Article Text

Download PDFPDF

Evaluation of obstetrics procedure competency of family medicine residents
  1. Haijun Wang1,
  2. Eric Warwick1,
  3. Maria C. Mejia de Grubb1,
  4. Nanfu Deng2 and
  5. Jane Corboy1,3
  1. 1.Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX, USA
  2. 2.Medical School, Baylor College of Medicine, Houston, TX, USA
  3. 3.Department of Family Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3098, USA
  1. Corresponding Author: Haijun Wang, PhD, MPH, Department of Family and Community Medicine, 3701 Kirby Drive, Suite 600, Houston, TX 77098, USA, Tel.: +713-798-7744 E-mail: haijunw{at}


Objective To establish a procedure evaluation system to monitor residents’ improvement in obstetrics (OB) procedures performance and skills during the training period.

Methods A web-based procedure logging and evaluation system was developed using technology with a SQL server as a backend database. Residents’ logged OB procedures were captured by the system. The OB procedures logged within 7 days were evaluated by supervising faculty using three observable outcomes (procedure competency, procedure-related medical knowledge level, and patient care).

Results Between 1 July 2005 and 30 June 2008, a total of 8543 procedures were reported, of which 1263 OB procedures were evaluated by supervising faculty. There were significant variations in the number of logged procedures by gender, residency track, and US versus non-US medical graduates. Approximately 84% of the procedures were performed (independently or with assistance) by residents. Residents’ procedure skills, procedure-related medical knowledge, and patient care skills improved over time, with significant variations by gender among the three outcomes.

Conclusion The benefits of specific evaluation of procedural competence in postgraduate medical education are well established. Innovative and reliable tools to assess and monitor residents’ procedural skills are warranted.

  • Resident procedure
  • family medicine
  • evaluation

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.