To the Editor.
—The article by Dr Rivo and colleagues1 contains several basic flaws in the analyses of training components for generalist physician skills. Had the authors contacted the American College of Obstetricians and Gynecologists, the Residency Review Committee, or the American Board of Obstetrics and Gynecology to obtain accurate data, their conclusions most certainly would have been different. Based on review of our educational objectives,2 obstetrics and gynecology training programs meet 89% of the competencies required. It is of interest, for example, to note that Rivo and colleagues gave a yes to general pediatrics and internal medicine for management of common gynecological problems when in a recent article3 it was noted that few pediatricians or internists perform these examinations. On the other hand, they gave a no to continuity of care for obstetrics and gynecology because a specific length is not designated in the Residency Review
Hale RW, Fishburne JI, Gant NF. What Makes a Generalist Physician?. JAMA. 1994;272(20):1574. doi:10.1001/jama.1994.03520200030018