Preface Purpose PROLOG, Personal Review of Learning in Obstetrics and Gynecology, is a voluntary, stricff confidential self-evaluation program. PROLOG is designed to enab e physicians to assess thei current knowledge and to review current concepts within the specialty. The content is carefull. selected and presented in clinically oriented multiple-choice questkms. The questions arl designed to stimulate and challenge physicians in areas of medical care that they confront i~ their practice or as consultant obstetrician-gynecologists. PROLOG also provides the American Co ege of Obstetnclans and Gynecologists with means of identifying the educational needs of the fellowship. Individual scores are reportec only to the participant; however, cumulative perlormance data obtained for each PROLOG uni help determine the direction for future educational programs offered by the College. Continuing medical education credits may be earned by participation in the PROLOG self- evaluation process. In addition, PROLOG serves as a valuable study tool, reference gtfide, and means of attaining up-to-date knowledge in the specialty. Process PROLOG offers the nlost advanced knowledge available in five areas of the specialty-- obstetrics, gynecology, reproductive endocrinok)gy and infertility, gynecologic oncology and surgery, and patient management in the office. A new PROLOG unit is produced annually, addressing one of these subject areas. Obstetrics, Fourth Edition, is the first unit in the fourth 5-year series of PROLOG. Each unit of PROLOG represents the efforts of a special task fi)rce of subject experts under the supervision of an editorial and advisory committee. PROLOG sets forth current inlbrma- tion as viewed by recognized authorities in the field of women s health. This educational resource does not define it standard of care, nor is it intended to dictate an exclusive course of management. It presents recognized methods and techniques of clinical practice for consider- ation by obstetrician-gynecologists tbr incorporation into their practices. Variations of prac- tice taking into account the needs of the individual patient, resources, and limitations uniqne to the institution or type of practice may be appropriate. Each unit of PROLOG is presented as a two-part set, with performance inlormation arid cognate-hour credit available to those who choose to send their answer sheets for confidential scoring. The first part of the PROLOG set is the Question Book, which contains educational ob- jectives lor the unit, nluhiple-cho ce questions and a computer-scored answer sheet. Pm tici- pants can work through tile book at the r own pace, choosing to use PROLOG its a closed- or open-book assessment. Return of the answer sheet for scoring is encouraged, but is vohmtary. Tile Critique Book completes tile PROLOG set. The Critique Book reviews the educational objectives and questions set forth in the Question Book and contains a discussion, or critique, of each question. Tile crititlue provides the rationale for correct and incorrect options. Current, accessible reli~rences are listed lot each question. ACOG Fellows may request additional literature sea \"cites as well as inlbrm, on. bot t ACOG public.Rions by contacting the Resource Center, Posl Office Box 96920, Washington, DC 20090-6920, telephoue (202) 863-2518. Participants wilt> return their answer sheets fi)r credit will receive a Perfornlance Report indicating thei,\" answers and their percent correct score. A data package will be sent offering participants a means of con>paring their scores with the scores of a sample group of other participants. Ph ase allow I tttOlllh to proc~ ,~ ,~ ~ltt,~ >t ~ l\" sheets,
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