Thend obstetrics as a single specialty has taken place naturally. Their fusion became inevitable when midwifery matured into obstetrics and when increasing knowledge of physiology as well as of technical minutiae made pelvic surgery more reparative than extirpative. As a separate discipline gynecology-obstetrics applies the science and art of both medicine and surgery to ailments peculiar to women, particularly of those involving the reproductive organs. The early history of gynecology is a record of brilliant surgical achievements; its more recent nonsurgical affiliations have created a problem in graduate education. The issue is heightened because increasing specialization has tended to raise higher the wall between surgical and nonsurgical practices. But the gynecologist-obstetrician must tend both sides of the fence.
The instruction imparted to a resident in gynecology-obstetrics is such that he is prepared to perform operative obstetrics as well as such surgical procedures as colpoplasty and pelvic laparotomy. These facets of
Israel SL. Teaching the Art of Caring for Women. JAMA. 1965;191(5):393-396. doi:10.1001/jama.1965.03080050039011