Patient access and clinical efficiency improvement in a resident hospital-based women's medicine center clinic.

Objectives: To apply the Six Sigma tools of Change Acceleration Process and Work-Out and to improve patient access in an outpatient clinic in a hospital-based residency training program.

Study Design: Observational study.

Methods: Comparison of productivity in an obstetrics and gynecology clinic after implementation of the Six Sigma principles, with a comparable internal medicine clinic as a control group.