In recent decades obstetrics and gynecology has been at forefront of innovation and has set the standard for other specialties to follow. Dr. Murray Enkin (Professor Emeritus of the Department of Obstetrics and Gynecology at McMaster), Dr. Ian Chalmers and Dr. Marc Kearse pioneered an effort during the 1980’s and early 1990’s to develop the largest data base of controlled trials in medicine, as it applies to pregnancy and childbirth care. This then was used to generate a number of systematic reviews and recommended changes in practice standards which have changed the face of practice. These innovations led directly to the development of the Cochrane Collaboration within which this model of “evidence based medicine” has been adopted by many other specialties.
In addition, such innovations as prenatal ultrasound, complex discoveries in reproductive endocrinology, advanced technology such as IVF and innovative techniques in minimally invasive surgery identifies a specialty with vigor and innovation. If you want to be involved in a specialty which is based heavily on strong scientific evidence for its practice, or if you want to be involved in the generation of such evidence, this is your specialty.