OBJECTIVES: Our purpose was to investigate methods for standardization
of data collection across residency training programs in obstetrics a
nd gynecology. STUDY DESIGN: A survey was developed and sent to all ac
credited residency programs in the United States and Canada. It assess
ed each program's current data collection method and whether the syste
m could track discrepancies, account for completeness of data, or coll
ect primary care data, The second part of the survey was designed to a
ssess program director consistency in assignment of resident responsib
ility. RESULTS: In 78.5% of programs residents used a paper-based syst
em. Only 27.1% and 31.3% of the residency programs, respectively, had
systems for resolving resident responsibility conflicts or determining
accuracy percentages. Few (8.3%) program directors were able to colle
ct primary care data. There were wide variations among program directo
rs in assignment of resident responsibility in the simulated cases, in
dicating different interpretations of Residency Review Committee repor
ting criteria. CONCLUSIONS: Most resident data systems in use do not p
romote or require standardization of data collection; therefore compar
isons between programs would be difficult. The ideal system would be f
lexible, require standardization of data collection, enable direct tra
nsfer to Residency Review Committee forms, be translatable to any resi
dency program, and allow meaningful intraprogram and interprogram comp
arisons.