• ACGME data for gynecologic oncology fellowship programs was accessed through the public link. • Over the past 6 years, there has been a significant decline in the number of pelvic and paraaortic lymphadenectomies being performed by gynecologic oncology fellows. • During the same time there was a progressive significant upward trend in the number of sentinel lymph node assessments performed. • There is wide variation in the number of lymphadenectomies performed across training programs. To investigate trends in surgical experience performing pelvic and paraaortic lymphadenectomies by gynecologic oncology (GO) fellows in the U.S. Summary statistics for ACGME GO training programs were obtained from the ACGME public reporting system. The ACGME data only contains this short time frame. For each academic year spanning 2019–2020 through 2024–2025, the national mean procedure count was extracted for pelvic and paraaortic lymphadenectomies. Over the past 5 years there has been a significant decline in the number of pelvic (p = 0.0004) and paraaortic (p = 0.002) lymphadenectomies being performed by GO fellows in the U.S. During this same time there was a progressive significant upward trend in the number of SNL performed (p = 0.003). The mean procedure count declined from 61 to 38 on pelvic and 36 to 18 on para -aortic and SLN increased from 63 to 96. Gynecologic oncology training experience in performing both pelvic and paraaortic lymphadenectomy has declined. The decline may have implications that extend to training in radical pelvic surgery.
Hoffman et al. (Wed,) studied this question.