Gynecologic Oncology ACGME case minimums
Fellows in Gynecologic Oncology have a published ACGME minimum in 17 of 20 case categories, and the largest single minimum is 100. Each row below cites the ACGME requirement it was read from; the minimums are effective August 1, 2025.
By Chris, CA-1, anesthesiology
Gynecologic Oncology minimums by category
| Category | Credited | Credited incl assistant |
|---|---|---|
| Total radical + complex hysterectomy | 40 | — |
| Complex (see instructions below) | — | — |
| Radical hysterectomy or radical trachelectomy (cervical cancer only) | 10 | — |
| Exenteration | — | 2 |
| Conduit | — | 2 |
| Brachytherapy | — | 3 |
| Vulvectomy (for invasive cancer) | — | 10 |
| Diaphragm/liver mobilization | — | — |
| Splenectomy | — | — |
| Pelvic lymph node dissection (LND) (see instructions below) | 15 | — |
| Pelvic sentinel lymph node (SLN) (see instructions below) | 50 | — |
| Para-aortic lymph node dissection | 15 | — |
| Inguinal lymphadenectomy | — | 5 |
| Inguinal sentinel lymph node biopsy | — | 10 |
| Total debulking | 40 | — |
| Upper abdominal debulking (including diaphragm, spleen, stomach, etc. – see instructions below) | 20 | — |
| Total bowel resections | 20 | — |
| Large bowel (including low anterior resection (LAR)) | 10 | — |
| Ostomies | 5 | — |
| Chemotherapy/Targeted | 100 | — |
An em-dash means the ACGME publishes no minimum on that row — not a minimum of zero.
Gynecologic Oncology · ACGME specialty 225 · minimums effective August 1, 2025.
Capnolog counts these live for anesthesiology and neurological surgery; other specialties are reference only.
What counts toward a minimum?
- Fellows log cases into categories the ACGME defines, not by procedure code.
- Each minimum is read in its own column: “Credited” and “Credited incl assistant”.
- 4 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?
- Case Log categories and minimum numbers, November 2025
Capnolog is independent of the ACGME; where a number here differs from the ACGME's own document, the document is right.