Obstetrics Gynecology Residency Curriculum

Obstetrics Gynecology Residency Curriculum

Curriculum Summary

We prefer hands-on and interactive teaching over traditional lectures. We value teamwork, camaraderie and a good work-life balance. Be prepared to learn while having fun and staying engaged.

Our obstetrics-gynecology curriculum spans the breadth and depth of our field. And, we are continuously evolving because we value resident feedback and make improvements based on your experiences and needs.

You will be very well supported and transition in level of responsibility in a gradual manner. During each core rotation you will be part of a team where lower level residents feel strongly supported while upper level residents learn to manage and teach.

The Fundamentals Rotation

During the first four weeks of clinical work, residents rotate in pairs through labor and delivery, gyn surgery, night float and some time in the office. This Fundamentals rotation gives you the foundation needed for the rest of your career.

Our interns begin operating right out of the gate!

Protected Education Time

The weekly education schedule includes protected time for residents from 1-5 pm every Wednesday for:

• Faculty teaching
• Journal clubs
• Colposcopy case reviews
• Gyn Surgery Conference (residents present upcoming surgery cases for patients, discuss perioperative considerations, as well as discuss follow-up for interesting cases
• Guest speakers with a broad range of topics

Monthly Simulation Training

Residents are involved in the following simulations during protected time each month:

• Team training
• In-situ OB team simulations
• Communications simulations with standardized patients
• Surgical skills training

Elective Blocks

Our residents have 2 elective blocks, which are currently located during the third year. One is done at our home institution while the other can be an “away” elective with pre-approval from the Program Director and DIO. Residents work with the Program Director to create an elective that meets individual needs. Examples of recent electives as follows:

• “Home” elective: ultrasound, surgery at a community hospital, research, breast surgery, rotation with the renal team, ED shifts to learn procedures, LGBTQIA+ education, curricular development.
• “Away” elective: international work, fellowship “audition” rotations, rural medicine, NAMS course

Orientation

Before starting any clinical rotations, new residents spend approximately 2 weeks completing a structured orientation. During this this time they learn and practice skills necessary for patient care on labor and delivery, in the operating room, and in the outpatient setting. Additionally, our new residents learn how to complete the necessary administrative tasks required for residency.

PGY1 Curriculum

Once Orientation is complete, the first year residents move right on to the Fundamentals Rotation. During the first four weeks of clinical work, residents rotate in pairs through labor and delivery, gyn surgery, night float and in the office. This Fundamentals rotation gives you the foundation needed for the rest of your career.

Our interns begin operating right from the beginning!

• Fundamentals - 4 weeks
• ED/WETU - 4 weeks
• PDC/Genetics - 4 weeks
• Primary & Preventative Care - 4 weeks
• L&D - 8 weeks
• Night Float - 8 weeks
• Gyn - 8 weeks
• Gyn ONC - 4 weeks
• Gyn Consult - 4 weeks

PGY2 Curriculum

During the second year, residents continue to delve into more complex OB and GYN patient care, as well as having the opportunity to explore sub-specialties.

Our residents now receive Essentials in Minimally Invasive Gynecologic Surgery (EMIGS) training and certification during the Critical Care Critical Thinking (CCCT) rotation. Previously, our residents received FLS certification (starting in 2011).

• Critical Care Critical Thinking - 4 weeks
• Gyn - 8 weeks
• L&D - 8 weeks
• Maternal-Fetal Medicine - 4 weeks
• Night Float - 8 weeks
• REI/PAG - 4 weeks
• Reproductive Health - 4 weeks
• GYN Oncology - 4 weeks
• Urogynecology - 4 weeks

PGY3 Curriculum

During the third year, our residents transition into more leadership and teaching roles. They work closely with the PGY1 class, teaching them low-risk deliveries, and acting as the attending during GYN minor cases.

• Maternal-Fetal Medicine - 4 weeks
• REI/PAG - 4 weeks
• Reproductive Health - 4 weeks
• L&D - 8 weeks
• Gyn - 8 weeks
• Night Float - 8 weeks
• Elective - 8 weeks
• Gyn Oncology - 4 weeks

PGY4 Curriculum

Each PGY4 resident becomes the Chief Resident of their service. They are responsible for teaching all other residents and often act as the attending during certain parts of the rotation. While the actual attending is there for support, encouragement, and to contribute to education and ensure patient safety, our Chief Residents take large leadership roles. Our residents graduate with the confidence and competence needed to care for patients.

The Admin Chief is responsible for oversight of the residents in regards to scheduling, troubleshooting, and helping as needed. They also work on Quality projects in the hospital and learn the business side of medicine.

• Urogynecology - 8 weeks
• Gynecology - 8 weeks
• Gyn Oncology - 8 weeks
• L&D - 8 weeks
• Night Float - 8 weeks
• Administrative Chief/Quality & Safety - 8 weeks

Sample Rotation Schedule

4 Week Blocks for all PG Years. Interns are doubled up for one rotation the first half of the year so that the whole class can have a 4 week Fundamentals rotation. So there will be one rotation each with 2 residents (Gyn, Night Float, L&D, PPC & PDC/Genetics)