Objective: The amount, origin, and resources of infectious disease
knowledge in the field ofobstetrics and gynecology were investigated. If this knowledge is
lacking, the exact length of the specific infectious disease training during residency should
be defined to meet the ever-increasing knowledge required in training.
Methods: A 50-question test was developed by one faculty member
utilizing questions that incorporated the basic sciences of microbiology and pharmacology
and clinical knowledge of infectious diseases in the area of obstetrics and gynecology.
Multiple choice and matching questions were structured so as to ascertain the source of the
knowledge, including medical school curriculum, recent journal articles, and clinical
Results: The test was given yearly to all students and residents on the
Obstetric and Gynecology Service over a period of 2 year's. The questions were the same for
each group, but were reshuffled each exam period. Three hundred and seven tests were
properly administered and recorded. There was no statistical improvement in any successive
year’s scores unless specific infectious disease training occurred. Increasing improvement in
scores was noted, with an increasing duration of infectious disease training specific for
obstetrics and gynecology, beginning at 2 weeks (22% improvement), 4 weeks (30%
improvement), and 6 weeks (31% improvement) (P = .05–.001). Basic science questions were
most frequently answered correctly by medical students and early residents, while correctly
answered clinical questions correlated with increasing clinical experience except in
the area of ambulatory care.
Conclusions: The infectious disease knowledge of residents in
obstetrics and gynecology can be improved with 4 weeks of intensive training.
Re-exposure to basic science knowledge and improved training in ambulatory care in this
resident group appear to be necessary. This test or similar tests can be helpful in defining
areas of deficiencies and their possible remedies.