my son and avoid said 80 hr workweek with this little
high-needs guy)

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