National Trends in Radical Hysterectomy at Gynecologic Oncology Fellowship Training Programs

OBJECTIVE: To investigate trends in radical hysterectomy being performed by gynecologic oncology fellows in the United States. METHODS: Summary statistics for Accreditation Council for Graduate Medical Education (ACGME) programs were obtained from the ACGME public reporting system. For each academic year spanning 2019–2020 through 2024–2025, the national mean procedure count was extracted for radical hysterectomy. RESULTS: Over the past 5 years, there has been a significant decline in the number of radical hysterectomies being performed by fellows in the United States. CONCLUSION: Gynecologic oncology training number in radical hysterectomy has declined. This decline has implications that extend to training in other radical pelvic operations, including lymphadenectomy, cytoreductive surgery, and exenteration.