OB/GYN Residency Education

Every Wednesday from 8 am - 11 am, Residents are protected from clinical responsibilities to participate in our formal didactic sessions. Residents enjoy faculty lectures, resident presentations, simulations, discussions of text chapters and ACOG bulletins, Journal Club, test question reviews, and case presentations, including fetal monitoring strip reviews.

This multidisciplinary conference highlights complex Gynecologic Oncology cases and coordination of care.

Daily multidisciplinary OB board rounds with clinical nursing leadership, anesthesia, and NICU personnel.

Monthly conference designed to review the Chief Residents’ Obstetric and Gynecologic cases. These interactive sessions highlight areas of study for the Residents to prepare for their cases, enhance their appreciation of the indications for patient management decisions, understand the anticipated technical complexities of the procedures, and clinical outcomes.

This twice monthly multidisciplinary conference is focused on coordinating care related to the complex maternal and fetal issues facing the high-risk obstetric patients navigating through the Memorial Healthcare System.

Residents rotate on the obstetric service for four months in PGY1 and PGY4, one month in PGY2, two months in PGY3. The rotations are assigned at either Memorial Hospital West (OB1) or Memorial Regional Hospital (OB2). The residents are also exposed to obstetrics on their night float rotations.

The resident obstetric experience includes the evaluation and management of patients presenting to the Obstetric Emergency Department and Labor and Delivery. Their exposure includes, but is not limited to:

• triaging patients,
• intrapartum management,
• deliveries, and
• postpartum management.

Residents take call during two weekends per month at their assigned hospital.

Memorial Regional Hospital in Hollywood, FL is a high volume, high acuity urban facility, that serves as a referral center for high-risk obstetric patients, including those with placenta accreta spectrum. The obstetric patients include those seen by the residents at their continuity clinic, which provides year-round exposure to obstetrics in the outpatient setting.

Memorial Hospital West in Pembroke Pines, FL is a high-volume obstetric facility serving a large suburban community. Combined, the facilities deliver approximately 9,000 patients and triage over 12,000 patients annually.

The residents participate in daily board sign outs and teaching rounds with the faculty while on the obstetric rotation. Each institution conducts a morning multidisciplinary board sign out, including such disciplines as nursing, anesthesia and NICU personnel. These interprofessional activities enhance teamwork, communication, and patient safety. Additionally, the didactics include obstetric lectures, chapter and bulletin reviews, fetal heart tracing reviews, and case presentations.

Residents receive ample experience in gynecology at the Memorial Healthcare System. They rotate two months during each of the PGY 1, 2, 3, and 4. The gynecologic experience during the PGY 2 and 3 includes a rotation devoted to minimally invasive surgery with a fellowship-trained minimally invasive gynecologist. Additionally, the residents gain gynecologic experience while on night float in the form of emergent and routine consultations, as well as emergency surgeries such as ectopic pregnancies, ovarian torsions, and incomplete abortions.

The weekly continuity clinic and ambulatory clinic rotation provide additional exposure to gynecology conditions and well woman care. Residents take call at their assigned institution during two weekends per month while on the gynecology rotations.

Residents perform preoperative and postoperative evaluations in addition to participating as the intraoperative surgeon or assistant depending on the complexity of the case and their level of training. The resident’s education while on gynecology includes daily sign outs, daily teaching rounds, and intraoperative teaching.

Additionally, the residents present to the faculty during the monthly mock oral exam, reviewing topics such as operative complications, indications, pathology, and operative techniques. Furthermore, the formal resident didactics include gynecology lectures, case presentations, chapter and bulletin reviews, and test question reviews.

Residents rotate on Night Float for three months during the PGY1, two months during the PGY2 and PGY3, and one month during the PGY4 at either Memorial Hospital West or Memorial Regional Hospital. The night float residents are supervised by the in-house OB/GYN attendings. Residents on Night Float duties include covering the OBED, Labor & Delivery, postpartum, antepartum, gynecology consultations, obstetric and gynecologic emergencies. Residents on Night Float attend the daily sign-out when assigned to Memorial Hospital West. Residents on Night Float do not have any assigned call responsibility.

Residents maintain a weekly continuity clinic during their core rotations at the Memorial Primary Care OB/GYN clinic. This clinic is supervised by an assigned OB/GYN attending. The residents see new OB and GYN patients, prenatal care patients, and gynecology patients, including both routine and problem visits. PGY 1, 2, and 3 residents also rotate for one month in the clinic to obtain additional ambulatory care experience and promote continuity of care.

Residents rotate on the Maternal-Fetal Medicine (MFM) service for one month during the PGY1, and PGY4, and two months during the PGY2 and PGY3, all at Memorial Regional Hospital. They gain experience in high-risk obstetrics during their Obstetrics rotations and on Night Float, and participate in the high-risk OB clinic at Memorial Primary Care's OB/GYN clinic. Additionally, the residents spend one day per week performing obstetric ultrasounds in the outpatient setting.

Teaching and work rounds occur daily with a board-certified Maternal-Fetal Medicine attending. These rounds stimulate discussion of interesting cases and lead to topic reviews.

Residents also participate in the bi-monthly, multidisciplinary conferences focused on maternal and fetal issues and coordination of care.

The PGY2, 3, and 4 residents rotate on the Gynecologic Oncology service each year for one month. This rotation provides the residents with significant exposure to patients with gynecologic malignancies and they participate in all aspects of their care. The residents work directly with the gynecologic oncologists in both the office and hospital setting.

PGY 3 and 4 residents rotate on Urogynecology for one month each year. Working directly with a board-certified urogynecologist in both the office and hospital settings, they are exposed to the comprehensive assessment and treatment of incontinence and pelvic floor dysfunction. Their education includes preoperative assessments, operative therapies, and medical and rehabilitative therapies. Residents rotating on gynecology are also able to participate in these surgeries when no other resident is rotating on Urogynecology.

Residents rotate in REI for one month in the PGY2 and PGY4. The rotation provides comprehensive exposure to all aspects of reproductive endocrinology and infertility. Residents spend time in the office and the operating room with the REI attendings, learning about aspects of In vitro Fertilization, egg retrieval, embryo transfer, Hysterosalpingograms, and sperm analysis, to name a few. Resident teaching occurs in the office, operating room, and through didactic sessions.

Residents rotate in minimally invasive surgery for one month in each the PGY3 and PGY4. This rotation with a fellowship-trained minimally invasive gynecologic surgeon takes place in both the office and hospital setting. Residents are exposed to all surgical and pre- and post-operative aspects of gynecologic care related to such conditions as pelvic pain, benign pelvic masses, abnormal bleeding, and benign urogenital infections.

Residents have GME facilities at both Memorial Hospital West and Memorial Regional Hospital that contain an ample number of workstations equipped with computers. At both Memorial Hospital West and Memorial Regional Hospital, there is a dedicated residents’ workroom conveniently located in close proximity to Labor and Delivery which are well equipped.

Both institutions offer residents locker space, sleep rooms, refrigerator access, and private areas for lactation and milk storage. Additionally, residents are all given a laptop computer at the start of their residency.