The following table lists the procedures pertinent to gynecology and summarizes the level of technical proficiency that should be achieved by a resident at the end of the PGY1 year. The resident should either understand a procedure (including indications, contraindications, and principles) or be able to perform it independently. These distinctions are based on the premise that knowledgfse of a procedure is implicit in the ability to perform it.

	Understand/Assist	Perform
Biopsy – Cervix		x
Biopsy – Endocervix		x
Biopsy – Endometrium		x
Biopsy – Skin		x
Biopsy – Vagina		x
Biopsy – Vulva		x
Breast Cyst Aspiration		x
Breast – Fine Needle Aspiration		x
Pregnancy Termination-Dilation and Evacuation	x
Pregnancy Termination – Medical Abortion	x
Pregnancy Termination – Suction Curettage	x
Sterilization – Abdominal		x
Sterilization – Laparoscopic		x
Ultrasonography – Abdominal (GYN)		x
Ultrasonography – Endovaginal (GYN)		x
Skin Incision – Midline		x
Skin Incision – Pfannenstiel		x