Table 2. Competencies without consensus, with adjustments (if carried out)
No Competency before Delphi study Adjusted competency after Delphi study Argumentation for adjustment
1 Have and apply knowledge about embryology, anatomy and the physiology of the female genital organs and breasts and understand bio-psychosocial aspects of obstetrical and gynaecological conditions as listed in addendum* (ADDENDUM: OBSTETRICAL AND GYNAECOLOGICAL EXPERTISE) Have and apply knowledge about embryology, anatomy, genetics and the physiology of the female genital organs and breasts and understand bio-psychosocial aspects of obstetrical and gynaecological conditions as listed in addendum* (ADDENDUM: OBSTETRICAL AND GYNAECOLOGICAL EXPERTISE) Genetics is also important to have knowledge about
2 Prioritize issues to be addressed in a patient encounter Prioritize issues to be addressed in a patient encounter, based on urgency and further planning Relevant, but very general statement. Attempt to make this competency more concrete.
3 Establish a patient-centred management plan Establish a concrete patient-centred management plan, based on the postulated goals Very similar to a previous competency. Difference is that the former competency aims at defining goals, while this aims at the way these goals can be reached.
4 Perform the gynaecologic and obstetric skills as listed in addendum, in a skilful and safe manner, adapting to unanticipated findings or changing clinical circumstances (ADDENDUM: PRACTICAL SKILLS ) Left unchanged  Comments on the list in addendum, which is not yet completed. No comments on formulation of the competency.
5 Implement a patient-centred care plan that supports ongoing care, follow-up on investigations, response to treatment, and further consultation Left unchanged Comment that there is overlap with former competencies:Other competencies cover the process of obtaining a treatment goal and establishing a plan.This competency covers the implementation of the care plan
6 Deliver the highest quality of care, including the adoption of strategies that contribute to the promotion of patient safety, and address human and system factors Deliver the highest evidence based quality of care, including the adoption of strategies that contribute to the promotion of patient safety, and address human and system factors Defines more specifically what the highest quality of care means
7 Apply the science of quality improvement to contribute to improving systems of patient care Contribute to the improvement of systems of patient care, by applying the science of quality improvement Comment that there is overlap with a former competency: Focus on the improvement of systems of patient care, as a leader.
8 Allocate health care resources for optimal patient care Allocate health care resources, such as equipment, human and financial resources, for optimal patient care It goes further than only financial resources
9 Manage health care in a socially responsible way and demonstrate leadership skills to enhance health care Left unchanged Comment that there is overlap with a former competency, but unclear which competency is meant. Presumably a competency regarding cost-appropriate care was meant. Socially responsible health care is much broader than cost-appropriate care
10 Manage stressful situations with effective responses to challenge, complexity and stress in gynaecology and obstetrics Manage and lead stressful situations with effective responses to challenge, complexity and stress in gynaecology and obstetrics Focus on the management of stressful situations as a leader
11 Work with a community or population to identify the determinants of health that affect them Work with a community or population to identify the determinants of health that affect them (If applicable) No consensus regarding relevancy for all ObGyns
12 Improve clinical practice by applying a process of continuous quality improvement to disease prevention, health promotion, and health surveillance activities Left unchanged Overlap with other competencies on quality of care. This competency focuses on continuous quality improvement in three areas which are not yet covered in other competencies
13 Develop, implement, monitor, and revise a personal learning plan to enhance professional practice Left unchanged Comment that another competency covers this statement too.This competency focuses on the development of a personal learning plan and not on the method of learning
14 Recognize and respond to unprofessional and unethical behaviours in physicians and other colleagues in the health care professions Recognize and respond to unprofessional and unethical behaviours in physicians and other colleagues in the health care professions, according to the principles of effective feedback Describes how someone is expected to respond
15 Promote a culture that recognizes, supports, and responds effectively to colleagues in need Promote a culture that recognizes, supports, and responds effectively to colleagues in need by facilitating the process to help Defines more specifically what "responds effectively" means
Int J Med Educ. 2025; 16:21-35; doi: 10.5116/ijme.679e.0509