These are trying times for academic medicine. They are especially vexing for departments of obstetrics and gynecology. Combined with draconian funding shortages, there is burdensome oversight with sometimes meaningless regulations as well as myriad forms and paperwork foisted upon us by an ever-increasing but already bloated bureaucracy. Despite these seemingly overwhelming challenges, the chairs of academic departments and the directors of residency training programs resiliently continue to emphasize the basics that are fundamental to academic training. It is to these stalwart individuals that we dedicate this 24th edition of Williams Obstetrics.