Houston Methodist. Leading Medicine.
Houston Methodist. Leading Medicine

Clinical Rotations

Obstetrics & Gynecology -- Clinical Rotations

Clinical RotationsResident clinical rotations are designed to maximize their educational experience rather than fulfill service requirements. Call is compliant with the ACGME Duty Hour requirements.

PGY1: First year residents start immediately seeing pregnant patients in the OB Triage area, running the Labor and Delivery floor, and performing vaginal deliveries. They also perform primary cesareans, and participate in outpatient gynecology including colposcopy, and minor gynecologic surgeries. In the second half of the year, they engage in major gynecologic surgeries, many times as the surgeon. They also learn obstetrical ultrasound in Ultrasound Clinic.

PGY2: Second year residents care for complicated obstetrical patients with an emphasis in MFM, supervise first year residents, perform repeat and more complicated cesareans, and perform more difficult gynecologic surgeries including hysteroscopy, and laparoscopy. They learn emergency and critical care medicine and perform gynecologic consults.

PGY3: Third year residents spend the majority of their time on gynecological rotations, with an emphasis on advanced laparoscopic surgeries and vaginal surgeries. While on obstetrics, they perform advanced procedures including difficult cesareans and operative obstetrical procedures. They also spend time in Reproductive Endocrinology and Gynecologic Oncology, and have a 1 month elective. They are often the leaders of their team when on call.

PGY4: The Chief resident spends 3-4 months on the OB, GYN, and Night Float services, and serves as the clinical and academic team leader, being responsible for the decision making, allocation of residents, resident and student learning, and organization of the service. During this year, the Chief Resident acts fairly independently with consultation and oversight from the faculty. The most difficult and advanced minimally invasive and vaginal gynecologic procedures, robotic surgery, and operative obstetrical procedures are performed. The following is a typical resident rotation schedule:


PGY Level



Night Float






4 mo

3 mo

3 mo

Prim Care 1mo

Priv Prac-1mo





4 mo

2 mo

Emerg Med 1 mo

SICU 1 mo




2 mo

5 mo

2 mo

REIF- 1 mo

Gyn Onc -1mo

Elective 1mo



3 mo

4 mo

3 mo

Continuity Gyn 2 mo