Obstetrics & Gynecology Residency Educational Experience
- Active participation of residents across the continuum of patient care
- Graded responsibility and autonomy for patient care based upon the resident’s knowledge and experience
- Proper supervision and mentoring by multiple board certified faculty
- The curriculum integrates programs of self-study, general surgery and surgical specialties conferences
- Case-based learning modules
- Robotics and surgical skills laboratories
- Foster a culture of inquiry, excellence, altruism, professionalism and integrity that is aligned with the core values of our healthcare system
- Resident well-being
The goal during the first year is to train the future Obstetrician/Gynecologist the basic principles of obstetrical and gynecologic care, pre and post op surgical management and the importance of a multidisciplinary approach to women’s health. Residents should gain valuable operating room experience both as an assistant and an operating surgeon working under close senior supervision. Some rotations are home-call based; others will be in-house. Rotations in obstetrics, gynecology and maternal fetal medicine make up 6 months of the first year.
The remaining rotations provide exposure to NICU, SICU, Emergency Medicine, Anesthesia and Radiology in order to fully integrate a multidisciplinary approach and gain the communication skills necessary to effectively work with other members of the healthcare team on whom they will come to rely upon as practicing physicians in their specialty.
During the second year, in addition to the general Obstetrical and Gynecology services, rotations will include Maternal Fetal Medicine, Gynecology Oncology, Urogynecology and Reproductive Endocrinology. On the Obstetrical service, residents will be expected to assume a primary role in the management of normal labor for low risk patients, and serve as the second assist on all surgical cases and begin to demonstrate primary surgical skills such as opening and closing an incision, and laparoscopic trochar placement.
Residents will participate in an FLS certification training course at our simulation facility, and are required to become FLS certified by the end of the second year.
During the third year (PGY 3) the resident will assume greater responsibility in managing normal labor, serving as a mentor to junior residents, and playing a role in the management and supervision of the labor floor. PGY-3 residents will also function as the primary surgeon on routine cesarean deliveries and will assist in more complex repeat cesarean deliveries, as well as the primary surgeon in benign gynecologic surgeries and procedures which will be performed under direct supervision of attendings and faculty.
During the third year, residents will also be expected to participate in hospital quality and peer review committees, and declare an area or topic of interest suitable for academic research and a Grand Rounds presentation in PGY-4.
Fourth year residents will function as Chief Residents for the Obstetrical, Perinatology/High-Risk Gynecologic, Urogynecologic and Gynecology Oncology services. Along with the attending faculty, they will assume responsibility for the management of all patients on the service, including the supervision of patients being managed by junior residents, and will be expected to function and integrate with the team at the level of an attending physician by the end of the fourth year. They will also be responsible for the assignment of operating room duties, managing the call schedule, and the supervision of patients in the continuity clinic.
Chief Residents will also help select cases for Friday morning Case Presentations, and will participate in all Department, Quality and Peer Review Committee conferences. At the end of the fourth year, Chief Residents will also be strongly encouraged to present a substantially academic work in a formal setting either within the department or at a regional or national conference, and will make a Grand Rounds presentation related to their area of interest.
Workshops and Didactics
SIM Lab: During the first week of orientation, incoming residents will participate in a simulation lab experience designed to familiarize them with the fundamentals of obstetrical emergencies and critical care situations. Additional SIM labs will be provided on a quarterly basis to aid in developing technical proficiency in surgical and laparoscopic skill. There will also be sessions dedicated to FLS training and certification.
Morning OB Board Rounds: Conducted at 7AM on a daily basis, OB board rounds will review all active patients on the labor unit and antepartum unit; this is a core educational component aimed at developing management, critical thinking and anticipation of the necessary resources to care for patients. In addition, the importance of good communication and hand off skills are emphasized.
Core Teaching: Faculty will conduct regular sessions Wednesday mornings covering a range of topics in both general Ob/GYN and subspecialty areas, designed to meet the educational objectives of CREOG and review current topics in the field. Sessions will also include role playing and clinical scenarios to reinforce teaching, communication skills and developing an approach to challenging ethical dilemmas.
Journal Club: Once a month residents will participate and/or lead discussions regarding current clinical investigations, guidelines and editorials in order to reach deeper understanding of current trends and challenges in the field and develop a commitment to becoming lifelong learners.
Case Rounds: Each Friday morning, residents will present to faculty and staff a recent case that illustrates either a core principle in patient care, a diagnostic challenge or an evolving trend in the field. Once a month, case presentations will be coordinated with a Grand Rounds presentation by either in-house faculty or visiting experts in their field.
Residents will also participate in scheduled multi-disciplinary and subspecialty rounds that will incorporate bedside teaching as well as provide opportunities for identifying and addressing quality, performance and public health initiatives.
The performance of each resident in the Department is regularly evaluated by faculty members on their respective rotations. Faculty evaluation records are forwarded to the Graduate Medical Education office at the end of each rotation. Attention is placed to ensure that residents are meeting the Milestones of OB/GYN education as expected by the ACGME. Residents are expected to maintain the standards of the Department. The residents are also asked to evaluate each of their rotations and the faculty.
Each rotation block is anchored to a weekly one half day session at the continuity/outpatient clinic facility. The Pembroke Road facility is a long standing community based clinic serving the needs of a diverse patient population in the area. In conjunction with supervising faculty, residents will learn office management and ambulatory care of patients, and will have an opportunity to follow their own patients during the course of their rotation and training, including obstetrical patients through the course of their pregnancy, and gynecologic patients requiring either outpatient or inpatient interventions, with the goal of developing the skills necessary to prepare them for independent practice in an ambulatory setting.