Obstetrics and Gynecology ACGME case minimums
Residents in Obstetrics and Gynecology have a published ACGME minimum in all 15 case categories, and the largest single minimum is 200. Each row below cites the ACGME requirement it was read from; the minimums are effective March 2025.
By Chris, CA-1, anesthesiology
Obstetrics and Gynecology minimums by category
| Category | Surgeon or teaching assistant |
|---|---|
| Spontaneous vaginal delivery | 200 |
| Cesarean delivery | 145 |
| Operative vaginal delivery | 15 |
| Obstetric ultrasound | 50 |
| Total hysterectomy (includes abdominal, vaginal, and laparoscopic hysterectomies) | 85 |
| Abdominal hysterectomy | 20 |
| Vaginal hysterectomy | 15 |
| Laparoscopic hysterectomy | 15 |
| Incontinence and pelvic floor procedure (excludes cystoscopy) | 25 |
| Cystoscopy | 10 |
| Laparoscopy | 60 |
| Hysteroscopy | 40 |
| Abortion | 20 |
| Transvaginal ultrasound | 50 |
| Surgery for invasive cancer | 25 |
Obstetrics and Gynecology · ACGME specialty 220 · minimums effective March 2025.
Capnolog counts these live for anesthesiology and neurological surgery; other specialties are reference only.
What counts toward a minimum?
- Residents log each case against its CPT procedure codes, and the ACGME sorts those codes into the categories below.
- Every number is a count in one column, “Surgeon or teaching assistant”.
- 3 rows are drawn from a larger row: those cases count toward that row too, never on top of it.
- The Review Committee for Obstetrics and Gynecology sets these requirements.
Where do these numbers come from?
Capnolog is independent of the ACGME. Where a number here and the ACGME's own document disagree, the document is right.