Strategies for overcoming problems in implementing the obstetrics curriculum.

This paper describes several recurring problems in implementing the obstetrics curriculum for residents in family medicine. Four broad remedial goals are proposed: to reduce tension between departments of family medicine and of obstetrics-gynecology; to maintain a curriculum that has a balance between family-centered obstetrics and high-risk obstetrics; to help residents make an informed decision about whether to practice obstetrics; and to train residents to do practice evaluation. Multiple strategies are proposed for accomplishing these goals. The paper concludes with the recommendation that a successful curriculum needs to be promoted by at least one enthusiastic faculty member. This person's role should include evaluating and updating the curriculum as well as anticipating and solving problems that interfere with the implementation of the curriculum.