Simulating outpatient obstetrical clinics

Computer simulation is a useful tool for addressing resource allocation problems in outpatient obstetrical clinics. We present a general framework for modeling such clinics for the purpose of exploring questions related to demand, appointment scheduling, exam room allocation, patient flow patterns and staffing. Modeling challenges are identified and solutions suggested. Examples from a project completed by the authors at a large obstetrical clinic are used to illustrate the concepts.