When it comes to delivering a baby, it really does matter where a doctor was trained: some residency programs produce better obstetricians than others.
This is the conclusion of a study that evaluates programs based on how well the patients treated by the programs’ graduates fared.
The researchers analyzed the records of 4.9 million deliveries in Florida and New York State from 1992 to 2007, looking for complications like infections and bleeding after vaginal and Caesarean section deliveries.
The 4,124 obstetricians overseeing the deliveries had graduated from 107 different residency programs.
The programs were divided into five groups, based on their graduates’ rate of complications. Among women whose babies were delivered by doctors trained in the top fifth of programs, 10.3 percent experienced complications. For the others, the complication rate was 13.6 percent.
“You can look up on the Web and see what the mortality rate is for cardiac surgeons,” said Dr. David A. Asch, executive director of the Leonard Davis Institute of Health Economics at the University of Pennsylvania. “We determined that obstetrics and gynecology residency programs also differ in the quality of the physicians they produce.”
Dr. Asch declined to say which obstetrics programs did the best.Source