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Mandatory research in an obstetrics-and-gynecology residency can be an effective tool for teaching physicians the skills needed for them to become intelligent readers of the medical literature. We present our 15-year experience with a resident research program. We discovered that in addition to achieving the primary goal in resident education, structured resident research has many other benefits.

Ninety members of the Jacksonville Obstetrical and Gynecological Society were surveyed as to their practice patterns; 55 responded. Due to fear of litigation, 34% had stopped delivering obstetrical care and 63% plan to discontinue perinatal care during the next ten year. At least one malpractice claim had been filed against 51%; 9% had two, and 11% three or more. Prenatal and intrapartum testing has increased primarily because of fear of litigation. Obstetric fees increased 44% during the last five years, according to the survey, compared to a Consumer Price Index rise of 20%. Mean malpractice premiums rose 42% during the same interval.